286 East State Road 434
Longwood, FL 32750
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Posts for: October, 2017

By Ilya V. Freyman, DMD
October 27, 2017
Category: Oral Health
FAQsAboutChildrensDentalDevelopment

Watching your newborn develop into a toddler, then an elementary schooler, a teenager, and finally an adult is one of the most exciting and rewarding experiences there is. Throughout the years, you’ll note the passing of many physical milestones — including changes that involve the coming and going of primary and permanent teeth. Here are some answers to frequently asked questions about children’s dental development.

When will I see my baby’s first tooth come in?
The two lower front teeth usually erupt (emerge from the gums) together, between the ages of 6 and 10 months. But your baby’s teeth may come earlier or later. Some babies are even born with teeth! You will know the first tooth is about to come in if you see signs of teething, such as irritability and a lot of drooling. The last of the 20 baby teeth to come in are the 2-year molars, so named for the age at which they erupt.

When do kids start to lose their baby teeth?
Baby teeth are generally lost in the same order in which they appeared, starting with the lower front teeth around age 6. Children will continue to lose their primary teeth until around age 12.

What makes baby teeth fall out?
Pressure from the emerging permanent tooth below the gum will cause the roots of the baby tooth to break down or “resorb” little by little. As more of the root structure disappears, the primary tooth loses its anchorage in the jawbone and falls out.

When will I know if my child needs braces?
Bite problems (malocclusions) usually become apparent when a child has a mixture of primary and permanent teeth, around age 6-8. Certain malocclusions are easier to treat while a child’s jaw is still growing, before puberty is reached. Using appliances designed for this purpose, orthodontists can actually influence the growth and development of a child’s jaw — to make more room for crowded teeth, for example. We can discuss interceptive orthodontics more fully with you at your child’s next appointment.

When do wisdom teeth come in and why do they cause problems?
Wisdom teeth (also called third molars) usually come in between the ages of 17 and 25. By that time, there may not be enough room in the jaw to accommodate them — or they may be positioned to come in at an angle instead of vertically. Either of these situations can cause them to push against the roots of a neighboring tooth and become trapped beneath the gum, which is known as impaction. An impacted wisdom tooth may lead to an infection or damage to adjacent healthy teeth. That it is why it is important for developing wisdom teeth to be monitored regularly at the dental office.

If you have additional questions about your child’s dental development, please contact us or schedule a consultation. You can also learn more by reading the Dear Doctor magazine articles “Losing a Baby Tooth” and “The Importance of Baby Teeth.”


By Ilya V. Freyman, DMD
October 17, 2017
Category: Dental Procedures

Tooth damage and loss happen. Decay, gum disease, accidents--they take a toll on smiles, but your dentist in Longwood, FL, Dr. Ilya restorative dentistryFreyman, has great solutions. Crowns and bridgework restore oral function and aesthetics, allowing you to eat, speak and smile just as if nothing happened. Following are the details on these wonderful restorations and tooth replacements offered by Dr. Freyman and his dedicated team.

When your tooth is heavily decayed...

It's weak and prone to fracture. However, it may be a candidate for a dental crown, a tooth-shaped jacket of porcelain, gold or porcelain fused to metal. Customized according to dental examination, X-rays and oral impressions, your dental crown fully covers remaining heathy tooth structure from the gums on up.

To install a crown, your dentist in Longwood gently removes the damaged portions of the tooth and reshapes the remaining enamel. He'll take impressions and place a temporary crown. The impressions accompany detailed instructions to a trusted dental lab where a skilled technician custom-crafts your crown. With porcelain crowns, the color will match your surrounding teeth.

At the next dental visit, Dr. Freyman removes the temporary restoration and bonds the new crown in place, making minor adjustments to the bite as needed. At home, you'll brush and floss as usual and see your dentist every six months for cleanings and exams. These practices keep your crown intact and the surrounding gums healthy.

When you are missing multiple teeth...

Your speech, biting, chewing and appearance take a serious blow. Conventional bridgework has worked for decades to span smile gaps of one, two or even more teeth. In fact, the American Academy of Implant Dentistry states that 15 million conventional bridges currently are in place in the United States alone.

Made of artificial, or pontic, teeth affixed to neighboring natural teeth via crowns, conventional bridgework allows for natural oral function and smile aesthetics. Created in much the same way as single crowns, bridgework is permanently cemented in place and lasts an average of 10 years with regular at-home hygiene and in-office care.

More on crowns and bridges

Dental crowns also may restore modern dental implants, today's most stable and long-lasting tooth replacements. Multiple implants may be used to support bridges, too, avoiding the enamel preparation necessary to anchor conventional bridgework to adjoining teeth. Your dentist in Longwood will help you determine which restoration or tooth replacement is best for your particular case.

You and smile

The two of you can be happy and healthy again with crowns and bridges from Dr. Freyman. For a restorative dentistry consultation, please call Dr. Freyman at (407) 260-0224. You'll love how he carefully assesses your oral health needs and offers expert recommendations to solve your smile issues.


YourNewImplantsNeedProperHygieneJustasMuchasyourOtherTeeth

So, you’ve just acquired an attractive restoration with dental implants. You may be thinking at least with these teeth you won’t have to worry about dental disease.

Think again. While the implants and their porcelain crowns are impervious to decay the surrounding gums and bone are still vulnerable to infection. In fact, you could be at risk for a specific type of periodontal (gum) disease called peri-implantitis (inflammation around the implant).

Bacterial plaque, the thin bio-film most responsible for gum disease, can build up on implant crowns just as it does on natural tooth surfaces. If it isn’t removed with daily brushing and flossing and regular dental cleanings the bacteria can trigger an infection in the gums.

Besides weakening gum tissues, gum disease can also cause bone loss, of critical importance to dental implants. An implant depends on the bone they’re inserted in to hold them in place. If the bone around an implant becomes infected it could begin to be lost or dissolve (resorb), which could lead to loss of the implant.

That’s why it’s critical to keep the natural tissue structures supporting your implants infection-free. Not only is daily hygiene a must, but your implants and any remaining natural teeth should undergo professional cleaning at least twice a year or more if your dentist recommends it.

Cleanings involving implants will also be a bit different from natural teeth. While the dental materials used in the crown and implant post are quite durable, regular cleaning instruments can scratch them. Although tiny, these scratches can become hiding places for bacteria and increase your risk of infection.

To avoid this, your hygienist will use instruments (known as scalers and curettes) usually made of plastics or resins rather than metal. The hygienist may still use metal instruments on your remaining natural teeth because their enamel can tolerate metal without becoming scratched creating a smoother surface.

While keeping implants clean can sometimes be a challenge, it’s not impossible. Implants on average have a long-term success rate above 95%. With both you and your dentist caring and maintaining these state-of-the-art restorations, you may be able to enjoy them for decades.

If you would like more information on caring for 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: Implant Teeth must be Cleaned Differently.”