Treating fractured teeth

Treating Fractured Teeth

Treating fractured teeth

Treating Fractured Teeth

Dental Emergencies

Treating fractured teeth keeps emergency dentists in KC very busy.

Our major goal is certainly the relief of pain and suffering caused by fractured teeth.

Patients live life and experience dental emergencies because of blunt force trauma.

Blunt force trauma is due to the impact of your body against a hard object.

Injuries related to automobile accidents are high on the list treating fractured teeth.

Periodontal disease and dental caries also cause a high incidence of missing and fractured teeth.

Consequently dentists and dental teams remind patients on a regular basis to keep periodic check ups.

Regular check ups provide evaluation of the teeth in order to receive routine dental care.

Patients arriving in our emergency dental care facility will receive proper care

treating fractured teeth.

Above all your smile is the number one expression of your identity.

It represents you long before people meet you on a formal basis.

Temporary Crowns

Cracked teeth can be covered with temporary crowns.

Even more temporary crowns are a great transitional treatment technique.

They protect broken teeth and reduce sensitivity to hot and cold.

Esthetics is also improved placing temporary crowns.

Wedding party participants appreciate transitional procedures raising their self confidence.

Pictures taken on wedding day restore confidence as a result of treating fractured teeth.

Protect Soft Tissue

Fractured Teeth cut soft tissue of the oral cavity.

You experience inflammation of soft tissues if sharp tooth structure

is not smoothed or covered.

So difficulty talking, swallowing and chewing occurs before treating

fractured teeth.

Patients are evaluated with acute inflammation noted on inner cheeks and tongue.

Reduction of acute inflammation is achieved minimizing the severity of the fracture.

As a result this is done making the patient’s problem a priority.

Reduce pain and suffering while treating fractured teeth.

From the Diary of my Enlightenment,

A.L. Clark, D.D.S.

Patients seek dental care at the University of Missouri Kansas City

and TMC Hospital

Wikipedia used for definitions


Cosmetic Ivory Wax Ups


Cosmetic Ivory Wax ups

Cosmetic Ivory Wax ups

Cosmetic Ivory Wax ups are fabricated so that patients can see contour and shape of their new smile.

Proper planning of a new smile can be done with computer generated images from state-of-the-art software.

Or the planning can be done with study models poured from alginate impressions.

Patients appreciate seeing a facsimile of the final product.

Waxing up the case reduces questions regarding the form and structure that goes into its fabrication.

Giving patients a cosmetic look they desire,  requires input from the patient and our entire dental team.

Problems exist in the delivery of difficult cases,

Minor tooth movement places strategically  supporting teeth in more ideal positions for maximum esthetics.

Cosmetic Ivory Wax ups are study models that provide great visualization of problems inherent within cases.

Most cases are not devoid of problems.

Plan well and you deliver a quality final product for your patient.

’Tis easy enough to be pleasant, when life flows along like a song,

but the man worth while is the one who will smile when everything goes dead wrong.

Ella Wheeler Willows, author of the above statement.

These words of wisdom are so true and frame the essence of this post.

Treatment plans give patients options in order to handle potential problems.

Potential problems that arise are considered a part of any case.

Dentists explain to patients what is possible regarding their treatment plan.

Dental Implants improve the viability of cases because of their high success rate, over 95%.

We use dental implants due to their high success rate and ability to limit potential problems.

A dental implant provides  flexibility in the restoration of missing teeth.

Cosmetic Ivory Wax ups strategically improve your ability to deliver a well planned case.

From the Diary of my Enlightenment,

A.L. Clark, DDS is a site that gives additional information for Ivory Wax ups. is another site with information on ivory wax ups.


Dental Implant Success Patients rs wear bite guards

Dental Implant Success
Patients wearing bite guards protect dental treatment.


Dental treatment is protected wearing bite guards


Bite guards protect dental treatment

PATIENTS WEARING BITE GUARDS Patients wearing bite guards is one of the keys to protecting their dental treatment.

Patients Wearing Bite Guards

Some of our best Dentistry has been delivered to  patients who appreciate our services.

Crowns and bridges are very durable procedures that are delivered with frequency.

They are procedures that have proven to withstand many harmful biting patterns of dental patients.

Patients wearing bite guards protect their dental investments, thus adding additional time the desired treatment will last.

Some reasons for not wearing the bite Guard range from it feeling cumbersome and too bulky.

Or the additional cost of the bite Guard is not affordable at the time treatment is completed.

It becomes very frustrating for patients who grind their teeth at night.

Bruxism Damages Teeth

Night grinding called bruxism, damages teeth.

Bruxism and the clenching of teeth in a stressful manner, damage teeth, crowns and bridges placed to restore their function.

Think of the jaws and teeth as a class 1 lever system which applies tremendous force to teeth.

A class 1 lever can be viewed as the simple nutcracker.

It applies tremendous force to break open the shell of a pecan for example.

Molars in the mouth are designed for heavy grinding of food starting the digestive process.

Loads from bruxism and clenching place additional pressure in the class 1 lever system.

The pressure placed upon the teeth is greatly reduced when a semi-hard substance is placed

between the teeth in the form of a bite Guard.

It is softer than your teeth and reduces harmful forces that fracture  them.

Wearing the Bite Guard

Patients wearing bite guards greatly reduce chance of fracture.

They can be made with the patient’s comfort in mind.

Wear the guard at night or during stressful episodes of life.

All removable appliances should be sanitized when not worn to kill the accumulation of bacteria.

Bacteria causes mouth odor and dental caries.

Patients wearing bite guards improve their oral health and reduce harmful forces.

From the Diary of my Enlightenment,

A.L. Clark, D.D.S. Visit this site for greater understanding of a night guard’s purpose.

Also visit to compare various functional appliances.




Dental Implant Success

Dental Implant Success

Dental implant success is a product of the entire dental team working for the general welfare of the patient.

Success does not end with placement of dental implants.

This is the start of a renewed sense of improved oral health.

Patients come to our office for free dental consultations regarding evaluation of the various implant systems available.

Dental implants provide an opportunity for patients to smile again and restore  the jaws where teeth have been missing for years.

The Dental profession has undergone major improvements in success rates for long term restorative care.

Dental implants have been the gold standard in the replacement of functional teeth.

We often hear and read the fact that digestion starts in the mouth.

An inability to effectively chew your food will not give you adequate nutrients locked within the healthy foods we consume.

Blenders are a good source for breaking down food sources to take advantage of nutrients.

An inability to chew effectively overworks the body.

A lot of energy is used in the digestion of food.

For this reason you will understand why we are told to periodically fast and cut down on late night snacks.

Energy is better spent assisting the body in fighting off pathogens and healing from whatever ails us.

A healthy body improves the quality and quantity of the jaw bone as a whole.

Dental Implant Success is also dependent upon adequate bone support.

There is no mystery that a healthy sub-structure is more stable than one where the patient consumes massive quantities of unhealthy substances.

I often talk to patients who have transformed their overall health by changing food consumption making healthier choices.

Eating to live is always better than living to eat all the harmful consumables we enjoy.

Those who have followed our blog will understand the harmful effects of high doses of sugar.

America is known for abusing sugar on a daily basis.

This is one reason why the American diet full of hidden sugars is so dangerous.

Dental implant succe



The science behind dental implants is truly amazing to those who study this technology.

Great benefits in the field of science come to us each time a space mission is completed.

Science behind dental implants


Dental implants have been in existence for the past 50 years, fabricated from a titanium alloy.

Yorba Linda, California, is home to a leader in the industry of dental implant technology, Nobel Biocare.

They exist as one of those creative companies on the cutting edge of this technology.

A recent tour of their facility will help you to understand exactly why they are known as a leader in the science behind dental implants.

The greater Kansas City Dental Implant Society is in Yorba Linda today to hear noted clinician and speaker, Dr. Nader Salib, an oral and maxilofacial surgeon.

He practices in Catalina Island, California, a beautiful and picturesque area of the country.

Arriving at the business complex for our meeting reminds me of Silicon Valley. This nickname was designated for the southern portion of the San Francisco Bay Area in the northern part of California.

The valley in its name refers to the Santa Clara Valley in Santa Clara County.

America remains a leader in creativity throughout the world.

Look at Google, Microsoft, Facebook, Apple, Boeing  and Hallmark Cards to name a few companies spawned from the creative minds of inspired individuals.

Dr. Salib informed his audience of dental professionals that inadequate hard tissue is a major problem that dentists must address in the placement of dental implants.

After understanding the science behind dental implants bone quantity and quality are major factors.

We were informed state of the art technology calls for proper treatment planning and computer guided implant surgery.

Guided surgery greatly reduces the risk of improperly placing implants.

The surgeon will use this technique with bone scans providing 3 dimensional orientation in the overall planning.

Defects and irregularities in the bony anatomy are readily identified after visualization with 3 dimnsional scans.

Patients that undergo tooth extraction procedures are thankful to know the remaining jawbone can be preserved at the time teeth are removed.

Synthetic bone grafting procedures restore defects remaining after tooth extraction.

In general tooth loss leads to bone loss.

Disuse atrophy is well known when teeth are loss, similar to a patient confined to a wheelchair.

Muscles and bone tissue become smaller from disuse.

Patients must understand their role in this process to not procrastinate getting an early consultation

for the best possible treatment outcome.

Dentist study the science behind implants to also educate patients about the role they play in seeking needed care.

From the Diary of my enlightenment,

A.L. Clark, DDS

Pacific Oral Surgery & Dental Implant Studio





Sectioning problematic teeth


Sectioning problematic teeth facilitates their removal.

During the consultation appointment with a dental patient, decisions are made to do in house oral surgery or refer to a specialist.

Patients that come into dental offices have a wide variety of options regarding oral surgery.

Dental insurance benefits allow patients the option of general anesthesia for difficult surgery cases.

Patients without dental insurance may qualify to receive treatment in county hospitals at a reduced rate.

Neighborhood dental facilities subsidized by our tax dollars have a sliding fee scale charging patients according to their ability to pay.

A large segment of dental patients enter dental clinics, from the heart and soul of the American workforce.

These patients come for emergency dental care. They have chronic high pain levels usually putting off treatment for weeks at a time.

General practitioners make treatment decisions based upon what is best for the patient.

Patients unable to afford the services of oral surgeons become problematic for several reasons.

Pain medication and antibiotics have greatly reduced pain and suffering. They only help up to a point.

Sectioning problematic teeth facilitates their removal. Teeth have degrees of difficulty. Those with a high degree of difficulty are the best candidates for referral to oral surgeons.

Regarding discomfort associated with mandibular wisdom teeth, the upper wisdom tooth is easier to remove when erupted.

It takes pressure off the lower wisdom tooth providing relief to the patient.

Patents may also benefit from the removal of a portion of the tooth from the alveolar socket, another way of relieving pressure until the oral surgeon is seen.

Another technique is to remove pulp tissue as a temporary procedure when patients are suffering.

Patients are encouraged to receive routine dental care on a regular basis to avoid the possibility of interim or temporary procedures.

You will find patients requesting intermediary procedures after being up all night unable to sleep because of high pain levels.

Waiting until the 9th hour creates more problems for the dental patient.

These problems are resolved like problems being looked upon as knots in a ball of twine where each knot sista as a problem.

Dentists treat daily the problems that occur because of the patient’s level of procrastination regarding pventative dentistry.

Patients are surprised by the high level of comfort experienced in the process of their dental treatment.

One way to treat high pain levels is sectioning  problematic teeth.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.









Improving crown retention. Dental Implant or bridge. Protecting our teeth.


Teeth that are lost because of tooth decay or periodontal disease can be replaced with either a dental implant of bridge.

To replace one tooth with a bridge requires that teeth be shaved down in the front and back of the missing tooth.

A bridge is simply a series of crowns fused together to replace missing teeth.

A single missing tooth requires 3 units of crown and bridge.

Fracture of porcelain on one of the three units necessitates the removal of the entire bridge for repair.

On the other hand in the case of dental implants, one implant replaces the missing tooth.

If the porcelain becomes damaged in this particular case, the problem is isolated to this one specific area.

Bridges out of necessity are monitored for recurrent decay of the abutment or supporting teeth gingival margins.

At the gum line where plaque, tartar and food debris accumulate, is a never ending battle against periodontal disease and tooth decay.

For this reason the longevity of bridges and crowns is approximately ten years.

Patients that keep good oral hygiene may experience longer than normal life spans of their dental appliances.

Dental implants on the other hand are made of titanium placed in the jawbone.

They terminate at the level of the gum line.

Connecting parts from the gum line into the mouth enable crowns to be fabricated on the connectors called abutments.

The abutments are precision made parts that synch ideally with the implant.

Unlike tooth structure the abutments fabricated from porcelain or titanium do not decay.

It is highly recommended routine preventative care becomes a vital part in the process of providing good oral hygiene.

Implant parts will not decay but dental implants are susceptible to periodontal disease that is preventable with proper care.

Where teeth are missing bone is lost, for tooth loss equates with bone loss.

Dental implants are great technology with very high rates of success.

When placed bone levels become stable and are maintained with very minimal loss.

One of the best solutions for stabilizing dentures is the placement of dental implants.

The hardest denture for patients to wear is the the lower, mandibular full denture.

Mandibles are problematic because the tongue can unseat the denture.

It has to be form fitted around the tongue in a horseshoe configuration.

Two to four dental implants can make a world of difference in their stability.

Answer the question of dental implant or bridge with the preceding knowledge to discuss further with your dentist.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.





Plan dental cases.



Plan dental cases and you will see more value provided for your patients.

As a clinician the job of a dentist is to give the patient treatment alternatives.

Dentists understand money does not grow on trees, making every dollar work for the benefit of the patient.

One way a patient can see a rendition of their finished case is through the fabrication of an ivory wax up.

Alginate impressions are taken, poured in stone with corrections and enhancements incorporated for display

for the patient.

The patient approves the enhancements and a temporary crown or bridge is made with agreed upon esthetics.

While waiting on the final permanent finished product, the patient gets a chance to wear a facsimile of the case.

This takes the patient from a negative to a positive position in reference to their smile.

It is not necessary to wait until the final product is delivered to the dental office to see what has been planned.

The entire dental team is involved in the case from the office staff to the porcelain ceramists  causing improvements in your smile.

Dentists are up to the challenge understanding the dynamics of how hard and soft tissues work in harmony for best results in esthetics and and stability of the final case.

Surgical procedures planned before dental implants can be placed require stabilization.

Where extensive bone grafting is necessary, bone remodeling may take as long as 8 – 9 months.

Nutrition plays a key role in the stability of bone.

Patients should limit the ingestion of carbonated beverages such as soda pop.

It is the opinion of this dentist that all refined processed sugar, high fructose corn syrup, and artificial sweetness should be greatly reduced during the remodeling process.

Emergency dentist KC is a hat worn by our team that sees firsthand the ravages of sugar on oral health.

Dentists take it upon themselves to provide a quality service in spite of the poor nutritional habits of patients.

Patients are taught to keep dental implants clear of food debris and plaque for sound preventative measures.

Sound preventative measures protect the area of crestal bone, the most difficult area to maintain.

We encourage patients not to work against biology partaking in poor nutrition and unhealthy medical and dental habits.

Dentists take many continuing education hours to deliver a quality service to all patients.

The science of restoring dental implants has a success rate of over 95% with adherence to understanding tissue dynamics.

Discuss with your dentist why some implant systems are not designed for immediate loading in surgical sites after the extraction of teeth.

Plan dental cases with the proper implant system for high levels of clinical success.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.




Managing Extraction Sites


Managing extraction sites is the duty of your dentist, gladly done in consultation.

Patients who contact us through emergency dental care in KC on some occasions are looking for second opinions.

A second opinion regarding your treatment plan, will make you feel more comfortable, so that moving forward with treatment is not a problem where there may be mis-understanding or more clarification desired.

Teeth that become candidates for extraction are not the major concern for patients looking for more than a removable full  or partial denture.

One question that comes up, “after my teeth are to be extracted why am I needing bone grafting?”

As a general rule tooth loss equates to bone loss.

This is the primary reason why bone grafting materials are placed in sockets at the time of extractions.

Atrophy of the jawbone occurs in less than a year where the bone narrows in height and width.

The goal of your dentist is the preservation of jawbone to maintain the integrity and shape of your facial features and provide adequate room for the placement of dental implants.

Bone grafting materials placed within the socket at the time of surgery in many instances keep patients from receiving additional surgery to build the bone back to  an idea state that will support the dental implant.

This past Saturday, an all day seminar was hosted by Nobel Biocare and The Kansas City Dental Implant Society at the Overland Park, Kansas Marriott.

The speaker was Dr. Joseph Kan, a highly credentialed implantologist.

Dr. Kan’s lecture was on “Immediate Function in Extraction Sites”, a proven concept with high patient satisfaction.

Techniques discussed have the potential to yield improved esthetic results and shorten patient healing time.

Long term studies with 5 to 10 years follow-up show cumulative survival rates of 96.5% to 100% for immediately loaded implants placed in extraction sites for any indication.

No statistically significant differences could be observed in prospective studies with greater than 1 year follow-up on TiUnite implants in fresh extraction versus healed sites.

There was minimal marginal bone change after implant insertion followed by stable or increasing bone levels.

Soft tissue results were also shown as positive.

Immediate placement combined with Immediate Function has a positive effect not only on marginal bone levels, but also esthetics,since immediate restoration preserves esthetics.

If primary implant stability permits, implants should therefore be instantly provisionalized in the interest of optimal soft tissue esthetics.

Managing extraction sites helps preserve bone and also yields greater esthetics.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.



Dental implant success.


Dentists and patients desire dental implant success that comes when the final case is functional, meaning the patient has stability, is able to chew effectively and esthetics provides an enhanced smile.

Fabrication or construction of a patient’s new smile comes due to the general dentist serving in the dental team as the architect for the overall case.

A visit to your dental office may find you asking questions about state-of-the-art technology that provides understanding for a decision to proceed with this technology.

People are surprised to learn that dental implants and the components supporting their placement are fabricated with robotic technology.

Dental implantology is a precision science with a very high success rate in the upper 95 percentile.

Not very many disciplines can make this claim.

A valuable service offered in most dental clinics is the replacement of a single tooth with a dental implant.

You may start with a removable partial denture to replace a missing tooth but it is not necessary to remain there.

Another option to replace a single missing tooth is to reduce the teeth to small stubs on both sides of the missing tooth.

Reducing the adjacent teeth allow the making of a 3 unit bridge. Bridgework remains a viable option in dentistry with an ideal lifespan of approximately 10 years or more.

Patients are advised to take special care in cleaning all aspects of bridges, due to the fact margins of bridges at the tooth to metal interface are susceptible to decay.

High sugar intake and carbonated beverages accelerate the breakdown process of bridge margins.

You can reduce the breakdown of margins with daily flossing, usage of oral irrigation and automated toothbrushing techniques.

A difficult problem in the reconstruction of the oral cavity is the collapsed bite.

Patients who neglect the care of their teeth for a number of years face to possibility of needing their bite reopened so adequate room is generated to rebuild the teeth.

Dentists tell dental patients, room between the upper and lower teeth is required to reconstruct their case.

Study models that assist in evaluating the relationship between upper and lower teeth are mounted on an articulator for analysis.

The goal in mounting the case is an evaluation to see how much room must be gained to treat the patient successfully.

A collapsed bite develops over a long period of time and therefore should be reopened with care.

The goal of the restoration process is providing a predictable outcome in the development of the case

as we desire dental implant success.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.

Reference: Picture from seminar literature Nobel Biocare