Fri02272015

News

North Bayshore proposals due today

The City of Mountain View is receiving North Bayshore development proposals today. Applications may be made until the deadline at 5 p.m.

All submissions will be available for viewing March 2 at the Community Development Department counter in City Ha...

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Schools

Former NFL player huddles with Blach students about life choices

Former NFL player huddles with Blach students about life choices


Ellie Van HOutte/Town Crier
Former NFL tight end Eason Ramson visited with Blach Intermediate School students, Feb. 13 to share the perils of drug use. Now a motivational speaker, Ramson works with at-risk teens in San Francisco.

Although former ...

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Community

Chi Am Circle, Chef Chu's prove 'golden': Club sets fundraising goal of $200K for March fashion show

Chi Am Circle, Chef Chu's prove 'golden': Club sets fundraising goal of $200K for March fashion show


Courtesy of Bev Harada
Chi Am Circle members, from left, Gerrye Wong, Sylvia Eng, Pearl Lee and Muriel Kao flank Larry Chu Sr. at the Jan. 31 event honoring the club’s 50th and Chef Chu’s 45th anniversaries.

Chef Chu’s restaurant in Los Altos ho...

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Comment

Freedom's just another word: No Shoes, Please

It used to be that the word “freedom” held exclusively positive connotations for me, but now it’s really become a mixed bag. It all started in 2001 when President George W. Bush asked the question he felt was on the minds of most Americans regarding ...

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Special Sections

Filoli in bloom: Historic estate hosts  classes, events and tours

Filoli in bloom: Historic estate hosts classes, events and tours


Ellie Van Houtte/Town Crier
Scenes from Filoli: The historic estate in Woodside is a welcoming sanctuary for visitors. The grounds offer a rotating display of seasonal flowers, a tranquil reflecting pool and paths that wend through the 16-acre Engl...

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Business

Stock volatility still confusing

The market opened down more than 100 points Friday but by noon rose more than 130, the form of volatility that quickly draws investors’ attention. By week’s end, the Standard & Poor’s 500 index and the Dow Jones industrial aver...

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Books

French novel

French novel "Hunting and Gathering" offers character-driven suspense


Anna Gavalda is a well-known author in her native France, where she has published six books, most of which have met with considerable praise and commercial success. Her fourth novel, “Hunting and Gathering” (Riverhead Books, 2007), is filled ...

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People

CHRIS A. KENISON

CHRIS A. KENISON

Feb 13, 1945-Feb 6, 2015

Resident of Los Altos

Chris was born in Georgia and moved to Oklahoma as a young child. He grew up there and moved to California in 1965. He developed a strong work ethic from his grandparents and parents. He attended the...

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Travel

Seoul of the city: Korean capital offers mix of old and new

Seoul of the city: Korean capital offers mix of old and new


Ramya Krishna/Special to the Town Crier
Seoul’s Cheonggyecheon public recreation space, above, features an elevated pedestrian bridge.

Seoul, South Korea, is a study in contrasts. Having grown quickly, the city is a mix of old and new.

Using...

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Stepping Out

'Park' in the hills

'Park' in the hills


courtesy of Foothill Music Theatre
Dot (Katie Nix) imagines her dream job as a follies dancer in the Foothill Music Theatre production of “Sunday in the Park with George.” The play runs through March 8.

Foothill Music Theatre’s production of “Su...

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Spiritual Life

Is your thought life sabotaging your spiritual journey?

My computer started having problems – there seemed to be some sort of malware running in the background. At first it was just annoying, then it began to slow down my computer, interfering with its basic operations. What is it doing? Why can...

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Magazine

Local events serve up family fun

Local events serve up family fun


Courtesy of Peninsula Youth Theatre
Peninsula Youth Theatre’s production of “Pecos Bill: A Tall Tale” is slated to open March 20 in Mountain View.

For families seeking a break from the daily routine, events abound this month and next in Los Alto...

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Dental implants: Creating myriad health-restoring opportunities

Courtesy of Dr. Ken schweifler The above illustration identifies the components of a single-tooth implant crown.

If you’re old enough to remember dental treatment prior to the invention and implementation of dental anesthesia in the 1950s, you will be able to relate to my sentiment that nothing up to that point had such a profoundly positive influence on the field.

The ability to block nerve sensation transformed the way we practice, enabling the performance of even the most complex procedures in a pain-free, anxiety-free environment. Perhaps nothing has revolutionized the field of dentistry since as much as dental implants.

In the past, when a single tooth was lost, a typical option would be a fixed bridge. Such treatment relies on the teeth adjacent to the missing tooth, often requiring aggressive reduction of healthy teeth that wouldn’t otherwise need to be restored for their own structural benefit. Because fixed bridges are a series of attached crowns, they preclude the ability to use traditional dental floss. Even though there are hygienic options to thread floss underneath the bridge, the technique requires a high level of dexterity and motivation from the patient. In my experience, most patients don’t spend the time to care for them adequately.

Over time, the bone that supported the lost tooth (or teeth) dissolves, leaving excessive space between the bridge and the tissue below it and contributing to more plaque/food retention and tissue irritation.

Dental implants treat single-tooth problems with single-tooth solutions. An implant designed to replace a single lost tooth has three components: the titanium implant that fuses with the jawbone; the abutment that attaches to the implant and protrudes from the gumline; and the crown (cap) that adheres to the abutment, restoring function and aesthetics.

By avoiding the needless restorative treatment on adjacent teeth that a fixed bridge requires, those teeth are preserved with their longevity more likely. Single-tooth implants can be cleaned just like natural teeth, because nothing impedes the passage of conventional floss. When a tooth is lost and restored with an implant, the immediate replacement root (implant) “tricks” the bone, minimizing bone loss. Due to the overwhelming benefits of implants over fixed bridge treatment, to treat a candidate for implants with a fixed bridge would be considered below the standard of care today.

Another treatment option, usually selected when more teeth are missing than could be treated well with a fixed bridge, is a removable denture (partial or full). A partial denture uses metal clasps to anchor it to the remaining teeth, and acrylic rests in those areas where teeth are missing and serves as the attachment platform for fake teeth. These clasps are often torquing on teeth already periodontally compromised, leading to the acceleration of tooth loss.

Patients with these appliances often complain that they affect speech, impede the sense of taste and create a negative image of old age. Full dentures receive similar complaints, but more pronounced. As multiple teeth are lost, the bony ridge that supported them dissolves.

These patients traditionally have relied on the inadequate retention of acrylic against tissue on a shrinking bony ridge. The upper denture benefits from the suction created against the palate. The lower full denture lacks that anatomic advantage and is commonly considered the most annoying, ineffective treatment in dentistry. Complaints about it have been unanimous in my practice – until now.

Perhaps the most profound benefits of dental implants are in creating more retention for full dentures, especially on the lower arch. By simply placing two implants on the lower bony ridge and creating a denture that adheres to those implants, the days of uncomfortable, restricted chewing and embarrassing slippage of the appliance in social situations are over.

In my experience, reluctance to pursue dental implants has been due primarily to the expense or concerns about failure. Initial treatment for a single-tooth implant is typically more expensive than a fixed bridge or denture, but it’s a much more predictable option that preserves remaining teeth and bone.

Studies show that within five to seven years, there’s a failure rate of 30 percent in teeth adjacent to a fixed bridge or removable partial denture. Sure, a three-unit fixed bridge (to replace one missing tooth) may cost less money than an implant, but if it fails because the teeth supporting it succumb to disease, then it’s going to need to be replaced. If I could add up the cost of replacing a fixed bridge or a partial denture, perhaps several times over a lifetime, dental implants are definitely the more economical option.

Some of my implant candidates express concerns about the risk of failures. I have heard more about implants failing from conversations my patients have had with friends and loved ones than I have ever seen in my practice. The success rate for dental implants varies from study to study, but generally is more than 90 percent, much higher than any other tooth-replacing option.

The impact dental implants have had on the field of dentistry cannot be overstated. We’re fortunate to be living in a time when this technology creates comfortable, health-restoring opportunities.

Dr. Ken Schweifler practices dentistry at 802 Altos Oaks Drive. For more information, call 941-2166 or visit www.dentistlosaltos.com.

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