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What are common signs and symptoms of periodontal disease?

Periodontal disease is often silent, meaning symptoms – particularly pain – may not appear until an advanced stage of the disease. However, you should still be on the lookout for the signs and symptoms, which include:

Red, swollen or tender gums or other pain in your mouth
Bleeding while brushing, flossing, or when eating certain foods
Gums that are receding or pulling away from the teeth, causing the teeth to look longer than before
Loose or separating teeth
Pus between your gums and teeth
Sores in your mouth
Persistent bad breath
A change in the way your teeth fit together when you bite
A change in the fit of partial dentures
If you notice any of these symptoms, be sure to contact your dentist or periodontist right away!

-Perio.org

Netflix and… Floss?

We encourage our patients to find ways to incorporate taking care of your teeth into your day, however you can! Even while watching Netflix, if that is what works for you!

“Interdental cleansing (cleaning between the teeth) is necessary for … optimal oral health. Since most toothbrushes have limited access to proximal (in between) surfaces of teeth… interdental cleansing must be included in dental hygiene care plans. Interdental spaces are areas where bacteria can accumulate, multiply and remain undisturbed.
Undisturbed plaque biofilm can cause gingival inflammation and bleeding and increase the risk for and progression of periodontal disease.” Source: “Interdental Cleansing” by Jacquelyn L. Fried, RDH, MS
Actually, cleaning between your teeth with floss, proxabrushes, softpicks, rubber tip stimulators and watching Netflix at the same time is just fine with us. Dr. Britten and his hygiene team encourage patients to find ways to incorporate taking care of your teeth into your day, however you can!

Other than diagnose and treat gum disease, what else have periodontists been trained to do?

Most periodontists spend the majority of their time diagnosing and treating gum disease, but there are a variety other procedures that they are able to perform. Periodontists place dental implants when natural teeth cannot be saved. They also monitor the implants to make sure that they’re properly doing their job. Periodontists may also correct gum recession and cover up exposed root surfaces which can be unsightly as well as sensitive to hot and cold. These procedures are often used to lay the foundation for additional cosmetic procedures to help create a beautiful smile. Finally, periodontists can be integral in the comprehensive planning of your oral care, along with your general dentist or other dental professional.

-Perio.org

Can children be at risk for developing periodontal disease?

Periodontal disease is rarely found in children, and only sometimes found in adolescents. However, children should still learn the importance of keeping their teeth and gums healthy to prevent periodontal disease in the future. Children should brush their teeth twice a day and learn how to floss properly- if children learn how to floss at an early age, they will be more likely to make it a lifetime habit. These two simple acts will help protect their teeth and gums from periodontal disease.

As a parent, you should also be aware of the warning signs of periodontal disease, which include red, swollen, bleeding gums or bad breath that won’t go away. If your child develops any of these symptoms, tell your dental professional right away. It’s also a good idea to ensure your dental professional knows your complete family history, as genetics can play an important role in the early development of periodontal disease.

–Perio.org

Reflecting on 2020: A Letter From Dr. Britten

Dear Patients,

The holiday season is once again upon us.  As we reflect upon this year, I’d like to acknowledge how grateful I am for all our patients, my team, our extraordinary colleagues and our community.

We hope you know how much we cherish the opportunity to treat you, our patients.  2020 has been a time like no other in our lives. The COVID-19 pandemic continues to produce uncertainty and stress. By now, we have all been impacted by this virus, which has been devastating for many. Despite the challenges we are all facing every day, this is also a time that is bringing out the best in many people—from healthcare staff and first responders fighting on the front-lines, to the essential workers providing food, products and services.

Our number one priority has always been to keep our patients & team safe and protected. We have implemented additional rigorous cleaning and hygiene protocols throughout our facilities and are practicing other safety precautions including social distancing, daily screening, increased personal protective equipment (PPE) for all clinical and non-clinical staff and temperature checks daily.

The strength, restless sacrifice, compassion around us, and the level to which our team, colleagues, patients and community have come together through this pandemic has been extraordinary and inspiring. Because of this, we will emerge from this much stronger and more resilient in the future.

Thank you for continuing to help us with our community outreach again this year with our Metropolitan Ministries food drives, our annual Free Dental Day for Veterans, breast cancer awareness month, and building with Habitat for Humanity.

Most importantly, I want to take this opportunity to let you know how grateful I am for the support and confidence you have shown in allowing us to provide your periodontal care.  Many of you have also referred your family, friends and colleagues.  I want to express my deep gratitude to you, as I consider your referrals to be the greatest acknowledgment of our team’s vision and values!

We are all in this together. We are always here to assist you, and we encourage you to reach out at any time. In the meantime, please stay safe and healthy, and thank you again for all you are doing in the fight to reduce the spread of COVID-19 and save lives.

I would like to extend my warmest wishes to you, your staff and family for a joyous holiday season.  I wish you a healthy, prosperous and safe New Year.

With warmest regards,

What is the difference between plaque and calculus?

Plaque is the sticky, colorless film that constantly forms on your teeth. Bacteria live in plaque and secrete acids that cause tooth decay and irritate gum tissue. This irritation causes an inflammatory reaction by your body that can eventually lead to gingivitis and periodontal disease. If plaque is not removed regularly by tooth brushing and flossing, it hardens to create calculus (also known as tartar). Calculus cannot be removed with a toothbrush; only a dental professional can remove it during an oral cleaning. To keep plaque and calculus under control, it is essential to brush your teeth twice every day, floss at least once every day, and see your dental professional for regular cleanings.

From Perio.org

Is a topical antibiotic treatment necessary in conjunction to scaling and root planing?

According to the American Academy of Periodontology, topical antibiotic treatment may be used as an adjunct to scaling and root planing. Every person has different needs based on their particular situation, so be sure to talk to your dental professional about using these antibiotics as part of your course of treatment; he or she will determine if they are a good fit for you.

–Perio.Org

Clearwater Periodontist Holds 6th Annual Veteran’s Day Event

On Friday November 13th, Dr. Todd M. Britten and the team at Britten Periodontics & Implant Dentistry held their 6th annual Day of Care for Veterans. Dr. Britten and his team are aware that dental coverage for veterans for major dental surgery can be very hard to attain, so they “hit the ground running” in 2015 trying to deliver periodontal care to as many veterans as they could. Dr. Britten says he owes the success of the event for the last 6 years to the help of local dentists, Dr. Carey Bonham, Clearwater Dental Associates (Dr. Keith Kiskaddon, Dr. Nolan Allen, Dr. Matt Burton, and Dr. Jim Hayslett and Dr. Keith Kiskaddon), Dr. Jeffrey Ellenberg, Dr. Ira Berger, Dr. Michael Podlusky and the local Community Dental Clinic.

Dr. Britten provides advanced periodontal surgical treatment and dental implant care for veterans in his Clearwater, Florida based periodontal practice. He offers sedation options and high-tech treatment, which can be very helpful to veterans that suffer from PTSD.

For Britten and his team this event is something they look forward to all year long. They keep in touch with veterans from previous events and this year they were able to provide follow up exams, x-rays and periodontal maintenance procedures, which help prevent reinfection of the gums following treatment. “It is always great to see them again and the progress they have made in their oral health. It is touching to be a part of something that has changed someone’s life in such a positive way,” said one of Dr. Britten’s volunteers.

Dr. Britten explained that local restorative dentists and their teams have volunteered each year to help provide comprehensive dental care to our veterans. As a periodontist, Dr. Britten’s specialty is the surrounding structures of the teeth; roots, gum and bone; i.e., the foundation. The restorative specialists have done fillings, crowns, and even full sets of dentures for veterans at no cost each year. “Our practice alone has provided over $56,000 in periodontal procedures for patient,” said a dental hygienist at Britten Periodontics who has helped to coordinate the event each year.

Dr. Britten says he would like to continue this event for the entirety of his career. “I have always respected the sacrifices that our veterans and their whole families had to make to ensure our safety and freedom. The sacrifices are really innumerable.”

Are periodontal treatments generally covered under Medicare or Medicaid?

Unfortunately, Medicare does not cover any dental treatments at this time; only medical treatments are coverered. Medicaid programs are run by each individual state, so coverage is going to vary depending on which state you live in. Check with your dental care provider to determine if the periodontal treatment you need is covered by your plan.

-Perio.org

Here at Britten Perio, we strive to work together with our patients, Excellent periodontal care should never be hindered by financial concerns. We strive to work together with our patients, informing them of our financial options.

Our office accepts cash, checks, and all major credit cards. Care Credit, a financial program that extends 12­ months interest­ free payments to the patient is also accepted. Unless payment arrangements have been approved in advance payment is due at the time services are rendered. We are pleased to process your insurance claim for your reimbursement. Dr. Britten’s relationship is with you, not your insurance company. Filing insurance claims for reimbursement to the patient is a courtesy that we extend to our patients.

Our financial coordinator will be happy to file a complimentary benefit analysis for treatment that has been proposed.

How is gum disease linked to cardiovascular disease?

Research has shown that periodontal disease may increase the risk for developing cardiovascular disease. Both periodontal disease and cardiovascular disease are chronic inflammatory diseases, so researchers believe that inflammation may account for the association between the two. Untreated periodontal disease can increase inflammation in the body, which may increase the risk for development of more severe health complications, including cardiovascular disease. However, more research is needed to determine the exact relationship between the two conditions.

–Perio.Org

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