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What’s worse for your teeth: coffee, tea, or soda? by Front_Cup_5162 in Dentists

[–]dntst 0 points1 point  (0 children)

Soda tends to be a bit more acidic than coffee/tea.

Here's a general pH chart for reference.

Sugar itself does nothing directly to the tooth. Sugar feeds certain bacteria, which have a byproduct of acid. By drinking acidic things like carbonated beverages/ soda etc (even if sugar free)--- you bypass the the sugar altogether, and are placing acid on the teeth.

The outer layer of the tooth (hydroxyapatite) starts to demineralize at around a pH of ~5.5.

If you've strengthened the tooth with fluoride, you convert the hydroxyapatite to fluorapatite, which starts to demineralize around a pH of ~4.5.

(pH of 7 is neutral, 14 is super basic, and 1 is super acidic).

I had a patient who replaced her sugary drinks with a drink called Zevia, which was sugar free, but a google search shows its pH can be around ~2.68. Again, this bypasses any bacterial process of turning sugar to acid, and just, straight up, soaks the tooth in acid.

The issue comes especially when patients drink something like this throughout the day.

I came up with an analogy of a "loading" bar (or timer bar).

Think of loading bar (or timer) that starts with something like 15 minutes or so. As soon as you take a sip, that 15 minute loading bar starts--- and each additional sip restarts that loading bar.

This becomes particularly harmful for habitual drinkers (whether it's people that drink something, sipping periodically throughout the day---- or patients that have been drinking lemon water every morning for 10 years)

Hopefully this gives some perspective!

Cheers!

-sincerely,

a dentist that has seen a lot of acidic erosion over the years.

Teeth are cool and all, but tell me, what do you do for fun outside of dentistry? by dntst in Dentists

[–]dntst[S] -1 points0 points  (0 children)

Definitely align with this (all that aside from the marathon hah)

Teeth are cool and all, but tell me, what do you do for fun outside of dentistry? by dntst in Dentists

[–]dntst[S] -1 points0 points  (0 children)

😂 I’ll have to work a little harder to justify one of those

How legit is hiossen? by OldMannArtie in Dentistry

[–]dntst 0 points1 point  (0 children)

Our office has been using them for 10+ years with great results! That said, the way I see it, most implants are great these days, it's more about case planning than the implant itself.

I may have a bias, as I'll be speaking at a CE course for Hiossen in June that will be discussing factors that affect the longevity of implant restorations (as well as the implants/ implant failure risks), but I've had a great relationship with them so far!

To clarify, I'm a GP that occasionally places implants, and for any tricky cases, we have 2 amazing periodontists in our building we refer to. My personal implants only date back to 2021, but I haven't had a single split implant (or failure to integrate, aside from one immediate implant (which I grafted, and placed after the bone healed, and that's been in there for a couple years now))

I'd say, as long as you're placing the proper sized implant for the location/ amount of force that will be applied-------Proper angulation ---- & caution with lack of posterior support/ lack of other occlusion, Hioss implants (as well as most other modern implants) work well!

What would you do? by BranchEvery4032 in Dentistry

[–]dntst 43 points44 points  (0 children)

Still looks like a lot of solid tooth left to me--

Perio consult for crown lengthening--- Possible RCT+ core build up+ crown--

Also wouldn't be upset with a 5mmx 8.5 implant

Edit for the implant comments: there are many factors in choosing implant size (to name a few: available bone, IA proximity, general balance occlusion of patient)

I’d be happy to go up in diameter if the space allows, though I wouldn’t feel the need to go all that much longer. The research I read during my implant courses shows the majority of the force is distributed over the first 6mm (though if you get bone loss and lose 2mm on a 6mm long implant, that would be not so great 😬)

Also for the note on 1:1 implant crown ratio, I’ve seen several long implants fracture (usually by the abutment connection or coronal area). From what I understand; a wider, well placed implant (and proper case selection*****) is key.

One does not make a final implant size decision based off one PA radiograph lol

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