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News

Council seeks more options for community center

Council seeks more options for community center


Town Crier File Photo
The Los Altos City Council approved an appropriation to examine options for a new community center to replace the aging Hillview facility.

The Los Altos City Council last week voted narrowly in favor of examining further opti...

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Schools

Local schools participate in  national Hour of Code activities

Local schools participate in national Hour of Code activities


Ellie Van HOutte/Town Crier
Himan Shu Raj, a volunteer from Microsoft, advises Los Altos High ninth-graders, from left, Serhat Suzer, Jamie Bennett and Chris Yang as they participate in the school’s Hour of Code Showcase.

Local schools participa...

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Community

Take a dive into the holiday archive

Take a dive into the holiday archive

Town Crier staff made a quick cruise back through the newspaper's archives to find some late-December reading as inspiration for eating, drinking, decorating and more:

Beloved holiday books build the spirit of the season and staff at Los Altos’ Li...

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Sports

Pinewood poised for another title run

Pinewood poised for another title run


Ellie Van Houtte/Town Crier
Pinewood’s girls basketball team is receiving contributions from several new players, including freshman Stella Kailahi, above.

Complacency shouldn’t be a problem for the defending Division V state champion Pinewood S...

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Comment

Letters to the Editor

Ticket motorists for U-turns on Main Street

As I was walking downtown on Main Street recently, something came to me out of the blue. The town of Los Altos is missing out on a huge revenue stream. I realized that if all the cars – there were th...

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Special Sections

Looking Ahead

Looking Ahead


s in line to be mayor of Mountain View in 2015.

Mountain View anticipates the following changes in 2015:

• Beginning Jan. 1, Mountain View City Councilmembers will receive a raise to $1,000 per month as a result of the passage of Measure A in...

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Business

Your 2015 stock market game plan

It’s been a maddening month because of oil and gas, especially in stocks and bonds. Then, consumer spending pushed stocks higher Thursday, easing investors’ jitters about the global economy and prompting them to consider how to invest in ...

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Books

Gawande's

Gawande's "Being Mortal" proves an important book on aging


Books about death and dying are usually not on my list of “must reads.”

I couldn’t resist, however, the best-selling “Being Mortal: Medicine and What Matters in the End” (Metropolitan Books, 2014) by Atul Gawande.

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People

SANGEETA SACHDEVA

SANGEETA SACHDEVA

Sangeeta Sachdeva, 55, wife of Subhash Sachdeva and mother to Natasha and Tanya, died at 8:54pm, Sunday, December 7, 2014 from respiratory failure.

Sangeeta was born on October 18, 1959 in Delhi, India. She was born to Moti Sagar and Raj Kapoor an...

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Travel

South Tahoe renovations enhance off-mountain seasonal fun

As any enthusiast knows well, there is more to the enjoyment of winter sports than skiing or snowboarding.

While many winter resorts make minor upgrades each season, the off-mountain attractions and amenities can be as enticing as the activities on ...

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Stepping Out

Aurora Singers to emit 'Musical Glow' Friday

Aurora Singers to emit 'Musical Glow' Friday


courtesy of Aurora Singers
The Aurora Singers are scheduled to perform a seasonal concert Friday night in Palo Alto.

The Aurora Singers’ “Winter’s Musical Glow” holiday concert is set for 7 p.m. Friday at the Unitarian Universalist Church of Pal...

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Spiritual Life

Enter the superhero: Finding the God who loves you

In my life-coaching practice, I see a lot of pain. Much of it stems from fear and guilt, often expressed as low self-esteem, anxiety, a lack of forgiveness both for oneself and others, anger – and so on.

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Magazine

Christmas At Our House home tour celebrates 26 years

Christmas At Our House home tour celebrates 26 years


Courtesy of Christopher Stark
Homes on the St. Francis High School Women’s Club’s Christmas at Our House Holiday Home Tour showcase a variety of architectural styles.

The days grow short on sunshine but long on nostalgia as the holidays approach...

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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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