Solving Advanced Dental Disease Problems
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Hi, I’m Dr. Derrick Johnson of Integrated Dentistry. And I want to talk to you today about … I often use this term, advanced dental problems. So I kind of want to define that and take a little bit closer look at that concept.
So let’s first talk about what are basic dental problems. Basic dental problems would be small cavities or somebody who’s getting into some periodontal disease like gingivitis or things that can be fairly maintained routine. Or sometimes like a single unit crown. Something along those lines.
When we start moving into advanced dental problems, it generally involves the loss of at least one tooth or multiple teeth. Or several things going on that kind of complicate things like a bad bite, and gum disease coupled with some tooth loss, and older fillings, and tooth wear.
All these things start to come together that there’s multiple factors that we need to look at. And sometimes people think, “Oh, dentistry is just dentistry.” And there comes a point where the system is a little bit more complicated than that and there’s a lot going on in … With somebody’s mouth and jaw.
And when that system breaks down, there’s a number of things that we need to look at in order to get a successful outcome. So one of the biggest concepts that …
In my experience, I’ve been doing this for 22 years. And the shift in thinking that is essential to solve complex dental problems or advanced dental problems is we really need to think of the mouth as a system. We’re not thinking about individual teeth anymore. Individual teeth are breaking down within this bigger system, but what’s the pattern. What’s the root cause of what’s causing this breakdown.
And so in order to that, we need to think differently. We need to think about the mouth as a system. This chewing system, the mechanics of this. The chemistry of the mouth. The health of the overall person. The bigger picture that we can look, the more information we can gather and the more accurate we can make the diagnosis.So when we’re solving advanced problems, we’re gonna look at it differently.
So I’m gonna show you a little bit about what a exam looks like when we’re looking at a more advanced problem. So routine basic problems, you go to the dentist, get your teeth cleaned, he comes in, looks at your mouth for 10 minutes, and hey, everything’s okay with the checkup. When we’re doing advanced dental problems, the exam starts to look different. It starts to look a little bit more like this.
If you take a look at the screen here, we’re using photography. And I want a big picture … Look, and I want to see … Hey, how is the .. Full face picture. How is the face looking? How is the aesthetics of the smile looking? We’re taking films that show us all of the teeth. We’re also taking some detailed films. We’re looking at the teeth specifically.
And this is an example of somebody who looks like they have a pretty healthy mouth. And in general they do, but they have some problems developing. There’s some root recession happening and some things. And it really takes a closer look to actually start to see these things.
And then the question that I’m asking myself is why is this happening for this particular person. And knowing why it’s happening. I mean, that’s gonna be the key to how we’re gonna solve that.
The other thing is we start to take a look at the mechanics of the bite. And this is one of the biggest things that I see is … Can be overlooked is … With general dentistry, there’s oftentimes not a lot of detailed examination of the bite mechanics of how things are working. And a lot of times, that’s one of the root causes of dental problems.
The teeth that are consistently … The tooth that gets the root canal, guess what? It’s the tooth that was hitting too hard. The tooth that broke, the teeth that are wearing out.
We can start to see what’s the root cause of all these patterns. And they’re actually pretty predictable cycles and we need to have the information in front of us to kind of do the detective work to figure all this out. And that’s how we get consistent results.
Alright. So I want to give you just some examples to see if I can clarify a little bit what is this advanced dental problem concept. So I’m gonna show you. This is Consult Pro. It’s a really great animation software here.
But what this is showing is the loss of some teeth. And each tooth holds the other one together. And as teeth are lost, teeth start to shift and move out of position. The bone starts to deform and change. We start to get bone loss in areas. And you can see, putting this back together starts to become a more and more complex problem.
I’m gonna show you an example. Kind of an extreme case. So it’s kind of a range of severe dental problems. I’m gonna show you one that’s probably about as extreme as you get. Just to give you an idea of what we’re talking about here. So if we look at this x-ray, we can see a lot of missing teeth, teeth that have completely moved out of position. Lot’s of infection going on here.
And there’s a whole host of things that we could do to help this. But we went through the same process I was telling you about as far as photographs, diagnostics, 3D imaging. This is a panoramic film. And I want to show you this is what this looked like.
Now this picture’s got a little extreme picture. Just kind of graphic warning here. The mouth is really severely broken down. But we went from … We really had to take all these teeth out.
We get to a point when … I call it toxic teeth. We’d love to be able to save teeth, but teeth can become so diseased that they actually become toxic to your system. And you’re healthier to have them out. And this was definitely a case where we had some toxic teeth. And what we did is we took the teeth out … And we did this all in one day. We took all the teeth out and we put the implants all in one day.
The patient was sedated. Had this done in the morning. And they left with teeth. So this is with the implants in place, and I want to show you, this is where we started with Gerald. And here’s where we are now. And you can see that’s quite a transformation there.
And when I say toxic teeth, what I mean is … I mean, your teeth can literally get you sick. And if you take a look as far as his complexion, just the energy of his face, just how his eyes look, they’re kind of squinty, a little bit fatigued. To now we have multiple areas of improvement beyond just a smile. He’s looking younger. His jaw joints and his bite mechanics are better. And we have a healthy, stable system here where he can maintain this long term.
So anyway, those are some things I just wanted to touch base on. We can talk more about this in future videos, but I wanted to thank you for spending the time to take a look at this. You can find out more at integrateddentistry.com and have an amazing day. Come see me if you feel like I can … If this applies to you and I can help you with it.