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Dental implant reality check

Are these advances in dental health right for you?


 Image: GuidoVrola/Thinkstock

Tooth decay, gum disease, and injury to the mouth can all lead to the loss of one or more teeth. The standard solution usually involves removable dentures or a fixed bridge. A newer option, dental implants, is also gaining popularity. "Implants can significantly improve your quality of life," says Dr. German Gallucci, department chair of restorative dentistry at the Harvard School of Dental Medicine.

About implants

Uses and benefits

In older adults, implants are typically used to replace one or two missing teeth (but not a mouthful). "Before implants, the only option we had was a bridge. With the implant, you can independently restore the tooth. That's a significant improvement in our therapy, to the point that we have reduced the number of bridges we do nowadays," says Dr. Gallucci.

Implants are also used to anchor a bridge or dentures. "Without implants, dentures move while you eat or speak, which makes it difficult to do either. But when you clip the denture onto an implant, it stays in place and functions normally," says Dr. Gallucci. He says supporting dentures or bridges may require two or more implants.

Requirements

Considerations

There are few downsides to getting implants. One is cost. "The range varies from state to state. It could be between $2,000 and $6,000 for one tooth and crown. But that's comparable to a bridge," says Dr. Gallucci.

Some insurance plans cover implants, especially for a missing tooth. Medicare does not pay for implants.

Another drawback: the time involved in healing. But the benefits, says Dr. Gallucci, can be worth it.

If you're interested in pursuing implants, he recommends getting several opinions. You can start by making an appointment with either a dentist who's surgically trained to place implants and has years of experience, or a prosthodontist—an expert in tooth restoration and replacement.

What to eat when your teeth and gums hurt

It's common after oral surgery to have some pain for a day or two, or even longer. This may mean that you have to be especially mindful of what you eat and drink. Sensitivity to hot and cold items is typical. But even the act of chewing can be uncomfortable.

What's best to eat? "Avoid crunchy and sticky foods and stick to a soft diet," says Dr. German Gallucci, a restorative dentistry expert at the Harvard School of Dental Medicine. "Go with soups, pastas, yogurt, and even baby food."

He advises avoiding the side of your mouth that's been operated on, and eating only small bites of food that keep your teeth from making forceful contact.

Other tips: Avoid anything very hot on the first day after surgery, as heat can increase the risk of bleeding; drink a lot of fluid, at least five or six cups per day; and baby yourself. "Give your mouth a chance to heal," he says.

Getting protection from bug-borne illnesses

This summer, it's especially important to take precautions against mosquitoes and ticks.


 Image: Rene Drouyer/Thinkstock

You're no doubt aware that a mosquito bite can transmit the Zika virus and that pregnant women infected with the virus may have babies with microcephaly—incomplete brain development. Although Zika is getting the most attention this summer, mosquitoes and ticks carrying the pathogens responsible for other conditions, including West Nile fever, Lyme disease, encephalitis, and Rocky Mountain spotted fever, are still at large in areas of the United States.

While scientists work to develop vaccines against these illnesses, the best protection is still prevention. "One thing everyone can do is to reduce their risk of exposure," says Dr. Mary E. Wilson, adjunct associate professor of global health and population at the Harvard T.H. Chan School of Public Health. Getting the best protection depends on the type of bug you're protecting yourself against.

Endometriosis linked to increased risk of heart disease

Women who have a history of endometriosis—a risk factor for cardiovascular disease—should take measures to reduce their other cardiovascular risk factors.

Can stem cells treat eye disease?

Stem cell research has led to techniques to restore vision in animals and to grow new, healthy lenses in human babies born with cataracts.

Therapy beats drugs for chronic insomnia

The American College of Physicians recommends cognitive behavioral therapy for insomnia (CBT-I) as a first line of defense for chronic insomnia, instead of sleep medications.

Don’t accept a diminished sex life as a “side effect” of illness

Living with a chronic condition or as a survivor of cancer or a heart attack needn't take a toll on intimate relationships.


Image: Jack Hollingsworth/Thinkstock
Strategically timing when you take pain medication can make sex more comfortable.

Sexual satisfaction is an important part of well-being, yet women who have been successfully treated for cancer or are living with chronic conditions often accept a diminished sex life as a trade-off for being alive. "Women with cancer go through surgery, chemotherapy, and radiation in order to be alive, but once they're through treatment they may not feel as though they are really living to the fullest," says Dr. Sharon Bober, a psychologist at Harvard-affiliated Dana-Farber Cancer Institute. Women with cardiovascular disease, diabetes, and arthritis may also feel that their health issues have eroded their intimate relationships.

What to do about a high blood pressure diagnosis

A high blood pressure diagnosis can come as a shock due to a lack of symptoms, but the condition is manageable. Dr. Naomi Fisher explains what to do after you are diagnosed.

Concern about recurring hiccups

Hiccups are often caused by many everyday situations, including distention of the stomach (which can be the result of overeating), swallowing air, or drinking carbonated beverages. They usually go away on their own, but episodes that last longer than 48 hours could be a sign of certain medical problems. 

Too much of a good thing?

Proton-pump inhibitors are among the most-prescribed medications, but is long-term use safe?


Proton-pump inhibitors reduce stomach acid, which helps to treat symptoms of acid reflux.
Image: kamontad123/Thinkstock

Proton-pump inhibitors (PPIs), which are used to treat a variety of gastrointestinal problems, are among the most popular drugs in the United States. In fact, the FDA estimates about one in 14 Americans has used a PPI.

Atrial fibrillation: The latest treatment trends

About one in six strokes can be traced to atrial fibrillation. Doctors now have newer and better options to lessen this risk.

Close to one in 10 people ages 65 or older have atrial fibrillation (afib), the most common heart rhythm disorder. During a bout of afib, the usually rhythmic contractions of the heart's upper chambers (the atria) are replaced by an ineffectual quiver. While the symptoms, which include a racing heartbeat, dizziness, and shortness of breath, are troublesome for some people, the real threat lies in the increased risk of stroke that accompanies the condition.

When the heart takes on the afib rhythm, blood does not completely move out of the atria. Instead, it tends to pool and clot in a pouchlike extension in the upper left quadrant of the heart, called the left atrial appendage. If these clots break loose, they may travel to the brain and cause a blockage. This is known as an ischemic stroke.

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