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    All-on-8 Dental Implants

    A dental implant is a very delicate cosmetic procedure that requires the insertion of an artificial fixture in the jaw bone, in order to replace a damaged tooth. There are many factors that can make or break a successful dental implant procedure, such as: the general health condition of the patient, the local health condition of the mucous membranes and the jaws and the shape, size, and position of the bones of the jaws, adjacent and opposing teeth. Also, people with various diseases (diabetes, gum diseases), heavy smokers and those with poor dental hygiene, are at a much greater risk of a failed dental implant.

    Choosing the right dental implant specialist can be a tough decision to make. First of all, experience is a key aspect. After that come the qualifications: dental implantology, orthodontics, cosmetic/plastic surgery and maxilo-facial surgery.

    All on 8 Dental Implants

    An All-on-8 implant system is a good option for patients living with edentulism (toothlessness), as it can be implemented for upper and lower restorations. The system is usually recommended for patients who have lost more than 80% of their natural teeth. The system can also be used to replace multiple teeth that are periodontally compromised.

    The All-on-8 dental implants are similar to that of All-on-4 and All-on-6 dental implants. Like the All-on-4 and All-on-6 dental implants that utilize 4 and 6 implants respectively on each arch, this system uses eight false roots per arch to hold the full row of false teeth.

    The implants inserted into the jawbone work as anchors for a permanent and non-removable dental bridge of between 12 to 14 crowns (teeth). A fixed hybrid bridge, made out of porcelain fused to metal bridge or zirconium bridge, is permanently cemented over these titanium roots.

    Advantages of All-on-8 Dental implants

    All-on-8 is one of the most successful techniques to replace missing teeth. It offers multiple benefits to the patients including:

    • A lovely smile – With dental implant treatments you can replicate your natural teeth, giving you a lovely smile to flaunt confidently. The artificial teeth designed to match the colour and shape of your existing teeth, making it difficult for anyone to notice.
    • Freedom to eat any food – All-on-8 dental implants don’t require you to give up on your favourite food as they function like your natural teeth. They give you the freedom to eat hard or chewy food without any worries.
    • Comfort and stability – Dental implants are fixed to the jaw bone which is why they are stable and comfortable. Other teeth restoration options may not provide stability like the All-on-8 Dental implants.
    • Durability – If looked after carefully, dental implants can last a lifetime. Good oral hygiene can keep your implants looking and feeling like new forever.

    The Procedure

    Before receiving an All-on-8, the patient needs to have enough bone to support the implants. If there is not enough bone, then a bone graft is needed. An All-on-8 requires more bone and more bone strength than an All-on-4.

    • In the first stage of All-on-8, the dental implants are placed into the jawbone. You will also receive removable temporary teeth to use during the next 3 to 6 months.
    • In the first 3 to 6 months following the procedure, the mouth will be healing and the bone and gums changing shape to adapt to the new fixture. In this time patients should exercise caution eating hard or very chewy foods. Patients should expect considerable discomfort and swelling after the procedure. The pain usually subsides after a week of healing.
    • Finally, once the implants have healed, you will revisit us in Antalya to receive your permanent solution in the form of a fixed dental bridge.

    If you have insufficient bone density, we may complete a bone grafting either simultaneously with the impant procedure or before the implant procedure.

    1.Which All-On treatment do you need?

    Should you get the cheapest package or the most expensive one? Do you even need 8 implants or will 2 suffice according to the state of your mouth and remaining teeth? Consult one of our online consultants on WhatsApp number +90 542 512 51 64 to inquire which one is best for your mouth and which one you can afford. There’s no universal answer that suits all patients. It depends on your situation and sometimes your best bet is to get removable dentures because you’re either too old to undergo this type of surgery or because you don’t have any bone tissue left to build on.

    With the all-on procedure, it’s like having 4-8 roots that go into your jaw while the rest of the teeth hang right above the gums. Thus, when flossing, you need a special type of floss to clean the new unusual gaps between the prosthetic teeth hanging above the gums. There’s no need to spend money on implants for every lost tooth. Any remaining healthy teeth you have can serve as posts that will reduce the amount of implants needed for your complete row of teeth.

    • Our professionals are highly trained at universities within the country.
    • We provide all dental services at the same clinic: dental specializations, image diagnostics, operating room.
    • Your hotel accommodation, VIP transportation to and from the airport and to and from the clinic are free of charge, to make your stay in Antalya more fruitful and pleasant.
    • We support our dental implants with a lifetime warranty.
    • We support our crowns and bridges with 5 years warranty.
    • You will have your own personal guide and/or medical coordinator available 24/7 to help and assist you in anything you might need before, during and after your treatments. Since your medical coordinator can speak multiple languages they will also be your personal translator which will help you break the language barriere.
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      All-on-6 Dental Implants

      Not having a full set of teeth can make you self-conscious and diminish the wattage of your smile. There’s also the more serious issues of bone loss, tooth decay and poor oral hygiene. The All-on-6 technique offers a permanent solution and restores your full mouth of teeth.

      How do All-on-6 implants work?

      First let’s review what a dental implant is. A dental implant is a small titanium screw, which is placed into your jawbone to replace the root of a missing tooth. Once the implant is in place, a crown is attached to give you a highly realistic looking and functional tooth.

      Because the implants are made of titanium, they can fuse to the jaw bone in a process called osseointegration. This makes them incredibly sturdy and reliable, just like real teeth.

      All-on-6 implants are the perfect solution for patients that are missing all of their teeth in either their upper and/or lower arches.

      With the All-on-6 a series of 6 implants are placed to anchor a whole upper or lower arch of teeth. Instead of getting a dental implant for each missing tooth, we are able to strategically place just 6 implants.

      These full-mouth restorations are non-removable, incredibly stable, and function just like real teeth. With All-on-6 implants, you can chew tough foods, eat fresh fruits and vegetables, laugh, kiss, and speak confidently again.

      They also provide the added benefit of preserving your jawbone. When teeth are lost, the jawbone below your teeth slowly starts to recede. By placing a titanium implant into the jawbone, you will prevent further bone loss and facial sagging, creating a more youthful appearance.

      Who can have the All-on-6 Dental Implant treatment?

      Before the All-on-6 dental implants procedure our dentists will make an X-Ray and examine your mouth. They will also discuss your medical history as systemic diseases can affect your healing.

      If you have experienced bone loss for whatever reason it may be, an All-on-6 dental implant treatment might still be possible as our dentists can build up bone for implant levels using sophisticated bone grafting techniques.

      Though every patient case is unique, our dentist are looking at five major factors to consider when recommending the All-on-6 dental implant treatment:

      • Speech Issues: If speech is a major concern, periodontists must be prepared to offer alternative treatments, such as to replace missing teeth with short-span bridges or single dental implants. This will often require more implants, more bone grafting, and more expensive prosthetics, so patients will need to be prepared for the additional treatment time and cost.
      • Bridge thickness: This can be a big problem for some patients, and sadly they often figure out that it’s a problem after surgery when the ridge has been reduced. At that point, nothing can be done to get them back to that natural-feeling transition.
      • Excessive biting force: Patients have difficulty recognizing premature or excessive occlusal contacts. They may generate excessive biting forces due to the lack of sensation.
      • Parafunction: Bruxism, clenching, and irregular chewing cycles

      Our dentists offer more than just one treatment option when it comes to full mouth reconstructions options. They take the time to assess the best options for each patient and explain the hurdles they will need to overcome and not just the benefits of the treatment.

      The Procedure

      The process of getting All-on-6 implants is an efficient and less painful way to replace a full arch of missing teeth. Individual dental implants to replace 24 functional tooth is impractical and not recommended. With All-on-6 implants, you can have all the implants placed in one surgery, which will minimize discomfort and recovery time.

      • The first step of placing the implants is making 3D images of the jaw, so that the dentist gets a detailed picture of the condition the jaw bone is in, as well as the position of sinuses and nerves in relation to the jaws. If it is determined that the patient has enough bone tissue to proceed with All-on-6 technique, a precise plan of implant positions is created.
      • Once the initial process has been finished, the teeth indicated for extraction are pulled out, after which the implants will be placed immediately. If there is any sort of bone defect in the jaws region, the specialists make sure to avoid it. In certain rare circumstances it is necessary to wait for a while for the wounds to heal in order to place the implants. All implants in both jaws can be placed in a single day, and they are mostly placed in the position where the 2s, 4s and 6s used to be.
      • After the placement of the implants, there is a period of bone integration (osseintegration), lasting between 3 and 6 months.
      • The patient will wear a removable temporary denture plate on the implants for up to 6 months while the jaws and gums heal fully around the implanted titanium screws.
      • As mentioned earlier, the final arch, will be placed three to six months after the placement of your implants. The crowns come in two options: metal ceramic or non-metal zirconium. In most cases, a 12 crown arch is planned, i.e. up to the 6s, but this can vary. Only the All-on-6 features six implants and 12 crowns, since it is considered that 12 crowns is optimal for normal daily functions.

      After the placement of implants, patients must maintain scrupulous hygiene around the implants. If they live a healthy lifestyle and keep a good hygiene, a gradual regeneration of bone tissue can be expected. The cost of the All-on-6 implant treatment depends on the type of implants and crowns to be used, and it is paid in two installments. You will be charged for implants and temporary fixtures during your initial visit. As for the placement of your final arch, this part can be paid for during your second visit.

      1.All-on-6 vs. All-on-4

      Both procedures are low-cost and effective, making them an ideal choice. However, some may ask why they should choose an All-on-6 as opposed to the All-on-4? Neither of these options is necessarily better; it is a decision that should be made on a case-by-case basis. For example, if a more extensive reconstruction is needed, All-on-6 implants are a better choice because the additional implants provide additional support. However, if you do not have the additional bone mass required for the additional implants, you would be a more likely candidate for an All-on-4. Call or text our online consultants on WhatsApp number +90 542 512 51 64 to know which procedure is best for you!

      The good news is that care for All-on-6 implants is exactly the same as for natural teeth – twice daily brushing and flossing, plus one or two yearly visits to the dentist! There is no need for special nightly cleanings or endless follow up appointments; a normal dental care routine is all you need to take care of your dental implants for the rest of your life. During the healing phase with your temporary teeth, you might need to avoid particularly hard or sticky foods, but afterwards there is not even a special diet you need to follow.

      At My Imperial Care, we make getting implants easy. With kind, attentive, and professional doctors, we are always ready to take care of your dental needs. We are here to listen to you and help you, because it is our philosophy that everyone deserves a red carpet worthy smile. We will always make it easy for you; just call or text our consultants on WhatsApp number +90 542 512 51 64 for an online consult and we take care of the rest.

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        All-on-4 Dental Implants

        Dental implants are an extremely effective long-term solution for missing teeth and offer a solution to commonly experienced denture problems. They are used to replace the root portion of a missing tooth with a titanium implant. The implant is fixed into a pre-drilled socket in the jawbone and a new restoration is then attached to restore full function to the tooth.

        All-on-4 dental implants is a revolutionary treatment, which allows a whole set of new teeth (known as an arch) to be supported by just 4 implants per arch. The All-on-4 implants are positioned at precise angles to provide optimum support for the arch and complete stabilisation for your dentures.

        One full arch of teeth, four dental implants!

        To fully understand this remarkable technique for replacing teeth, you should first understand what a dental implant is. An implant is a small titanium screw that fits inside your jawbone and replaces the root-part of a missing tooth. Minor surgery is required to insert the implants. Once the implant is in place, a crown is attached to give you a highly realistic looking and functional prosthetic tooth.

        Here’s where it gets really interesting: You do not need a dental implant for each and every one of your missing teeth. All you need is four precisely placed implants on the top of your mouth, and four on the bottom, to restore your full smile. That’s the beauty of the full arch. And because the implant is made of titanium, it has the unique ability to fuse to living bone and function as part of it. So eventually, the dental implant becomes part of the jawbone and serves as a strong, long-lasting foundation for your new teeth.

        Besides ensuring that your implants are permanently fixed in place, this bone fusion has another important benefit: it can prevent future bone loss in the jaw. This helps to maintain a more youthful facial structure and better oral health. But perhaps the biggest surprise about the full arch is how quickly it can transform your life.

        Osseointegration

        The All-on-4 dental implant treatment is also promised by many dental practices as the ‘Teeth in a day’ treatment, assuming you would need only 1 day for the whole process. In reality, any treatment where dental implants are involved, comes with the biggest risk of all, which is implant failure.

        There are more than one reason why implant failure can happen but not allowing osseintegration to take place is the most common reason. Let’s dig into this a little more:

        A dental implant is placed in the bone to replace the root portion of the tooth. When this happens, it takes multiple months for osseointegration to happen. Osseointegration derives from the Greek word, osteon (bone), and the Latin word, integrate (to make whole). The term refers to the direct structural and functional connection between living bone and the surface of a load-bearing artificial implant. This means that the bone fuses to the implant to become stable enough to hold a tooth on it. Unfortunately, this is a process that cannot be sped up. The process takes around 2 to 4 months to be completed. Once osseointegration has finished, your dental implant can have a tooth attached and you can start chewing on the implant without problems.

        This means that should you choose to have teeth attached to the implants immideately after the latter being placed (which technically is possible) you still have the risk that the implant will fail and fall out because you have not allowed for the osseintegration to take place.

        Since most of our patients travel from abroad our dental professionals choose to perform the All-on-4 treatment in the classic way. This means that you will have to visit us twice with a healing time of 2 to 4 months in between each visit.

        The Procedure

        Placing All-on-4 dental implants is a surgical procedure. Depending on the patient, general anesthesia may be used to achieve total unconsciousness. Most patients only require local anesthesia and/or IV sedatives to keep them pain-free and calm during the procedure.

        The All-on-4 dental implants procedure:

        • The diseased or infected teeth, gum tissue, or jaw bone tissue will be removed as needed.
        • Titanium dental implants are placed in the jaw bone to provide anchors for the fabricated teeth plate.
        • Incisions are sutured, and the mouth is cleaned.
        • The patient will wear a temporary denture plate on the implants for up to a 4 months while the jaws and gums heal fully around the implanted titanium screws.
        • Once recovery is complete, a custom-fit permanent denture plate will be placed on the 4 implants.

        By only placing 4 implants within the bone structure, patients typically experience a shorter recovery time than traditional dental implant procedures. This procedure results in a more youthful appearance and teeth that can be used exactly like natural teeth. They can be brushed and cleaned the same ways natural teeth are.

        The goal of an All-on-4 dental implant system is to provide a full smile restoration with natural results, at lower costs, with high success rates for patients who are missing all or most of their teeth.

        1.How are All-on-4 implants different from normal dental implants?

        All-on-4 dental implants are unlike traditional implants because 4 implants are used to sustain one whole arch, when usually between 6 and 10 implants are needed to maintain an arch. All-on-4 dental implants are able to sustain an arch because of the angles the implants are positioned at, with the back implants positioned at a 45-degree angle rather than a 90-degree angle, which helps to lock the implants together. As only 4 implants per arch are needed the procedure is quicker and less invasive.

        All-on-4 implants have many benefits. As just 4 implants are required to sustain a whole arch the procedure is quicker and less invasive and fewer visits to the dentist are required. There is also rarely any need for bone grafting and All-on-4 implants create an attractive aesthetic, as well as restoring optimum function to the mouth.

        Health is more of a deciding factor for All-on-4 treatment than age. If you are healthy enough to have teeth extracted, generally you will also be healthy enough for All-on-4 implants. We will undertake a thorough assessment of your mouth, jawbone and teeth to ensure you will receive the very best results.

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          Dental Implants

          A dental implant is an artificial replacement for a tooth root, usually made from titanium. When expertly used they deliver a highly reliable treatment. The main aim during the placement of any implant is to achieve immediate close contact with the surrounding bone. Over time further growth of bone onto the implant surface enhances the stability of the implant.

          In order to support replacement teeth, dental implants normally have some form of internal screw thread or post space that allows a variety of components to be fitted. Once fitted, these components provide the foundation for long-term support of fixed crowns, bridges or removable dentures.

          Who is suitable for Dental Implants?

          Dental implants are suitable for most adults with good general health. They can only be used once the jawbone has stopped growing and so generally are not used with younger patients. Habits such as heavy drinking or smoking can increase the number of problems associated with initial healing and thereafter may be bad for the long-term health of gum and bone surrounding each implant. Smoking should be reduced or better still given up altogether. However, each case is different and if you do have any medical problems then speak to our online consultants prior to starting any treatment – it is only in some circumstances that health problems prevent the use of dental implants altogether.

          Dental implants are suitable for most adults with good general health.

          Benefits of Dental Implants

          • They look completely natural and are unnoticeable to anyone else
          • They are permanent as they fuse with your bone structure
          • They feel 100% natural
          • Unlike dentures, they will never slip not affect your speech
          • Unlike bridges, dental implants do not require grinding down of adjacent teeth

          An overview of the Implant Process

          Implant treatment normally involves several stages that take place over a period of time from three to nine months. Although there are various implant treatment methods, a typical process often includes:

          • Assessment and treatment planning – During your online consultation, following full discussion of all possible alternatives, we will assess the feasibility of providing implant treatment. You will be asked to send us recent X-rays and a written treatment plan will then be formulated detailing the sequence of treatment and associated costs.
          • Implant placement – Implant placement is a relatively simple minor surgical procedure that can be performed under sterile conditions in a dental surgery. The treatment is performed under local anaesthesia with sedation if required. If, during assessment, the underlying bone is deemed deficient, a number of options are available for bone regeneration. Bone regeneration is usually carried out at the same time as implant placement depending on requirements.
          • Integration period – Implants can take from three months to six months to fuse with the patient’s bone. During this integration period, temporary dentures or bridgework can be worn as appropriate. In rare cases, temporary teeth can be fixed to the implants while they integrate in a process known as ‘immediate loading’.
          • The Restorative phase – Once integrated, the implants can be brought into function with a variety of new teeth options (definitive restorations) ranging from a single crown, small or large bridge or a removable overdenture.
          • Maintenance – Following completion of implant treatment, the patient must regularly and thoroughly clean the new teeth (restorations) as instructed. A dental hygienist may also advise on care and maintenance of the restorations and natural teeth. Regular visits to a dentist are essential so that the health of the soft tissue, bone levels and the integrity of the restoration can be reviewed.
          1.Is it uncomfortable when implants are being placed?

          Most patients will be familiar with the dental anaesthetics used for routine dentistry and will know how effective they are. Implants are placed using the same anaesthesia. Depending upon the complexity of your case, the procedure might take anything from 20 minutes for a single implant, to several hours for complex bone augmentation and multiple implant placements. After surgery you can expect some minor swelling and occasionally bruising. For most patients, any of the over-the-counter/basic painkillers that you might take for a headache will be adequate for a few days. If you experience more discomfort than this, contact us so our dentists can prescribe a stronger medication.

          Healing is generally straightforward and during the first few days you should report any unexpected levels of pain or swelling so that they can be assessed. If in doubt always ask for advice, as early detection of a problem will often lead to a simpler solution. You may also be asked to take a course of antibiotics and to follow some simple procedures such as rinsing with salt water or an antiseptic mouth rinse. It is important that you carry out these instructions.

          Although it is quite straightforward to provide good pain control during surgery, most people will be quite anxious. There is no need to suffer in silence, as there are several very effective means by which you can achieve a relaxed state.

          • Oral sedation – Another simple way to aid relaxation is to be given a dose of a short-acting medication such as Diazepam (normally used to help with sleep difficulties). This will reduce anxiety for most patients and provides a very good effect for uncomplicated surgical stages taking less than an hour.
          • Conscious sedation – For treatment of greater complexity it may be suggested that you have a more controlled way of keeping you relaxed and comfortable during the surgical stages. This is known as a ‘conscious sedation’ and is distinctly different from a general anaesthetic because you remain alert enough to respond to simple instructions that may be helpful to the surgeon – however, you will remember almost nothing about the treatment stage. It is particularly beneficial for procedures taking more than an hour where a hospital admission is not required – this is probably true for the majority of treatments related to dental implants.
          • General anaesthesia – General anaesthetics require a hospital admission and are mainly, but not exclusively, used for complex cases such as where bone is being grafted from the hip to the mouth, or where large numbers of implants are being placed at the same time. Most patients will not require a general anaesthetic since conscious sedation is much safer and has fewer post operative complications.

          It is important that you maintain good oral hygiene with your implants to improve their life span. Cleaning your implants is not difficult. For most implant-supported teeth you will be able to clean around each supporting implant by brushing and flossing in just the same way that you would around natural teeth and tooth-supported bridges. In some areas special floss, interdental toothbrushes and other cleaning aids may be needed to maintain good oral hygiene.

          It is reasonable to expect some of the daily hygiene procedures to be a little more complex than around your original teeth and equally expect to spend more time than you may have done in the past if you wish to maintain optimum implant health.

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            Night Guards

            Sometimes, we take our teeth for granted. Our smile is one of our greatest assets, but we often don’t care for our teeth as diligently as we should. In fact, we often end up needing dental work due to decaying or weakened teeth. It’s not just poor brushing and flossing that can cause problems. Many people grind their teeth, especially at night. Our jaw exerts tremendous force on the teeth, which can cause damage to them over time.

            Night Guards are a common and effective way to help protect the teeth from nighttime grinding and keep them from becoming damaged. Our detal professionals offer our patients high-quality Night Guards, to help patients preserve their teeth and live in comfort.

            What is a Night Guard?

            A night guard is a device that is fitted over the teeth to help protect them from the forces of clenching and grinding during sleep.

            Also known as occlusal splints, bite guards, and muscle relaxation appliances, these simple devices can protect the enamel and the teeth from becoming worn away, cracked, and broken over time. Bruxism (grinding the teeth) can also cause sensitivity, pain, yellowing, and even receding gums.

            During the day, it’s possible to monitor tooth grinding, but at night while you’re asleep, you can’t always prevent yourself from clenching and grinding.

            A night guard can prevent some of the potential damage caused by nighttime grinding. Guards can also help alleviate TMD, a dysfunction of the TMJ.

            What causes teeth grinding?

            Usually, bruxism is a “multifactorial” condition, meaning it can be caused by a combination of many different factors. Common causes of teeth grinding/bruxism include:

            • Disordered sleep breathing (sleep apnea)
            • ADHD in children and teens
            • Depression and/or anxiety
            • High levels of stress/poor stress response
            • Poor occlusion/bite (when your upper and lower teeth don’t meet the way they should)
            • Chronic or acute trauma to the mouth and/or jaw
            • Genetic predisposition
            • Neurotransmitter disruptions
            • Neurodegenerative disorders like Huntington’s or Parkinson’s diseases
            • Use of antidepressants, amphetamines, anti-anxiety drugs, or antipsychotics
            • Nicotine use
            • Frequent alcohol use
            • Excessive coffee intake

            Types of Night Guards

            There are 5 types of night guards to choose from. Our dentists do not recommend using an over-the-counter night guard for any longer than 2 weeks.

            Night guard types include:

            • Stock mouth guard (over-the-counter) – Stock mouth protectors are the only kind of night guard with no custom fit option.
            • Boil-and-bite night guard (over-the-counter) – Over-the-counter night guards may come with an impression kit that allows you to boil the mouth guard and mold it to your bite. These moldable dental guards are made with a flexible thermoplastic material.
            • Soft night guard (professional fit) – Soft night guards are the most common night guard prescribed by dentists for mild bruxism. They are typically flexible and thin. Your dentist will take physical or digital impressions of your teeth and send them to a lab, where your night guard can be manufactured.
            • Dual laminate night guard (professional fit) – Also called a bilaminar night guard, dual laminate night guards are used for severe bruxism. Some literature considers these “splints” rather than true night guards. They are made from ethylene-vinyl acetate and polycarbonate with a soft inside and hard outer layer.
            • Hard acrylic night guard (professional fit) – Made from cured acrylic in variety of colors, hard night guards are used for extremely severe cases of bruxism. They may be better for TMJ than other options. Hard acrylic night guards are used to realign the jaw.

            The best night guard for grinding is a dual laminate night guard custom fitted by your dentist. If your grinding is mild, a soft night guard may be a less expensive option to try. They are the best night guards for grinding in the short-term.

            For maximum benefit, make sure you only use a night guard that touches all tooth surfaces (not partial arches). Partial coverage night guards may ruin your teeth by causing problems with your bite.

            1.How to adjust to sleeping with a Night Guard

            It can be difficult to get used to sleeping with a night guard. Often, the bulk of a new dental device or an awkward fit are to blame.

            To adjust to sleeping with a night guard:

            • For the first few days, try wearing your night guard during the day to get used to the feel.
            • Talk to your dentist about a thinner material, if possible.
            • If your night guard makes you sore or feels sharp, discuss a fit adjustment with your dentist.
            • Try wearing only the upper or lower portion of the night guard at first.
            • Don’t give up for 30 days.

            If you’re still having trouble after a month, you may need to pursue other alternatives to a night guard.

            Unfortunately, a poorly fitted night guard can make sleep worse by being too thick. A thick night guard can open up the vertical dimension of your mouth and close your airway.

            Individuals with sleep apnea may struggle more than average to sleep with a night guard because their airway is already obstructed. In these cases, the night guard is only a Band-Aid for the primary problem, which must be corrected for optimal sleep.

            If you have sleep apnea and just started using a night guard, try mouth taping. This can help reduce mouth breathing and the consequences of a dry mouth.

            Similar to most dental devices, the best way to take care of your night guard is to keep it moist when not in use and prevent the buildup of bacteria.

            To take care of your night guard:

            • Each morning, rinse your night guard with warm water (no soap) for 20 seconds.
            • Soak the night guard in ¾ cups of water and 1 teaspoon of baking soda while not in use. (For best results, use a stainless steel container.)
            • Once a week, combine water, baking soda, and white vinegar and soak your night guard for 15-20 minutes to eliminate excess bacteria.
            • Do not brush your night guard. A toothbrush can create micro-abrasions that can house bacteria.
            • Use an ultrasonic cleaner to further protect your night guard from damage and bacteria.
            • Thoroughly wash the case with dish soap or in the dishwasher at least once a week.

            Avoid effervescent cleaners like Polident or Efferdent. These ADA-approved cleansers may cause allergic reactions in some people.

            Obstructive sleep apnea (OSA) is the most commonly identified cause of bruxism. This severe form of sleep-disordered breathing may be responsible for up to a third of all teeth grinding.

            When your breathing stops due to sleep apnea, your brain may wake you up by clenching your teeth together so you start breathing again.

            Grinding may also be a result of the poor sleep of people with OSA.

            If sleep apnea is to blame for your teeth grinding, a night guard may not be the right treatment.

            At worst, a night guard could interrupt the necessary response of grinding. Grinding is what your brain uses to open the airway during an apnea, and a night guard can interfere with that.

            Additionally, while a night guard will protect your teeth from grinding, it can’t protect your grinding muscles from overuse and harm.

            If you have sleep apnea or another form of sleep-disordered breathing, it’s important to work with your healthcare team to address that as the root cause of your issues.

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              Periodontics

              Periodontics is a dental specialty that includes the prevention, diagnosis and treatment of diseases of the tissues surrounding and supporting the teeth. These dental specialists are called periodontists, and they also are involved with periodontal plastic surgery and placing dental implants.

              Periodontal diseases are bacterial infections of the gums, bone and periodontal ligament (fibers that support the teeth and hold them in the jaw). They destroy the gums and supporting bone that hold your teeth in your mouth. As a result, teeth may loosen and fall out or need to be removed and replaced with dental bridges or implants.

              Causes of Periodontal Disease

              The primary cause of periodontal diseases is bacterial plaque, a sticky, colorless coating that forms on your teeth. If left untreated – generally as a result of poor oral hygiene habits – the bacteria in plaque infect the gums, release toxins that redden and inflame the tissue, and gradually destroy the tissues supporting the teeth and underlying bone. When this happens, the gums separate from the teeth, forming pockets that fill with more plaque and cause additional infection.

              Other factors that can affect the health of your gums include:

              • Plaque Traps – Decayed teeth, broken or badly fitting partial dentures, crowded/crooked teeth and improperly filled teeth can “trap” plaque buildup, making it difficult to remove by routine oral hygiene methods.
              • Negative Behaviors and/or Practices – Your periodontal health can suffer due to poor personal oral hygiene practices, oral piercings, smoking, and drug and/or alcohol abuse. A stressful lifestyle and poor nutritional habits, both of which can diminish your body’s ability to fight infection, also can make you more susceptible to periodontal disease.
              • Systemic Factors – People with diseases such as diabetes and leukemia, on certain medications or with systemic conditions such as human immunodeficiency virus (HIV) infection, malnutrition or immunosuppression, may be especially vulnerable to gum disease due to lower resistance levels.
              • Hormonal Factors – Predominantly true for women, hormonal fluctuations during key life stages – puberty, pregnancy and menopause – can trigger tissue changes throughout the body, including the mouth. At such times, a woman’s chances for developing periodontal disease may increase.
              • Genetic Influences – Genes and family history can indicate a predisposition for developing periodontal diseases.
              • Tobacco Use – Tobacco users show a greater incidence of calculus formation on teeth, deeper pockets between gums and teeth, and more loss of bone and fibers that hold teeth. Chemicals in tobacco (tar and nicotine) diminish the healing process and likelihood of success after periodontal treatment. Smokeless tobacco users also are at higher risk of developing oral cancer.
              • Medications – You should inform your dentist of any medicines you are taking, as certain medicines can adversely affect your gums or have contraindications for antibiotics.

              Types of Periodontal Diseases

              There are many forms of periodontal disease. The most common forms include:

              • Gingivitis – Gingivitis is the mildest form of periodontal disease. It results in gums that are red, swollen, and that bleed easily. There is usually little or no discomfort at this stage. Gingivitis can usually be reversed with professional treatment and good care at home.
              • Aggressive Periodontitis – A form of periodontitis that occurs in patients who are otherwise clinically healthy. Common features include rapid attachment loss, bone destruction, and familial aggregation.
              • Chronic Periodontitis – This form of periodontal disease results in inflammation within the supporting tissues of the teeth, progressive attachment and bone loss, and is characterized by pocket formation and/or recession of the gingiva. It is recognized as the most frequently occurring form of periodontitis and is most prevalent in adults, but can occur at any age. Progression of attachment loss usually occurs slowly, but periods of rapid progression can occur.
              • Periodontitis as a Manifestation of Systemic Diseases – Periodontitis, often with onset at a young age, associated with one of several systemic diseases, such as diabetes.
              • Necrotizing Periodontal Diseases – An infection characterized by necrosis of gingival tissues, periodontal ligament, and alveolar bone. These lesions are most commonly observed in individuals with systemic conditions including, but not limited to, HIV infection, malnutrition, and immunosuppression.

              Why would you need to see a Periodontist?

              Daily brushing and flossing, along with regular visits to a general dentist for a thorough cleaning and exam are the keys to maintaining good oral health, but it only takes a small amount of overlooked plaque and tartar to lead to gum disease. Patients with severe or complex gum disease will be referred to a periodontist to treat gum disease and prevent it from recurring, although there are also cosmetic reasons to see a periodontist. Periodontal plastic surgery can treat a variety of issues affecting the appearance of your smile, including excess gums, receding gums, and missing teeth.

              The field of periodontics involves an array of dental issues and treatment options, but all periodontists share a set of common goals: to restore diseased gum tissue to good health, to improve the appearance and function of your smile, and to help you maintain good oral health so you keep your natural teeth for as long as possible.

              If your dentist has referred you to a periodontics specialist or you’re interested in dental cosmetic surgery, our Periodontics are here to help. To schedule a consultation, fill out our contact form or call us at WhatsApp number +90 542 512 51 64.

              1.Who treats Periodontal Diseases?

              Regular professional dental checkups to evaluate the state of your oral health are essential for detecting and managing periodontal disease. Your general dentist usually detects gum disease and treats it in the early stages. While some general dentists have the expertise to treat more advanced forms of periodontal disease, more frequently, gum disease requires specialized treatment. In such cases, your general dentist may refer you to a periodontist. You do not need a referral to see a periodontist. You can visit one directly.

              You may have gum disease and not even know it. Often, there is no pain and periodontal diseases may not exhibit symptoms until serious bone loss has taken place. However, it is important to see your dentist or periodontist at the first sign of these common symptoms of periodontal disease:

              • Red, swollen or tender gums
              • Gums that bleed easily when brushing or flossing
              • Gums that pull away from teeth
              • Loose or separating teeth
              • Pus between gums and teeth
              • Persistent bad breath
              • Change in your bite (occlusion) and/or fit of removable dentures

              Once you arrive for your appointment, the periodontist will carefully review your patient history and thoroughly examine your mouth.

              During the exam, the periodontist will check for gumline recession, jaw alignment issues and loose teeth. He or she will also use a small measuring instrument to measure the depth of the spaces – known as periodontal pockets – between the teeth and gums. X-rays may also be needed to assess the health of the bone below the gumline.

              Once he or she has identified the problem, the periodontist will recommend an appropriate treatment plan to correct the issue.

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