My Blog
By John Monaco, DDS, PC
March 13, 2018
Category: Dental Procedures

No two smiles are alike, but everyone should strive for the best oral health, function and appearance possible. That includes closing any dental implantsgaps in your smile. St. Louis dentist, Dr. John Monaco, offers outstanding tooth replacements called dental implants. Inserted into the jaw bone for optimal strength and function, these realistic artificial teeth last and last, and they avoid the harm missing teeth cause. Could dental implants be right for you?

What's a missing tooth or two?

Tooth loss from gum disease and decay impacts approximately 120 million Americans, says the American College of Prosthodontists. Besides changing personal appearance and self-confidence, smile gaps lead to gum and bone recession, poor oral function and an aged facial appearance. If you have missing teeth, you know the problems very well.

What's the alternative?

Dental implants are today's best solution for tooth loss. Instead of simply setting on gum tissue and bone as conventional bridges and dentures do, dental implants reside in the jaw, exercising the bone and keeping it strong.

To determine if you're a candidate for this outstanding tooth replacement, Dr. Monaco does a complete oral examination, X-rays. He wants to see if your oral health is good and if your jaw bone is dense enough to accept the dental implant. If it is, he'll perform the treatment right in his office using simple local anesthetic.

How does an implant work?

The typical single-tooth implant has three parts:

  • A titanium implant screw or cylinder
  • A metal alloy abutment which extends above the gums
  • A lifelike porcelain crown which the dentist bonds to the abutment to restore the dental implant

Inserted through a small hole created in the jaw, the implant bonds with the bone. How does this happen? The secret is a process called osseointegration. Over several weeks to months of healing, the implant and bone become virtually inseparable. After the abutment and crown are attached, osseointegration continues as the patient bites and chews on the new tooth.

Does an implant last?

Whether you receive one dental implant or several to support a denture or bridge, expect the device to stay in place for decades. However, you must practice diligent oral hygiene:

  • Brush twice a day for two minutes
  • Floss daily
  • Get six-month check-ups and hygienic cleanings with Dr. Monaco

Good hygiene avoids plaque and tartar build-up. This is important because, while dental implants cannot decay, the surrounding gum tissue and bone could degrade when oral bacteria proliferate. The resulting infection, peri-implantitis, resembles advanced gum disease. It can loosen dental implants.

No more gaps?

It's possible with state-of-the-art dental implants from St Louis' own Dr. John Monaco. Please contact Dr. Monaco's office to arrange your consultation: (314) 892-5343.

By John Monaco, DDS, PC
November 16, 2017
Category: Dentist
Tags: Sleep Apnea  

Find out how this sleep disorder could cause health complications if left untreated.sleep apnea

Have you been diagnosed with obstructive sleep apnea? Wondering whether this is something you should treat or just leave alone? Our St. Louis, MO, sleep apnea dentist Dr. John Monaco is here to tell you why you absolutely shouldn’t ignore this issue. Here are just some ways in which obstructive sleep apnea can impact your life and your health:

Poor Sleep

We already know that many Americans aren’t getting enough sleep, which can have serious implications for their daily lives. Sleep is restorative and necessary for good mental and physical health. Since sleep apnea causes breathing cessations throughout the course of the night this means that your brain isn’t getting enough oxygen. This can cause you to wake up or toss and turn throughout the night, leading to really bad sleep. And we all know how we feel when we don’t sleep well!


Every time your body wakes up throughout the course of the night, this puts extra stress on your body, which causes your body to produce certain hormones that can cause elevated blood pressure. As you know, untreated high blood pressure will weaken the blood vessels in your body and can also increase your chances of developing a blood clot or stroke.

Cardiovascular Disease

If you’ve been diagnosed with obstructive sleep apnea then you are also at a higher risk of experiencing a heart attack. Sleep apnea not only affects how much oxygen gets to your brain but in turn, this also affects how much blood flow gets to the brain and the arteries.


Experiencing disrupted sleep due to obstructive sleep apnea can also screw with insulin levels in your body, which can also leave you at risk of developing type 2 diabetes.


It’s important that if you are experiencing symptoms of sleep apnea that you turn to a sleep specialist right away for an evaluation. If you find out that your OSA is rather mild then you may want to sit down and talk with our St. Louis, MO, dentist about whether oral appliance therapy will help manage your symptoms and improve the quality of your sleep.

Oral appliance therapy involves wearing a custom device that looks similar to a mouthguard and it works to keep the airways open while you sleep. It’s comfortable, convenient, easy to use and portable. It could just be the simple solution you’ve been looking for to treat your sleep apnea symptoms in the long run.

Isn’t it time you got the sleep you deserved? We think so, too! Call our St. Louis, MO, dental office today and let us know that you are interested in finding out whether you are a candidate for oral appliance therapy. We are happy to help you get your sleep apnea symptoms under control.

By John Monaco, DDS, PC
August 29, 2017
Category: Dentist
Tags: Veneers  

Find out how dental veneers could improve your smile for the long run.Dental Veneers


Are you embarrassed by that unsightly gap between your front teeth? Have years of crunching on ice left you with little chips and cracks in your smile? There are so many habits and situations that happen over time that can impact both your oral health and your appearance. Don’t despair. Our St. Louis cosmetic dentist Dr. John Monaco offers up dental veneer to the rescue.

If you hide your smile in shame, dental veneers could help change all this. Whether you are dealing with a crooked smile or discolorations, cosmetic dentistry in St. Louis can give you the smile you want but weren’t born with. While there are many options out there for fixing your smile, porcelain veneers have become one of the most popular restorations.

These restorations are made from thin layers of porcelain. Each veneer is custom made, based on an impression taken of your teeth, to provide you with a restoration that fully covers the front portion of your tooth to mask imperfections and flaws that don’t necessarily affect the health of your teeth but impact their appearance.

Veneers can be a great way to mask discolorations that are either internal or too severe for even professional teeth whitening to tackle. Veneers can also mask cracks, chips, and fractures in your teeth. Veneers can even out smiles so that all teeth are the same shape and size. They can even be placed over teeth to cover gaps between teeth, fix minor misalignments such as crowding and to make a crooked tooth appear straighter. Not only will veneers provide you with a whiter, glowing smile but they can also make your smile straighter without the need for braces.

Plus, getting veneers is a fairly simple process (and only minimally invasive). Once you undergo the consultation process, it will take about two visits to our office to get your new smile. Our St. Louis dentist will prep your teeth by removing a trace amount of enamel from the front of your teeth. This makes room for the new restorations so they don’t look bulky when applied.

Impressions are then taken and from there a dental lab will go to work making your veneers. Once the veneers are made you will come back in for a final fitting and for the restorations to be permanently bonded to your teeth.

If you have been looking for the right cosmetic treatment for your smile and you think getting dental veneers could help then it’s time you called our St. Louis dental office to schedule your consultation with Dr. Monaco today.

By John Monaco, DDS, PC
May 25, 2017
Category: Dental Procedures

Are you wondering what these popular restorations could do for your oral health?dental crowns

It isn’t always easy to decide which kind of restoration your smile will need. Luckily, we don’t expect you to come in knowing all the answers. Our St. Louis, MO, dentist, Dr. John Monaco, will be able to examine your smile and determine what your smile needs to be its healthiest. If we’ve recently recommended getting a dental crown, you may be curious to learn more about this restoration and what it will do to boost your smile’s strength and appearance.

What is a dental crown?

As you may already know (or at least already guessed) a dental crown is designed to look just like the crown of a real tooth. This restoration is shaped like a tooth but is hollow on the inside, that way it can easily be fitted over your tooth to change its appearance or restore strength and function if a tooth has become damaged or weak. A crown is a great protective barrier for a tooth and can even preserve it for years to come.

What are the benefits of crowns?

If our St. Louis general dentist has recommended that you get a dental crown, you may be wondering what it can do for your smile. There are so many benefits you will receive when you get a crown including:

  • A tooth that has an improved shape, color, size or length
  • A tooth that is now stronger because it has something reliable around it to protect it
  • A tooth that is no longer discolored and matches the rest of your smile
  • A restoration that can support a dental bridge to replace one or more missing teeth
  • A restoration that can also be used to cover a dental implant to treat tooth loss
  • A restoration that provides more support and stability for a tooth when a dental filling has failed

Do you have questions about getting dental crowns in St. Louis, MO? If so, we are here to answer all of your questions. Don’t hesitate to call Dr. Monaco today to schedule your cosmetic consultation. Getting a beautiful smile isn’t difficult when you have a dentist you can trust.

By John Monaco, DDS, PC
February 09, 2017
Category: Dental Procedures

Dental Implants Help Restore Function to Your Bite

Your smile is one of the first things that someone notices about you, and a missing tooth or multiple teeth can put a damper on that first impression.  Dental implants are artificial tooth roots used to support a restoration for a missing tooth or teeth, helping to stop or prevent jaw bone loss.  By replacing missing tooth roots, dental implants provide people with the strength and stability to eat all the foods they love without struggling to chew.  Dental implants can also stimulate and maintain jaw bone, preventing bone loss and helping to maintain facial features.  With a visit to your dentist in Saint Louis, you can find out if you are a candidate for this smiling saving procedure. 

Your Saint Louis Dentist Explains How Implants Work

Strategically placed, dental implants can be used to support permanent bridges, eliminating the need for a denture.  Implants are synthetic structures that are placed in the tooth where the root normally is contained.  They are anchored to the jawbone or metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge.  In some cases, dental implants can also be used to attach dentures.
Dental implants today are virtually indistinguishable from your other teeth.  The appearance is aided in part by the structural and functional connection between the dental implant and the living bone.  Implants are typically placed in one sitting, but require a period of osseointegration, which direct anchorage of the implant root and the bone of the jaw occurs.
Osseointegrated implants are the most commonly used and successful type of dental implant, taking anywhere from three to six months to anchor and heal.  Once healed and anchored, your dentist in Saint Louis can complete the procedure with the placement of a crown.  As soon as the implant has anchored with the jawbone, artificial prosthesis may be attached and the process is completed.  If osseointegration does not occur, the implant may fail.

Advantages of Dental Implants

If you, like millions of adults, have lost one or more teeth, then you understand the unpleasant consequences that accompany tooth loss. Missing teeth result in an older appearance, discomfort, inconvenience and an overall less active lifestyle. 
Since implants are securely attached, you gain confidence to eat what you like, speak clearly and freedom from embarrassment. Other benefits of implants include:
  • Improved Appearance: Dental implants look and feel just like your own teeth.
  • Improved Comfort: Implants are securely anchored, so there is no slipping as there is with dentures. This eliminates some of the key inconveniences of dentures, including poor fit, gum irritation, and pain.
  • Improved Health: Dental implants can help prevent deterioration of the jawbone caused by loss of teeth, so your face retains its natural shape.  
  • Durability: Implants are strong and can last a lifetime with proper care. 
  • Convenience: Unlike dentures, dental implants are permanent, eliminating the inconvenience of removing your dentures. With implants, you can brush and care for your teeth just as you would your natural teeth.  
Not everyone is a good candidate for dental implants.  If you’ve lost one or more of your natural teeth, it’s possible to continue to live confidently with dental implants from your dentist in Saint Louis at John Monaco, DDS, PC. They look and feel exactly like your natural teeth, and unlike conventional restoration solutions, implants can last a lifetime. 

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