Ask the Dentist

All-on-X systems are full-arch rehabilitation solutions where 'X' represents the number of implants (typically 4-6) supporting an entire arch of fixed prosthetic teeth. All-on-4, popularized by Nobel Biocare, uses four strategically placed implants with the posterior ones tilted to avoid anatomical structures. All-on-6 offers more support with six implants, providing better load distribution and potentially longer prosthesis lifespan. The Malo Bridge (named after Dr. Paulo Malo who pioneered the All-on-4 concept) specifically refers to the prosthetic framework used in the All-on-4 technique. The best option depends on bone quality, jaw anatomy, bite forces, and budget considerations.

Anterior crowns that feel tight are not normal and indicate potential issues with fit, margins, or occlusion. This sensation could be due to improper crown dimensions, high occlusal contacts, inflammatory response, or inadequate proximal contacts. A dental evaluation is necessary for adjustment to prevent long-term complications.

While mild discomfort in a new anterior dental crown may be normal for 1-2 weeks after placement, you should be concerned if you experience persistent or worsening pain, temperature sensitivity lasting beyond 2 weeks, pain when biting, visible gum inflammation, mobility in the crown, or any signs of infection. These symptoms require prompt dental evaluation.

Beyond night guards (occlusal splints), treatment options for bruxism include stress management techniques, physical therapy, biofeedback training, muscle relaxants, Botox injections to temporarily weaken overactive jaw muscles, and addressing potential sleep disorders like sleep apnea. Lifestyle modifications such as avoiding caffeine and alcohol before bedtime, establishing relaxing sleep routines, and treating underlying conditions like GERD can also help. A comprehensive approach typically combines protective devices with addressing the root causes of grinding through behavioral and medical interventions tailored to each patient's specific triggers and symptoms.

Dental implants can successfully help reconstruct oral function after cancer treatment, but require special considerations for radiation-affected tissues. Success rates are 68-85% in irradiated bone (compared to 95%+ in normal cases), requiring careful planning including pre-implant assessment, possible hyperbaric oxygen therapy, longer healing periods, and specialized prosthetic designs. With proper multidisciplinary care involving dental oncologists, maxillofacial prosthodontists, and head/neck surgeons, implant reconstruction can significantly improve quality of life for head and neck cancer survivors, restoring both function and aesthetics.

La candidiasis oral que no responde al enjuague antifúngico puede requerir un enfoque más completo: medicamentos antifúngicos sistémicos, identificación y manejo de factores predisponentes (como diabetes o uso de inhaladores), mejora de la higiene oral y evaluación de posibles resistencias farmacológicas. Es importante consultar con un profesional para un diagnóstico preciso y un plan de tratamiento personalizado.

While uncommon, severe dental infections can potentially cause systemic symptoms like blurry vision, tinnitus, and dizziness through several mechanisms, including spreading infection, inflammatory responses, trigeminal nerve irritation, referred pain, and vascular effects. These symptoms warrant urgent dental and medical evaluation, as they could indicate a serious complication requiring immediate treatment to prevent further progression.

Yes, there are several aesthetic alternatives to visible cement points on anterior teeth, including tooth-colored composite resins, porcelain veneers, or full ceramic crowns depending on the underlying reason for the cement placement. Modern cosmetic dentistry offers multiple solutions that can restore function while maintaining natural appearance.

Improperly fitted cosmetic crowns can be identified through persistent pain, visible gaps between the crown and gumline, difficulty flossing, food trapping, unusual appearance, bite discomfort, gum inflammation, and sensitivity. Professional evaluation is essential to prevent complications like decay, gum disease, and premature crown failure.

Antibiotics alone cannot cure a dental abscess as they don't eliminate the source of infection. While they can temporarily reduce infection and symptoms, definitive treatment like root canal therapy or extraction is necessary to completely resolve the abscess.