Dental Crowns Vs Dental Implants

Dental Crowns Vs. Dental Implants: Finding the Right Solution

Dental Crowns Vs. Dental Implants: Finding the Right Solution

A dental crown is a cap that replaces and covers the top part of a tooth; a dental implant is an artificial tooth that replaces the entire tooth.

This article will help you understand more about the differences and similarities between a tooth crown and a tooth implant. However, your dentist will help you learn the best dental procedure for your situation.

For an initial overall statement, dental crowns are commonly used for cosmetic reasons or to strengthen a tooth after a root canal or serious chip. Denal implants are the better solution when the whole tooth must be removed due to injury, decay, or trauma. Implants are ideal for replacing missing teeth or teeth that are too heavily damaged to repair using other techniques. Crowns are often used to cover discolored, decayed, chipped, or cracked teeth that still have a strong root.

Let’s start by aligning on a definition of dental crowns.

What is a Dental Crown Procedure?

Dental crowns are hollow, false teeth that fit over existing teeth after they’ve been trimmed and shaped. A crown, also known as a “dental cap” is one type of dental restoration that fully caps or encircles a tooth or dental implant. It may be needed if a large dental cavity threatens the health of a tooth to finish root canal treatment by covering the exposed tooth with a crown or completing a dental implant restoration.

A fixed dental cap is joined onto a patient’s neighboring abutment teeth (crowned teeth). It consists of three primary units: the false tooth or teeth (called a pontic) and two abutment crowns. The style of a crown bridge will be determined based on the strength and health of the abutment teeth and other factors. Your personal cosmetic smile goals will also be considered.

Dental crowns provide about 2 millimeters thick shells, covering an entire tooth’s top surface.

Today, crowns, as well as the advantages of dental implants run much deeper than their cosmetic appeal. Here’s a quick comparison chart and overview of dental implants and crowns.

Table Comparing Dental Crowns to Dental Implants

Comparison Dental Implants Dental Crowns
Common Use Implants are for replacing missing teeth. Crowns are for repairing damaged teeth.
Procedure Differences Dental implants require a surgery for placement. A dental crown procedure is simpler; it requires fewer materials and steps.
Structural Differences Implants consist of three components: the implant post (artificial root), the abutment (connector), and the crown. Crowns are a single unit that is secured over a natural tooth or an implant. A dental crown procedure is simpler; it requires fewer materials and steps.
Impact on Jawbone Preserve remaining jawbone and stimulate bone density by exerting pressure on the jawbone during chewing and biting. Dental crowns can help stimulate jawbone growth when used along with implants to replace missing teeth.
Comfort Fit, feel, and function more like natural teeth. It can feel unnatural if the shape of the crown is slightly different from the shape of your tooth before it was crowned.
Chewing Function Strong, stable, and securely attached to the jaw to aid speaking and chewing functions. They improve speaking and chewing function without being attached to the jaw.
Tooth Root If the existing tooth root is too compromised, a dental implant is the best option for replacing the entire tooth and root system. If the existing tooth root is still healthy, often a permanent crown placed.
Age Appropriate Typically wait until around 18-21 years of age when the jawbone is fully developed. This ensures the implant has a solid base to integrate with. A dental crown procedure can be done at any age if needed.
Duration When properly placed with modern technology, dental implants may last a lifetime with daily care. Dental crowns can be a long-term fix for teeth. The average lifespan of a dental crown is typically between 5 and 15 years, but with proper care, they can last upwards of 25–30 years.
Healing Time Implants often require multiple visits over several months, since implant integration with the jawbone takes time. Crowns can usually be placed in one or two appointments, depending on the type of crown.
Stress Factors Excessive stress during the implant placement and healing process on prosthetic components can lead to implant abutment screw loosening. Excessive stress on the crown restoration can lead to the loss of crown retention.
Cost Dental implant costs may run between $2,500 and $4,500 and involve additional costs of a root canal. Less expensive; dental crowns typically cost between $1,500 and $2,500.
Replacement Implants generally have a longer lifespan. Crowns may need replacing sooner due to wear and tear, underlying or emerging tooth issues.

Answering Common Questions About Tooth Crowns

Is a tooth crown better than a dental implant?

The answer depends on your oral health, budget, and desired outcome. If your existing tooth root is relatively healthy, a permanent crown placement may suffice. Dental crown procedures may be considered for a single anterior implant placement.

However, if your existing tooth root is too compromised, a dental implant is the best long-term value and solution. Both procedures benefit from CBCT scans for precision dentistry during a tooth repair and replacement.

What is the black line around my crown?

If a black line forms, it is typically because the metal from the crown is showing through. Dental crowns can be made from porcelain, porcelain fused to metal, or all-metal alloy. This occurs more often with older dental crown constructions when made of porcelain fused to metal. When a person’s gumline moves and recedes over time, this metal may become exposed and form this “line.” By using porcelain when placing dental crowns, you gain more pleasing results and avoid the risks of a black line.

Can you get a tooth crown without an implant?

Yes, a tooth crown may be recommended without an implant if the tooth’s root structure is still intact. Traditionally, crowns are attached directly to a natural tooth via a special oral cement and do not require an implant post. However, a dental crown is vital in completing a dental implant placement. In this case, an implant abutment is a small peg-like device that connects the implant post with the outer crown.

A dental crown relies on your natural teeth as support. Your dentist will carefully consider your situation before recommending any type of dental restoration. Either or both a dental crown and oral implant can be used to improve occlusion and orofacial aesthetics.

Do dental crowns work with full-arch dental implants?

Dental crowns are an essential step when restoring damaged teeth by undergoing a full-arch reconstruction. Traditionally, they have been used with dental bridges or to complete dental implants. However, an implant or crown may be indicated on a case-by-case basis. For example, a front tooth smile makeover may be fixed with a porcelain veneer, while a full-mouth reconstruction typically involves multiple crowns. The best results are always obtained by examining each tooth, patient goals, and oral health.



When initially comparing crowns vs implants, crowns can be a less invasive and more affordable option. However, it is more important to consider your overall needs and long-term value. The above comparison table makes it easy to see why many people consider dental implants a long-term investment in themselves. Dental implants are an investment worth making for those who want a permanently fixed solution that’s the next best thing to their natural teeth.

In dental restorations, implants provide durability and longevity, where as crowns are a cost-effective solution.

SUMMARY: Crowns vs Implants

Innovative treatments for compromised or missed teeth, advanced dental technology, and enlisting the skills of a dental implant specialist are important considerations when weighing your options.

To assess the benefits of dental implants vs. dentures for you, schedule your free consultation at Montgomery Dental Care today. The opportunity to ask your questions and get answers is a great way to learn if crowns or dental implants are your best option.

Montgomery Dental Care uses advanced technology for cutting-edge dental implant treatment in Woodbury, MN. Find out more about your options.

Schedule Free Consultation

Find the Best Dentist

How to find the best dentist in Woodbury, MN, for your special moments

How to Find the Best Dentist

Tips to make it easier to find the best dentist, especially when you have significant life moments coming up.

You deserve the best dentistry possible from someone you can trust. Life or job changes may mean moving to a new area and prompting a search for a new dentist. Here’s how to find the perfect fit for your smile and peace of mind!

How to Find the Best Dentist Near Me?

A good selection involves more than finding which dental office is closest to you. The more comfortable you are with a dentist you trust, the more likely you will enjoy the experience and keep your appointments. People also have different personal dental needs, personalities, and expectations, so one particular dentist may not be ideal for everyone.

When researching the best dentist for you and your family, identify your specific needs. Consider whether it’s just for yourself or others in your family. To help narrow your selection process, check out the following tips on finding the perfect dentist.

Tips for Choosing a Good Dentist

  • Ask your physician or pharmacist. They may have professional connections and recommendations for dentists in your area. They are already invested in the integrity of the healthcare profession and know your neighborhood.
  • Ask family and friends for a recommendation. Sifting through possible dentists based on online reviews and word of mouth is a great way to narrow your search, leaving you to check out the handful of offices with the most potential. While many Find-a-Dentist tools exist, word-of-mouth referrals. Ask family, neighbors, co-workers, and friends for recommendations.
  • Check on community forums. Post an inquiry on a community-based platform like Nextdoor, but know what constitutes real praise versus someone venting. Check with your local chamber or a trusted Facebook group for suggestions.
  • Conduct an Internet search. An online query search for highly recommended dentists in your area can surface highly respected dentists. Check who makes it easy to see their board certification, professional associations, and if they make patient resources available.
  • Check for patient reviews. Read online reviews from real patients to get a sense of a dentist before you make an appointment. Look for reviews on trusted platforms and from people in your area. The Minnesota Board of Dentistry recommends Health Grades as a good resource..
  • Request an “initial meeting.” Making an introductory appointment with a few dentists is okay. You can meet the dentist and their staff in person, see the waiting room, and assess the dental office’s atmosphere and culture without having a service during the same visit. A reputable dentist will appreciate your selective interest.
  • Keep “Value” in mind versus the lowest-fee dentist. Ask if/how the dentist discloses potential costs. A good dentist knows you’ll want a realistic summary of possible final costs for elective procedures. Excellent dentists focus on the long-term benefits of your dental investments.
  • Ask about specific dental procedures you may need. Let them know about an upcoming, preferred service. If you’ve moved from another area, show them you are eager to be helpful by quickly obtaining medical records as requested.
  • Are they observant of patient comfort? Do they address patient anxiety and ensure pain management if you fear going to the dentist? A compassionate dentist who takes time to provide extra support can make all the difference. Often, a patient with sensitive teeth is more cautious.

If you’ve compiled a list of names, prepare to meet them, and make your own assessment. An exceptional dentist can distill complex procedures and processes into simple language so the patient can understand what is happening in his or her mouth and any suggested procedures.

Additional Considerations When Choosing Your Dentist

What to consider when seeking to find an ideal dentist for your needs:

1. Convenient location

While finding the best dentist for your family’s needs is more important, a local dentist is helpful. Find their address and use Maps on your phone to learn how long it may take you to reach their dental office. Consider whether you will likely come from work, home, school, or another geo location. A dentist in a convenient location will help you make all your appointments.

2. Hours

Check if the dental office is open when you need it. Most people can schedule daytime appointments. However, if you are limited to late afternoon or evening hours, this information should be displayed on the dentist’s website and their Google Business Listing.

3. Available Dental Services

Review the services that different dental offices that you are considering offer. If you are raising a family, you’ll want a skilled children’s dentist. Seniors have unique dental needs. If you desire future smile improvements, see if restorative or cosmetic dentistry services are available. The best dental treatment is the one you may be seeking, such as Invisalign treatment. Review their Smile Design Gallery if you need or want to improve your smile. Not all dentists offer the same services; for example, some are dental implant specialists.

4. Communication skills

One huge benefit of creating a relationship with a local dentist is having someone to call if you have an immediate concern. Not all dentists are great communicators, even if they are skilled. Do you feel rushed during a consultation? Are you encouraged to share your goals, concerns, and questions?

Note how easily you communicate with a new dentist during your initial consultation. The communication style of all medical professionals is important so that you know what is happening. However, your ability to communicate with your dentist and get answers is also a crucial part of a dental appointment. It’s a partnership, so they know how to help you best.

Observe body language, business culture, and attitude. Don’t hesitate to get a second opinion if you have reason to be concerned. A dentist who is at ease with you can focus on the services and care you need.

5. Artistic skills

This depends on what you need. Smile makeovers are truly a form of art. It requires incredible passion, mastery, and love for learning newer techniques introduced to the dental industry. This makes being a dentist a unique profession. Dentistry is not only based on patient health but also aesthetically focused.

A significant percentage of dentistry involves restoring teeth, making beautiful smiles, and ensuring the patient is pleased with their appearance. A reputable dentist keeps improving their office equipment, training, research, and licensure and knows how important a patient’s oral health and smile are.

6. Detailed oriented

A dentist’s job is to work in your mouth, a small space with many nerves, neighboring teeth, and your gums and tongue to consider. So, a good dentist is also a detail-oriented person. A hurried dental procedure or a small misalignment of something in the mouth can cause future problems in a patient’s bite and tooth health. An ideal dentist would talk to you with respect and detail about what they observe before and while working on your mouth.

7. Leadership skills

Whether a dentist owns the practice or works among a team of practitioners within a practice, they often are natural leaders. They typically lead a team of dental hygienists, technicians, and assistants while managing other employees, such as the receptionist. A great dentist also makes high-level business decisions for the practice. Consider his or her comfort level in managing your oral health. A dentist who is starting out may lack this skill.

8. Invested in education

Look for a dentist with a passion for ongoing education. Ongoing advances in dental technology, materials, and techniques are exciting and offer you amazing benefits.

Dentists who actively pursue continuing education typically:

  1. Offer the latest, most effective treatments.
  2. Provide better results and faster recovery.
  3. Can handle complex issues and offer more advanced services.
  4. Demonstrate their commitment to providing the best care for you.

What Questions to Ask When Looking for a Dentist?

Focus on your core concerns. The best advice is to ask what comes naturally to you. Ask questions that help you decide the best dentist for your needs. Knowing what matters most to you helps streamline your questions. Below are some suggestions to select from.

  1. Are you accepting new patients?
  2. Where are your areas of expertise beyond general dentistry?
  3. How long have you been practicing?
  4. What is your favorite part of practicing?
  5. How do you follow up and communicate with your patients?
  6. Do you and your staff continue your education?
  7. Do you rely on digital X-rays? Do you use modern dental technology?
  8. Do you have a referral network if my care requires a team of specialists?
  9. What is your philosophy of care, and how would you approach this ___ specific dental need?
  10. What are your payment terms and plans?

What are the Relational Qualities of an Ideal Dentist?

Choosing a dentist often depends on your comfort level in the professional relationship. Clear communication between you and the dentist will give your mouth the best chance of staying healthy. Because of how detail-oriented your dental care deserves, it requires someone who is composed, calm, observant, and consistently produces good results.

An ideal dentist endeavors to learn about patients’ expectations and what makes them feel more comfortable. They know how to put their patients at ease and help them understand their mouths’ situation and cosmetic options. They also build patient awareness about how oral health ipacts their overall health.

You’ll be thankful for your research once you’ve found the most reputable dentist near you for the cosmetic dental procedures you want.

How to check for a Minnesota Dentist’s License and Reputation Status?

Minnesota Board of Dentistry Website

  1. Navigate to the Minnesota Board of Dentistry website.
  2. Select either the “Licensee Search” or “Verify a License” section.
  3. Search for the dentist by their name or license number.
  4. The dentist’s profile will include the person’s current license status and any public actions.

Quality dental care that meets your needs

How to find the best dentist with proven skills

A good dentist can relate to the person in the dental chair. They will note if your feet shake anxiously, your jaw is tense, or you are praying quietly with folded hands, asking God for help to endure the pain that could be coming. If you need assurance, request copies of findings or an services brochure to review easily or with a partner.

Remember, finding the right dentist is an investment in your health. Take your time, ask questions, and choose a dentist who makes you feel comfortable and confident in their care. If you have any other questions about how to evaluate a good dentist, let us know.

SUMMARY: A Lifelong Dedication to Dental Excellence

From your first visit to Montgomery Dental Care, we will work together to create a great-looking smile and a comfortable, modern, and welcoming environment for you and your family. Don’t settle for just any dentist. With some research and consideration, you can find the dental care partner that helps you gain the healthy, confident smile you want.

Montgomery Dental Care is dedicated to providing the highest quality dental care in the Woodbury, MN, area. His team consistently does an incredible job of taking care of their patients and their families for a long time. If you are looking for a new dentist in the Woodbury, MN area, we invite you to learn about Marc Montgomery, DDS.

Call 651-738-1880 and request an opportunity to Meet with Dr. Montgomery

Adult Daily Oral Hygiene Care

Best Adult Daily Oral Hygiene Care

Adult Daily Oral Hygiene Care

Besides seeing a dentist regularly, adults who establish a daily oral health care routine enjoy better overall health.

Creating positive lifestyle behaviors can aid in reducing the risk of problems with teeth and gums. The average Minnesota adult has a busy work and family schedule. Important things can be “missed” unless daily routines are well established. Once established, a routine like daily oral hygiene becomes automatic, requiring minimal effort or thought.

This article will help you establish or refine the best way to care for your teeth, gums, and oral health at home. Montgomery Dental Care in Woodbury, MN, not only provides exceptional dental care for the whole family; we offer tips that everyone can benefit from.

Adults At-Home Oral Care

When did you last critique your oral hygiene routine?

Tooth decay, widely known as a cavity, is nearly 100% preventable. Establishing good oral hygiene helps prevent tooth decay and potential gum disease. Oral health can affect your smile, how and what you eat, your ability to talk, drink, and breathe, and your ability to digest food easily. With such a high impact on how you enjoy daily life, this routine matters a lot!

Tips for Creating the Best Tooth and Gum Care Routine

Daily oral care tips for adults


  1. Pick a time to take care of your oral care. The first thing when you get up is best. You’ll start the day feeling clean and having fresh breath. For many people, it works well to establish this habit immediately after breakfast or coffee. For a busy mom, this may be after dropping your young one off at school. For early-to-the-office folks, you may want to beat the traffic and brush your teeth during your morning break. Then again, always clean your teeth after having dessert and before you go to bed. Do whatever time works for you to ensure it gets done.
  2. Put your toothbrush and dental floss, and rise where you can see them. If your bathroom space is minimal, forgo a fancy floral arrangement or design element if necessary. Or find a stylish case for essential daily oral care items so that you are mindful of them.
  3. Set a reminder. Once you have a regular time set for this routine, it may come naturally. If not, it is important enough to set an alarm. You can use your phone, your cooking timer, or whatever is handy that will sound an alert.
  4. Set achievable goals. If you can’t get to brushing, flossing, and rinsing twice a day, do brushing twice and flossing before bed. The better your care for your oral health, the less you’ll spend at the dentist over a lifetime.
  5. Reward yourself when you’ve got a routine down. That might be to have a professional photo shoot. Or buy yourself a new dress or sports coat. Or if your child never misses a brushing in a week, treat them to a special outing.
  6. Eliminate little snacks between meals and brushing times. This especially goes for sugary snacks that may start to break down your tooth enamel if this is a common habit. Or brush your teeth after each snack.
  7. Minimize acid “sitting” on your teeth. Oral hygiene care includes everything you put in your mouth. Healthy eating habits matter. Dental erosion occurs when the surface of your teeth is lost after touching acid, such as in lime or lemon juice. Excessive sugary or acidic beverages can take a toll – even when you’re not “eating.”



Now, let’s break down the steps for the best at-home oral care routine.

7 Steps for Adults to Establish a Great Oral Hygiene Routine

1. Establish a top-notch tooth brushing routine.

2. Floss your teeth as diligently as you brush.

3. Evaluate the best toothpaste to use.

4. Use a good mouth rinse.

5. Drink water before bedtime.

6. Maintain a healthy and nutritional diet

7. Maintain routine dental check-ups and professional cleanings.

Cosmetic dentistry improves a person’s looks; however, it starts with a clean bright smile.

1. Establish a top-notch tooth brushing routine

Toothbrushing tips

Brushing your teeth is the single most important task you can establish to maintain excellent oral health. If you follow proper toothbrushing techniques, you can keep food debris and acidic plaque from causing issues with your teeth. If this daily routine starts to lapse, plaque typically starts to accumulate. It causes your tooth enamel to demineralize, which over time may lead to cavities.

Toothbrushing tips:

  • Use fluoride toothpaste. Many residential homes need to get more fluoride in their water. A lack of fluoride leaves your teeth more vulnerable to tooth decay (cavities) [1]. Using a fluoride toothpaste is a simple preventive measure. It prevents decay by strengthening your teeth’s hard outer surface, called enamel.
  • Hold your toothbrush at the right angle. By angling the bristles of your toothbrush toward your gum line it will help clean between your gums and teeth.
  • Brush with the right pressure. Brushing gently using small, circular motions is best. You’ll want to avoid scrubbing hard with a back-and-forth motion. Not everyone is comfortable assessing this themselves. Your dental hygienist can assist.
  • Brush all sides of each tooth. This may not seem easy for your back teeth, but they are very important chewing teeth. Gently move your brush back and forth in short (tooth-wide) strokes. Take note that you brush the outer surfaces, inner surfaces, as well as the chewing surfaces of each tooth. You may need to tilt your brush vertically and make several up-and-down strokes to clean the inside surfaces of your front teeth.
  • Brush your tongue. While this may seem odd to some, it only takes a few seconds. People’s tongues have a rough surface that is covered with tiny crevices, making it easy for bacteria to hide.

2. Floss your Teeth as Diligently as you Brush

Brushing and flossing are both important for your dental health. Some say that if you have to choose one, flossing is more important if done correctly. Flossing aims to remove plaque from between teeth, which consists of active colonies of destructive bacteria.

Ideally, floss at least once a day. How often flossing is recommended may vary and include multiple times per day if you have overlapping teeth, gaps, or exposed gum areas. Being consistent with your flossing hygiene can matter more than frequency.

“For many adults, gum disease, often combining both hereditary and inadequate oral hygiene factors, is a significant problem. Insidiously developing over years, it is a leading cause of tooth loss. Accordingly, I stress the importance of cleaning between the teeth and below the gumline, particularly for at-risk individuals, where brushing alone may not be adequate. And at relatively low cost with little risk of causing harm, there’s really nothing to lose….. except maybe your teeth!” – McGill University [2]

At our Woodbury, MN dental office, we’ve seen the oral problems patients end up facing when food particles, plaque, and calculus remain lodged between someone’s teeth and under the gums. The simple habit of correctly flossing daily can save you unnecessary dental processes, pain, and money in the future.

3. Evaluate the Best Toothpaste to Use

Which toothpaste you use can make a difference. However, what matters most is simply sticking to a daily cleaning schedule. Regarding the type of toothbrush or toothpaste you choose, not all products are the same. Your dentist can offer you personal advice as they know what oral cleansing tools are best for you.

How often, what type of toothpaste, and/or what is the best toothbrush may vary. For example, if you already have erosively altered and softened tooth surface(s), we prefer giving advice on a more individual basis. Sometimes, toothpaste with intensive enamel repair properties may be recommended. We can also evaluate if your current brushing procedure is potentially adding harm due to aggressive brushing.

What ingredients are in a good toothpaste?

Choosing the best toothpaste can be overwhelming. Start by asking your dentist about toothpaste with the best relative dentin abrasion (RDA) value for you.

Common ingredients in better kinds of toothpaste::

  • Fluoride: This mineral is essential for strengthening enamel and preventing unnecessary cavities. Look for toothpaste approved by the American Dental Association (ADA).
  • Reducing Tooth Sensitivity: A toothpaste with potassium nitrate or stannous fluoride may help desensitize nerves and reduce discomfort.
  • Whitening Properties: When surface stains in your teeth are a concern, look for toothpaste with hydrated silica or baking soda. These ingredients help remove stains without being abrasive. Be aware that strong tooth whitening pastes may increase tooth sensitivity.
  • Tartar Control: Some toothpastes with ‘tarter control’ on the label tend to have a higher RDA. Dental calculus or tartar is a calcified deposit that forms on the teeth or other solid structures in the oral cavity. Your dentist will watch for this buildup if you have a dental restoration, prosthetic appliance, and/or dental implants. Calculus is a calcified dental plaque that can be classified as supragingival or subgingival calculus. [3]

The Relative Dentin Abrasivity (RDA) scale measures the abrasiveness of toothpaste

Here is how toothpastes are scored for abrasiveness:

  • 0–80: Low abrasion
  • 70–100: Midrange abrasion
  • 100–150: Highly abrasive.
  • 150–250: Harmful to teeth

Download the full Dentifrice-Assessment Protocol PDF from Kois Center.

4. Use a Good Mouth Rinse

Adults who take their oral health seriously not only ask about what toothbrush and toothpaste to use but also about the numerous options for mouth rinsing. Your dentist’s recommendations will be tailored to your personal needs.

How a good mouthwash protects your oral health:

  1. It can help reduce bad breath issues.
  2. May provide an antimicrobial effect to support gum health.
  3. Some mouth rinses are formulated to aid cavity prevention.
  4. Other mouth rinse types and sprays are designed to benefit individuals experiencing dry mouth.

The Feb 2024 National Institute of Health (NIH) Efficacy of flossing and mouth Rinsing Regimens on Plaque and Gingivitis study reports that “the alcohol-containing mouth rinse and non-alcohol containing mouth rinse reduced plaque by 30.8% and 18.2%, respectively, compared to brushing alone.” Author Bosma also explains how mouth rinsing is also a form of gingivitis prevention.

“The addition of EO non-alcohol containing mouth rinse to the manual toothbrushing and flossing regimen further reduces plaque, gingivitis, and bleeding, showing that addition of EO mouth rinses to the oral hygiene regimen provides sustained reductions in plaque to help maintain gingival health after dental prophylaxis. Dental professional recommendation of the addition of an EO non-alcohol containing mouth rinse to daily oral hygiene routines of brushing or brushing and flossing should be considered to aid supragingival plaque control and improve gingivitis prevention.” – Mary Lynn Bosma at NIH

5. Drink Water Before Bedtime

Water is a cleansing help for your teeth and gums. Simple swishing with water helps somewhat. Drinking only water before bed reduces your chances of tooth decay and gum disease. Water also aids in keeping your mouth moist. By preventing dry mouth, drinking water also helps prevent bacteria from growing rapidly.

After your evening brushing and oral cleansing, do not eat or drink anything other than water. The average adult’s saliva production levels decrease during sleep. For senior adult dental care, dry mouth can be more of an issue. Drinking water may seem to generate another trip to the restroom during the night, but when it comes to your oral health, it’s beneficial. Try taking your last drink an hour or two before you retire.

Low salvia and moisture levels in your mouth during the night leave teeth more vulnerable. Saliva naturally helps buffer the acid created by cavity-causing bacteria. Being sufficiently hydrated also helps clear toxins from your body.

6. Maintain a Healthy and Nutritional Diet

What you eat and drink influences the overall health of your oral cavity.

How poor dietary habits may hurt your oral health:

  • Encourage the onset of caries.
  • Hinder the development of tooth enamel.
  • Speed up the onset of dental erosion.
  • May contribute negatively to the state of periodontal health.
  • May contribute negatively to your oral mucous.

Dental caries commonly occur if your demineralization of tooth enamel exceeds your demineralization capacity. Developing tooth cavities is a dynamic process that involves susceptible tooth surfaces, cariogenic bacteria, mainly Streptococcus bacterium, and a fermentable carbohydrate source. Sucrose, a common dietary sugar, is considered the most potentially damaging carbohydrate. High simple sugar consumption increases your risk of dental caries.

Cavities in your teeth develop when the natural process of minerals leaving your teeth happens faster than they can be replaced. This leaves your teeth vulnerable. A mix of things causes cavities: a specific type of bacteria, the food those bacteria eat (sugars), and if teeth are prone to damage. This means that a healthy diet should be considered part of maintaining your daily oral health.

Consistently consuming healthy foods makes a difference. Foods that are sticky or high in carbohydrates, like most crackers and breads, are known to foster plaque development. You want to avoid them laying on your teeth for long or getting in the grooves of your teeth. Fibrous or crunchy fruits and vegetables like celery, carrots, or nuts are better if you need a nibble between meals. Cheese is also a healthy diet that contributes to a good diet and may benefit your teeth.

7. Maintain Routine Dental Check-ups and Professional Cleanings

Your recommended oral hygiene routine may change if you’ve had a blow to your dental palate, as you age, or if your medical condition changes. To maintain optimal oral health, this will be reviewed when you visit your dentist for your routine oral checkup and cleaning. Some people face a higher risk for tooth decay.

Medical conditions that may mean more frequent dental check-ups and professional cleaning:

  • Dry mouth because of medicines you take.
  • Diabetes.
  • A weakened immune system.
  • Oral cancer. We trust you already know not to smoke or use other tobacco products.

As a healthy adult, you can inspect your mouth at home between routine dental visits to assess any changes in the color, texture, or shape of your teeth and gum tissues. When something appears abnormal, do a quick check for symmetry on the opposite side of your mouth. If a notable difference is detected, call your dentist.

Most often, everything is normal; you may have a temporary canker sore or something stuck between your teeth. However, a quick call may relieve you of unnecessary worry. If in doubt, we are here for you. Your dentist can look at the edges of a canker sore (often red and angry-looking because the surrounding tissue is inflamed) and can rule out cancer signals.

Additional Question Answers to Common Adult Oral Health Routines

Questions are always welcome at our dental office. We are here to help you take charge of your at-home dental care.

How often should I use a new toothbrush?

Changing your toothbrush or electric brush head is easy when they have a “worn” indicator. Otherwise, we recommend tossing that old toothbrush every two to three months to be on the cautious side. Look for if the bristles begin to fray, become worn down, bent, to fray, become worn down, bent or broken. In addition, it’s best to change to a new toothbrush after recovering from an illness.

Where you store your toothbrush can also impact how long it remains useful. Keep it away from potential sprays of bacteria, like away from flushing toilets; closing the lid before you flush is a good deterrent. Check that your brush head avoids contact with other brushes another family member or guest may be using. Give your toothbrush open air so it properly dries out between uses to prevent bacterial growth.

Because a worn toothbrush is less effective in cleaning, the American Dental Association and Mayo Clinic suggest replacing your toothbrush at least every three to four months. [4]

Do I really need to brush my teeth twice a day?

This general rule is followed by most adults caring for their oral health. It has been proven effective in maintaining oral health in numerous studies. The best way to eliminate food impaction and to shorten the duration of sucrose impact on teeth twice is strongly recommended.

You may not be aware, but without proper daily care, a microbial world may exist between your teeth and just under your gums’ surface. If you wonder just how realistic this is, consider the following statement from our National Institute of Health.

“Your mouth is home to about 700 species of microbes. These include germs like bacteria, fungi, and more. Some microbes are helpful. Others can cause problems like tooth decay and gum disease. Troubles begin when microbes form a sticky, colorless film called plaque on your teeth.

Brushing and flossing help to keep your mouth clean. But after you brush and floss, germs grow again, and more plaque forms. That’s why you need to clean your mouth regularly.” – Mouth Microbes: The Helpful and the Harmful[5]

What are common barriers to good oral health?

  1. A lack of awareness about the importance of oral health. We hope this article helps overcome this barrier for those who read it. Please share it with someone you love or know who may benefit from reading this article.
  2. If a person has physical or mental barriers. We all likely know of a handicapped adult or senior in our family or neighborhood who lacks strength or other abilities that prevent them from managing their own oral care. Looking for one another can make the needed difference.
  3. Being embarrassed to ask for help. Someone who may have let their oral hygiene slide may only delay going for a dental cleaning because they don’t want to face a possible rebuke. Someone with financial constraints, limited dental insurance coverage, transportation issues, or language barriers may need a helping hand.
  4. Fear of going to the dentist. We all can have odd fears. Dr. Montgomery is a compassionate and understanding dentist. You will find positive guidance and encouragement at this dental office. A proactive approach to oral hygiene and going to the dentist for regular cleanings may eliminate those painful dental procedures you fear.

Over time, the twice-daily adult oral hygiene routine with the use of mouth rinses can significantly reduce plaque, gingivitis, and bleeding gums.

5-Star Google Review

“My dental visit was great. Doctor Montgomery and Erin, his hygienist, listened to my concerns, examined my teeth and made recommendations for future visits. I value Doctor Montgomery’s opinion and have complete confidence in his dental work.” – Matt

SUMMARY: Maintaining your Oral Hygiene is Worth It!

Good oral health helps you enjoy life. Applying the above daily techniques to your adult oral care may prevent gum disease, periodontal disease, or another condition that may lead to dental implants. By adopting a solid oral care routine, you may relax and simply visit us only for routine dental checkups and cleanings.

Call 751-738-1880: Schedule your next dental appointment



[1] State of Minnesota, “Drinking Water Fluoridation,” Sept 2023,

[2] Mark Grossman DDS, “The Great Floss Debate,” Feb 2020,

[3] NIH Clinical Trials, “Comparative clinical efficacy of three toothpastes in the control of supragingival calculus formation,” Jan 2017, and May 2023,

[4] Cindy Zhou, D.M.D., M.S., “Adult health,” July 2023,

[5] U.S. Department of Health and Human Services, “Mouth Microbes: The Helpful and the Harmful,” May 2019,

Functional Occlusion in Restorative Dentistry

Functional Occlusion in Restorative Dentistry

Treatment Planning for Functional Occlusion

Comprehensive dental care treatment planning makes diagnosis and predictable dental restoration outcomes easier.

From dental work on single tooth to a full mouth restoration, each service is managed effectively at Montgomery Dental Care in Woodbury, MN. Starting from a comprehensive dental examination, discussing patient treatment options, and making decisions together, we seek to ensure a predictable and excellent functional occlusion outcome. We call this personalized cosmetic dentistry.

Table of Contents

What is Functional Occlusion?

Functional occlusion is about the occlusal connection of your maxillary and mandibular teeth when they are functioning during daily tasks. This includes how they work during speech, mastication, and swallowing. Imagine your bite when your teeth fit together perfectly. That’s your intercuspal position. It’s basically the most stable and comfortable spot where your upper and lower teeth meet.

Smiling, chewing, talking, shapping your face, laughing – your teeth do a lot! Making sure they work together smoothly is called functional occlusion.

Our approach includes explaining the benefits of possible solutions to different occlusal problems – and specifically, yours. Seniors seeking restorative dentistry may have unique questions while we take your overall health into consideration.

What do comprehensive dental examinations typically include?

  • An insightful review of your medical and dental history.
  • Listening to what your smile design goals and expectations are.
  • Review of your past and current available radiographic and photographic documentation.
  • An assessment of your periodontal, biomechanical, functional, and dentofacial conditions.

What Dr. Marc Montgomery learns as we discuss decision-making factors helps establish both any immediate oral issues and a long-term plan for your healthy bite and healthy smile.

Good Functional Occlusion Means Long-term Stability of Restorative Dentistry

Think of your mouth like a team: Teeth, muscles, and joints all work together. This approach makes sure everything works in harmony. While there may be several options to gain a healthy bite, we’ll offer you the best restorative dentistry method based on our proven work.

No need to worry about confusing terms as we discuss just how functional occlusion! It’s important that you understand your oral health investment. We’ll use clear language and provide digital visualizations to help you understand what’s happening in your mouth. It’s easy to understand when it breaks it down into “Three P’s.”

Basic terminology for occlusal management:

  1. Position.
  2. Place.
  3. Pathway.

What are the two top considerations in achieving a normal occlusion?

Normal occlusion has two key components:

  1. Proper closure of the jaw joints with all teeth touching. This may include anterior guidance providing posterior disclusion to gain a relaxed jaw position.
  2. Identifying any thing that prevents good occlusion. Diagnosis of what, if any, adverse occlusal contacts prevent the best functional connection points between your top and bottom teeth.

Successful occlusal includes many important considerations. Considerations from your bite, how your maxillary and mandibular jaw are fixed, if pharmaceuticals may be needed, etc., are all thought through by your dentist. A successful design of your occlusal scheme provides a result that is more esthetically pleasing.

What is “Centric Relation” in restorative dentistry?

The jaw functions like a hinge, like on a door. Think of the position where this jaw hinge opens the widest in your mouth. That’s kind of like centric relation in dentistry!

Technical elements of oral centric relation:

  • Jaw position: We take into account the position of your lower jaw when the condyles (rounded ends) rest as far back and up as possible in your jaw joints.
  • Independent of teeth: Unlike your bite (where teeth touch), this position doesn’t involve your teeth at all.
  • Repeatable and stable: Even if your teeth shift or wear down, this position stays consistent.
  • Practical application: Understanding your centric relation helps us ensure that your restored teeth function goes smoothly and will last long.
  • Advanced dental technology: We’ll blend the best of both worlds by incorporating improved refinements on traditional methods. This empowers us to assess related issues like gingival thickness, jawbone health, and more.

Centric relation isn’t necessarily the position you use when chewing or talking. Finding a centric relation might involve gentle manipulation by your dentist. Some people have jaw conditions that make achieving centric relations difficult. [1]

When your jaw is in centric relation, it’s in its most relaxed and stable position.

What questions might my dentist ask about functional occlusion?

To best diagnose jaw joint problems or bite issues, we may ask the following questions:

  • Do you notice unusual jaw movement when bringing your back teeth together?
  • Have you ever had broken teeth, chipped teeth, or had a severe toothache or cracked filling? A recommendation for porcelain veneers to resolve them?
  • Are your teeth developing spaces?
  • Do you unconsciously place your tongue between your lips? Or close your teeth on it?
  • Have you ever had a loose dental implant restoration?
  • Do you hear jaw-clicking or popping sounds?
  • Do you have oral habits that need improving? (Biting your nails, chewing ice, using your teeth to open hard objects?)
  • Is it challenging to chew harder food items? (Nuts, steak, popcorn, carrots, etc.)
  • Are you restless at night and grind your teeth?
  • Have you ever tried an oral split or bit appliance?
  • Are you noticing if your teeth seem thinner, darker, or more worn in appearance?
  • Have you ever had peri-implantitis complications?

Which procedure might my dentist recommend to obtain correct occlusion?

Occlusal equilibration may be best gained by subtly reshaping your teeth in order to correct the alignment of your bite. Once you’ve had an occlusal adjustment, your teeth should all come into contact at the same time. This will reduce stress on certain areas of your mouth and jaw.

Every dental patient’s oral history, teeth, and smile design goals are unique. The main procedure your dentist will recommend depends on factors like these.

How to Plan an Initial Occlusion Dental Office Visit?Your Woodbury MN smile expert

  • Bring a written list of your questions. We want you to have an understanding of your condition so you may participate in deciding what are your best options
  • Possible restorative procedures being recommended like crowns, bridges, or dental implants.
  • Ways you can learn to become more involved in your daily oral care.
  • A possible discussion of a temporary oral appliance that will fit comfortably and function well.
  • Be prepared to discusscomplex treatment plans if needed. Sometimes restorative dental treatments are best if sequenced in phases, including an urgent phase, installment phase, re-evaluation phase, and maintenance phase.

We may discuss normal and abnormal attrition of teeth, including: what is acceptable function, frictional chewing patterns, constricted chewing patterns, occlusal dysfunction, parafunction, and possible neurological issues.

We work with a modern dental lab so that we can fabricate dental products, deliver, and follow-up with any recommended adjustments during your experiences in our office.

“The final aesthetic outcome of periodontal and restorative treatment methods depends on a variety of factors. The evaluation of the surrounding soft and hard tissues, which will be crucial to the success.

Positive correlations exist between gingival thickness, keratinized tissue, and bone morphotype and treatment outcomes in periodontics and restorative dentistry.” – Importance of periodontal phenotype in periodontics and restorative dentistry

NOTE: Periodontics is the specialty of dentistry that treats supporting structures of teeth, as well as diseases and conditions that affect them.

When you trust your teeth to us, you reach your final destination and look back to realize it was a fun, predictable (financially and clinically) process. We love it when our patients are happy in the end!

SUMMARY: Chewing Abilities and Oral Health

We care that your chewing abilities and overall oral health influence your quality of daily life. Montgomery Dental Care always seeks to minimize the risk and maximize long-term success of every functional occlusion treatment plan.

Gain the smile of your dreams at Montgomery Dental Care. Call 651-738-1880!


[1] Nikolina Holen Galeković, et al., “Reproducibility of Centric Relation Techniques by means of Condyle Position Analysis”, 2017,

Restorative Dentistry for Seniors

Restorative Dentistry for Seniors living in Woodbury, MN

Restorative Dentistry for Seniors

Dental technological advancements and new product launches in the field of reconstructive dentistry benefit seniors facing oral issues.

Oral health is vital to Americans of all ages’ general health and well-being. Your mouth actually reflects your overall health and well-being by the time you reach your golden years. Aging teeth are often the reason for a smile makeover.

In our Montgomery Dental Care Woodbury, MN practice, we see the risk of chronic conditions increase with age. Oral diseases can trigger or indicate aspects of general health and other health conditions. Likewise, if a senior person develops diabetes, a heart condition, or other medical conditions, it may have an impact on oral health.

Oral Disease Among Older Adults

Oral and other diseases also have common risk factors. This is why, as your teeth and gums age, your dentist may suggest more frequent oral examinations. It’s a dentist’s role to evaluate the possible interplay of other diseases with oral disease. The combination is known to have an impact on the overall health of older adults.

” According to the U.S. Administration on Aging, over 40% of noninstitutionalized adults aged 65 years or older assessed their health as excellent or very good (compared to 55% for persons aged 45 to 64 years). Most older persons have at least one chronic condition, and many have multiple conditions.” American Dental Association: Aging and Dental Health

The CDC has published facts about older adult oral health that show the increasing need to treat this oral disease. It quotes the US Census prediction that by 2060, the number of US adults aged 65 years or older will likely reach 98 million. This projector will mean that 24% of the overall population will be seniors. [1]

How does a dentist restore your younger smile?

With the help of cosmetic and restorative dentistry, your smile can be restored, and you can look younger. We believe that the most important thing is improving the overall health of your teeth and gums. But how you look and how you feel about yourself is very important, too.

Restorative dentistry is an ideal option for people who are seeking to manage the effects of aging. Even for seniors, the following dental services can help bring your beautiful smile back.

What are Common Dental Restorative Procedures Among Seniors?

The most frequently recommended oral restoration procedures for seniors include:

Depending on each senior’s unique needs, they may benefit from one or a combination of the above dental treatments. It is best to start young to maintain good dental health into your later years. Otherwise, you may join the many seniors who need a dentist for a periodontal cosmetic procedure

Seniors who embrace restorative dentistry may gain:

  1. Improvements to the color and shape of their teeth.
  2. Straighter teeth due to correcting crowding or crooked teeth (a person’s jaw often shrinks with age, and “crowded teeth” may become an issue).
  3. Filled gaps and spaces between teeth (often missing teeth).
  4. A fuller, more enjoyable smile appearance.
  5. More natural-looking and long-lasting teeth restorations.
  6. Restored weakened or darkened teeth for a whiter smile.
  7. Additional protection from future decayed and bigger dental bills.

Seniors Struggling with Tooth loss

Why is maintaining and keeping your natural teeth as you age important?

Your teeth play a significant role in how you talk, what you can eat, how your smile appears to others, and your quality of life. Studies confirm that complete tooth loss is associated with a person’s poor nutrition, decreased self-esteem, and social isolation. Restoring your smile in your golden years can also make you feel more comfortable engaging in conversations, dining out, and taking pictures.

Too many seniors ignore their impending dental issues. Even if you are tired more often and life has you slowing down, ignoring dental issues only multiplies the problem and may affect your overall well-being. We urge you not to let it go. You may reach a point where you have an intractable toothache and have no option left but to have a tooth pulled.

What risk factors accompany tooth loss?

Significant risk factors for tooth loss in aging adults:

  • Untreated tooth decay.
  • Gum disease.
  • Xerostomia, known as “dry mouth” due to Salivary gland dysfunction. This is often caused by the increased reliance on prescription and over-the-counter drugs. Lower saliva flow increases the risk of cavities.
  • Being a tobacco user.
  • Consuming foods and beverages that have excess sugar.
  • Poor oral hygiene and skipping routine dental cleanings.
  • Previous tooth loss.
  • Hidden dental caries.
  • Gingival recession.
  • Plaque on a tooth’s root surface.

Your dental clinician should be highly alert to the above predisposing factors. [2] Early identification of seniors prone to root caries leads to effective prevention and management. Also, examination of teeth includes any tending to become mobile or are no longer well supported. This may negatively affect mastication efficiency and lead to discomfort during chewing.

With the right dental specialist, most likely you can have your desired cosmetic dental procedure.

What percentage of people 65 and older have no teeth?

Over a tenth of all seniors living in Minnesota lose all their teeth to decay or disease. So, you can see, this is a significant percentage. Once you turn fifty, it is important to take your oral health more seriously than ever.

“Among all Minnesota older adults aged 65 and older: 62.2 percent have had at least one natural tooth removed due to tooth decay or gum disease. 10.3 percent have had all of their natural teeth removed due to tooth decay or gum disease. – Oral Health of Older Adults in Minnesota: Dental services, Sep 11, 2023,

With the burgeoning retiring population, dentistry for seniors is taking more focus at the national level. Statistics show that more older Americans face tooth loss. According to Harvard News, “Loss of teeth can have a number of negative downstream effects. It’s associated with many geriatric conditions, including frailty and cognitive function.”

“The American Dental Association confirmed the bidirectional relationship between diet and nutrition and oral health. The literature shows that diet and nutrition are related to oral diseases, including dental caries, periodontal diseases, tooth wear, and even oral cancer. Insufficient nutritional intake and poor dietary habits increase the risk of oral diseases, such as dental caries, in older adults. On the other hand, in older adults, poor oral conditions such as periodontal disease may induce pain, infection, and tooth loss, affecting nutritional intake.” – NIH: Diet, Nutrition, and Oral Health in Older Adults

Early detection and treatment of peri-implantitis helps many seniors with dental implants and to retain their teeth.

Dental Care for Older Adults in Woodbury, MN

We first like to meet new patients for a thorough consultation. Treatment options for restoring the elderly smile vary. Successful dentistry for seniors involves a personalized cosmetic dental plan and a strong partnership with your dentist. We want to understand your pain level, diet, and overall health, evaluate the wear on your teeth over the years, as well as whatever may impact your oral health.

Older teeth become more brittle. In turn, this means they are more prone to fracture and wear.

A study in The Journal of Periodontology released study findings in 2021 that dental issues can even damage your heart. It reports that people experiencing gum inflammation are more at risk of having inflammation in their arteries. This can increase vascular disease risk. “Gum disease creates gum pockets where anaerobic bacteria can thrive and travel to vulnerable sites in your body, such as your heart,” according to Athanasios Zavras, DDS (chair of the Department of Public Health and Community Service at the Tufts University School of Dental Medicine in Boston). [4]

Good dental care is more important as we age.

“If one wants to have their teeth their entire life so they can eat food well they should get their teeth properly restored while they are healthy. When one gets older it can be difficult for them to get broken down teeth properly restored and their only option maybe just having their teeth removed.” – Marc L. Montgomery, DDS

Read tips on How to Find the Best Dentist in Woodbury, MN

SUMMARY: Enhancing the Smiles of Seniors

Dr. Montgomery has the knowledge and expert skills needed for quality geriatric dentistry. You can enjoy retaining more teeth into your later years of life as a result of the advanced dental technology we provide. You matter to us!

Call 651-738-1880 to gain better dental health as you age. Or Use our Contact Form



[1] Division of Oral Health, National Center for Chronic Disease Prevention and Health Promotion, “Facts About Older Adult Oral Health,” May 5, 2021,

[2] Katherine Chiu-Man Leung* and Chun-Hung Chu, “Dental Care for Older Adults,” Dec 2022,

[3] BWH Communications, “More older Americans are Losing Their Teeth,” February 8, 2023,

[4] Hallie Levine, “Your Guide to Better Dental Health as You Age,” Nov 2023,

Types of Dental Veneers

Veneer Types and ChoosingThe Best Option for You

Types of Dental Veneers

The success of dental veneers is typically based on the preparation design and making the best material and choice of veneer type.

Knowing how to select the best veneers can seem confusing, but with assistance from your cosmetic dentist, you’ll make the right decision. One challenge many patients face is knowing which veneers to ask the dentist for. Or to understand their dentist’s “veneer talk”. This article can help solve that task for you.

Various Types of Veneers offer Advantages and Disadvantages

The advantages and disadvantages vary based on multiple factors. These may include your immediate and long-term dental needs, shape, material, and budget. A talk with your dentist can sort through all of this.

Dental veneers have long been a top requested cosmetic dental procedure for a personalized smile design. They are a popular method to enhance your smile and significantly boost your appearance for good reasons. Whatever has prompted you to consider this service, the end result is improving your smile a few notches (or more).

Whatever prompted you to consider this service, the result is improving your smile a few notches (or more).

Okay! Let’s look at your options.

Comparing Different Types of Dental Veneers

All of the following options are made to match your teeth (or whiten them) and improve your overall smile. Because so many people who request a smile makeover have heard of one veneer type or the other, the following table can help to understand their differences.

Type Quality Results Use Durability
Porcelain Veneers Porcelain veneers are wafer-thin, custom-made shells of tooth-colored materials. They are often considered the best quality in terms of glossy aesthetics and functional durability of 20-30 years. Excellent aesthetic results Designed to cover the front surface of teeth to improve your appearance Predictable longevity of the treatment.
Composite Veneers Composite veneers are engineered resin affixed to the outer-surface. They are a (cost) conservative alternative to porcelain. They are made from translucent resin, and the result can be a carefully sculpted and hardened veneer (possibly completed in a single appointment). If you have worn chipped or damaged teeth, then composite resin can be sculpted directly onto the teeth to produce beautiful, lifelike results. A good conservative option, but with less durability.
Resin Veneers This type has been around for about 30 to 40 years. They’re more porous, which also may make them more vulnerable to staining. They can offer great aesthetics but lose overall strength over time. Resin veneers last half as long as porcelain to match their value. They may work sufficiently for the 5 to 7 years at a lower cost. They can be a cost-effective option to add small changes to teeth.
Removable or Temporary Veneers Also known as “Snap-on veneers”, they are removable plastic trays that cover tooth imperfections. Also known as reusable, fake, clip-on, or pop-on veneers, snap-on veneers are relatively cheap and available without a dentist. The result is a less invasive, cost-effective solution that provides many of the same benefits while being easily removed. However, they may discolor, be easily stained, and easily chip or crack. When a non-permanent veneer is temporarily needed. They may be used to get an idea of how you’ll look with your permanent smile and to have any necessary adjustments made before your treatment is finalized. They have a short lifespan. Generally, that makes them a poor alternative to porcelain dental veneers.
Palatal Veneers Also known as “Palatal Onlays”, they are special onlays that is made out of gold, composite materials, or porcelain. These custom-built veneer (appliances) are most often used to restore anterior teeth when damage by dental erosion or other similar problems have occurred. They are used to improve a person’s bite and protect their gums.


There are also blends of the above types. For example, some different types of composite veneers are Renamel® by Cosmodent, and Filtek™ by 3M. We always recommend that you seek a dentist who understands the various types of veneers and has updated skills to produce a lifelike restoration.

You may have heard of Lumineers, which are a specific type of veneer that is sometimes recommended to help reshape your teeth. Let’s circle back a moment to composite veneers, as people ask the following question.

What are the two types of composite veneers?

The two types of composite veneers:

  1. Direct composite veneers.
  2. Indirect composite veneers.

Direct composite veneers are made up of resin that’s applied directly to the tooth. It’s quick, easy, and a simple dental office procedure. It can often be done in a single appointment. However, these are especially delicate and require extra special care on the patient’s side.side.

Indirect composite veneers are created much the same as porcelain veneers; generally, the resin veneer is formed in a third-party lab and then returned to the dentist’s office. The patient experiences minimal tooth preparation while the veneer is applied in a separate appointment. Indirect composite veneers provide better durability than direct composite veneers, but porcelain is the superior option by far.

What are permanent veneers?

Permanent veneers are the types of veneers that protect and enhance your teeth over a long period of time. If you are considering the cost of veneers, these are the most expensive – but also the most natural and long-lasting.

Dental Veneers Can Fit Many Tooth Shapes

Before beginning the process of installing your dental veneers, your dentist will assess the finer details of your smile design. Different types, styles, and shapes are commonly used in artistic cosmetic dentistry.

The five main categories of veneer shapes:

We admit that we added a fifth to the traditional four types, but often, it ends up giving you that ideal shape and smile you’ll love.

  1. Square-shaped veneers: When someone’s appearance lends toward a more angular and boxy appearance. Some consider them a more masculine or assertive aesthetic look. They are also known as “Hollywood-style veneers”.
  2. Round-shaped veneers: This veneer shape has softly curved edges when a more gentle and natural look is preferred. Some consider them a more feminine smile design.
  3. Oval-shaped veneers: For many people, this is a strong preference as it combines the qualities of both square and round shapes. They have slightly rounded corners that typically result in a balanced, harmonious look.
  4. Triangle-shaped veneers: There are so many unique face and tooth shapes; sometimes, a veneer with a pointed or tapered edge is favored. This shape may provide an illusion of a wider smile or even emphasize specific teeth.
  5. Natural contour shape: A veneer style and shape that is enhanced and highly customized to look the most like you always have. Your dentist will create symmetry that mimics the shape and contour of natural teeth.

Making a veneer decision based on how vital the tooth is

Study results published by the National Institute of Health (NIH) on Feb 10, 2023, conclude that ceramic veneers showed a satisfactory clinical performance both on vital teeth and non-vital teeth. It also reports a high porcelain veneer survival rate.

“In the present (NIH) study, the porcelain veneers exhibited a higher survival rate of 97.9%–100% after 8 years of performance, which is supported by others reporting survival rate of 91% to 100%. A survival rate varying from 80.1 to 100% was found after a follow-up of less than 5 years and of 47 to 100% after 5 to 7 years of clinical service. In addition, studies with a follow-up of 10 to 12 years presented a survival rate of 53 to 94.4%” – Porcelain Veneers in Vital vs. Non-Vital Teeth: A Retrospective Clinical Evaluation

Does my daily oral hygiene routine change with dental veneers?

Overall, your daily oral hygiene routine should remain the same. Excellent personal hygiene goes a long way to protect you. If you’ve maintained a healthy daily dental hygiene routine, continue this same cleansing after having veneers placed. Continue brushing your teeth twice a day with fluoridated toothpaste, and at a minimum, floss at least once daily.

Are dental veneers good for seniors?

Fortunately, dental veneers are an ideal option in restorative dentistry for seniors dentistry. They are great at covering tooth stains and making your smile bright and white – at any age. Over time, teeth may darken, and many seniors embrace tooth whitening services or veneers.

When your permanent veneers are ready to place, our skilled cosmetic dentist will adhere them to your teeth. If the size or shape of the tooth was altered in any way, rest assured that they will feel completely natural within a bit of of bit time. This provides seniors and adults of all ages with gorgeous teeth again.

If you’re interested in learning if veneers are a great option for your smile, then contact our office, and we’ll be happy to help you choose the perfect type, shade, shape, and style of veneer for you. If you are seeking to find a good dental provider , we’d love to meet you.

When it comes to veneer choices, Montgomery Dental Care can help you make the best selection for your needs. Once your type of veneer is determined, then dentist becomes your smile artist! View our Veneer Gallery and learn first hand how stunning your smile can be.

Call 651-738-1880 and see which type of cosmetic veneers are right for you!

Factors that Impact Dental Implant Success Rate

Factors that Impact Dental Implant Success Rate

What Impacts Dental Implant Success Rate?

Dental implant success rates have improved along with modern dental implant technology.

People tired of dealing with missing or damaged teeth really like how dental implants can be the perfect solution. However, before you bank on having the procedure, it’s essential to understand the factors that influence the dental implant success rate. From your overall health and the dentist’s expertise level to post-op care, several elements can impact the longevity and effectiveness of dental implants.

Critical elements that influence dental implant durability:

  • Implant quality.
  • Implant design.
  • The surgical technique your dentist uses.
  • Occlusion (contact between teeth).
  • The patient’s systemic health.
  • The patient’s oral hygiene habits.

Good candidates for dental implant success are patients who:

  • Practice good daily oral hygiene.
  • Visit their dentist regularly.
  • Do not smoke or use oral tobacco of any kind.
  • Limit or avoid alcohol consumption.
  • Floss and maintain healthy gums.
  • Communicate well with their dental team from pre-planning through post-surgery care.

Your pre-consultation will include a thorough systemic health history, such as diabetes, existing clotting conditions, or heart disease. While risks do exist if the patient has poorly controlled diabetes or heart problems, because of the dental industry’s technical advancements dental implants can actually protect you from heart disease.

If you have certain heart conditions or orthopedic implants, your dentist may prescribe antibiotics before implant surgery to help prevent infection.

Are Dental Implants Successful More Often if Done in Multiple Stages?

Two-stage dental implant procedures definitely have higher success rates but do require you to return for an additional procedure. We prefer not to rush the process. The one-stage dental implant surgery may be ideal for fast aesthetics but requires that you absolutely DO NOT CHEW HARD ON THE DENTAL IMPLANT!

Dental implant surgery is commonly an outpatient surgery performed in stages to allow for healing time between procedures.

The different steps in the process of placing a dental implant involves:

  1. Possible removal of damaged tooth or teeth.
  2. Preparing the patient’s Jawbone (which may involve grafting).
  3. Placing the dental implant.
  4. Time allotment for bone growth and healing.
  5. Abutment placement.
  6. Artificial tooth placement.

The overall time involved can take months from start to finish. Much of that time is essential for healing and waiting for the growth of new bone in your jaw. If rushed, this may impact dental implant success. For many people, specific procedures or certain steps may work to combined and reduce this time frame.

When Dental Implant Success Depends on Jawbone Grafting

The quality of your jawbone is an essential factor in the success rate of your dental implants. The denser and harder your bone is, the better chance your chances are of having a successful implant. There are several ways to measure the quality of your bone.

If your dental implant specialist deems that it is best to transplant a small portion of bone, this requires sufficient time for it to “take”. A bit of your own jawbone many be borrowed from another site in your upper or lower jawbone. This is done to give the dental implant a solid foundation.

If your jawbone isn’t thick enough or too soft, you may need bone grafting before dental implant surgery. It’s amazing how powerful our mouth’s chewing action is! It often takes exerting great pressure on your bone to chew something hard. This means that you need a foundation that can support the implant. Others, you may be faced with fixing a loose or even failed tooth implant. Bone grafts create a solid base for implants.

Both the patient and dentist are involved in better implant treatment planning. The experience of the surgeon in placing dental implants increases the chance that the surgery will be successful and decreases the risk of complications.

Ways to Reduce Risks of Dental Implant Complication:

Educated dental patients are better informed about what to look for in a qualifying dentist. Once you find a top implant specialist in your area, be open about your oral history and expectations. Your full medical history and any possible complications should be fully discussed in advance.

The risk of implant failure can be decreased through:

  • Dentists becoming more selective when it comes to who is a good oral implant candidate.
  • Increased patient awareness of systemic issues they may carry that have the potential to lead to complications.
  • Ongoing, advanced clinician training to gain more predictable planning, placement, and restoration of implant-supported procedures.

Like Dr. Montgomery, dental implant specialists can sustain learning about new procedures or tool options. It is especially helpful to expand dental implant diagnostic methods. The following are suggestions for the more advanced dentist.

Adoption of modern dental technology and diagnostic tools such as:

  • Computed axial tomography (CAT) scans.
  • Cone-beam (CB) or CBT scans.
  • Surgical guides and technical training in the latest in computer treatment planning.
  • Consideration of implants designed for immediate loading.

Implant manufacturers recognized the quandaries and concerns that dentists have. This has led to the introduction of implants with macro- and micro-topographical surfaces that are specifically designed to increase primary stability. Modern implant materials and technology also accelerate osseointegration of the implant.

Placing dental implants in extraction sites, while common, is not always possible in order to gain primary stability. The risk of implant failure increases if sufficient bone quantity or quality is lacking to secure the implant in all dimensions during immediate placement fully.

The good news is that implants may still an option for patients with gum disease – even full arch dental implants. Individuals who manage gum disease can almost always qualify for dental implants after undergoing certain treatments and procedures.

The best bone for dental implants is Type 2 bone; it provides the best osseointegration of implants. Type 2 also provides stability through cortical anchorage and has high vascularity, meaning that you implant can integrate fully into the bone and be functional right away.

What is the number one reason for dental implant failure?

The most commonly occurring reason for dental implant failure is infection or abutment failure. Over the course of implant therapy, a bacterial infection that results in implant failures can occur. It is called peri-implantitis when an inflammatory response with bone loss in the soft tissues surrounding implants happens.

If you closely follow your dentist’s instructions, and don’t have secondary health issues, a failed dental implant is rarely a problem.

Implant therapy success relies on a person’s biological healing and integration capabilities. Recent dental technology advancements assist the dentist; however, a person’s overall health and dedication to follow-up care remain central to implant survival.

The concept of peri-implantitis may encompass plaque-induced infection due to plaque build-up on the exposed surfaces of the implant’s biomaterial. Montgomery Dental Care is a leader in ensuring that the patient’s biomechanical environment is the best way to avoid all potential soft tissue problems.

Why is the jawbone’s condition important for dental implant success?

Every dental implant relies on just as much bone to support it as is needed for a natural tooth. This is why bone grafting can become essential after tooth loss. Missing teeth can change your jawbone to the extent that it can’t support the structure of your face anymore.

You may need several months for your transplanted bone to grow sufficient new bone to support your dental implant. Often, patients need only minor bone grafting, which can be accomplished at the same time as the implant surgery. The condition of your jawbone determines how your dentist will proceed.

Once your implant post is placed in your jawbone, the osseointegration (oss-ee-oh-in-tuh-GRAY-shun) process begins. During this time, the jawbone grows into and infuses with the surface of the dental implant. This can take several months (usually 4-6 months); your dentist will assess your healing progress and establish how long this should be in your case.

Overseeing sufficient bone growth after implant placement is a top priority at Woodbury MN’s Montgomery Dental Care.

Is age a factor in dental implant longevity?

Generally, people are encouraged to avoid placing anterior implants at the age of 18 or younger. The age at which bone growth completes varies widely from patient to patient. The common growth spurt happens at 12 years for girls and at 14 years for boys. However, this age can vary by as much as 6 years. Thus, when planning for the placement of dental implants in a child, this problematic age period extends from 9 to 15 years for girls and 11 to 17 years for boys. [1]

Other studies indicate that for some people, the best long-term esthetics will be achieved after reaching the age of 25 when their jawbone has finished growing.

While there is no dental implant age limit for seniors, patients in their late years of life may not find the investment to be appropriate for them. We find that once many folks have retired, they love spending more time socializing, eating food they love, and spending quality time with family and friends. These moments are often more enjoyable with tooth implants, saving them the embarrassment and challenges that dentures may incur.

“No age is too old for dental implants. A reasonably healthy person with even a few years of life expectancy can safely and predictably have dental implants, thereby improving the quality of their life.” – [2]

What criteria do medical studies use to determine a failing dental implant?

The most common surgical criteria for failure at the implant level are mobility, pain, radiolucency and loss of peri-implant tissues, as well as the absence or presence of peri-implantitis, suppuration and bleeding. [3]

Tests Your Dentist May Request to Ensure Dental Implant Success

  • Computed Tomography (CT) scan: This is a superior scan, a type of x-ray that creates three-dimensional images of your jawbones. It reveals how dense and strong your bones are, in addition to any weak areas.
  • Bone Density Test: This test leverages a special x-ray machine to measure how much calcium is in a small sampling of your jawbone. The more calcium that shows up, the denser your bones are.
  • Periotest: A periotest measures the vibrations that pass through your teeth and jawbone. This helps inform your dentist of how dense your bones are; it is determined by the number of vibrations that pass through.

Pre-tests help establish your available bone length for implants. Generally, dentists prefer it when an implant can be at least 1.5 mm from an adjacent tooth and 3 mm from an adjacent implant.

Once your implant surgery is performed, there are other things you can do to reduce implant failure risks.

How can I Protect my Dental Implant from Failure?

The earlier any post implant surgery issue is treated, the better your chances of success.

Immediately after the procedure listen carefully as your dentist gives you instruction and advice. With implants, in addition to your dental professional’s advice, these five tips will reduce your chances of developing an infection as the wound in the mouth heals.

  • Like routine care for your natural teeth, keep your implants, artificial teeth, and gum tissue clean. Crowns and Bridge floss is specially designed to help you get under and around dental implants. It has two stiff nylon ends and a fuzzy center which gently cleans the dental implant surface and the porcelain that touches the gumline without being too aggressive.
  • Your dentist may recommend an interdental brush that slides between teeth to help clean the nooks and crannies around teeth, gums, and posts.
  • Avoid eating food items that have a greater potential of getting stuck around the healing area (corn, nuts with the hulls on, sticky foods, etc.)
  • Keep your follow-up dental appointments.
  • Use an oral rinse regularly. Infection can occur postoperatively if plaque and tartar are not removed from teeth and gums on a daily basis.
  • Avoid strenuous exercise immediately after your implants are placed.

Whether you have dental implant surgery in one or multiple stages, be aware of what typical discomforts you may expect, such as:

  • Facial or gums swelling.
  • Noticeable bruising on your skin and gums.
  • A reasonable pain level at the implant site.
  • Minor bleeding.

You may be given pain medications or antibiotics after dental implant surgery to take home with you. If swelling, discomfort, excessive bleeding, or any other issue worsens in the days following surgery, contact your oral specialist immediately.

A straightforward dental implant, Dental patients with good bones and who do not require extensive soft tissue surgery can anticipate a pain level between two and three in the initial 24 to 48 hours. Common over-the-counter medications such as Tylenol or Advil will manage any discomfort they feel.

Will my dental implants fail if I smoke cigarettes?

Dental implant survival rate for smokers will depend on the duration of tobacco use, amount, and type of tobacco use.

Cigarette smoke is widely known to contain harmful chemicals that may damage a person’s gums and bone tissue around the implant. Smoking also impairs healing and alcohol has been found to decrease the chances of osseointegration. Both are common causes of tooth sensitivity and implant failure.

Simply stated, you want to give your implant the maximum ability to heal properly. Prevention is the best way to avoid other complications.

The National Institute of Health reports the ill effects of tobacco on oral health include periodontal, mucosal, salivary glands, implants, and oral cancer. [4] These health-related realities can help a smoker gain the willpower to quit.

What is the success rate for implants when a person has no teeth?

“Fully Edentulous” (when a person is missing all of their teeth) dental implants have remarkably improved how the teeth of individuals who are edentulous or partially edentulous can be restored. Implants for the rehabilitation and retention of dental and facial prostheses have graduated from a phase of wishful thinking to one of the most gratifying experiences for patients and treating fraternity alike.

“From 4.3% after five years to 26.4% after 10 years, the frequency of connection-related problems (screw loosening or fracture) increased (in patients who are fully edentulous). “Of the 9% of restorations that were cemented, loss of retention of the restorations occurred in 6.2% within five years and 24.9% within 10 years.” – The Etiology and Management of Dental Implant Failure: A Review by NIH

The high dental implant survival rates reported for single and multiple missing tooth replacements demonstrate the effectiveness of implant-supported restorations as an essential approach for oral rehabilitation.

Table Showing Causes of Early and Late Dental Implant Failure

AIDS: acquired immunodeficiency syndrome

Causes of early failure Causes of late failure
Poor bone quality and quantity, systemic diseases such as uncontrolled diabetes mellitus, AIDS, osteoporosis, medications such as corticosteroids and bisphosphonates, smoking, infection, lack of primary stability, surgical trauma Excessive loading, peri-implantitis, bruxism, teeth grinding at night time, retained subgingival dental cement, inadequate prosthetic construction, traumatic occlusion


Dental implants open your options back up by offering you one of the most natural ways to replace teeth. They empower you to gain a permanent restoration for recovering or improving your former smile. In this way, the value of dental implants outweighs the cost.

Most people discover that dental implants are a worthwhile investment due to their ability to replicate most of the characteristics of natural teeth.

Read more about why the advantages of dental implants outweigh the disadvantages. Also, here are details on how to care for your dental implant restorations.

CONCLUSION: Increase Your Chances of a Successful Oral Implant Experience

In conclusion, the benefits of dental implants are extensive and impact you in more than one area of your life. While implant failure may occur, most problems can be avoided by taking the above precautionary steps. If you have more questions about what to consider before embarking on an oral implant, schedule a consultation with Marc L. Montgomery, DDS.

Call 651-738-1880 and gain the best in class dental implant care!






What is Personalized Cosmetic Dentistry

What is Personalized Cosmetic Dentistry

What is Personalized Cosmetic Dentistry? How Does it Help You Gain A Perfect Bite?

Personalized cosmetic dental treatment is specifically tailored to align with your oral needs and desired smile design.

The principle in custom dental cosmetic treatment involves closely aligning with the person’s desired look. It also commonly involves targeting the patient’s precise needs on the source of genetic, biomarker, epigenetic, and socioeconomic factors. Versus in industrialized dentistry, where the process is more like an assembly-line approach, each patient gets a personalized dental plan. In practice, this means obtaining premium care rather than a minimalistic care approach.

People’s oral histories, habits, and desired smiles aren’t identical. Meaning, all dental patients do not all benefit from identical care. Providing the best dental care possible means that patients gain personalized dentistry solutions. This involves listening carefully to each patient. It includes dedicating the time necessary to discuss smile makeover treatment options in order to obtain the smile results they are seeking.

What are the Benefits of Personalized Cosmetic Dental Care?

As with most things that are customized, personalized dentistry means helping you get the precise treatment that leads to better dental visits and outcomes.

Your personalized dental experience will typically include:

  1. Unrushed time so you can become comfortable in our dental office.
  2. Cosmetic dental care that focuses on premium vs minimum results.
  3. Diagnosis of often missed hidden oral conditions.
  4. Anticipating and preventing possible future oral issues.

These benefits typically provide not only better smile design results but also a better experience while gaining them.

Before going into more information, it’s important to know that Dr. Montgomery’s successful approach to satisfying long-term results often lies in the details. (Check out his high dental achievements and awards.)

1. Become comfortable in our dental office

Many people face dental anxiety. This is not surprising given that it often requires time away from normal daily routines, some expense, and temporary discomfort or inconvenience.

It may feel uncomfortable when your dentist stands over you with a bright light on your face. Having fingers and dental tools in their mouth can make younger patients feel awkward. Marc L. Montgomery DDS understands why you might be a little nervous. For many people with dental anxiety, it’s important not to feel rushed and overwhelmed. It’s a core component of personalized care.

2. Cosmetic dental care that focuses on premium vs minimum results

A dentist who fully understands and values using longer-lasting dental materials will be your best personalized cosmetic specialist. They are usually made from higher-quality sources. While they may cost a bit more, in the long run, they typically save you money. If you are considering a smile makeover or any cosmetic dentistry service, it takes someone with proven experience and expertise to give you the best possible results.

For example, to obtain long-term premium dental implant results, go to a specialist with additional training and experience. Another example is that premium dentures will help you chew better while resembling your natural teeth. Today, it means finding a dentist who relies on 3D, CBCT printing technology. Better dental technology offers better-personalized results. Dental implants or implant-supported dentures cannot slip off the gums and don’t require an adhesive to remain in place.

3. Diagnosis of often missed hidden oral conditions

Whereas some conventional dentists stick more to timed, routine treatments, a dentist focused on personalized care will take the additional time to look for any underlying, hidden signs of larger issues.

It is possible that you have additional hidden and unexpected tooth or gum conditions. They should be checked when you meet with your dentist. The costs of poor oral health more often escalate if your approach to going to the dentist is in-and-out. It is better to be observant of pending conditions, ask all your questions, and plan for a sufficient diagnostic time when seeking a cosmetic dental service.

4. Anticipating and preventing possible future oral issues

A caring cosmetic dentist considers today’s and tomorrow’s oral health needs as well as what it takes to maintain a beautiful smile. A customized, tailored dental diagnosis is the best way to identify and avoid risk factors.

They have special tools and methods to undertake complex predictions. This aids your dentist and you in decision-making. For example, a family history of osteoporosis or disease means more closely assessing jaw bone density and gum tissues.

Your Personal Cosmetic Dental Plan may Include:

In the long run, it means that you gain personalized dental care you can trust.

Dental implants

Dental implants are fully customized for each tooth.

Understanding our patient’s needs, their limitations, and dental knowledge is among the important factors when offering cosmetic treatment options. We can only establish this through an initial conversation where we listen and learn what you want. Then, a comprehensive examination of dental and perioral tissues after assessing each patient’s medical history. and spending some time listening to his or her needs and wants.

Our gallery presents multiple case examples that demonstrate the use of customized treatment plans in patients with anatomical limitations.

Porcelain veneers

We help you visualize and understand your veneer options before you need to decide. Approaching each patient as an individual with unique oral needs, desires, and circumstances allows us to establish a thinking process that can guide us toward a short list of possible treatment options.

Poorly designed veneers have fitting issues that make them appear too small or too large, or they do not have the same shade or color. Customized porcelain veneers blend in seamlessly with your natural enamel due to their translucence as well. With our personalized approach, after your veneers are placed, only you will know that they’re not your natural teeth!

Professional teeth whitening

Professional teeth whitening is safer and makes a huge difference to your smile compared with over-the-counter products. A dentist can lighten deeper staining that whitening toothpaste can’t resolve while confidentially avoiding damage to your mouth.

Professional teeth whitening is customized to your individual needs. It involves your dentist examining your teeth and taking X-rays as needed. Later, if follow-up at home is recommended, you’ll receive a custom whitening kit from your dentist that includes both bleaching gels and a set of trays that you use to apply the solution.

Non-Surgical Facelifts

Non-surgical facelifts typically involve a combination of minimally invasive dental procedures where no surgery is required. Montgomery Dental Care can design your smile to rejuvenate and refresh your appearance. Customizing your processes and procedures comes with experience, competency, and our ever-increasing knowledge.

Cosmetic bonding

When teeth need a subtle solution to regain their proper size and shape or improve smile symmetry, cosmetic bonding is an ideal choice. This process adds layers of custom steps to ensure the best match for each tooth.

Your dentist has a trained eye and tools to help select a color that matches your teeth and prepares your personalized tooth-bonding resin. The resin itself is a putty-like material that is then molded into a custom shape – tailored to your tooth’s specific composite.

White composite fillings

They may not actually be pure white composite fillings – but a shade better. The term “composite filling” is simply a tooth-colored substance that restores teeth that have erosion, fractures, cracks, or gaps.

Rather than using one shade for all patients or all teeth for one patient, a more precise shade of composite may be used to fill the tooth. Composite fillings that are personalized to closely match the same shade as your tooth enamel won’t be noticeable when you smile.

Full dental restoration

State-of-the-art restorative cosmetic dentistry techniques have the best outcomes when personalized to completely rebuild and restore the health, function, and beauty of severely damaged smiles. By utilizing high-quality, customized restorations and dental prosthetics, patients gain functional, long-lasting, beautiful results that restore you to owning a beautiful, confident smile!

A personalized full-mouth restoration plan is meant to optimize every part of your dental health. After your initial evaluation, it may simply mean repairing a single tooth at this time; or it could include repairing, resurfacing, or replacing a full set of teeth.

What this means to you:

Dr. Montgomery offers many different composite options for a wide variety of teeth. He will discuss your options with you as have varying advantages and disadvantages. Our patients often thank us for matching composite filling so closely to their current tooth color! This skill comes with years of experience and is very rewarding.

We closely follow and adhere to the latest in best cosmetic dentistry practices. The National Institute of Health says the following about personalized cosmetic dental care.

“Opportunity, challenges, and features of personalized medicine that could be implemented to personalized dentistry are the following:

  • Directing targeted therapy and reducing trial-and-error procedures.
  • Decreasing adverse drug reactions.
  • Increasing patient willingness to treatment.
  • Reducing high-risk invasive testing procedures.
  • Facilitating to control the overall cost of health care.

Personalized medicine is a progressing area in which physicians use diagnostic tests to identify particular biological markers, often genetic, that aid in describing which medical treatments, as well as technique, will work best for each patient. In today’s science, researchers are rapidly emerging and using diagnostic tests in medical diagnosis based on genomic, proteomics, and metabolomics to enhance and prophesy patient’s reactions to targeted therapy.” – Embracing Personalized Medicine in Dentistry by Manchala Sesha Reddy, May 2019

By respecting each patient’s preferences, biology, and any inherent anatomical limitations, it aids us in presenting a customized plan unique to each individual. Personalized dentistry offers many potential benefits to patients; we encourage you to seek it out.

SUMMARY: Why You Should Seek Out Personalized Dentistry

Personalized dental care means an integrated, holistic approach to your smile appearance and overall oral health.

The risk of discolored, damaged, or lost teeth increases as you age. The good news is, you probably have more options than you are aware of for preserving your smile. Marc L. Montgomery, owner of Montgomery Dental Care in Woodbury Minnesota, provides personalized cosmetic care plans. Based on your desired results and treatment preferences, we’ll help you achieve the beautiful smile you want.

Patient reviewers call Montgomery a “smile artist”. We consider that quite a compliment.

To learn more information, call our office! (651) 738-1880

Sensitive Teeth

Solutions for Sensitive Teeth from Montgomery Dental Care in Woodbury, MN

What is the Remedy for Sensitive Teeth?

Answer From Marc L, Montgomery, D.D.S.

If you notice new or increased tooth sensitivity and it doesn’t go away in about 30 seconds, visit your dentist.

A professional can diagnose the underlying cause and not leave you at risk. A correct and early diagnosis is your best remedy for sensitive teeth. The solution will vary depending on the cause. Feeling sharp or temporary pain in your teeth is your signal to take immediate action. Constant throbbing tooth pain can be a significant distraction and prevent you from doing other things, such as working productively and sleeping. The sharp pain usually requires immediate dental assistance. Don’t wait until it is consistent pain.

To gain the most from this article, we’ll start by answering basic questions.

Table of Contents

What is Tooth Sensitivity?

Tooth sensitivity is a type of tooth pain that is often called toothache. It refers to the symptom of discomfort or pain coming from a tooth (or teeth). In the world of dentistry, it is known as dentin hypersensitivity. It is a painful experience that happens when the inner (dentin) layer of your tooth gets exposed.

You can be observant of which daily activities cause you to feel tooth pain. If performing ordinary activities like flossing, brushing, or eating causes unbearable pain, call your dentist immediately.

What makes a person aware of dental hypersensitivity?

Things that may trigger your awareness of a dental hypersensitivity issue:

  • When you brush your teeth.
  • When you are chewing (and if it is something sticky or hard).
  • If you are drinking something hot or cold.
  • If air suddenly hits your teeth.
  • If touching your cheek near a sensitive tooth.
  • If it occurs when the problem tooth touches another tooth (above or below).
  • If an older crown is loose.
  • A too-aggressive tooth bleaching or whitening process.

Oral sensitivity to hot and cold shouldn’t be ignored since it can be a signal of an abscess, cavity, inflamed tooth pulp, cracked tooth or receding gums.

Will Tooth Sensitivity go Away?

Tooth sensitivity can come and go over time. A person can be misleading about the severity of an issue by relying on over-the-counter desensitizing kinds of toothpaste without seeing their dentist. They can block off the nerve endings in the exposed dentin and leave the cause of your tooth discomfort undiagnosed. In many cases, this means that the source of your tooth pain is likely to get worse over time.

A dental patient may experience some normal teeth sensitivity after fillings, teeth cleanings, a smile design, and dental restoration placement. Sensitivity caused by a dental procedure is common, temporary, and usually goes away in two-four weeks or more. For example, a diabetic patient or someone with an additional health complexity issue may need longer.

Sensitivity following oral procedures may require additional dental appointments to ensure that the healing process is well underway. If not, our dental team may seal or fill around the neck of an exposed tooth at your gum line. By covering exposed dentine, it has a good chance of resolving. In more extensive cases needing restorative dental procedures, it may be helpful to root-fill the tooth.

What Causes Tooth Sensitivity?Understanding tooth sensitivity and finding the best remedy for you.

Common factors that cause tooth discomfort:

  • A cavity.
  • Plaque buildup.
  • Worn or thinning tooth enamel.
  • If something cracked or chipped your tooth.
  • An older tooth filling that wears out.
  • Receding gums or if you are developing periodontal (gum) disease.
  • Tooth sensitivity due to a recent dental implant that is still stabilizing.
  • Flossing too aggressively.
  • The continuous use of mouthwash that contains acid.
  • If something is stuck in between your teeth, or Invisalign aligners.

What causes dentine hypersensitivity?

Dentin hypersensitivity may cause tooth pain when tubules found within dentin become exposed, most commonly caused by gingival recession or enamel wear. Tooth sensitivity is a common complaint of dental patients. “Studies have demonstrated dentinal hypersensitivity to affect 10–30% of the population,” according to Danielle Clark, writing for NIH. The October 31, 2020 Non-surgical management of tooth hypersensitivity article discusses medical theories regarding sensitivity.

For individuals seeking a deeper understanding, the ‘hydrodynamic theory’, proposed by Brannstrom and Astrom, considers the following.

“…thermal, osmotic or physical stimuli create movement of fluid within the dentinal tubules, causing the activation of nerve endings. These nerve endings are thought to be at the border of the dentin and the pulp. The activation of nerve endings causes a distinguishing sharp and rapid pain, and many treatments have been created to relieve these symptoms.”

No one solution fits every person’s needs. At Montgomery Dental Care we review appropriate treatment options for dentinal hypersensitivity that are based on your individual situation. To establish the best treatment plan we consider the initial cause of the sensitivity and your risk factors. As with all oral health conditions, we start with determining the cause and then select the least invasive option available with the highest probability of a successful outcome.

Does demineralization of dental enamel cause sensitive teeth?

Yes. A demineralization process occurs before a tooth begins to decay and form cavities or other problems. Plaque build-up breaks down tooth enamel which contributes to demineralization, which makes the tooth’s interior dentin and sensitive root more vulnerable.

“Tooth demineralization takes seconds to begin, while tooth remineralization can take hours. When demineralization is overtaking remineralization, we risk sensitivity and damage to the tooth structure, especially when acidic foods and drinks contain refined sugar. Statistics show that one out of every eight Americans suffer from teeth sensitivity—otherwise known as dentinal hypersensitivity—but few of us talk to a dentist about it.” – James Keddington DDS, assistant professor and section head of dental conservation and restoration at the University of Utah School of Dentistry

Keddington points out that sour candy often has a pH similar to that of battery acid! If that is your go-to treat, you may want to replace it. The same is true with drinking soda. “Each sip leads to increased demineralization,” according to the December 2023 The Perils of Sensitive Teeth article.

Talk to your dentist if you experience dentinal hypersensitivity

You may be doing everything you can think of to maintain good oral hygiene and eliminate a high intake of acidic foods, and still experience a tooth reacting to hot or cold. Talk with your doctor. Simple solutions and ruling out more serious symptoms can keep you smiling.

What might my Dentist Recommend to Reduce Tooth Sensitivity?

There are several helpful dental procedures that typically reduce sensitivity:

  1. Dental bonding is useful to overlay and protect exposed root surfaces.
  2. Surgical gum graft.
  3. Tooth fluoride varnishes that are professionally applied to your exposed tooth roots.
  4. Dentin sealers that add a protective cover to exposed teeth root surfaces.
  5. Root canal.

Next, we’ll cover each procedure in more in-depth.

1. Desensitizing or dental bonding:

Occasionally, exposed root surfaces can be treated by applying bonding resin to the sensitive root surfaces. A local anesthetic might be needed. Dental bonding will use that extra layer of the composite coating to keep extreme temperatures away from the enamel, thus eliminating severe sensitivity. The composite resin will bond with the enamel and ensure that it is protected from anything that might cause discomfort or harm.

2. Surgical gum graft:

If your tooth root experiences receeding gum tissue, a small amount of tissue can be taken from elsewhere in your mouth and attached where needed. This can protect exposed roots and reduce sensitivity. Gum grafting surgery is used to permanently covers exposed tooth roots, This helps to reduce discomfort, restore the gum to good health, and improve appearance.

3. Professional tooth fluoride varnishes:

Fluoride treatments come in liquid, gel, foam, or varnish formats. Tooth fluoride varnishes are brushed onto your teeth or placed in a small tray that conveniently fits over your teeth. Fluoride is actually a naturally occurring mineral that helps prevent cavities; it can even reverse the initial stages of tooth enamel breakdown. For people with sensitivity issues, it may be helpful for tooth enamel erosion.

4. Dentin sealers:

Dental erosion happens when the surface quality of a person’s teeth is lost after touching acid. Dental erosion is preventable with a good diet, oral hygiene, and regular dental cleanings. Individuals experiencing more severe dentinal hypersensitivity may have dentin sealers recommended by their dentist. They are thin plastic coatings applied to your molars, root surfaces, exposed dentin, and/or gum recession to reduce sensitivity where food is likely to contact the pits and fissures when chewing.

5. Root canal:

If your sensitive teeth generate consistent and severe pain, and other treatments aren’t effective, your dentist may recommend a root canal. This is a common dental procedure used to treat problems in the tooth’s soft core (dental pulp). Broadly, it’s considered the most successful technique for eliminating tooth sensitivity.

If you are experiencing severe pain or pain in one or two teeth, your dentist may use a process called differential diagnosis. This helps to determine the source of your dental hypersensitivity. Visual exams, X-rays, and CBCT scans for diagnosing tooth problems are part of the process. Differential diagnosis simply means that your dentist will ask you questions about your pain and dental habits. It’s part of the process of elimination to discover the exact tooth — that’s causing the pain and why.

How can I Avoid Tooth Sensitivity?

Ways you can reduce sensitive tooth pain:

Most importantly, going forward, take better care of your teeth.

Maintain good oral health: Your dentist will review your oral health history with you. Your daily diet and at-home oral care routine also play a significant role in keeping overly sensitive tooth issues at bay. Consider taking extra care when eating or drinking acidic foods and drinks. If you like carbonated drinks, citrus fruits, coffee, and/or wine — all of these can remove small amounts of tooth enamel over time. If you drink acidic liquids multiple times per day, use a straw to limit contact with your teeth. After consuming an acidic substance, drink water to balance the acid levels in your mouth. Or better yet, go brush and floss your teeth.

Drink only water before bed: Never drink something other than water after you brush before bed and before falling asleep. This can leave something acidic in direct contact with your tooth enamel all night.

Try desensitizing toothpastes: contain compounds such as potassium nitrate or strontium chloride. These ingredients work to reduce pain signals transmitted between the surface of your tooth and the inside nerves. Commonly, several applications of toothpaste are needed before you will feel a noticeable difference. Prescription-strength tubes of toothpaste are an option for more severe and prolonged cases of tooth sensitivity. Ask our dentist to recommend a toothpaste for your needs.

Avoid grinding your teeth: Many people are unaware that they are grinding or clenching their teeth while sleeping. Regular dental checkups help your dentist identify if something signals a protection problem. Your dentist may suggest wearing a mouthguard at night if the problem is tooth grinding. There are many options when seeking the best TMJ mouth guard.

Increase dential checkups as you age: Tooth sensitivity is a common problem as people age. Tooth enamel naturally thins and can expose a person’s dentin to outside elements. “The risk of cavities, root caries, and more commonly observed tooth sensitivity or dry mouth increases with age,” according to NIH’s article on Oral health in the elderly patient and its impact on general well-being. As gum tissues may recede, good daily dental hygiene is vital to maintain good oral health and quality of life in older people.

SUMMARY: Learn What is Causing Your Tooth Sensitivity

Tooth pain shouldn’t interfere with your ability to having the cosmetic dental procedure you want. Dr. Marc L. Montgomery is an expert in the different treatments available and can best decide which treatments are appropriate and when they should be utilized. We’re here to help you determine what’s causing your sensitive teeth and recommend the best treatment to address the issue. When you need a highly specialized dentist, call us.

Download our PDF on How to Find the Best Dentist in Woodbury, MN

Call 651-738-1880 to gain the right answer for you!

How to Care for Dental Implant Restorations

How to Care for Dental Implant Restorations

Tips to Care for Dental Implant Restorations

Requests for dental implants are one of the most asked-about advancements in modern dentistry.

Once you’ve made the investment and are enjoying the benefits, taking care of dental implants becomes a priority. For long-term simulation of their proper functioning to improve your appearance and natural chewing functions, this article will help you know what to do. First, anyone eager to talk about dental implants in Woodbury, MN with a trained dentist, may want to understand this from the onset.

Montgomery Dental Care helps ensure that you continue to retain the benefits of your dental implants year after year. However, the care you put into your oral health and hygiene impacts the long-term success of dental implants. While your dental implants are engineered to last a lifetime, your daily brushing, flossing, and chewing habits have a significant role in ensuring that they remain in premium condition.

Remember, most implant issues that occur can be avoided by taking early preventive steps.

Ongoing Patient Care for Dental Implant Restorations

Adhere to the following ways to protect your oral implants:

  1. Adhere to Post-Operative Dental Implant Instructions.
  2. Keep Your Routine Dental Appointments.
  3. Diligently Brush, Floss, and Rinse.
  4. Limit Hard and Sticky Food Intake.
  5. Quit Smoking and Excessive Alcohol Use.
  6. Keep Post-Implant Surgery Swelling to a Minimum.
  7. Alert Your Dentist if Concerns Arise.

Investing in dental implants is one of the most popular types of smile makeovers. You gain the full benefits with careful maintenance. Below are several ways to care for one or more dental implants so they can continue to give you the smile of your dreams. Extra care during the first 3-4 days post-implant placement is especially important.

1. Adhere to Post-Operative Dental Implant Instructions

After undergoing dental implant surgery, you will receive a list of post-operative recommendations. These will include anything from what types of food to eat, to what not to do, such as using tobacco products for several weeks. You should follow these instructions to the letter and call a dentist for clarification if you are confused.

If you’re prescribed pain medication after your implant placement – follow instructions to keep the pain at a minimum. You can be comfortable through this entire process. Prioritizing post-op guidelines helps reduce the risk of implant failure due to avoidable infection.

Perhaps the most important thing to remember is to avoid disturbing the wound. Try not to touch the wound or spit for a few days after surgery.

2. Keep Your Routine Dental Appointments

Regular, scheduled oral health checkups ensure that no hidden issues are occurring. Dental implants are highly regarded as sturdy and dependable, yet it is best to have them checked by your implant dentist twice a year. Everything from your teeth, gums, surrounding bone health, inner cheeks, and tongue are evaluated. Your dental cleanings and checkups are your best means of early intervention that keeps your oral health and implant costs in check.

Follow-up dental appointments after dental implant surgery may involve:

  • Radiographic CBCT examination of the implants.
  • Clinical examination of the peri-implant tissues.
  • Evaluating dental implant stability.
  • Removing any implant-retained plaque and calculus.
  • Establishing maintenance intervals, for example, every 3 months in the first year.

Modern dental implant technology helps dentists ensure the success of your implant restoration. A resonance frequency analysis (RFA) or similar test can measure primary implant stability and monitor implant stability over time. Your dentist not only assesses the stiffness of the bone-implant interface but also makes the detection of any increase or decrease in implant stability easier to detect.

3. Diligently Brush, Floss, and Rinse

This is an essential part of ensuring that your implant investment will keep giving back. The value of simple, proper, and through daily brushing and flossing oral hygiene cannot be overstated. If your dentist recommends an oral rinsing product, follow instructions diligently. Like all positive routines, once a healthy self-care routine is established after receiving dental implants, this home maintenance becomes easy.

The cleaner your teeth and gums are, the healthier your dental implants will be, too. As people age, extra care should be given to both hard and soft tissues in the mouth. A salty mouthwash rise helps to keep bacteria away. Ask your dentist for advice so that you don’t floss or rinse too aggressively. Brushing your teeth and the healing abutments is no problem. That said, be gentle initially with brushing the surgical areas.

Dental floss may also be useful to deliver antiseptic agents to the implant on a daily basis. Floss can be used like a “shoe-shine rag” movement to facilitate optimal home care procedures around the abutment post.

If you are concerned about what exactly is proper oral hygiene practice due to postsurgical fear of causing damage, your dentist can help you strike a balance. Ask questions and learn the difference between overzealous home care trying to stay absolutely plaque-free, and a lack of oral care.

4. Limit Hard and Sticky Food Intake

Some people struggling to overcome habits of biting their nails, chewing on ice, or favoring hard foods are more at risk of damaging their dental implant restorations. Either can cause damage which means potential additional dental appointments for repairs or replacement. In the first few weeks after implant placement, make a strong effort to avoid sticky and hard foods that could disturb the implant(s) placed in your jaw. Examples of food to temporarily avoid are popcorn, hard candies, peanuts, caramel, seeds, and hard nuts.

As a means of added caution, avoid consuming high amounts of acidic foods, such as tomatoes and citrus fruits. It’s best to also temporarily avoid pithy foods that tend to get stuck between your teeth, like fresh grapefruit. Food particles that get “stuck” increase the risk of infection. Aggressively dislodging them within the first few days should be avoided. As always, don’t open packaging, cans, or bottle tops with your implant teeth.

These food types don’t have to be permanently eliminated from your diet. The reason for caution is that although your implants are permanent, the crowns they support are vulnerable to damage by hard foods during the first few weeks after implant surgery. Once they have sufficiently healed and stabilized, you can return to enjoying crunchy foods.

5. Avoid Smoking and Excessive Alcohol Intake

Moderation is the key to much of daily living. However, smoking can not only disrupt your dental implant healing process, but it also compromises your bone structure and how the implants fuse with the bone. For most people, it is acceptable to enjoy alcoholic beverages occasionally, however, drinking excessive alcohol is known to increase chances of oral issues.

6. Keep Post-Implant Surgery Swelling to a Minimum

To speed up your recovery, it helps to minimize swelling around the implant. It may help to use an ice pack. Swelling often peaks by the third to fourth day; then it starts to subside. Apply an ice pack to one side of your face for 10 minutes; transfer it to the opposite side for an additional 10 minutes. Continue icing your jaw for at least 24 hours.

The differences in the supporting structure of the implant make them more susceptible to inflammation, swelling, and bone loss if plaque accumulates.

Some automated/sonic toothbrushes with multiple brush tips may result in gingival abrasion from prolonged or aggressive use post-implant surgery. Your dentist can recommend a toothbrush shown to not cause hard or soft tissue damage, which effectively reduces plaque and inflammation around the adjacent periodontal tissues.

7. Alert Your Dentist if Concerns Arise

In the unusual event that soft tissue surrounding your dental implants becomes red, swollen, or irritated, call your dentist. The sooner loose dental implants are fixed, the better. Dental patients experiencing peri-implantitis typically respond to treatment when solutions are put in place early. As with all aspects of your oral health, it involves a close relationship with a trusted dentist.

Most dental restorations last a lifetime if concerns are addressed early

By adhering to this guide on implant care, you can easily manage many factors that may potentially reduce the longevity of your implants. Typically, lifestyle factors are most likely to impact longevity. Fortunately, most people quickly adapt and improve their oral care after making this important investment on their oral health and appearance.

Most concerns can be addresses before they become issues. “Preventive maintenance appointments should be scheduled every 3 to 4 months and a periapical/vertical bitewing radiograph at 6 to 8 months should be compared with the baseline to assess crestal bone changes, which occur often during the first year of loading”, Minkle Gulati, wrote in the July 9, 2014 NIH article.

View Dr. Montgomery’s Dental Implants Gallery to see why our implant patients are so pleased with their results.

“The long-term success of implants is fundamentally dependent upon both the patient’s maintenance of effective home care and on the dental team’s administration of professional prophylaxis procedures in the dental office. Hence, patients are considered co-therapists in the maintenance therapy and their contribution is indispensable, especially for the long-term success of dental implants.

Dental implants require constant maintenance and monitoring, which further involves assessment of the patient’s general and oral health, professional implant maintenance, and diligent patient home care as critical factors that will ensure the long-term success of implants and a predictable replacement for natural teeth.” – Implant Maintenance: A Clinical Update by the National Institute of Health

Best of Dental Implant Care in Woodbury, MN

The bottom line is that caring for dental implant restorations adequately is vital to increasing their lifespan. Typically, they survive a lifetime of use; and the nice thing is that they can be cared for like natural teeth. Each dental implant restoration appointment has a purpose; you’ll go home with the needed instructions for each step in the process.

Your dental implant investment is a wise choice. Most often, it is a practical and permanent solution for missing or damaged teeth. Whether you received a single implant or a full arch prosthetic supported by multiple implants, your care, and maintenance ensure longevity. This way, you can take pleasure in the advantages of having dental implants for decades.

Are you interested in knowing all your choices when it comes to Dental Implants? Contact Marc L. Montgomery, DDS, your Woodbury, MN dental implant specialist

Call 651-738-1880 to speak with Dr. Montgomery today!