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Services : Specialty Dental


Ronald E. Massie, D.D.S., M.A.G.D.

24 North Shore Drive
Lake Ozark, MO 65049

573-365-0220

 

Dental Implants & Mini Dental Implants

As part of our ongoing commitment to provide our patients with the best possible care, we are pleased to offer the benefits of dental implants. Despite improvements in dental care, millions of Americans suffer from tooth loss - mostly due to tooth decay, gingivitis (gum disease), or injury. For many years, the only treatment options for people with missing teeth were bridges and dentures, but today dental implants are available.

Implants are now considered standard treatment for missing teeth because the process is minimally invasive and does not require teeth to be filed down for crown or bridgework. The timeline for having teeth placed on implants used to be 6 months to 1 year. Fortunately, with recent technological advances in implant placement and surface characteristics, now teeth can be placed in under 3 months and, in some cases, in one day.

Candidates for dental implants need to have healthy gums and adequate bone to support the implant. A thorough evaluation by Dr. Massie will help determine whether you are a good candidate for dental implants.

What are dental implants?
Dental implants are replacement tooth roots. Implants provide a strong foundation for fixed (permanent) or removable replacement teeth that are designed to match your natural teeth.


How successful are dental implants?

Success rates vary depending on where in the jaw the implants are placed but, in general, dental implants have a success rate of up to 97%. With proper care, implants can last a lifetime.


Can anyone get dental implants?

There are no relative health contraindications to dental implants. Patients should have healthy gums and enough bone to hold the implant. They also must be committed to good oral hygiene and regular dental visits. In most cases, anyone healthy enough to undergo a routine dental extraction or oral surgery can be considered for an implant procedure. Heavy smokers, people suffering from uncontrolled chronic disorders such as diabetes or heart disease, or patients who have had radiation therapy to the neck/head area need to be evaluated on an individual basis. If you are considering implants, talk to Dr. Massie to see if they are right for you.

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Mini Dental Implants

Unfortunately, many people with dentures have spent months or years dealing with loose and "floating" lower dentures.  Even in cases of well-fitting dentures, the problem persists.  Traditional dental implants have helped many solve this problem.  An alternative to traditional dental implants is the mini dental implant (MDI) system.

Ronald E. Massie, D.D.S., M.A.G.D.
24 North Shore Drive
Lake Ozark, MO 65049

573-365-0220

Laser Dentistry

"Gummy smiles" are a very common problem, caused by overgrowth of the gum tissue that then covers the teeth. This unsightly occurrence can be caused by a variety of things including heredity, health conditions, and even the use of many common high blood pressure medications. A gummy smile will dominate the mouth, making the teeth seem almost secondary in appearance. We use a laser to change the look and shape of the gums. The laser actually vaporizes unnecessary and unsightly tissue, leaving healthy, normal looking gums in place. The laser is unmatched in its accuracy and effectiveness. The process takes only a few minutes for most, and there is usually very little discomfort.

Ronald E. Massie, D.D.S., M.A.G.D.
24 North Shore Drive
Lake Ozark, MO 65049

573-365-0220

Sedation Dentistry

As any dental patient can attest, dental phobia is a paralyzing fear that keeps people from obtaining regular dental care. We know that an estimated 9-15% of all Americans avoid regular dental care due to fear surrounding the dental visit. Over 35 million Americans have some level of anxiety when it comes to going to the dentist. But for many, it is more than being afraid. Some of our patients have had a traumatic experience in a dental chair; others come from a painful past. But regardless of your personal history, we are here to help. We understand that your fears may have kept you from a dentist, but there is no need to feel embarrassed. We are not here to judge you; we are here to help you and encourage you so that you can have the confidence a beautiful smile and a healthy mouth can bring.

If you or someone you love suffers from a dental phobia, you know that shame and embarrassment become very real issues affecting a person's quality of life, social life, and self esteem. When the patient finally gathers the inner courage to make the call to the dentist, they must be able to reach out to a team that understands the very real nature of their fears.


I.V. sedation or "Sleep Dentistry" is available in our office. Sedation Dentistry bridges the gap between new technology and patient comfort. After a thorough exam with Dr. Massie, your Sedation Dentistry appointment will be scheduled. You are given a small pill or intravenous medication to make you snooze through your dental appointment. Even though you are not technically under general anesthetic, most patients describe the experience as seeming to be asleep. You will have little or no memory of the appointment. You will not even remember the sounds or smells. You will be drowsy and unaware of the time passing by. What this provides is a way for the very fearful or especially sensitive patient to benefit from complete dental care without having to deal with the actual dental treatment experience.


When you arrive in the dental office, you will be escorted into the comfort room, covered with a nice warm blanket and placed on a monitor to watch your vital signs. After you are comfortable, our experienced clinical team will take care of your dental needs while you sleep listening to your favorite music. When your treatment is complete, your companion will return you home to finish your comfortable, relaxing day.


Am I a good candidate for Sedation-Sleep Dentistry?
Sedation-Sleep Dentistry is especially useful for adult patients who:

  • Wish to have their treatment completed in one or two hour long well-planned appointments
  • Have high anxiety about dental visits
  • Have had traumatic dental experiences in the past
  • Have difficulty getting numb
  • Have a strong gag reflex
  • Have TMJ troubles and cannot open their mouth for extended periods
  • Are afraid of needles
  • Have sensitive teeth
  • Hate the noises and/or smells associated with dental care
  • Simply do not have the time for multiple visits

Sedation dentistry is only for adult patients. Dental offices should schedule a consultation appointment first to answer any questions and screen for any medical reasons you may not be eligible for Sedation Dentistry.

Ronald E. Massie, D.D.S., M.A.G.D.
24 North Shore Drive
Lake Ozark, MO 65049

573-365-0220

Bone Grafting / Gum Grafting

In a majority of dental restoration cases, especially implants, the success of the procedure can depend on the foundation and support of the jawbone where the implant is put in. If the jawbone has receded or been damaged, bone grafting is usually recommended to improve stabilization.  Occasionally, sinus augmentation is needed to raise the sinus floor to allow for this new bone formation.  Bone grafting can also be used to preserve the jawbone after an extraction, periodontal disease, or other procedure.  There are several types of bone grafts and we can help determine the best type for your particular condition and treat it right here in our office.

A gum graft is a procedure performed to cover an exposed tooth root with grafted oral tissue.  Exposed root structure is typically caused by gum recession from periodontal disease or trauma.  Covering the root with a graft will improve gum health and appearance as well as reduce sensitivity.

Although they might sound intimidating, these procedures are fairly common and are performed in our office routinely with excellent outcomes.

Ronald E. Massie, D.D.S., M.A.G.D.
24 North Shore Drive
Lake Ozark, MO 65049

573-365-0220

Surgical Tooth Lengthening

Crown lengthening exposes more of the natural tooth by reshaping the bone and gum tissue around it.  This treatment is usually done to improve the health of gum tissue, prepare for restorative or cosmetic procedures, or correct a “gummy” smile.

 

Ronald E. Massie, D.D.S., M.A.G.D.
24 North Shore Drive
Lake Ozark, MO 65049

573-365-0220

Endodontics / Root Canal Therapy

When the nerve in a tooth dies, usually from deep decay or trauma, the infected tissue must be removed by either extracting the tooth or performing a root canal.  A root canal consists of removing the infection from the tooth and cleaning and filling the canal where the nerve was removed.

Root canal procedures have the reputation of being very painful.  However, most patients equate the procedure to having a filling placed.  The discomfort experienced from the swelling and infection leading up to a root canal is truly the most painful part, not the root canal procedure itself.

In the rare event that root canal therapy fails and the pain and infection continues after treatment, an apicoectomy, or removal of the root tip and sealing of the root from further infection, may be required.  If left untreated, infected roots are particularly painful and can damage surrounding teeth, spread infection, and cause bone loss.  Routine dental exams and having your tooth checked when it first begins to hurt can help you avoid these complications.

Ronald E. Massie, D.D.S., M.A.G.D.
24 North Shore Drive
Lake Ozark, MO 65049

573-365-0220

Apioectomy (Surgical Root Canals)

In the rare event that root canal therapy fails and the pain and infection continues after treatment, an apicoectomy, or removal of the root tip and sealing of the root from further infection, may be required.  If left untreated, infected roots are particularly painful and can damage surrounding teeth, spread infection, and cause bone loss.  Routine dental exams and having your tooth checked when it first begins to hurt can help you avoid these complications.

 

Ronald E. Massie, D.D.S., M.A.G.D.
24 North Shore Drive
Lake Ozark, MO 65049

573-365-0220

Impacted Wisdom Teeth Extractions

Third molars, commonly referred to as wisdom teeth, are located in the very back of the mouth and usually erupt between the ages of 17 to 25.  Generally, there is not enough space for the wisdom teeth to grow in properly and they become impacted, or stuck, in a poor position.  If left untreated, impacted wisdom teeth can cause infection, damage other teeth, and sometimes lead to cysts or tumors.  To avoid such problems and decrease the surgical risk involved, early assessment and removal is recommended because as you age, your bone becomes more dense, which raises the technical aspects of the procedure and increases the chances of possible complications.

Ronald E. Massie, D.D.S., M.A.G.D.
24 North Shore Drive
Lake Ozark, MO 65049

573-365-0220

Special Needs Patients

In the cases of special needs patients, we offer the option of utilizing both Surgical Institute of Lake of the Ozarks and Lake Regional Health Systems, but because we are able to accommodate most surgical needs right here in our office, these entities are only used on a last-resort basis.

 

 

Ronald E. Massie, D.D.S., M.A.G.D.
24 North Shore Drive
Lake Ozark, MO 65049

573-365-0220

Lack of Sleep Slowly Killing You?

A dentist can save your life! It does seem unconventional that Dr. Massie could help you get a good night’s sleep. Unconventional �?sure. True �?you bet! The most common obstacle in preventing a healthy night sleep is breathing cessation. While you’re at rest, the muscles in your throat relax and the tongue may fall back and block the airway as you sleep, reducing the amount of oxygen delivered to all of your organs including your heart and brain. People with sleep apnea may snore loudly and stop breathing for short periods of time. The breathing pauses from sleep cause your body to briefly wake while you remain unaware. This can happen hundreds of times per night, and you may wake up feeling unrefreshed.

Dentists have pioneered the use of oral appliance therapy for the treatment of sleep apnea and sleep related breathing disorders. An oral appliance is a device worn in the mouth only during sleep. The device fits like a sports mouth guard or orthodontic retainer and prevents the airway from collapsing by either holding the tongue or supporting the jaw in a forward position. With an oral appliance, Dr. Massie can minimize or eliminate the symptoms of sleep apnea in mild to moderate cases.  Did you know? Sleep Disorders go hand and hand with diabetes, adrenal dysfunction, metabolic disorders, and cardio vascular disease.

If you’re ready to get a restful night’s sleep and get your life back.   Give us a call to set up a consultation with Dr. Masssie and together, we can look into your condition and determine which treatment option is best for you.

 

Ronald E. Massie, D.D.S., M.A.G.D.
24 North Shore Drive
Lake Ozark, MO 65049

573-365-0220

Outpatient Oral & Maxiofacial Surgical Procedures

If you need a special procedure, please contact us.  Dr. Massie routinely performs many types of oral and maxillofacial surgeries on an outpatient basis.