bone loss Archives - Atlanta Dental Implants

A Dentist’s Negligence can Cost Her Teeth

Posted on August 28, 2020 by writeradmin.

I had six Lumineers placed to have a gap closed on my two front teeth. Now, my dentist tells me less than a year later that I have so much bone loss that I need to have my front four teeth extracted and replaced with dental implants. The procedure is going to cost me $11,200 dollars. I paid $4500 for the Lumineers which are now a total loss. I go to the dentist twice a year, but my last x-rays were done three years prior. I do everything I’m supposed to at home. Shouldn’t he have noticed this before giving me an expensive procedure? I asked about a refund on the Lumineers, but he said the best he can do for me is a $1000 credit on the dental implants. I’m so upset about this. Do I have any recourse?

Laura

Dear Laura,

I am not going to waste your time. Your dentist is a disgrace to the profession. Most dentists are caring and ethical, but you ended up with one on the wrong side of things. He’s been negligent with your care. Additionally, he did a major and expensive procedure without the proper diagnostics, which were simple x-rays. They would have been especially more important because of how long it had been since your last x-rays.

You are actually in quite a good position here. Because of his negligence, you don’t have to ask for a refund, you can demand it. Tell him if he refuses this time, he will be hearing from your lawyer. That is actually being generous because I think you would get more than a refund if it were to go to litigation.

About these dental implants. Based on what I know of your dentist thus far, I want you to get a second opinion. If it does turn out you need them, don’t let this dentist anywhere near you. Find a dentist with experience placing them. To put your mind at ease about the possibility of false teeth, dental implants are not like your granny’s false teeth. These are totally secure and are like having healthy, natural teeth back in your mouth.

If there is as much bone loss as your dentist says. Your gum disease and bone loss will have to be addressed. A bone grafting procedure can build back up the bone.

This blog is brought to you by Atlanta Periodontist Dr. David Pumphrey.

Bone grafts for dental implants

Posted on February 2, 2018 by AllSmiles.

Bone Grafts for Dental Implants

I am in my early 40s, and I recently looked into getting a couple dental implants to replace two front teeth I lost when I was just 18. I have always had two removable false teeth that clipped in behind the two adjacent teeth, and it has always bothered me. So I talked to my dentist about getting a more permanent (and hopefully more aesthetic) solution. He told me I would need a bone graft for the dental implants, so now I’m wondering if it is too much trouble. I really want my front teeth to look more natural, but I feel like a bone graft will be too much pain to go through.

Arabella in Atlanta

Hello Arabella,

Many people who explore the possibility of a dental implant or implants end up needing bone grafting, and while it is one more procedure to go through and heal from, it should not deter you from obtaining the smile you want.

Let’s first talk about the reason you probably need bone grafting at this point, then we’ll talk through the procedure, so you understand what it entails and can calm your fears.

Reason for Bone Grafts

If you’ve had false teeth for 22 years or more, it is likely that your jawbone has atrophied and lost density in the area below those teeth. This is because false teeth, dentures, and bridges only replace the crown or visible part of the tooth without addressing the loss of the tooth root.

The body interprets the loss of a tooth with its root to mean that the supporting bone structure is no longer needed. It begins to absorb the bone-building minerals that once supported the tooth for use elsewhere in the body. This leads to situations like yours in which there is not enough bone structure left to support a dental implant. And in the case of the loss of all of the teeth, it can lead to facial collapse.

That’s why dental implants are a very good choice: they replace both the tooth root and the crown. In fact, a dental implant is a replacement root that is implanted directly into your jawbone, and it is strong enough to support a crown. As you can see from the diagram here, the tooth root form needs enough bone material to be stable. Only then can it support the crown.

Bone Grafting Procedure

So now that you know why, let’s talk about how. It’s easy to fear what we don’t really understand, so hopefully, a little more information will go a long way here. To begin with, the tissue used for the bone graft can be found in your own jawbone, and when this is not possible, it can be obtained from a tissue bank.

Because there have been many recent advances in techniques and technology, bone grafting is now a minimally invasive and safe procedure. Your periodontist will place the new tissue after making an incision, and because your body will recognize the graft material as its own bone, and will gradually replace the graft with more bone-building minerals. This way, through guided tissue regeneration, you end up with more of your own natural bone than you had before the graft.

And modern sedation and pain-relief methods will keep the procedure and healing period for both the bone grafting and the implantation of the tooth root form relatively pain-free.

It is a really good idea to explore all these topics with your periodontist or oral surgeon who will perform the procedures. This will help you build more trust and lessen your fear as well. You can look forward to a permanent and beautiful smile.

Good luck in finding the right solution for a healthy and happy dental future.

This Blog is brought to you by Dr. David Pumphrey of Pumphrey Periodontics in Atlanta.

Can the Pinhole Surgical Technique permanently reverse gum recession?

Posted on January 15, 2018 by AllSmiles.

Hi and thanks for your thoughtful postings. I was told I was a good candidate for pinhole gum surgery, but I am worried that the effects of the treatment will not be lasting. I want to treat my gum disease and recession permanently, and not have to come back over and over again.

Christopher, Atlanta, Georgia

Hello Christopher,

The Chao Pinhole Surgical Technique® can permanently treat gum recession. Furthermore, it can do so without the scalpels, sutures, and gum grafts that used to be necessary. Let’s first take a look at gum disease and its treatment. Then we can examine the role of the pinhole surgical technique in permanently treating gum recession.

Gum Disease Causes Gum Recession

It’s very important to understand the underlying causes of gum recession, because without proper treatment and maintenance, it will likely come back. Until you have resolved the periodontal or gum disease that causes gum recession, it is not a good idea to treat the recession itself.

Gum or periodontal disease is a chronic inflammatory disease that can be successfully treated but not cured. It begins with irritation of the gums by plaque that has not been removed with frequent brushing, flossing, and professional dental cleanings. The plaque hardens into tartar, and it irritates the gums, which can lead to infections, or simply progress unnoticed until it is very advanced.

In the early stages, the gums can become inflamed or infected, and as it progresses, the inflammation spreads to the bone structures that support the teeth, leading to gum recession and bone loss. The diagram on the right shows this progression from a healthy tooth with full gum and bone support on the left to a diseased tooth on the right where the gum has receded, along with the bone.

Treating Gum Disease First

The gum disease needs to be treated first. This can usually be accomplished with non-surgical gum treatment involving scaling and root planing. This procedure will remove the pockets of inflammation and infection and prepare the teeth for regular periodontal maintenance.

Periodontal maintenance requires that you return for professional periodontal check-ups and cleanings about four times a year. In addition, you will need to be rigorous in your dental hygiene, brushing and flossing after every meal to make sure that new plaque does not accumulate into tarter and start the cycle over again.

The Role of the Pinhole Surgical Technique

Once the underlying gum disease has been successfully treated and you are maintaining your dental health with regular periodontal visits and cleanings, the pinhole surgical technique, or PST, can offer a permanent solution to your gum recession.

In contrast to traditional gum surgery, where gum grafts were taken from your soft palate and surgically implanted over the exposed tooth roots, the PST uses a small pinhole opening in the gums along with special instruments to loosen and reposition the soft tissues over the teeth. The technique is much less time consuming, it requires much less time to heal, and patients are often amazed when they see how much more attractive their smiles are.

In finding a dentist or periodontist to help you alleviate the causes and symptoms of gum disease, don’t be afraid to ask a lot of questions and research different professionals. The PST is currently only taught by Dr. John Chao of California, the inventor of the technique, and your professional should be a certified pinhole technique practitioner.

Good luck to you in attaining the healthy, beautiful smile you deserve.

This Blog is brought to you by Dr. David Pumphrey of Pumphrey Periodontics in Atlanta, Georgia.

Why didn’t my dentist tell me about facial collapse?

Posted on January 4, 2018 by AllSmiles.

About 10 years ago, I was having a lot of trouble with my teeth. My dentist said I had periodontal disease and recommended that I have my teeth removed so he could fit me with dentures. I wanted to stop hurting and going to the dentist all the time, so I got the dentures. That same dentist always worked with me until recently, when I took my daughter’s advice to see a new dentist. Now I find out I have lost a lot of bone and I want to know why my first dentist didn’t tell me about facial collapse, what it is, and if I can prevent further bone loss.

Judy, Tallahassee, Florida

Hi Judy,

It’s unfortunate that you are just now finding out about facial collapse. Hopefully they are fewer and fewer, but there are some dentists who not only aggressively sell their patients on dentures, but also fail to fully inform them about the problems with dentures and especially about the bone loss that leads to facial collapse. But further bone loss can be prevented with dental implants. And with bone grafting, the effects of the bone loss you have already suffered can, to a large extent, be reversed. Let’s take a look at what facial collapse is, and then we can explain your options for treatment at this point.

What is Facial Collapse?

We tend to think of our teeth as just the visible crowns that appear above the gum line, when, in fact, our tooth roots are integral to our dental and overall health. The roots not only attach the teeth to the jawbone, they also keep the jawbone in place. In fact, as soon as we lose a tooth, the body interprets the loss to mean that we no longer need the bone that used to support that tooth. So it begins to “resorb” the bone-building minerals from that part of the jaw, because there is always a need for those minerals elsewhere in the body.

When we lose most or all of our teeth, this process of resorption proceeds quickly at first and then slows down, and over the course of just ten to twenty years, we can begin to see the signs of facial collapse. The illustration to the right shows four jawbones. The first one still has a full set of lower teeth, and you can see that the jawbone is still present and healthy. In the second jawbone, there has been some vertical bone lost. And finally, in the last two, so much bone has been lost that it would be impossible to even support dentures.

The corresponding appearance that accompanies facial collapse is the kind of sunken-in appearance with strong vertical lines around the mouth that we associate with old age.

Because you have been without your teeth for about ten years, it is likely that your new dentist can take remedial measures to prevent the bone loss from progressing further, and there may even be a chance of reversing what you have already lost with bone grafting and dental implants.

Preventing and Treating Facial Collapse

Because dentures only replace the visible parts of our teeth, they can never prevent bone loss. But dental implants are actually tooth root forms onto which dental crowns are fixed, effectively replacing both the tooth root and the visible part of the tooth. These tooth root forms are placed into the jaw bone during a surgical procedure.

As you heal from the surgery, a process that is the reverse of resorption takes place. It is called osseointegration, and it means that the body brings more bone-building minerals to the site of the implanted root and surrounds it with new bone. By the time you are fully healed, your jawbone will have fully integrated the implant, so that it ultimately becomes part of the bone. The resulting structure is strong enough to receive a crown and to withstand the pressures of chewing.

And if you no longer have enough bone left to support an implant, bone grafting can be used to reverse the bone loss process. Bone grafting can sound like a difficult procedure, but it is actually a minimally invasive surgery during which safe and effective grafting materials are placed. Your body responds to the implanted material by regenerating tissue, and will actually replace the graft with your own bone-building minerals.

The Role of Implant-Supported Dentures

Finally, you do not need to replace every single tooth with a bone graft and dental implant to have a great outcome. Implant-supported dentures are held in place with six to eight dental implants, and they can not only solve many of the problems many people experience with removable dentures, they can also prevent further bone loss.

Your next step should be to talk over your treatment options with your dentist, and if you do not feel that he or she is really comfortable discussing dental implants, bone grafting, and implant-supported dentures, don’t hesitate to do more research. You will eventually find the right dentist to provide you with the kind of outcome you are looking for.

Good luck to you!

This Blog is brought to you by Dr. David Pumphrey of Pumphrey Periodontics in Atlanta, Georgia.

Top 3 Reasons to Consider Implant-Supported Dentures

Posted on December 15, 2017 by AllSmiles.

My dentist is suggesting that I have all my teeth removed to get dentures, and I’d be okay with this, except my dad really hates his dentures. He’s had them for about ten years, and they seem to get worse every year. I’ve heard about different types of dentures that go with dental implants, and I want to find out everything I can before I make a decision. Thanks for your help. Bob

Hi there Bob,

You’re right. There are a lot of different options for dentures these days, and it’s a great idea to educate yourself before you make an irreversible decision. There are a many different reasons to consider implant-supported dentures, but let’s focus on the three most important ones.

— Implant-supported dentures prevent bone loss, which can lead to facial collapse.
— Traditional dentures leave a lot to be desired, and they can make it harder to chew efficiently, fully enjoy the taste of your food, and enunciate clearly.
— Implant-supported dentures come in all shapes and sizes, so it’s not always necessary to remove all of one’s teeth to restore a healthy smile.

To begin with, the most important reason to consider implant-supported dentures is because when we lose a tooth, our body interprets the loss to mean that the bone in the jaw that supported that tooth can be used elsewhere in the body. So it begins to resorb those minerals, leading to bone loss. When we have lost most or all of our teeth, this bone loss can eventually lead to facial collapse, which is the shrunken appearance in the lower face we associate with extreme age. Implant-supported dentures prevent bone loss by acting just like our tooth roots do, signaling the body to maintain the jawbone.

Secondly, traditional dentures present problems that make it harder to chew and enjoy food and to enunciate clearly when speaking. This is because the top denture covers the entire palate and is held in place by suction, covering many taste buds and slurring our speech slightly. The lower denture is held in place with the tongue and cheeks, so slippage is a problem, leading to lower chewing efficiency. Typically, chewing efficiency drops by close to 50 percent with dentures, and this may be what your father hates so much about his dentures.

And finally, you can choose from a variety of different implant-supported dentures to best fit your particular situation.

- — Removable implant-supported full dentures are more secure than traditional removable dentures and address most of the problems we mentioned, including bone loss.
- — Fixed implant-supported dentures can feel more like a new set of permanent teeth.
- — Implant-supported partial dentures can replace two or more missing teeth.
- — And implant-secured bridges mimic your natural teeth with fixed porcelain crowns.

It would be a very good idea to question your dentist about why he or she wants to extract all of your teeth. It is always better to preserve as many teeth and as much natural tooth structure as possible. Don’t be afraid to ask a lot of questions and do more research to find a dentist who will provide the kind of care you really need.

Good luck to you in restoring a healthy smile.

This blog is brought to you by Dr. David Pumphrey of Pumphrey Periodontics in Atlanta.

Aesthetic Ridge Expansion and Dental Implants

Posted on November 4, 2017 by AllSmiles.

I’m finally getting around to dealing with the tooth I lost about seven years ago. I was working two jobs to support my kids when it got knocked out during a pick-up hockey game, and there have always been too many things that had to come first. Well, my kids are all off to school, and I’m working with a dentist to get a dental implant. Now, I’ve been watching that spot in my gums sink ever since I lost that tooth, so I know something was going on, but my dentist is suggesting something called aesthetic ridge expansion. I listened when he was describing why it is needed, but I don’t really get it. Can you explain?

Gary, in Michigan

This is a great topic, Gary. Aesthetic ridge expansion isn’t on a lot of people’s radar, but it’s fairly common to need it when a tooth has been missing for a number of years.

The first thing that happens when we lose a tooth is that the body senses that it is gone. It immediately responds by beginning to absorb or resorb the minerals in the jawbone that once supported the tooth. This process progresses quite rapidly just after the tooth loss, and then slows. And as you say, you can see the result: the spot where the tooth once was has sunken in due to this bone loss.

During aesthetic ridge expansion, a bone graft will be placed under the gum line to bring it back up and into alignment with the rest of your gums. As it heals, the body will bring more bone building minerals back to the site, so the grafting material will actually integrate with your jawbone and become a part of it. Then when the dental implant is placed, the same process will integrate the implant and make it part of your jaw. The result is a very stable foundation and a gum line that will look as natural as it does around all the rest of your teeth.

I understand your reasons for not doing something about your tooth earlier, but it’s important to replace a lost tooth as soon as possible with a bridge, an implant, or another solution. That way the surrounding teeth will not move into the empty space, which can affect the bite and cause other problems.

Best of luck to you.

This Blog is brought to you by Atlanta periodontist David Pumphrey of Pumphrey Periodontics.

Periodontal cleanings and maintenance.

Posted on October 27, 2017 by AllSmiles.

I recently found out that I have gum disease. I guess it’s pretty advanced from what my dentist said. She’s sending me to a periodontist who she says has all the latest equipment and practices with a gentle touch. I’m worried, not so much by the diagnosis or the immediate treatment, but by what she said about periodontal disease not being curable. She kind of explained what she meant, but I’m wondering if you can clear this up for me. I’ll be able to keep my teeth, won’t I?

Richard S. in Tennessee

Hello Richard,

It is true that periodontal disease is never really cured, but it is possible to control it and prevent further damage to the teeth and their supporting structures with regular periodontal cleanings and maintenance.

It sounds like your dentist has referred you to a good periodontist where your gum disease can be fully diagnosed and treated. What she may have been referring to in terms of advanced technology is the perioscope. This is an instrument that will enable the periodontist to see below the gumline to evaluate exactly how much damage has occurred and to plan for a full cleaning. It makes diagnosis and treatment much easier on the patient that it ever was in the past, so you can hopefully rest easy there. Take a look at the illustration to the right, and you’ll see how much of the tarter, plaque, and damage in periodontal disease happens below the gum line. This is where the cleanings will also take place.

Depending on how advanced your gum disease is, it may take one or several cleanings to completely remove all the bacteria, plaque, and tartar to give you a fresh start. And here is the good news. If you don’t lose any teeth with this initial treatment, you can keep them. But you’ll have to adjust to a new kind of normal. Instead of going to see the dentist every six months, you’ll need to follow a very strict protocol at home and have regular cleanings by a highly trained hygienist four times a year.

If you would like to find out more about what your initial treatment may involve, click here to read Pumphrey Periodontics’ Non-Surgical Gum Treatment page.

Good luck to you in restoring your full dental health.

This Blog is brought to you by Dr. David Pumphrey of Pumphrey Periodontics in Atlanta.

Is bone grafting dangerous? It sounds terrible!

Posted on October 5, 2017 by AllSmiles.

I’m facing bone grafting, and I think it sounds like a terrible ordeal to go through. I have three missing teeth on the lower left side of my mouth, and my dentist wants to to do a bone graft before he places dental implants. I had a bridge there for a lot of years, but it finally broke, and after what I learned about implants, I decided to go that way.

My dentist said I lost bone from my jaw while I had the bridge there and that bone grafting will make that part of my jawbone strong enough to support the implants. But bone grafting just seems like it would be too much for me. My wife laughs at me because I’m so afraid, and I think I could handle the implant surgery, just not the bone grafting part.

John in Georgia

Hello John,

It can be scary to approach a procedure when it sounds strange and unfamiliar. Once you understand more about bone grafting, you’ll probably feel as comfortable with the procedure as you seem to feel with the surgery to place the dental implants.

Let’s start by talking about what a bone graft is, and then we can explore some facts that could make it even easier for you to face. It’s true that we lose bone density when we lose a tooth. Without the tooth root there to signal the body that the the jawbone is needed to support that particular tooth, the body absorbs, or resorbs, as the process is called, the minerals for use elsewhere in the body. So it’s no surprise that you have had some bone loss if you’ve been without those three teeth for many years. The good news it that with bone grafting and dental implants, your bone loss will not grow worse over the years.

The bone used in the grafting procedure can sometimes be taken from your own jaw, and it can also be obtained from a tissue bank, but the most important point to remember is that the grafting materials that are used these days a safe and effective.

The procedure, as rough as it may sound, is minimally invasive. That’s because advanced technology enables something called guided tissue regeneration. This happens because your body recognizes the grafting material as natural bone, and during the healing process, it will bring more bone-building minerals to the site and actually replace the graft with your own bone materials.

And finally, you may not have heard about sedation dentistry. Something as simple as nitrous oxide works to help many patients relax and experience less stress, but if you are really fearful, a good sedation dentist can make sure that you don’t remember your procedure. With the right kind of sedation, you can be aware enough to respond to requests during treatment, but the whole process can be forgotten.

This log is brought to you by David Pumphrey of Pumphrey Periodontics in Atlanta.

I’ve been turned down for dental implants. Does this make sense?

Posted on August 29, 2017 by AllSmiles.

I lost two of my lower molars to a very bad infection when I was younger. The dentist I had at that time made a bridge for me, and for years, that worked fine. I’m 55 now, and I decided I’d like to get implants instead because my friend got one and he loves it. But when I went to my current dentist, she said I’m not a candidate for dental implants. How can that be? When I asked her why, she said my health is not good enough. But I’m in good health. Do you think I should ask a different dentist?

Carl B.
Macon, Georgia

Hello Carl,

It’s hard to nail this down without more specific information about what your dentist meant when she said your health isn’t good enough, but let’s explore the types of health conditions that could be a barrier to successful dental implant treatment. Then we’ll take a look at low bone density and the reason some dentists don’t feel comfortable providing the treatment.

If your health really is the problem here, it will most likely fall into one or more of the following categories. Diseases of a chronic nature, like diabetes, immune-deficiency disorders, and hemophilia would make getting implants a high-risk proposition for you, mainly because there would be a higher probability of developing an infection around the tooth root form that is implanted into your jaw. Smoking also makes implant failure more likely. In fact the evidence shows that smokers experience dental implant failure at more than double the rate of non-smokers. Alcohol and other substance abuse also increase risk because associated health problems can jeopardize treatment and make it less likely that the follow-up care instructions can be followed. And it is not a good idea to get dental implants during pregnancy.

We’ll rule this last one out unless you forgot to add a final “a” to your name, Carl. If any of these conditions are present, you may well have your answer. However there are also two other areas we’ll explore, just to be thorough.

The jawbone under the two teeth you lost when you were younger is bound to be thinner because our body absorbs bone-building minerals from the jaw in the location of lost teeth. It is possible that your dentist felt that your bone density was too low, but we have to assume she would have said so if that were the case. And bone grafting is a standard treatment when the bone has thinned.

All that being said, it’s possible that your dentist doesn’t have the skill set required to provide dental implant treatment. Until recently, these skills and techniques were not taught in dental schools, and it takes years of postdoctoral training and experience to reliably provide dental implants.

You might talk to you current dentist to clarify her reasoning, and if she isn’t able to provide an answer that helps you understand, it would probably be a good idea to seek a second opinion. Perhaps you could seek out someone who specializes in dental implants.

In the mean time, there’s some great information beyond what we were able to explore in this post at Pumphrey Periodontics’ page entitled Am I a Candidate for Dental Implants?

This Blog is brought to you by Dr. David Pumphrey of Pumphrey Periodontics in Atlanta.

Dental implants seem too good to be true. What’s the catch?

Posted on August 16, 2017 by AllSmiles.

Hi there, I was playing softball with my team last night, and one of my teeth got knocked out. I heard you were supposed to look for it and take it to the dentist right away, but we couldn’t find it. We even went back this morning and looked when it was light out, but no tooth. I was wondering does that mean I have to wear a fake tooth for the rest of my life? Someone said I could get a dental implant and that it would be just like getting my old tooth back, but is that really true? I really thought the only way to not have to hassle about it was if I found my old tooth.

Thanks for your time here.
Jean K.
Atlanta

Hi Jean,

Sorry to hear that you lost your tooth, but that doesn’t mean you’ll be “hassling” with a fake tooth for life! Dental implants are, in fact, very like having a natural tooth. And an implant is not your only option. So let’s take a look at the pros and cons of dental implants and bridges.

Dental implants are titanium or ceramic root forms that are surgically placed into your jawbone. As they heal, the body deposits more bone-building minerals around the forms, actually making them a part of the jawbone. Once this process is complete, a lifelike crown will be attached to the root form. You can see the parts of a dental implant in the diagram to the left.

Dental Implants

In a couple of important ways, an implant mimics a natural tooth. First, the dental implant will look, feel, and function just like your other teeth. And second, because it replaces more than just the crown, a dental implant prevents the bone loss that always accompanies the loss of a tooth.

This bone loss happens because the body senses that the tooth is no longer there, and it begins to absorb the bone-building minerals that supported that tooth for use elsewhere in the body. That is why dental implants are becoming a standard treatment for lost teeth. However, dental implants involve more cost and healing time than dental bridges. Click here to read Pumphrey Periodontics’ page on the Benefits of Dental Implants.

In addition, dental implantology is not something most dentists studied in dental school, so it is very important to seek out a dentist or periodontist who has the requisite training and experience to place an implant for you. This is not the type of treatment you want to cut corners on, and the consequences seeking out cheap implants can be severe.

If you choose to have a dental bridge, the two teeth on either side of the gap will be prepared to receive crowns. This involves removing some of the surface of the tooth while leaving a solid structure to support the crown. Then a set of three crowns will be prepared, and the two outer ones will be fused to the one replacing the lost tooth. The drawing to the left illustrates what the bridge looks like and how the two outer teeth are prepared.

As you can see, the downside of choosing a bridge is that it requires the two nearest teeth to be altered in order to support the middle one, and if those two teeth are healthy, you may not want to do that. But a bridge will usually cost less than a dental implant. In addition, the skills for this type of treatment are taught as part of the curriculum in dental schools, so just about any dentist should be able to provide the service.

And finally, both treatments will provide a long-lasting, lifelike solution that nobody will be able to detect. Your dentist can help you decide which treatment option is best in your particular situation. But either way, you won’t be in for life-long hassles.

Here’s to a solution that will really work for you.

This blog is brought to you by Dr. David Pumphrey of Pumphrey Periodontics in Atlanta.