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1st row:  The top illustrations show abrasions in the enamel at the gumline from using a toothbrush that was too hard. Defects in the enamel at the gumline are also caused by a bad bite from misaligned teeth, or clenching and grinding habits, or can even be from decay. In the top illustration, the teeth are being filled in with tooth-colored filling, known as composite resin.

2nd row:  When bonded to the surface of teeth, porcelain veneers improve the outer appearance by camouflaging discoloration. They can also be used to close gaps or when other cosmetic improvement is needed.

3rd row:  Dental crowns are used to repair and restore larger areas of decay or damage for which tooth-colored fillings or dental bonding will not suffice. The crown covers and strengthens the natural tooth. A crown can be made from a variety of materials, based on the location of the repair and patient needs, including porcelain, ceramic, and zirconia.

We don’t do this type of restorative work in our office, but we like to use illustrations and videos to help our patients understand how the wonderful restorative dentists we work with can fix their teeth. If you have questions about your teeth or gums, contact us today at 727-586-2681 or visit our website www.brittenperio.com

Dr. Todd M. Britten and the team at Britten Periodontics & Implant Dentistry held their 4th annual Free Dental Day for Veterans on November 9, 2018. The team at Britten Periodontics had overwhelming offers to help from many dental professionals in the community willing to donate their time and resources to provide free dental care. This year’s event was assisted by local family dentists and restorative specialists Dr. Jeffrey Ellenberg and Dr. Michael Podlusky. “Having local dentists involved enables us to provide more comprehensive care to our veterans,” Dr. Todd Britten said.

“The Community Dental Clinic in Clearwater helped us to coordinate this year’s event. We are so happy to help provide care for their patients who need to see a periodontist,” said one of Dr. Britten’s team members. “Once again this year, with the help of our restorative dentists, we were able to provide extractions, full dentures, fillings, dental implants, dental cleanings, x-rays and exams,” said another team member.

Air Force Veteran John Fallon was looking forward to his new smile, provided by Dr. Michael Podlusky who practices in Largo, Florida.  When asked what the dental care provided by this event means to him, Fallon said, “Going out more, being able to talk to people and not running away because I get self-conscious with no teeth.”

Dr. Jeffrey Ellenberg of Clearwater, Florida, was helping in the care of Navy Veteran Ernest Bach. Bach said, “This Veteran’s Day is very special to me specifically because of the generosity of the dentists who are donating their time and talents to give this veteran a new perspective and the ability to socialize and participate as I once used to!”

Check out the Video here:

https://youtu.be/S82xHdxBEnQ

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten offers sedation dentistry, which can be very helpful for those needing advanced treatment, suffer from PTSD or have a fear of the dentist. For more information, contact us today:

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Fixed Bridge

A bridge is an option when there are teeth on either side of the missing tooth.

Advantages
It stays cemented in the mouth and does not come out.

Disadvantages
This does involve cutting down the teeth on either side of the missing tooth to be able to connect them together. Floss threaders, which slide under the bridge, should be used daily, to keep it clean.

The disadvantages for bridges are cutting down teeth that might be perfectly healthy. If there is a leak under the anchor teeth of the bridge, decay can occur below. A bridge can replace one or two missing teeth easily, and sometimes more if there is enough support.

Removable partial denture

A removable partial denture is worn during the day. This is used to replace one or many missing teeth.

Disadvantages 
-Sometimes amay need metal clasps to help it stay in the mouth which may be visible when speaking or smiling.
– They move a little when speaking or eating, which can be uncomfortable.
-We recommend taking them out at night and soaking them in a cleaning solution.

Advantages
There is no need to file down any teeth, and this option is usually the most economical. A full denture can replace all missing teeth.

Dental Implant

An implant is a great way to replace a missing tooth.

Advantages
This solution feels and acts the most like a natural tooth when chewing, brushing or smiling. A major advantage is no need to alter any other teeth when placing an implant. An implant is a great solution for a single missing tooth, and even more implants can replace many missing teeth. When smiling or talking there is no way to tell the difference between an implant and a natural tooth.

Disadvantages
The implant replaces the actual root of the missing tooth and heals in the bone for 3 to 7 months and we then begin the restorative phase. We or your dentist then place an abutment, to which a crown will be cemented. Dental implants are usually a more costly option, at least initially, but are often the best long-term investment.

Do Nothing

There is always the option to do nothing.

Advantages
Saves money, at least initially

Disadvantages
When a tooth is removed, the bone shrinks away and the other teeth in the area will shift to fill the gap. This can sometimes lead to other problems like shifting of other teeth, causing bone loss or decay around the existing teeth as they become more difficult to clean.

If you have questions about replacing teeth lost to fractures, decay or gum disease, contact us today at 727-586-2681.

www.brittenperio.com

Our team at Britten Periodontics & Implant Dentistry is gearing up for the 4th annual Free Dental Day for Veterans. The event is scheduled for November 9, 2018. We provide dental cleanings, checkups for Veteran’s from our previous events, and xrays. Surgical procedures are also performed here in our office.

This year’s event is being assisted by local general dentists Dr. Michael Podlusky and Dr. Jeffrey Ellenberg. Having local dentists involved enables us to provide more comprehensive care to our veterans. Being a periodontist, Dr. Britten’s specialty is really the surrounding structures of the teeth; roots, gum and bone. Our job is to help with the foundation. Having restorative specialists involved helps us to treat the whole mouth and really deliver comprehensive care to these veterans.

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten offers sedation dentistry. For more information, visit https://brittenperio.com

What is an Indirect sinus lift?

This procedure is less invasive than the direct sinus augmentation lift and is performed by preparing the bone for the dental implant as normal. Once the floor of the sinus has been reached, bone is gently packed in the preparation and pressed upward. This motion will tent the membrane of the sinus upward and create additional room for the full length of the implant.

As with the sinus augmentation graft or direct sinus lift, care will be taken not to damage the sinus and this procedure will have no effect on sinus pressure or affect people that suffer from seasonal allergies.

Careful management of extraction sockets after a tooth is removed prevents unsightly bone loss and provides a better cosmetic outcome for tooth replacement. To increase the possibility of future implant placement, and to prevent more bone resorption, a ridge preservation procedure may be recommended. Without the use of a bone graft and collagen barrier at the time of extraction, studies show that 30­-40% of the jaw bone is immediately lost. This is because your body perceives that once the root is removed, the bone is no longer needed and your body absorbs or removes it, creating a ridge deformity.

These ridge deformities leave you with inadequate bone and tissue thickness for either bridge or dental implant restoration. The defects may have been caused by trauma, developmental defects, periodontal disease, the wearing of dentures, or through previous tooth loss.

Ridge augmentation procedures have been shown to greatly enhance the cleansability and appearance of your restorations. They increase your chance for long ­term successful dental restoration, both esthetically and functionally. Ridge augmentation procedures may be performed with gum tissue and/or bone grafting materials.

www.brittenperio.com

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Just like natural teeth there is no guarantee a person’s dental implant(s) will last a lifetime. Although they may look bionic in pictures, a dental implant still needs careful monitoring and regular care. True, they cannot decay like natural teeth – but they are subject to the same complications of gum disease and bone loss. Once a dental implant is placed, treatment does not stop there. If it does, there’s a high chance of a infection of the gums, even around implants.

If you’ve undergone treatment for periodontal (gum) disease, you know how involved it can be. If you have lost teeth to periodontal disease and have had dental implants placed, you know the great investment in time and money it takes. Naturally, you would like to protect your investment and keep your dental implant(s) for many years, if not for life! Even if you have had an implant placed due to decay or a cracked root or badly broken tooth, you need to keep the gum support around the implant health, just as you do for natural teeth.

Periodontal maintenance (PM) is important for all patients after treatment, especially those with dental implants. Plaque, a thin film of bacteria and food particles responsible gum disease, continue to grow again on your tooth and/or implant surfaces as it did before. Diligent, daily brushing and flossing will help to curb that development.

It is also important to keep up regular dental visits for advanced cleaning to remove hard to reach plaque and calculus. Patients prone to gum disease are usually prescribed three or four but for some other gum disease patients, six times a year, especially just after treatment. Many patients alternate visits for periodontal maintenance between a periodontal or implant specialist and their general dentist so that their periodontal condition is closely monitored, as well as the health of their teeth.

Our goal is to reduce the chances of infection of the gums, especially around a dental implant. To do this, we’ll thoroughly examine your teeth, gums and any implants for signs of disease (as well as an oral cancer screening). This includes an assessment the health of your teeth and gums and to see how well you’re doing with plaque control and review your recommended customized daily oral hygiene instructions.

Overall, we want to prevent the occurrence of any future disease and treat it as soon as possible if it relapses. Keeping up with homemade and a routine periodontal maintenance schedule will help ensure your gums, and your implants continue to stay healthy.

If you would like more information on periodontal disease, please contact us or schedule an appointment for a consultation 727-586-2681.

Have you ever noticed bad breath due to dry mouth?

Do you experience pain or discomfort from dry mouth?

Have you had changes in your oral health – like sudden decay or worsened gum disease?

Do you get sores in your mouth or on your tongue frequently?

Does your dry mouth interfere with your sleep?

Do you avoid certain foods because they are too difficult to eat with dry mouth?

Do you have trouble swallowing due to thick mucus?

If you answered “yes” to one or more of these questions, be sure to ask your dentist about dry mouth.  Chronic dry mouth is a condition that can be painful, or even unnoticed by a patient sometimes because they have gotten used to living with the discomfort or incovenience of choronic dry mouth.  It can occur due to medicine, medical conditions, or even lifestyle choices.  It can lead to significant oral health issues like cavities, gingivitis, periodontitis, or problems eating or wearing dentures.

 We have also found in our practice that different remedies help different patients combat chronic dry mouth. Here are some possible suggestions and options for patients with dry mouth:
1. Some patients find comfort from carrying water with them throughout the day and taking small sips.  Cold water may help soothe and calm fiery red tissues. For those without high blood pressure or an adversion to sodium, you can mix a pinch of baking soda in their water and swish and spit this mixture out throughout the day. Baking soda is alkalizing and can protect from decay.
2. A combination of over the counter Biotene products (gels, rinses, sprays, lozenges) used 5 times a day (A combination and routine of these products can usually be recommended by your dental health professional).  Many patients find Biotene Gel to be extremely comforting to their dry oral tissues, especially before bed time.  Patients using C-Pap appliances should use an oral gel as these devices often blow air which aggravates this condition greatly.
3. There is a product available via prescription called Neutrasal. Neutrasal works like saliva to help restore a healthy mouth. A powder pack is mixed and dissolved in one ounce of water, and swished for 1 minute before spitting.  It can be used 2 to 10 times a day, depending on what your dental health care provider recommends, and you should avoid eating or drinking for at least 15 minutes after use.
4. PerioSciences’ Anti-Oxidant Gel can also be helpful for our patients suffering from dry mouth.
5. Many patients with dry mouth should be on a strict caries prevention program, which can include prescription toothpaste, rinse, gel, trays, or in-office treatments.  Calcium and phosphate are often included in some of these products, which are minerals that help rebuild weakened enamel.
For more information, call us today at 727-586-2681 or visit our website at www.brittenperio.com
Dr. Britten, your dentist, or dental hygienist will review the cause of dry mouth, as well as your risks for periodontal disease or tooth decay.
Talk to your dentist about your dry mouth symptoms to see which dry mouth treatment is best for you!

When recession of the gum tissue occurs, the body loses a natural defense against both bacterial penetration and trauma. When gum recession is a problem, gum reconstruction using grafting techniques is an excellent option.

“Tissue grafting is recommended when you have gum recession that has left the root of a tooth exposed, or you are at risk of root exposure due to recession. It is a common procedure that is intended to recreate your gum line and prevent further deterioration of the gums, enhancing the appearance of your smile.

Gum recession can be caused by:

  • Aggressive toothbrushing
  • Gum disease
  • Gum tissue that is naturally thin
  • Previous orthodontic treatments
  • Previous tooth loss

What are benefits of soft tissue grafting?

  • Prevention or reduction of sensitivity by covering exposed root
  • Protection from future cavities
  • Symmetry in your gum line, creating an improved smile
  • Creation of a suitable environment for implant placement

Why is thicker tissue better than thin?

Thick gum tissue is critical to maintaining a healthy gum line and mouth. It makes your gums more resistant to recession over time and is more comfortable to brush. Additionally, thick gum tissue is important for achieving aesthetic results.”

-Zimmer Dental

In his Clearwater periodontal practice, Dr. Todd Britten sees veterans for periodontal screenings followed by a free day of surgical and non-surgical periodontal treatment. He works with local restorative dentists who help provide fillings, crowns and sometimes dentures.

Dr. Todd M. Britten and the team at Britten Periodontics & Implant Dentistry is gearing up for their 4th annual Free Dental Day for Veterans. The event is scheduled for November 9, 2018.

“Veterans make the ultimate sacrifice for our country,” said Dr. Todd Britten. “Many of us ask ourselves, ‘What can we do?’, ‘How can we make a difference?’” Dr. Britten said that is exactly what he asked himself in 2015. “I am aware that dental coverage for veterans was very hard to attain, so we hit the ground running trying to deliver periodontal care to as many veterans as we could.”

The inaugural year the Clearwater, FL based periodontal practice provided over $35,000 in treatment over the last 3 years’ events. Stated Britten, “Having local dentists involved enables us to provide more comprehensive care to our veterans. Being a periodontist, my specialty is really the surrounding structures of the teeth; roots, gum and bone. My job is to help with the foundation. Having restorative specialists involved helps us to treat the whole mouth and really deliver comprehensive care to these veterans.”

Britten Periodontics and Implant Dentistry is currently doing initial exams on veterans to get them scheduled for treatment. “If you know of any veteran in serious need of dental care, please get in touch with their office right away, as these spaces are filling up quickly,” says Ellen Byrd, a dental hygienist in the practice who helps plan the event each year.

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten offers sedation dentistry. For more information, visit https://brittenperio.com

The entire staff at Britten Periodontics is so grateful to the men and women in the military that make so many sacrifices for our freedom. We are happy to host this annual event, and hope to do it for many years to come.

https://mailchi.mp/873cd7555ec8/clearwaterperiodontist4thvetdayevent

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