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By Montgomery Dental Care
January 08, 2021
Category: Dental Procedures
Tags: dental implants  

If you're thinking about getting dental implants, you may be curious about how long it might take. The answer depends on the health of your supporting bone.

Bone is an integral part of implant functionality as bone cells gradually grow and adhere to the newly placed implant to give it its characteristic strength. The implant also requires an adequate amount of bone to accurately position it for the best appearance outcome.

If the bone is sufficient and healthy, we can proceed with the surgical placement of the implant. The most common practice following surgery is to allow a few weeks for the bone integration described previously to take place before finally attaching the crown. With an alternative known as a “tooth in one day” procedure, we install a crown right after surgery, which gives you a full smile when you leave.

There's one caveat to this latter method, though—because the implant still requires bone integration, this immediate crown is temporary. It's designed to receive no pressure from biting or chewing, which could damage the still integrating implant. We'll install the permanent crown after the implant and bone have had time to fully mesh.

So, if your supporting bone is sound, the complete implant process may only take a few weeks. But what if it's not—what if you've lost bone and don't have enough to support an implant? In that case, the length of process time depends on the severity of the bone loss and if we're able to overcome it. In some cases, we can't, which means we'll need to consider a different restoration.

But it's often possible to regenerate lost bone by grafting bone material at the implant site. If the bone loss is moderate, it may take 2 to 4 months of regrowth after grafting before we can perform implant surgery. If it's more significant or there's disease damage to the socket, it may take longer, usually 4 to 6 months. It largely depends on the rate of bone regeneration.

In a nutshell, then, the health of your jaw's supporting bone has a lot to do with whether the implant process will take a few weeks or a few months. Regardless of the time, though, you'll gain the same result—new, functional teeth and a more attractive smile.

If you would like more information on dental implant restorations, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Implant Timelines for Replacing Missing Teeth.”

By Montgomery Dental Care
December 31, 2020
Category: Cosmetic Dentistry

Botox can do more than just smooth away lines and wrinkles.

You’ve probably heard of Botox and may even understand the cosmetic benefits that surround this anti-aging treatment; however, are you surprised to discover that our Montgomery, OH, dentist Dr. Janette Williams offers Botox? You shouldn’t be! After all, a dentist has extensive knowledge of the muscles and structure of the face, making them the perfect doctor to administer Botox.

Botox can be used to,

  • Smooth away lip lines
  • Treat facial pain caused by teeth grinding or jaw clenching
  • Eliminate jaw pain and muscle tension caused by temporomandibular joint (TMJ) disorder

Yes, that’s right! Botox is more than just an amazing cosmetic treatment, our Montgomery, OH, dental team also uses it to treat face and neck pain caused by bad habits such as teeth grinding or from jaw joint disorders such as TMJ.

How does Botox work?

Botox is made from a purified, medical-grade form of botulinum toxin A. When injected into the face, this neurotoxin temporarily prevents the muscles from contracting, which eases any clenching or grinding that you do throughout the day or while you are asleep.

During your routine checkups, our dental team will look for excessive wear on teeth and other signs that you might clench or grind your teeth at night. While there are oral appliances that can also help ease symptoms while you sleep, you may choose to get Botox if you like the idea of not having to wear a dental appliance to bed each night.

How long does it last?

Getting Botox is incredibly simple and easy. It only takes a couple of minutes to administer treatment right here in our office and you can go right back to your normal activities (except strenuous exercise) immediately after. You should start to notice an improvement in your symptoms within 3-4 days with full effects from Botox taking about a week.

Most people experience relief for up to six months. In some cases, patients no longer need additional treatments and find that their facial pain is gone, while others may benefit from maintenance treatments every year. This is something that you can determine with your dentist.

If you want to find out if you are an ideal candidate for Botox, turn to our Montgomery, OH, dental team for an evaluation. Call Montgomery Dental Care today at (513) 793-5703 to find out if Botox is right for you.

By Montgomery Dental Care
December 29, 2020
Category: Oral Health
Tags: dental implant  

Daily oral hygiene and regular dental cleanings help keep your natural teeth and gums healthy and disease-free. But they're also a priority with dental implants. Here's why.

Unlike other restorations, an implant replaces both a tooth's crown and root, the latter by way of a titanium metal post imbedded into the jawbone. Bone cells grow and adhere to the metal surface, forming a secure and lasting hold.

But although quite durable, this hold differs significantly from natural teeth, which are actually held in place by a tough, elastic tissue called the periodontal ligament. The attachment of the ligament's tiny fibers to both tooth and bone secure the tooth in place, as well as supply it and the surrounding gums with nutrients and defensive antibodies to fight infection.

Implants don't have this relationship with the periodontal ligament. The tissues around an implant are thus susceptible to an aggressive form of periodontal (gum) disease called peri-implantitis. This kind of gum infection can progress rapidly, leading eventually to bone loss and possible failure of the implant.

Daily brushing and flossing of both natural and implant-supported teeth lowers the risk of gum disease, particularly peri-implantitis. It's also imperative that you undergo regular cleanings, at least every six months, with your dentist or dental hygienist.

These, however, won't be the typical cleanings performed on natural teeth. Hygienists don't use metal cleaning implements to remove plaque and tartar deposits because they can scratch the metal materials of the implant and crown. These microscopic scratches can then attract bacteria that trigger gum infections. Instead, they'll use instruments made of plastics or resins.

Hygienists also rely heavily on ultrasonic equipment that vibrates plaque loose on or around implants, which are then flushed away with water. The tips used with these instruments are also typically made of nylon or plastic sheathing.

Even with the extra hygiene care needed, implants still enjoy a 95% or higher survival rate after ten years. You can ensure your implants achieve that level of durability by keeping them clean and seeing your dentist at the first sign of a gum infection.

If you would like more information on maintaining dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implant Maintenance.”

By Montgomery Dental Care
December 29, 2020
Category: Oral Health
Tags: Sleep Apnea  

"A third of US adults report that they usually get less than the recommended amount of sleep," says the Centers for Disease Control and Prevention. Not getting the sleep you need can be linked to many diseases, which is why it's important to contact Dr. Janette Williams of Montgomery Dental Care in Cincinnati, OH, to learn more about sleep apnea.

Sleep Apnea

Sleep apnea is an SRBD, sleep-related breathing disorder that affects a person's respiratory airflow. Soft tissue, like the tongue, interrupts breathing, which vibrates and results in snoring as well. The tissue at the back of your throat collapses while you're asleep causing the windpipe to be partially closed off.

Obstructive Sleep Apnea occurs when the upper airway is blocked and significant airflow disruption occurs, complete blockage of airflow may result as well. Sleep apnea makes it difficult to sleep and people suffer from micro-arousals that prevent deep sleep.

Need to know more about lack of sleep from Montgomery Dental Care?

More than 160 million people reported feeling drowsy while driving, according to the National Sleep Foundation's 2005 Sleep in America poll.

Not getting enough sleep isn't just important for your health but for the well-fare of others. Don't drive your children to school if you're tired. If you fall asleep behind the wheel, you'll end up endangering yourself and others.

There are many diseases that are linked to a lack of sleep, so make sure you ask your Cincinnati doctor about how he can help you cope with or treat certain illnesses to improve the quality of your sleep.

What are a few examples of conditions that affect sleep?

  • Diabetes
  • Heart disease
  • Obesity
  • Depression

Do you need to consult a doctor?

If you have any questions or concerns regarding your health and would like to know if you are suffering from sleep apnea, contact your Cincinnati, OH, dentist Dr. Janette Williams of Montgomery Dental Care at (513) 793-5703.


Kids get pretty inventive pulling a loose primary (baby) tooth. After all, there's a profit motive involved (aka the Tooth Fairy). But a young Kansas City Chiefs fan may have topped his peers with his method, revealed in a recent Twitter video that went viral.

Inspired by all-star KC quarterback Patrick Mahomes (and sporting his #15 jersey), 7-year-old Jensen Palmer tied his loose tooth to a football with a line of string. Then, announcing “This is how an MVP gets their tooth out,” the next-gen QB sent the ball flying, with the tooth tailing close behind.

It appears young Palmer was no worse for wear with his tooth removal technique. But if you're thinking there might be a less risky, and less dramatic, way to remove a loose tooth, you're right. The first thing you should know, though: Primary teeth come out when they're good and ready, and that's important. Primary teeth play an important role in a child's current dental and speech function and their future dental development. For the latter, they serve as placeholders for permanent teeth developing within the gums. If one is lost prematurely, the corresponding permanent tooth might erupt out of position and cause bite problems.

In normal development, though, a primary tooth coming out coincides closely with the linked permanent tooth coming in. When it's time, the primary tooth lets you know by becoming quite loose in the socket.

If you think one of your children's primary teeth is ready, clean your hands first with soap and water. Then using a clean tissue, you should be able to easily wiggle the tooth with little tension. Grasp the tooth with the tissue and give it a little horizontal twist to pop it out. If that doesn't work, wait a day or two before trying again. If it does come out, be sure you have some clean gauze handy in case of bleeding from the empty socket.

Normally, nature takes its course from this point. But be on the lookout for abnormal signs like fragments of the tooth left behind in the socket (not to be mistaken for the top of the permanent tooth coming in). You should also look for redness, swelling or complaints of pain the following day—signs of possible infection. If you see anything like this, make a prompt appointment so we can take a look. Losing a primary tooth is a signpost pointing the way from childhood to adulthood (not to mention a windfall for kids under their pillows). You can help make it a smooth transition—no forward pass required.

If you would like more information about caring for primary teeth, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Importance of Baby Teeth” and “Losing a Baby Tooth.”

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