Dentist Blog

Posts for: October, 2017


Dental implants are known for their durability as well as life-like beauty. Thanks to their unique construction and ability to integrate with bone, they have a very high success rate and can last for decades.

But while they’re less problematic than other restorations, we still can’t “set them and forget them.” While the implants themselves aren’t susceptible to disease, the supporting gums, bone and adjacent teeth are. If you want them to last as long as possible, you’ll need to care for them and the rest of your mouth through daily oral hygiene and semi-annual office cleanings.

With that said, there are a few differences in how we perform hygiene tasks with implants. This is due to the way in which they attach to the jaw, as the titanium post is inserted directly into the bone. Natural teeth, on the other hand, are held in place by the periodontal ligament, a strong connective tissue that lies between the teeth and bone. The ligament holds the teeth firmly in place while also allowing minute tooth movement in response to changes in the mouth.

The ligament also has an ample blood supply that assists with fighting infection that may arise in the tooth and its supporting gums. Without this extra source of defense, infections that arise around an implant can grow quickly into a condition known as peri-implantitis and lead to rapid bone loss that could cause the implant to fail.

That’s why you and your hygienist must be ever vigilant to the buildup of plaque, the bacterial film that gives rise to dental disease, around implants and adjacent teeth. This includes removing plaque buildup from implant surfaces, although your hygienist will use tools (scalers or curettes) made of plastic or resin rather than traditional metal to avoid scratching the implant’s dental material. They’ll likewise use nylon or plastic tips with ultrasonic equipment (which uses high vibration to loosen plaque) and lower power settings with water irrigation devices.

Keeping infection at bay with effective hygiene is the number one maintenance goal with dental implants. Doing your part along with your hygienist will help you get the most of this investment in your smile.

If you would like more information on oral hygiene with dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implant Maintenance.”

By Robert L. Wyler DDS, SC
October 25, 2017
Category: Dental Procedures

Restoring your teeth with traditional porcelain dental restorations can boost your confidence and give you a smile you love. However, the dental crownsprocess can be long and drawn-out, requiring several appointments with your dentist. Luckily, CEREC, or CEramic REConstruction, can help you overhaul your smile with ease in only a single dental appointment. Find out more about CEREC and what it can offer with Dr. Robert Wyler in Waukesha, WI.

What can CEREC do for me? 
CEREC uses a state-of-the-art digital system to create porcelain dental restorations right in their office in about an hour. This process, usually reserved for a dental laboratory who creates the restoration by hand over the course of about two weeks, is normally a two-visit procedure. However, CEREC makes porcelain dental restorations like crowns, bridgework, and veneers a fast, easy process requiring only one visit to your dentist’s office.

How does CEREC work? 
CEREC uses a computer program, special wand which takes a 3D model of the mouth, and the actual CEREC machine which carves the restorations from a block of ceramic using a laser. Before creating your CEREC dental restoration, your dentist will prepare the tooth to receive the restoration, whether a crown, bridge, veneer, inlay, or onlay. Then, your dentist takes a 3D model of the mouth and sends it to the computer program. The program allows your dentist to design and customize a restoration especially for your prepared tooth. With the design complete, your dentist sends the information to the CEREC machine, which creates the restoration itself. From start to finish, the CEREC process takes about an hour, not including time spent on preparation or actually placing the restoration.

CEREC Dental Restorations in Waukesha, WI
If you need a porcelain dental restoration, CEREC can help you save time, laboratory costs, and, most importantly, effort. Restore your smile quickly, accurately, and in only one dental appointment with CEREC porcelain dental restorations. For more information on CEREC restorations, please contact Dr. Robert Wyler in Waukesha, WI. Call (262) 784-5757 to schedule your appointment for a CEREC consultation with Dr. Wyler today!

October 13, 2017
Category: Oral Health
Tags: bad breath  

Even the sweetest children don’t always have sweet-smelling breath. If your child has persistent bad breath, it may be for one of the following reasons:

POOR ORAL HYGIENE HABITS. Bad breath often results from bacteria on the teeth and tongue that is not effectively removed during brushing and flossing.

  • Tip: To encourage thorough cleaning as children are developing their oral hygiene habits, try handheld flossers that are colorful and easy to use, sing or play music to make brushing time fun, or try an electric toothbrush with a timer or a tooth-brushing app that keeps kids brushing for a full two minutes.

PLAQUE BUILDUP, TOOTH DECAY AND GUM DISEASE: Plaque, a sticky bacterial biofilm, can build up on tooth surfaces, between the teeth and under the gum line and can lead to tooth decay and gum disease. These conditions may result in bad breath.

  • Tip: Stay on top of your child’s oral hygiene at home, and keep up with regular dental visits for professional cleanings and checkups.

POST-NASAL DRIP: This common cause of foul-smelling breath in children results when excessive mucus is produced and drips down the back of the throat.

  • Tip: Schedule an appointment with your child’s pediatrician to determine and treat the cause.

MOUTH BREATHING. Breathing through the mouth instead of the nose can cause a dry mouth. This can lead to increased oral bacteria, which can cause bad breath. If children breathe through the mouth all the time, not just because of a temporary cold or allergies, your child is at greater risk for tooth decay and gum disease.

  • Tip: If your child is a chronic mouth breather, schedule a dental visit so we can check for any adverse effects on dental health. Note that over time, habitual mouth breathing may lead to poor alignment of the teeth. An ear, nose and throat (ENT) specialist can treat problems with tonsils, adenoids and sinuses — common causes of mouth breathing.

FOREIGN OBJECT IN THE NOSE. It wouldn’t be the first time a child has stuck a pea or other small object up their nose รข?? or their sibling’s nose — only to find that it won’t come back out. A foreign body in the nasal passage can cause infection and lead to bad breath.

  • Tip: Don’t try to remove the object at home, as part of it may remain in the nasal passage. A medical professional will have the right equipment to dislodge the object more comfortably.

MEDICATION. Children who take antibiotics for a long time may develop a fungal infection (thrush) in the mouth. Other medications can cause bad breath due to the way they break down in the body.

  • Tip: Call your pharmacist if you have a question about medications and bad breath.

MEDICAL CONDITION. Infections of the throat, sinus or tonsils can cause bad breath, as can more serious health conditions.

  • Tip: If your child’s breath is unpleasant for an extended period of time, get it checked out by a health professional.

If you are concerned about your child’s breath, schedule a visit. We are happy to remind your child of proper brushing techniques and check for other problems that need to be addressed.

For more on young children’s oral health, read “How to Help Your Child Develop the Best Habits for Oral Health” and “Why See a Pediatric Dentist?