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Posts for: October, 2018

By Arbor Hills Dental
October 30, 2018
Category: Dental Procedures
Tags: dental implants   smoking  

With a 95-plus percent survival rate after ten years, dental implants are one of the most durable replacement restorations available. Implants can potentially last much longer than less expensive options, which could make them a less costly choice in the long run.

But although a rare occurrence, implants can and do fail—often in the first few months. And tobacco smokers in particular make up a sizeable portion of these failures.

The reasons stem from smoking’s effect on oral health. Inhaled smoke can actually burn the outer skin layers in the mouth and eventually damage the salivary glands, which can decrease saliva production. Among its functions, saliva provides enzymes to fight disease; it also protects tooth enamel from damaging acid attacks. A chronic “dry mouth,” on the other hand, increases the risk of disease.

The chemical nicotine in tobacco also causes problems because it constricts blood vessels in the mouth and skin. The resulting reduced blood flow inhibits the delivery of antibodies to diseased or wounded areas, and so dramatically slows the healing process. As a result, smokers can take longer than non-smokers to recover from diseases like tooth decay or periodontal (gum) disease, or heal after surgery.

Both the higher disease risk and slower healing can impact an implant’s ultimate success. Implant durability depends on the gradual integration between bone and the implant’s titanium metal post that naturally occurs after placement. But this crucial process can be stymied if an infection resistant to healing arises—a primary reason why smokers experience twice the number of implant failures as non-smokers.

So, what should you do if you’re a smoker and wish to consider implants?

First, for both your general and oral health, try to quit smoking before you undergo implant surgery. At the very least, stop smoking a week before implant surgery and for two weeks after to lower your infection risk. And you can further reduce your chances for failure by practicing diligent daily brushing and flossing and seeing your dentist regularly for cleanings and checkups.

It’s possible to have a successful experience with implants even if you do smoke. But kicking the habit will definitely improve your odds.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants & Smoking.”

October 23, 2018
Category: Dental Procedures
Tags: Family Dentistry  

Family DentistrySince every member of your family should see a dentist regularly, it makes sense to choose a family dentist who can treat the entire family. Family dentists treat patients of all ages and provide the same dental services and procedures as dentists that specializing in treating only adults or only children. There is no need to travel to separate dental offices on different days for each member of the family. Everyone can be seen at the same family dentistry practice. At Arbor Hills Dental, Dr. Angela Toy is your family dentist in Newberg, OR.

What is Family Dentistry?

Family dentistry is a type of dentistry that treats patients of all ages, from children just getting their first teeth to mature adults who might be experiencing age-related tooth loss. Family dentistry practices provide the same services as those geared toward general or pediatric dentistry. Standard dental exams and professional cleanings are available to patients of all ages. Further, a range of other preventive, restorative, orthodontic, and cosmetic dental services are available, as well.

Procedures and Benefits

Several different types of dental procedures are available at a family dentistry practice, such as Arbor Hills Dental. Each type of dental procedure offers specific benefits either to promote better oral health or improve the appearance of a patient’s smile. Some of the different types of dental procedures available from your Newberg, OR, family dentist include:

  • Preventive
  • Restorative
  • Orthodontic
  • Cosmetic

Preventive dental procedures include regular dental checkups with an oral exam and professional cleaning. Preventive dental care helps patients maintain better oral health and can prevent the development of a variety of oral health problems, such as tooth decay and gum disease.

Restorative dental procedures include root canal treatment and dental fillings. Other procedures include placement of dental implants and gum disease therapy. There are many benefits to undergoing a restorative dental procedure. Depending on the specific procedure, benefits can include preservation of the natural teeth, restoration of normal tooth functioning, and replacement of missing or damaged teeth.

Orthodontic procedures help correct problems with tooth positioning and alignment of the bite. Invisalign is a popular orthodontic treatment available at select family dentistry practices in Newberg, OR. Invisalign is an innovative method for straightening teeth that offers multiple benefits, including being discreet, comfortable, and removable.

Cosmetic dental procedures provide an effective means for improving the appearance of your smile. A variety of cosmetic options are available at Arbor Hills Dental for helping you achieve the smile you have always wanted. Examples of cosmetic dental procedures and options include dental bonding, tooth-colored fillings, and professional teeth whitening.

A family dentistry practice offers a variety of dental procedures for patients of all ages. Your entire family can have all of its dental needs met at a single location when you choose a family dentist. To schedule your family’s next appointments with Dr. Toy, your family dentist in Newberg, OR, contact Arbor Hills Dental at (503) 538-2143.


Placing a dental implant within the jawbone requires a surgical procedure. For most people it’s a relatively minor affair, but for some with certain health conditions it might be otherwise. Because of their condition they might have an increased risk for a bacterial infection afterward that could interfere with the implant’s integration with the bone and lead to possible failure.

To lower this risk, dentists for many years have routinely prescribed an antibiotic for patients considered at high-risk for infection to take before their implant surgery. But there’s been a lively debate among health practitioners about the true necessity for this practice and whether it’s worth the possible side effects that can accompany taking antibiotics.

While the practice still continues, current guidelines now recommend it for fewer health conditions. The American Dental Association (ADA) together with the American Heart Association (AHA) now recommend antibiotics only for surgical patients who have prosthetic heart valves, a history of infective endocarditis, a heart transplant or certain congenital heart conditions.

But patients with prosthetic joint replacements, who were once included in the recommendation for pre-surgical antibiotics, are no longer in that category. Even so, some orthopedic surgeons continue to recommend it for their joint replacement patients out of concern that a post-surgical infection could adversely affect their replaced joints.

But while these areas of disagreement about pre-surgical antibiotics still continue, a consensus may be emerging about a possible “sweet spot” in administering the therapy. Evidence from recent studies indicates just a small dose of antibiotics administered an hour before surgery may be sufficient to reduce the risk of infection-related implant failure with only minimal risk of side effects from the drug.

Because pre-surgical antibiotic therapy can be a complicated matter, it’s best that you discuss with both the physician caring for your health condition and your dentist about whether you should undergo this option to reduce the infection risk with your own implant surgery. Still, if all the factors surrounding your health indicate it, this antibiotic therapy might help you avoid losing an implant to infection.

If you would like more information on antibiotics before implant surgery, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Implants & Antibiotics: Lowering Risk of Implant Failure.”

By Arbor Hills Dental
October 10, 2018
Category: Dental Procedures

Magician Michael Grandinetti mystifies and astonishes audiences with his sleight of hand and mastery of illusion. But when he initially steps onto the stage, it’s his smile that grabs the attention. “The first thing… that an audience notices is your smile; it’s what really connects you as a person to them,” Michael told an interviewer.

He attributes his audience-pleasing smile to several years of orthodontic treatment as a teenager to straighten misaligned teeth, plus a lifetime of good oral care. “I’m so thankful that I did it,” he said about wearing orthodontic braces. “It was so beneficial. And… looking at the path I’ve chosen, it was life-changing.”

Orthodontics — the dental subspecialty focused on treating malocclusions (literally “bad bites”) — can indeed make life-changing improvements. Properly positioned teeth are integral to the aesthetics of any smile, and a smile that’s pleasing to look at boosts confidence and self-esteem and makes a terrific first impression. Studies have even linked having an attractive smile with greater professional success.

There can also be functional benefits such as improved biting/chewing and speech, and reduced strain on jaw muscles and joints. Additionally, well-aligned teeth are easier to clean and less likely to trap food particles that can lead to decay.

The Science Behind the Magic

There are more options than ever for correcting bites, but all capitalize on the fact that teeth are suspended in individual jawbone sockets by elastic periodontal ligaments that enable them to move. Orthodontic appliances (commonly called braces or clear aligners) place light, controlled forces on teeth in a calculated fashion to move them into their new desired alignment.

The “gold standard” in orthodontic treatment remains the orthodontic band for posterior (back) teeth and the bonded bracket for front teeth. Thin, flexible wires threaded through the brackets create the light forces needed for repositioning. Traditionally the brackets have been made of metal, but for those concerned about the aesthetics, they can also be made out of a clear material. Lingual braces, which are bonded to the back of teeth instead of the front, are another less visible option. The most discrete appliance is the removable clear aligner, which consists of a progression of custom-made clear trays that reposition teeth incrementally.

How’s that for a disappearing act?!

If you would like more information about orthodontic treatment please contact us or schedule an appointment for a consultation. You can also learn more about the subject by reading the Dear Doctor magazine article “The Magic of Orthodontics.”