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July 31, 2012

Olympic Athletes Need Dental Care Too!

Dr. Chilcoat @ 10:15 am

Olympic Village London 2012

The London Summer Olympics are on everybody’s mind right now, and we are all cheering on Team USA as they work to bring home the gold.  So much planning and preparation go into creating the Olympic Village and all the venues and amenities which we are accustomed to seeing when we watch the games on TV.  With the city of London Hosting over 18,000 Olympic Athletes and officials within Olympic Village this summer, keeping them all housed and fed is a huge undertaking.  One thing you might not have thought about is what happens to the athletes if they become ill, have a toothache or other health problem?

The healthcare of Olympic Athletes is not something I’ve thought of before.  I found out that the City of London built a state of the art multi-specialty clinic to take care of all the health, dental and eye care needs of the Olympians while they are staying at Olympic Village.  The £23 million facility will provide healthcare free of charge to the Olympic athletes and officials.  The center is open 24 hours a day and expects to take care of 200 people per day.

In addition to expected sports injuries and urgent care, the clinic is providing free dental care and vision care to athletes.  “We would complete and finish a root canal for someone who might not be able to get it in their own country,” said Wendy Turner, one of the dentists who works in the clinic. “There will be competitors who haven’t had much access to dental care. It is an opportunity for them to get it sorted out.”

With a small city of 18,000 athletes, coaches and officials housed in Olympic Village, it is easy to see how complex it can be to orchestrate accommodations, meals and even healthcare for these world-class athletes. It looks like London has it all figured out, having thought of every last detail to ensure comfort and hospitality for their guests from around the world.

July 24, 2012

The History of Dental Implants

Dr. Chilcoat @ 11:26 am

history of dental implants

The History of Dental Implants

With all of the interest in dental implants these days, it’s easy to think that implants are something new or even experimental.  Nothing could be farther than the truth, however.  Dental implants may be one of the oldest concepts in dental history.  Modern day research begins in 1951 with Dr. Per-Ingvar Branemark, an orthopedic surgeon.  Dr. Branemark was the first to discover that titanium is the only biocompatible metal which bone actually interacts with.  The very first titanium “roots” were implanted into the jaw of a human patient by Dr. Branemark in 1965.

The very first dental implants discovered were engineered by the ancient Mayans and belonged to a young woman about 600 B.C. who was missing 3 lower anterior teeth.  The ancients crafted false teeth from pieces of shell and inserted them into the sockets of the missing teeth.  Ancient Egyptians also practiced advanced dentistry and implanted similar prostheses bonded with gold wire into the jaws of pharaohs.   Even the Romans had their own version of permanent replacement of missing teeth.

The history of modern implant dentistry has evolved over recent decades with the first major advancement beyond the use of titanium in 1981 when German scientists, Dr.’s Schroeder and Ledermann showed that titanium plasma spray coatings improved osseointegration (the process of the bone tissue healing to the surface of the implant).  By the mid 1980’s Dr Stig Hanssen advanced the preservation of crestal bone with microtexture.

By the 1990’s dental implants had become an extremely successful and predictable method of tooth replacement.  Success rates became higher than 90% and implantologists began looking for ways to reduce the 6 month inactive healing period between implant placement and implant loading.  In the late 1990’s Nobel Biocare introduced the “All- on- Four” system which allowed for three benefits: the use of only four implants to replace a full arch, reduction in the necessity for extensive bone grafting and reduced inactive healing time.  This technique became extremely popular and is still used today.  In 2011, Thommen Medical introduced the first measurable advancement in early osseointegration with their Inicell application system.  The Thommen system utilizes a hydrophilic liquid to coat the implant just prior to insertion.  The solution draws blood cells toward the surface of the implant and has been shown to increase the rate of early osseointegration within the first 4 weeks of healing.

Today, dental implants are the most predictable and successful form of permanent tooth replacement available.  Enjoying a 97% success rate for over 40 years, patients can have confidence that their dental implants have come a long way from the ancient Mayans.


July 16, 2012

Wisdom Teeth Removal- A Rite of Passage?

Dr. Chilcoat @ 12:26 pm

Wisdom teeth removal, a rite of passage for teensWisdom teeth removal has become a rite of passage for American teenagers.  Even the name “wisdom teeth” has connotations of the coming of age.  Wisdom teeth, clinically known as third molars, have been bestowed this moniker based on the age at which they first begin to appear.  The teenage years between ages 13 and 21, historically called the “Age of Wisdom”, is the period during which the third molars begin to erupt into the dental arch.

A dentist or oral surgeon may prescribe the removal of wisdom teeth and impacted wisdom teeth based on signs and symptoms of trouble.  The human jaw typically cannot accommodate this third set of molars and as they attempt to grow into the small space, they become malpositioned and impacted.  In the case that wisdom teeth come in normally, they are often positioned so far back in the jaw that they are difficult to keep clean.  Erupted wisdom teeth which are situated very far back in the jaw are more susceptible to decay and gum disease.  Gum disease around the third molars inevitably spreads to the second molars and sometimes even further forward.  In the interest of preventive dentistry and to prevent serious problems with periodontal recession and gum disease, dentists often recommend the removal of erupted wisdom teeth.

Impacted wisdom teeth are routinely removed due to malposition of the teeth, damage or potential damage to the second molars, infection, cyst formation and other pathology often associated with impacted third molars.  Orthodontists in particular often prescribe removal of the wisdom teeth in order to prevent orthodontic relapse due to the pressure of erupting wisdom teeth on the other teeth in the jaw.

Parents across the country scramble to the oral surgeon’s office as the end of summer draws nearer in order to have their Busy summer scheduleschild’s wisdom teeth extracted before their retainers stop fitting.  Motivated by the looming possibility of repeat orthodontic therapy, and the chronic infections often associated with wisdom teeth, parents schedule surgery for their child. The challenge is often in balancing the cost of wisdom teeth extraction with their teenager’s busy summer schedules and even busier school year schedules.

Somewhere between vacation, band camp, football practice and cheer clinics lies just few days of Redbox rentals, ice cream and X-Box that every teenager dreads.  The stories and warnings from friends are fanciful and exaggerated, working each other up into a tizzy over this, the first surgery of many of their lives.  Truthfully, more than 90% of them will come through with flying colors, easily transitioning back into their normal routine within a few days.  While complications are unusual, about 10% may experience prolonged discomfort, swelling, mild bruising or even the dreaded dry socket.  Symptoms of all of these, of course, are easily relieved in the office with a post- operative visit with the oral surgeon.

The poor, unappreciated parents have the toughest role in wisdom teeth removal.  Consider the orchestration of events that a parent must pull off in order to indulge their child in this bittersweet rite of passage.  Schedules and activities must be coordinated.  If soccer practice is to be missed, then a signed, certified and notarized letter from the surgeon and the U.S. Surgeon General is often required in order to excuse the recovering patient from physical exertion during recovery.  Other children in the household must be taken into consideration, as extracurricular activities do not stop for brother’s oral surgery.  Special food must be purchased and prepared, and a day or two of work will often be missed.

Then there is the expense.  Surgery of any kind is expensive.  Most families have health insurance, but fewer and fewer have dental insurance these days.  The families who do have dental insurance have seen their out of pocket expenses increase in recent years.  How does a family without dental insurance save money on the extraction of wisdom teeth?  There are a variety of ways to accomplish this, but I would like to tell you about our solution in particular.

Dr. Robert A. Weinstein, a Dallas oral surgeon, has devised a plan to help alleviate this burden for parents.  He is an “in-network” provider for most PPO dental plans.  As such, patients often pay only about 20% of the total cost of surgery.

No insurance? A flat rate special fee for surgery and anesthesia may be the answer for you.  Depending on your diagnosis, going the cash payment route with this option can save you about 50% of the cost of full fee oral surgery.  Dr. Weinstein has decided not to charge people more when they do not have insurance.  Instead, he analyzed the “in network” fees from the top PPO plans fee schedules, and created a lower flat fee for the uninsured based on the “in network” fees associated with popular dental plans.  The only catch?  Services are paid for when rendered.  The benefits?  No surprises regarding fees or coverage.  There are no claims to file and no bills coming in 3 months because insurance didn’t pay a portion of the bill.  See our listing on Dallas Dental Implants and Wisdom Teeth for more information.

As summer winds down to a close and that busy school year inches closer with every degree the temperature rises, there is one thing that parents can do to make it all easier to deal with.  Schedule the summer wisdom teeth removal now and take advantage of the summer special on flat fee wisdom teeth removal.  (Includes post-operative ice cream and a sports/band/cheer excuse letter).


Have a wonderful summer!

14856 Preston Rd., Suite 104, Dallas, TX 75254 USA
Charles Chilcoat, DDS Dallas TX Dentist (972) 960-1111 care@texaswisdom.com