Dr. Sam J. Nechamkin

Dentures Sherman TX – If many of your teeth are badly decayed, loose or missing, dentures from the premier provider of dentures in Sherman TX may be right for you. Dr. Sam J. Nechamkin, AKA Dr. Sam, can create the dazzling smile you’ve always dreamed of!

Choosing to get dentures is an important decision, not to be taken lightly. When you visit Premier Dentists in Sherman TX, Dr. Sam will perform a comprehensive evaluation and clearly explain your options. He will take the time to understand what your vision of an ideal smile is, and discuss your questions and concerns. Dr. Sam will help you choose the best treatment plan to bring out the best in your smile.

For good denture candidates there are three common options:

• “Same Day” Dentures
• “Healing” or “Immediate” Dentures
•  Custom Dentures

Same Day Dentures *

This is an extremely expedited process, aimed at providing a low cost option for some patient. In a single day, impressions are taken and the appliance is readied. Most dental practices offering this option have a small, in-house laboratory. Any existing teeth are then pulled, and the denture put in place. Bypassing repeated adjustments and alterations keeps the price low, and eliminates the need for additional preparation visits.

Many patients express interest in this method due to the simplicity and apparent economy. However, the rushed process can lead to a lower quality denture. The one day turnaround time does not leave time for precision fitting, or changes to coloring or aesthetic styling. Instead, generic denture ‘blanks” in a variety of sizes is kept on hand.  These are minimally contoured and shaped for the patients’ mouths.

Each human mouth and gum is as distinct as a fingerprint – it varies widely from “the norm” in width, height, contour, gum color and so forth. Same-day dentures, using generic denture forms and contouring them minimally, have a predictable negative result on fit and comfort. This type of denture has the lowest patient satisfaction rating, and they are often replaced within 3-6 months.

* Our goal is for every patient to be not only satisfied but delighted with their results. As a knowledgeable dentist and an experienced periodontal expert, Dr. Sam understands each patient is unique, and quality care cannot be rushed.  Because the performance, fit, and appearance of same-day dentures is so often below par, we do not offer same-day dentures in our practice.

Immediate or “Healing” Dentures Sherman TX

Many people confuse Immediate “Healing” dentures and “Same-Day” dentures. There are notable differences however. Immediate dentures are not rush-fabricated in a day! An additional day for impressions of the patients mouth is required, and, they are carefully fabricated for each patient using premium materials.  The appliances are specially fabricated, with all of the fittings and adjustments required for the perfect look and feel. Multiple visits are needed to achieve this.

After your initial examination, your next visit will be for dental impressions. Using a highly advanced technique, Dr. Sam will take a precision impression of your mouth, with existing teeth still in place. Your dentures will be fabricated using this impression, at a state-of-the art dental laboratory. If they happen to have any imperfections, or the coloring is not a perfect match for your complexion, they are altered as necessary. Only when your new dentures are perfect, does the process continue.

Immediate Dentures Are Immediately Placed
What makes these dentures “immediate” is the fact that all existing teeth are pulled in the same day, and the appliance is immediately placed. What makes these dentures “healing” is that the appliance helps curb bleeding and swelling immediately after extractions.

This method has advantages and disadvantages. The primary benefit in choosing this option is avoiding weeks of being without teeth before the dentures are placed. It also helps curb bleeding and swelling immediately after extractions, with the appliance acting as a bandage.

As initial swelling dissipates, the gums naturally change shape with healing.  This natural evolution in the shape of the mouth can be accommodated by “re-lining” the healing denture where in contacts the gums. Typically immediate dentures are “re-lined” a few months after the initial placement.

Custom Dentures – Massad™ Denture Technique

Custom dentures provide optimal fit and lasting function. The appliances are custom crafted to the exact form of your gums, allowing for the most exact fit and therefore the highest degree of comfort. They are a pricier than “immediate” dentures though they require fewer follow-up visits.

Unlike immediate or same day dentures, the impressions are not the first step. Instead, all existing teeth are pulled, and your mouth is given time to heal. There will be a period of several weeks between the extractions and the final appliance. Difficulty with tasks such as eating and speaking without teeth proves to be an unbearable inconvenience for many patients. However, this is the only way of shaping dentures exactly to your gums.

After you gums have healed, and swelling has receded you will be ready for your impressions. Dr. Sam will use the same detail-accurate Massad™ Impression Technique* that he uses for immediate dentures. This is the most accurate method available, molding precisely to the subtle nuances of your gum-line. Because your gums have finished healing and reshaping, the landscape in your mouth is not likely to change. Custom dentures can provide a perfect glove-like fit that can last a lifetime.

Ready to smile with pride and eat with ease? Visit the premier creator of dentures in Sherman TX today, Dr. Sam, and ask which dentures are right for you!

* The Massad™ Denture is a physical and physiological approach to fabricating complete custom dentures, utilizing the Myostatic Outline and Neutral Zone technique or compound rim for recording muscle movement.
The Centric Relation Record is used as an intra-oral device for determining vertical and Centric Relationships. External impressions are taken at try-in to determine facial and lingual borders and flanges. As needed, a Massad-type Modified Bar may be used for stability and strength.
The System ensures predictable fitting dentures, saving chairtime and increasing patient comfort.

All-on-4 illustration provided by Halász Implant Center

To explain a little further, All-on-4 is a rapid dental implants solution which secures fixed dentures in position utilizing just four titanium dental implants in the jaw. Compared to the older, standard dental implants process, All-on-4 does away with more than half the required dental implants plus eliminates the delays usually required for healing time.

For many patients All-on-4 is the correct approach, and, its benefits are easily seen. There are some potential drawbacks however, and as with any medical procedure, these should be carefully balanced against the expected benefits.

All-on-4 Dental Implants – The Benefits as We See Them:

• We’ll make fewer incisions in your mouth;
• Bone grafts and nerve trans-positioning will be eliminated;
• You will recover much faster;
• Your dental prosthesis will be fixed in place;
• You’ll have immediate function;
• The cost will be lower.

Potential Drawbacks to using All-on-4 Dental Implants

Should a single one of the All-in-4 dental implants under-perform, your entire restoration will be for naught and must be re-done with more conventional methods.

If bone loss within the patient’s mouth is very significant the All-in-4 technique becomes difficult-to-impossible to successfully complete – a more conventional dental implants approaches must be used.

The All-on-4 dental implantation itself may accelerate atrophy at the rear of the jaw.

Jaw atrophy is just one reason that each candidate for this surgery must be carefully evaluated to be certain it is appropriate for them. Other contraindications to using All-on-4 are:

• limited space in the patient’s mouth,
• being significantly overweight,
• Younger or larger-framed individuals should use conventional implant approaches to insure long-term success.
• All-in-4 is less successful for those who smoke or have periodontal disease.

Dr. Sam J. Nechamkin

All-on-4 is a well known technique with notable benefits to offer. Here at Premier Dentistry in Sherman we use All-in-4 when appropriate – after thorough examination and consideration of your specific needs and your current health status. We’ll choose the very best dental implants technique for you.

CLICK HERE FOR YOUR FREE CONSULTATION!

Dr. Sam J. Nechamkin

Sherman Sedation Dentist Dr. Sam Nechamkin has over a decade’s experience with complicated periodontal cases which always require sedation. Considering his long successful record he can probably be considered the best sedation dentist in Sherman Texas.

Sedation Dentistry is a relatively advanced technique, yet it has become fairly common even in a general dentistry practice for dealing with patient issues such as anxiety or phobia.

In this article, Sherman Sedation Dentist Dr. Sam describes features and various patient benefits for those who undergo sedation dentistry.

What is Sedation?

Sedation can be defined generally as a process that is used to reduce stress, anxiety, fear, or irritability by introducing an agent or drug (sedative). The use of sedation in dentistry is also for the same purpose, i.e. to lessen patients’ fear of pain and discomfort, also to enhance recovery and relaxation.

Types of Sedation Dentistry

According to Sherman Sedation Dentist Dr. Sam, there are three common routes that can be used to induce sedation in dental patients.

• ORAL: Patients are instructed to take a small pill to take an hour before their appointment so that by the time their appointment or procedure actually begins, they are already drowsy or sedated.
• NASAL: (inhalation): Nitrous oxide gas (or laughing gas) is introduced through patient’s nose to cause a state of complete relaxation.
• INTRAVENOUS: The sedating agent (anaesthetic) is directly introduced in the blood through one an arm vein by means of a needle. This is the fastest form of sedating and acts immediately.

Top Reasons for Sedation Dentistry in Sherman
Dr. Sam finds the following are the most common reasons patients have sedation dentistry in Sherman Texas:

• Excessive anxiety or fear making relaxation difficult during an appointment.
• Overactive gag reflex (Gagging is a sudden, involuntary contraction at the back of your throat when an external object touches / passes through the back of your throat). This reflex attempts to stop objects entering the throat except as part of normal swallowing.
• Very sensitive teeth
• Urgent dental or gum issues.
• Sore jaws are sore due to any disease or condition
• Physical disabilities such as back or neck disorders
• Patient’s own choice or preference.

Benefits of Sedation Dentistry

There are numerous real benefits to patients who are given anesthesia during dental visits. Sherman Sedation Dentist Dr. Sam suggests the following are the most significant:

1. SAFETY: To date, no major adverse effects have been reported.  You are never left alone and your vital signs (pulse, blood pressure) are continuously monitored during the entire procedure.
2. FREEDOM FROM PAIN: Depending on the type of anaesthesia, you will have little or no memory of pain or discomfort.
3. SPEED: With the help of dental sedation, long and complicated dental treatments can be quickly completed. Extensive procedures that might need 6 to 8 conventional visits can be easily performed in as little as one visit with sedation dentistry.
4. EASE: For those who are anxious, have sensitive teeth and gums, or have other health issues sedation dentistry reduces stress dramatically.

“… I want to tell you how much I appreciate the kindness and patience you’ve shown me over the past year. I had a real phobia of the dentist and you’ve helped me over come it. ( Somewhat?) ”

I think the work you have done for me is beautiful. I couldn’t be more pleased. I’ve grown to love all your staff and look forward to seeing them each visit. I’ll always remember 2010 as the year I got a pretty smile!! …”

Thank you Dr. Sam and Staff for making this the most wonderful Christmas. ”

Betty Aston

Dr. Sam and Staff

Your Complete Dentistry Practice in Sherman
We provide complete cosmetic dentistry, dental implants, and periodontics in addition to general dentistry services. We look forward to providing you the most exceptional, painless, You-centered care of any dentist in Sherman Texas.
 
The Top Priority for Us is You
We take the time to listen carefully for your expectations, customize a treatment plan to meet your unique dental needs, and then we skillfully create the smile you have envisioned.  Using our art and science, the result is a natural, beautiful smile – one that has you looking attractive and feeling confident.

Cosmetic Dentistry Sherman

Our belief is that all cosmetic dentistry requires training, experience, the latest technology, and artistic ability, but true excellence in cosmetic dentistry requires our level of passion for creating beautiful smiles.

Cosmetic Dentistry Can Change Your Life
Cosmetic dentistry is far better now than ever before. Procedures once though of as dreams are now easily possible. Modern materials of extremely high quality are durable and make real, gorgeous smiles attainable for everyone.

Once we evaluate your cosmetic dentistry needs, our staff works to create an affordable payment or financing plan for you. Have dental insurance coverage? We’ll assist you in filing with your insurance provider.

At Premier Dentists Sherman Texas we make every effort to provide you the smile you’ve dreamed of.
Call Us Now To Schedule A Consultation For Your Dream Smile!

Dental Implants Sherman

Loose or missing teeth are often best corrected with dental implants. Dental Implants provide a stable, long-lasting  solution for filling gaps caused by missing teeth, or, for a secure anchor point for bridges and dentures. To install a dental implant our cosmetic dentist first embeds a new artificial root, typically a special titanium screw, in the space left by the missing tooth. This provides an anchor for the new tooth that has tremendous stability.

A flat surface looking somewhat like a flat washer is now precisely threaded onto the titanium screw head. Called an abutment, this will be the base for the visible part of the tooth.

Next a ceramic crown is created that conforms to the needs of your gum line and adjoining teeth. This crown is finally secured to the abutment with special adhesives to complete your attractive new tooth. It is simple, easy, and painless as we provide sedation dentistry for the procedure.

CONTACT US NOW To Schedule Your Consultation. Click here!

Sincerely,
Sherry