Single Tooth Loss - Treatment Options

If you have lost a single tooth, you do have a variety of options to consider.

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Option 1. Single Tooth Partial Denture

A consequence of this option is the bone loss that occurs due to the absences of the natural tooth root. Force from biting will cause the partial denture to move and shift because its design lacks a secure connection. Many partial denture wearers may also experience discomfort and gum irritation.

Option 2. Resin Bonded Bridge

In this option, a high speed drill is used to cut the back of the neighboring teeth. The bridge is then attached to the back of your natural teeth. With the absence of the natural tooth root the bone above the crown will begin to shrink. Everyday biting forces will also begin to loosen the bond over time.

Option 3. Fixed Bridge

The third option, referred to as a Fixed Bridge, is cemented into place. A drill shaves down a significant amount of the neighboring teeth’s natural structure. This gets the teeth ready for the fitting of a fabricated 3-unit bridge. However, like the previous two options, bone loss soon follows. As the bones begin to weaken, the surrounding teeth become very susceptible to tooth decay - which, unfortunately, can lead to additional tooth loss. Bridges can be repaired and situated in the mouth. But, as additional bone loss occurs, the bridge may fail and need replaced continuously.

Option 4. Dental Implant

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This option DOES replace the natural tooth root with a dental implant that is inserted into the bone. An abutment is secured to the implant and a crown is secured to the abutment. This option is the closest replication to the design of your natural teeth. Because this is inserted into the bone, it is the most secure option that remains stable and in place. An implant feels and functions like a natural tooth.

Have you ever wondered if Dental Implants were the right choice for you? Give us a call and see how we work with your personal dentist to make sure you receive the care you deserve for not only a beautiful smile, but a permanent solution to tooth loss.

Single Tooth Loss - What Happens if Left Untreated?

Single Tooth Loss

Every single one of our teeth are securely held in our jawbone. Different elements, such as disease, decay or trauma, may eventually lead to tooth loss. When that tooth is lost, and not immediately replaced, the bone surrounding it begins to collapse and shrink.

Without support, the surrounding teeth will begin to drift toward the area of the missing tooth. The location of the lost tooth and the person will determine the amount of bone loss and the pattern of the teeth drifting. The drifting of one tooth may lead to the drifting of several teeth, resulting in a significant amount of movement.

Because of this, losing just one tooth becomes more than a cosmetic problem. Gum disease, tooth decay, receding gums or further tooth loss may occur. After teeth have shifted or erupted, it becomes more difficult to properly clean the teeth and gums.

All About Wisdom Teeth

Wisdom Tooth Removal Sharma Oral Surgery

Wondering when it's time to get your wisdom teeth out? Or, why you should even have them removed in the first place? Let’s go over a few reasons and signs that it’s time to get those third molars out.

  1. Preventive

    One reason to have your wisdom teeth removed - to prevent issues from even arising. Getting wisdom teeth, or third molars, out before the become a “problem” can save you from a slew of issues down the road.

  2. Damage to Other Teeth

    Did you know that your wisdom teeth can cause damage to surrounding teeth? That extra set of molars can push your other teeth around - causing mouth pain and bite problems.

  3. Alignment

    Impacted wisdom teeth can cause problems with crowding of other teeth and even make treatment to straighten other teeth necessary. You do not want your wisdom teeth to crowd your mouth and throw off the alignment of your smile.

  4. Sinus Issues

    Complications from wisdom teeth can lead to sinus issues like pain, pressure and congestion.

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5. Inflamed Gums and Cavities

Tissues around your wisdom teeth can swell and may be hard to clean. Swollen gums can create pockets between teeth that help bacteria grow and cavities form.

If you feel like you have been experiencing any of these issues, or want to prevent them before they start, schedule a consultation with Dr. Sharma to evaluate your wisdom teeth.

February 2019 - Outer Loop Education Study Club

OLE Study Club Seattle Study Club Charlotte NC Dental Education

This month, for the OLE Study Club, we were lucky enough to have Dr. Colin Richman come and talk to us about Minimizing Esthetic and Functional Risk through Pre-Orthodontic Periodontal Augmentation (POPA and PREPA).

These innovative dental procedures, combining regenerative periodontal therapy with orthodontic treatment, enable the dentist to minimize potential iatrogenic risk factors associated with orthodontic therapy (see below). Favorably positioned teeth, plus an enhanced muco-gingival complex, facilitates ideal and predictable esthetics and function.

Dr. Richman walked us through the following topics:

  • Treatment of existing recession and periodontists lesions, as well as enhancement of thin bio-types. This minimizes the risk of iatrogenic gingival recession associated with orthodontic treatment

  • Greater post treatment orthodontic stability

  • Less apical root resorption

  • Predictable and definitive periodontal and muco-gingival treatment.

  • Accelerated orthodontic treatment, usually completed in 6-9 months

  • More stable and ideal tooth alignment

  • Less need for orthognathic treatment or extractions

Each doctor was invited to bring their hygiene team - that way each office involved could grow together and strengthen their knowledge on these topics.

We cannot wait until our next program on March 12, 2019!

Why Sharma Oral Surgery?

Maybe you’ve wondered, who is Dr. Sharma? What is it he does exactly? Why should I go to Sharma Oral Surgery?

Well, let me, Dr. Priveer Sharma, tell you a bit about ourselves.

Dr Priveer Sharma Charlotte NC Oral Surgeon Dental Implants Wisdom Teeth

Meet the Doctor
I have been a practicing oral surgeon for 22 years now, 15 of those years being right here in Charlotte. My wife and I are the proud parents of our daughter Divya, who is playing tennis this year at Washington University, and our son Daiven, who is still in high school also playing tennis. We are proud to be a part of the South Charlotte community and call this neighborhood home.

I am a graduate of the University of Florida for both my undergraduate degree as well as my dental school education. After that, I completed surgical training at the Washington Hospital Center and Children's Medical Center in Washington DC.

I pride myself on being a board certified Oral & Maxillofacial Surgeon and a diplomat of the Association of Oral & Maxillofacial Surgeons.  I am also a member of the Charlotte Dental Society and the North Carolina Society of Oral & Maxillofacial Surgeons.

Additionally, I am an advocate for continuous learning. I am the director of the Outer Loop Education Study Club, an affiliate of the Seattle Study Club, which actively provides national, regional, and local continuing education to the dental community of Charlotte.


What is an Oral Surgeon

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An oral surgeon is a dental specialist – meaning they took an added four to six years of training after dental school. An oral surgeon focuses on performing dental surgical procedures.  These procedures include simple and complicated teeth extractions (including wisdom teeth), dental implant placement, repair of broken bones in the jaws and face, removal of cysts and tumors of the jaws, soft tissue biopsies, jaw realignment surgery to correct bite discrepancies, and cosmetic and TMJ surgeries.

Oral surgeons routinely perform procedures like those listed above. They are also trained and exposed to a variety of complications that may arise from performing these dental surgical procedures. Typically, your family dentist will refer you to an oral surgeon when they see one of these conditions arise. However, it is important you see a surgeon you feel like you can trust.


Why Sharma Oral Surgery

Sharma Oral Surgery  Team Oral Surgeon Charlotte NC

At Sharma Oral Surgery, we are committed to a singular promise of caring for you by supporting an outstanding facility with highly trained individuals. Every member of our team is dedicated to you understanding every step of your care while seamlessly coordinating your treatment.

You will see the motto “Caring is Our Reputation” on some of our advertisements as well as our website – but it is so much more than a motto. We are committed to caring for patients in the safest possible manner with the highest surgical standards. 

We are so happy to be a part of this community and strive every day to continue to not only provide the care you deserve, but to be an exceptional neighbor.

World Cancer Day 2019


What is World Cancer Day

Today, February 4th, is World Cancer Day. World Cancer Day was born on the 4 February 2000 at the World Summit Against Cancer for the New Millennium in Paris. The Paris Charter aims to promote research, prevent cancer, improve patient services, raise awareness, and mobilize the global community to make progress against cancer, and includes the adoption of World Cancer Day.

World Cancer Day is an initiative of the Union for International Cancer Control, the largest and oldest international cancer organization dedicated to taking the lead in convening, capacity building and advocacy initiatives that unite the cancer community to reduce the global cancer burden, promote greater equity, and integrate cancer control into the world health and development agenda.

On this day, individuals, organizations, and companies around the world come together to bring more awareness to cancer related issues, new finds in research, and general awareness.

Oral Cavity Cancers – What Is It and Risk Factors

One type of cancer we see the most of in our office, and have helped patients treat, are Oral Cavity Cancers. In our office, when a suspicious oral lesion is found, a biopsy is often used to detect or rule out oral cancer — a disease that is treatable if caught early. A biopsy involves removing a very small tissue sample for laboratory analysis.

There are generally three types of tumors that can develop in the oral cavity:

  • Benign Growths
    These are not cancer – they do no spread to other parts of the body or invade other tissues

  • Pre-Cancerous Conditions
    Harmless growths that can turn into cancer overtime

  • Cancer
    These are growths that can spread to other parts of the body and grow into other tissues

While anyone is at risk for oral cancer, there are a few factors that can put individuals at a higher risk. 80% of oral cancer is linked to tobacco use – including cigarettes, cigars, pipes, chewing tobacco and snuff. The best way to eliminate this risk is to cut out the use of tobacco products completely.

Poor nutrition and oral hygiene practices also can put an individual at a higher risk for oral cancer. Diet wise, be sure to include an ample amount of fruits and vegetables into your everyday diet. Additionally, practicing simple oral health habits such as proper brushing, flossing, and routine cleanings will reduce your risk of oral cancer.

A few other factors are gender, age, and exposure to UV light.

How to Diagnose

Early signs of oral cancer can seem like typical problems – such as a toothache or cold. If symptoms persist for several weeks or months, it is important to see your doctor so that, if oral cancer is present, it may be diagnosed as soon as possible

Some of the most common oral cancer symptoms and signs include:

  • Persistent mouth sore that does not heal 

  • Persistent mouth pain

  • A lump or thickening in the cheek

  • A white or red patch on the gums, tongue, tonsil, or lining of the mouth

  • A sore throat or persistent feeling that something is caught in the throat

  • Difficulty swallowing or chewing

  • Difficulty moving the jaw or tongue

  • Numbness of the tongue or other area of the mouth

  • Jaw swelling that makes dentures hurt or fit poorly

  • Loosening of the teeth

  • Pain in the teeth or jaw

  • Voice changes

  • A lump in the neck

  • Weight loss

  • Persistent bad breath

If any of these symptoms appear or persist for weeks, your doctor may recommend tests to check for oral cancer. Here at Sharma Oral Surgery – we examine each patient and take a biopsy, if necessary, so we can treat the problem correctly and effectively.

Please call our office if you have any questions or concerns, 704-541-6070.

National Children's Dental Health Month 2019

Teaching children the importance of dental health at an early age will help them throughout their entire life. Simple tasks such as teaching them to brush twice a day, eat a healthy diet, and demonstrate the importance of regular dental checkups will benefit them in the long run.

#WearRedDay - The Link Between Oral Health and Heart Disease

Heart Disease and Oral Health Implants to Prevent Tooth Loss

February 1st is “Wear Red Day” – the National Heart, Lung and Blood Institute established this day to raise awareness of heart disease and how many people are affected by it each year.

610,000 people die every year from heart disease.

There are a variety of causes that can lead to heart disease, but did you know your oral health can be one of those causes? While there has not been an undisputed link between the two, there is a connection between poor oral health and heart disease.

Studies have shown the following to be true:

• Gum disease has been associated with an increased risk of developing heart disease

• Improper dental care increases the chance of a bacterial infection entering the blood stream, which can affect the heart valves

The main factor linking oral health with heart disease is the spread of bacteria and its effects on your blood stream. Once these bacteria reach the heart, they will attach to any damaged area allowing them to develop into a serious disease – such as clogged arteries, endocarditis, or even a stroke.

So, who is at risk?

Anyone with chronic gum conditions, like gingivitis for example, have the highest risk for heart disease caused by poor oral health. Even if it does not seem like you have inflamed gums, poor oral hygiene and built up plaque can increase your risk of heart disease.

According to the American Association of Periodontology (AAP), you may have gum disease, even if it is in its preliminary stages, if:

• your gums are red, swollen, and sore to the touch

• your gums bleed when you eat, brush or floss

• you see pus or other signs of infection around the gums and teeth

• your gums look as if they are "pulling away" from the teeth

• you often have bad breath or notice a bad taste in your mouth

• some of your teeth are loose or feel as if they are moving away from the other teeth

What is the best way to prevent gum disease and other oral health issues?

Practice good oral hygiene – brushing your teeth twice a day, flossing, not smoking, and overall taking better care of your mouth and what is inside of it.

Your Premier Board Certified Oral Surgeon - STILL!

Dr. Sharma has recently passed his American Board of Oral Maxillofacial Surgery Board (ABOMS) Certification Exam again!


Board Certification by ABOMS requires successful completion of the Qualifying Examination and Oral Certifying Examinations. Once certified by ABOMS, a candidate officially becomes an ABOMS Diplomate and must participate in Certification Maintenance.

Dr. Sharma has been certified as a Diplomate, the highest standing by the Board of Oral and Maxillofacial Surgery. This achievement is completely voluntary and shows the commitment and dedication Dr. Sharma has to be current and educated in his field - and at the highest level.

Maintaining and achieving this certification just demonstrates the dedication Dr. Sharma has to providing his patients with the best care possible. To achieve this status, he spent 60 hours learning and studying the every changing needs of his specialty - before taking his certification exam.

Congratulations Dr. Sharma!!

Dr. Sharma's Spain Trip

While Dr. Sharma has been in Spain this past week, he was able to participate in a hands-on learning course with Dr. Iñaki Gamborena. This course taught techniques & management of single tooth implants. Dr. Sharma cannot wait to get home and share what he has learned!