A Study of Antidepressants & Implant Failure

Screen Shot 2016-03-15 at 12.35.50 PMThe results of an 8-month dental implant study, correlating dental implant failure with the use of antidepressants, will be presented at the March, 2016 meeting of the American Association for Dental research. Antidepressants have dramatically improved the quality of many lives. However, there’s a surprising side effect that most people don’t know about: a connection between implant failure and antidepressants.

Why Antidepressants Might Negatively Impact Dental Implants
Because antidepressants have been shown to affect the metabolism of bone tissue–see this 2007 study published in the Archives of Internal Medicine showing that antidepressants sped up the loss of bone tissue in older women–researchers at the University at Buffalo School of Dental Medicine wanted to gauge the strength of that association by studying patients that used antidepressants and received dental implants.

The Study
Researchers reviewed the dental clinic charts of adult patients that received dental implants between January and August of 2014, searching for those who reported taking one or more antidepressants during their dental treatment period. These patients were matched with a “control group” of implant patients with no history of antidepressant use.

Of the 74 patients in the study, 8 experienced implant failure. Of those, 6 were taking antidepressants at the time of dental treatment and 2 were not. Therefore, the odds of implant failure for patients taking antidepressants were 4 times higher than that of patients not taking antidepressants. Further, each year of antidepressant use doubled the odds of implant failure.

What This Study Means to Our NYC Dental Patients
Although researchers concluded that antidepressant usage might be associated with dental implant failure,  don’t stop taking important medications based on this small group of individuals. More research is on the horizon to confirm that the results of this small study are confirmed with a larger population of patients.

To your health & beauty,
Jeffrey Shapiro, DDS, PC and Glenn Chiarello, DDS
NYC Cosmetic Dentists


Dental Implants Vs Dental Bridge: Pros and Cons

Even with the best dental care, it’s possible to lose a tooth from trauma. Whether you’ve lost a tooth from an accident or decay, your NYC cosmetic dentists will review your options and help you decide what to do about filling in the space left by your lost tooth or teeth. In most instances, the options boil down to two choices: a dental bridge or a dental implant.

With a dental bridge, your missing tooth is replaced by a 3-tooth structure that, essentially, uses the strength of the teeth on either side of the missing tooth to provide support. It “bridges the gap” created by one or more missing teeth.

Dental implants vs dental bridge

The teeth on either side of the missing tooth are called “abutment” teeth. The enamel on these teeth is partially removed so that a crown can be put over them. You’ll have a temporary bridge while a lab creates the final one. It can take several visits to complete the process.

In a dental implant, the root is removed and replaced with an artificial root, called a post, made of titanium, that is screwed into the jaw. Over time, tissues in the jaw bone grow into the post, making it extremely secure.

Next, what’s called an “abutment” is inserted. It looks like a peg, and the crown is positioned over it.

How Long Do They Last? Dental implants generally last a lifetime, while a bridge must be replaced every 10-15 years.

What’s the Cost Comparison?Considering the patient must replace the bridge several times over the course of his or her lifetime, the cost comparison between the two options is actually very close.

As your Manhattan cosmetic dental practice, we hope you never need to replace your natural teeth. However, if the time comes, know that we’re prepared to help you make the best decision.

To your health & beauty,
Jeffrey Shapiro, DDS, PC and Glenn Chiarello, DDS
NYC Cosmetic Dentists


Dental Implants 101

As experienced Manhattan cosmetic dentists, we’ve placed thousands of dental implants. If you have broken or missing teeth, dental implants can restore your beautiful smile and protect surrounding teeth, gums and jawbone. If you aren’t sure what dental implants are, how they are inserted, or how long they last, this blog post will give you all the details!

What are dental implants?
Dental implants are comprised of a titanium post placed in the jaw, which is topped with a ceramic tooth, called a crown. Dental implantsScreen Shot 2013-08-06 at 6.57.47 PM are as strong as normal teeth, and they are permanent: they don’t come out like a dental bridge or dentures. Dental implants look exactly like natural teeth and you brush and floss between them in the same way.

How are dental implants inserted into the mouth?
The first step is the insertion of the small titanium post into your jawbone. This post looks like a tiny screw. (Don’t worry: we take all necessary steps to make this a comfortable event!). Within about 6-12 weeks, the titanium post fuses with your jawbone in the same way the roots of your teeth connect to your jaws.

Once this fusion has taken place, you’ll return to our office for the next step. We secure a tiny steel “cap,” called an abutment, to the titanium implant. The abutment holds the ceramic tooth (the crown) and the titanium post together. The tooth, or crown, is then attached to the abutment, giving you a brand new, beautiful smile!

How long do dental implants last?
With proper care, your dental implant(s) should last indefinitely. You must, however, brush and floss just as you do your “natural” teeth.

Dental implants aren’t just about looking good. Missing teeth cause eating problems, including pain when chewing. Further, a missing tooth increases your risk of periodontal (gum) disease, infection, and even malnutrition. Also, because your teeth stimulate the gums and bony tissues in your jaw, missing teeth cause the tissues and bones to shrink. This affects other teeth in your mouth, leading to more tooth loss as surrounding teeth drift, loosen or even fall out.

If you have missing teeth, contact our Manhattan cosmetic dental office today for a consultation. Replacing missing teeth with dental implants can give you a better smile and a better life!

To your beautiful smile,
Jeffrey Shapiro, DDS, PC and Glenn Chiarello, DDS
Cosmetic and Reconstructive Dentistry, NYC, Manhattan, New York City