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While regular brushing, flossing, and checkups allow many of us to maintain our natural smiles for a lifetime, sometimes our teeth just can’t keep up. If you’ve lost a tooth (or a few teeth) due to injury or disease, dental implants can rejuvenate both your smile and your oral health.

An implant is a synthetic tooth root in the shape of a post that is surgically placed into the jawbone. The “root” is usually made of titanium (the same material used in many replacement hips and knees), a metal that is well suited to pairing with human bone. A replacement tooth is then fixed to the post. The tooth can be either permanently attached or removable. Permanent teeth are more stable and feel more like natural teeth.

The ideal candidate for implants is a non­-smoker who has good oral health, including a sufficient amount of bone in the jaw and healthy gums with no sign of gum disease.

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten received his Bachelor of Science & Doctorate of Dental Surgery from University of Florida, a Master’s Degree and Certificate in Periodontology and Implant Dentistry; and completed extensive training at the Institute of Advanced Laser Dentistry. He is one of the only board-certified periodontists in Pinellas County. He is a member of the American Academy of Periodontology, American Dental Association, Florida Association of Periodontists, Upper Pinellas County Dental Association, Hillsborough County Dental Association, Hillsborough County Dental Research Association and Florida West Coast Dental Association.

To learn more about Dr. Britten and his dental services, call (727) 586-2681.[iphorm id=”3″ name=”Contact form”]

“Delivering Valentine’s is a simple gesture to remind all of us that we are loved.” –Matt Garcia, a former nursing home administrator.

Britten Periodontics & Implant Dentistry is a Periodontal Specialty office located in Clearwater, FL.  It is run by Todd M. Britten, DMD, MS and his incredible staff.  The office’s vision is to work together to provide excellent care to each person who walks through their door.  Their goal is for their patients to become family and have the best oral healthcare possible.  Being part of the community and giving back is a top priority for Britten and his team.

This Valentine’s Day, the staff was trying to figure out new ways to get involved and get out into the community.  One staff member, Julia May, had the great idea to deliver Valentine’s to older adults at a local memory center.

In order to make these valentines extra special a few team members enlisted the help of some very special students. The 2nd graders from Oakhurst school in Pinellas County and the Primary class at Beach Park Montessori in Hillsborough County.  “The teachers and students were so excited to get involved and contribute to help brighten up someone’s day!”  said Meg Britten.

Matt Garcia, a former nursing home administrator found out about what the staff at Britten Periodontics had planned and stated, “Delivering Valentine’s is a simple loving gesture to remind all of us we are loved.  What a great gift from the Britten Periodontics team!”

Being a periodontist office, one of their main specialty areas is gum disease.  Gum disease is very common in older adults.  “As we age, the conditions of our mouths change. Add to that any medications you may be taking and your mouth can seem quite different from when you were younger. Gum disease and cavities are common among older adults,” said Kendal at Home Blog (a blog “Dedicated to transforming the experience of aging.”)

Dr. Britten went on to say, “When a person ages their dexterity and ability to care for their teeth may change, making it more difficult to keep up with their oral hygiene.  In order to help care givers assist the residents at the memory care center we not only delivered valentines filled with love and good cheer, but we included toothpaste, floss and a pamphlet with ideas and techniques to help the older adults and their caregivers better care for their teeth.”

Research shows that oral health is connected to our overall systemic health.  Dental care is preventative care.

Here is some information that we shared with the residents:

Oral Health for Older Adults

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What Can I Do To Maintain Good Oral Health?

For Seniors:

Drink fluoridated water at recommended level and brush with fluoride toothpaste twice a day. Fluoride protects against dental decay at all   ages.

Practice good oral hygiene. Careful tooth brushing and flossing to reduce dental plaque can help prevent gum disease. Caregivers need to help with daily oral hygiene routines of elders who are unable to perform these activities      independently.

Eat a balanced diet low in sugar and starches.

Avoid tobacco. Smokers have seven times the risk of developing periodontal disease compared to non-smokers.

Limit alcohol. Drinking high amounts of alcohol is a risk factor for oral and throat cancers. Sudden changes in taste and smell need not be considered a sign of aging, but a sign to seek professional care.

Professional care helps maintain the overall health of the teeth and mouth, and provides for early detection of precancerous or cancerous lesions. Make sure that you or your loved one gets dental care prior to having cancer chemotherapy or radiation to the head or neck. See your dental provider on a regular basis, even if you have no natural teeth and have dentures.

-courtesy of the Washington State Dept. of Health

For Caregivers

Wear clean, disposable gloves.

Sit loved one/patient upright or bring them to a sink.  Have a towel handy and a disposable cup for potential spills.  If sitting in a chair, stand behind them and cradle their head .

Using a soft bristle toothbrush, brush each tooth with a small circular motion and gentle pressure.    Angle the brush towards the gums as you brush the outside, inside, and chewing surface of each tooth.  Brush for two minutes, at least twice a day.  If available, electric toothbrushes are a good option.

Gently brush the tongue and roof of the mouth.

Have them rinse with water or a germ-fighting mouthwash.

Take a look at their lips and inside of the mouth.  If you notice any cracking, lumps, white or red lesions, or sores that do not heal within 2 weeks, you should consult a dentist or doctor.

Floss all teeth, dental bridges, and implants.  Other

dental aids such as interproximal brushes, floss

threaders or softpicks may also be helpful

Clean dentures daily and remove at night.

If they are unable to rinse, ask them to spit out any excess toothpaste and debris.  (Leaving a film of fluoridated toothpaste on the teeth can be beneficial.)   If your loved one/ patient  is resistant to your assistance, be patient.   Consistency, repetition, and encouraging words will help them adjust.

After Eating:

Remove any remaining food from your loved one’s mouth.  Gauze or a soft cloth can be helpful to wipe away excess food.  If brushing is not an option, ask them to rinse with a cup of water then spit back into the cup.  Frequent sips of water throughout the day will help cleanse the mouth.  Gum with xylitol is also a good option to help cleanse the mouth.

If Cleaning Problems Persist:

Ask your dentist about germ fighting rinses.   They may also prescribe a stronger toothpaste that contains more fluoride to prevent cavities.

Professional Dental Care:

Even if there are no problems, everyone should visit the dentist for a professional cleaning and exam twice a year.  Even those who wear dentures are in need of an annual dental exam.

-courtesy of Elizabeth Southern Puette, RDH, BSDH, MS
Member of the American Dental Hygienists’ Association

We are seeing more and more advertisements for “affordable” dentures. What does “affordable” or “discount denture” mean? Are these dentures the same thing that for a lower, fairer price? Unfortunately, the answer is NO!

There is a big difference in the outcome of customized dentures and “discount” dentures. Here are some of the main differences:

1) Quality dentures take TIME. Multiple visits are necessary to create a totally customized, well-fitting dentures. Beware of advertisements for dentures which can be made in a day. Discount denture centers often tell patients they can get their dentures the “same-day”, but most likely the result will be poor due to a lack of customization. Quality dentures must be tried in to check the bite, fit, and appearance of the teeth (and approved by the patient) before they are finalized. Customized dentures may take more time, but this time in the creation process results in less adjustments, a better looking denture, AND a happier patient.

2) It is wise to use the very best materials from start to finish when creating a denture. Quality dentures cannot be made with cheap materials or by cutting corners. Expert dental lab technicians should be involved in fabricating dentures along with the use of quality materials. This can mean the difference between a denture that looks natural versus one that looks fake, as well as how they fit and how long they last. Many “affordable” or discount dentures broken after just a few months due to the use of cheaper and less durable materials. As the saying goes: You get what you pay for.

3) Also beware, most discount denture centers do not back up their product with quality service and will charge for each and every adjustment, which quickly brings their cost up. Many patients are forced to choose not to have adjustments to their discount dentures because of the price, and they must put up with horrible pain or just leave their dentures in a drawer and go without teeth.

4) Lower dentures can be very difficult to wear. Lower denture treatment discussions, when possible, should include the option of at least two lower dental implants. Not everyone will choose implants due to cost, but everyone deserves to have this option presented. Often in an “affordable denture” situation this is not even offered and the difficulties of wearing a lower denture are not fully explained.

5) Dentures need regular maintenance such as relines from time to time. Customized dentures are easier to maintain, reline, repair and adjust due to the better quality of their material.

While our main goal is to save teeth and avoid dentures, our office is fortunate to work with many restorative dentists who are extensively trained and talented in the creation quality dentures. Dr. Britten is also an implant specialist trained in placing implants to retain dentures. For more questions about dentures, implant – supported dentures, or avoiding dentures, contact us today at or 727-586-2681.

On February 16th, we had the pleasure of hosting a seminar “Periodontal Maintenance of Dental Implants” with many local dental professionals. Dental implants have become the standard of excellence in tooth replacement. As is the case with natural teeth, patients and their dental professionals must work as a team to ensure the longevity of their dental implant.

Our educational seminar discussed the latest techniques and technologies available to help dental professionals monitor maintain the health of their patients’ dental implants. The seminar reviewed how dental professionals can help their patients achieve long-term implant health through state of the art monitoring techniques, regular professional dental hygiene care and patient oral hygiene education. It also reviewed fixtures of the many different implant systems (old and new) that exist as well as the most accepted and current methods of patient and professional maintenance.

Dental professionals realize that there are many variations of dental implant designs available, and an ever-increasing population of patients living with dental implants. As an expert in dental implant placement and dental implant health, Dr. Britten felt was important to share with his colleagues and their teams a continuing education course specific to dental implant care. “Dental implants are complex, sophisticated dental devices, and it is important that we as implant experts continuously stay educated on modern monitoring methods.” – Dr. Todd Britten

Dr. Gregory Oxford, a periodontist of 34 years and one of Dr. Britten’s professors at University of Florida and Dentsply-Sirona, a leader in dental products and the dental implant system Ankylos, partnered with Britten Periodontics & Implant Dentistry to provide a great continuing education course. The event was catered by Stephanie and Allie with Empamamas Food Truck. The food and service were spectacular! The Sweet Life Bakery even provided dental themed cookies for the event. So as always, we partnered learning with some food and some good food!

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Teeth are important! They are the first stage in eating and digestion AND a healthy set of teeth will help keep you looking your best. How can you show your teeth some love?

Sing to your teeth while you brush.

Or at least, listening to a song while you brush may help you brush your teeth better. Playing a song that lasts at least two minutes (with a power toothbrush) or four minutes (with a manual brush) can help you brush for a longer period than you’re used to.

Be gentle with your teeth.

Don’t brush too hard. If your toothbrush shows signs of early wear and bending bristles, then it’s likely that you’re brushing too hard. Be nice to your teeth and gums by brushing gently with a soft bristled toothbrush, or use a power toothbrush with the correct technique.

Give your teeth a drink of water.

Staying hydrated helps your overall health, and water can wash away food trapped in your teeth after meals. This can help balance the acidity of your mouth and reduce the amount of plaque on your teeth. Since bad breath is often caused by having a dry mouth, drinking plenty of water can help freshen your breath!

Take your teeth to the dentist.

Even if you take excellent care of your teeth at home, a regular visit to the dentist will help you avoid potential problems and clean areas that are difficult or impossible to get yourself. Preventative care is always the best way to say “Thanks!” to your teeth

If you are due for your regular check up or have any areas of concern, contact us today at or 727-586-2681 to make an appointment with Dr. Britten!

1. Of course, brushing in the morning protects your teeth against the bacteria that active all night while you were asleep! Your coworkers and friends will appreciate it! Brushing at night removes the plaque that has accumulated all day long so that bacteria cannot play on your teeth at night when your saliva decreases, causing less damage and decay.

2. The primary cause of gum disease is plaque accumulation at the gumline. Brushing before and after sleep will remove this plaque, avoiding the potential for swollen and bleeding gums.

3. Brushing twice a day reduces bad breath considerably. Try brushing tonight if you haven’t been. The next morning you will notice an improvement in any bad breath you have been experiencing.

4. The fluoride in toothpaste helps form a protective layer on your teeth to prevent them from the process of destruction. So, a 12 hour protection is always better than 24 hour.

5. Preventing dental problems decreases the extent of dental work you will need. Brush twice a day and save money.

6. Set an example for your kids! They are watching! If you do not brush yourselves your child will never ever brush twice a day.

Oh, and don’t forget about your daily interdental (in between the teeth) care!

The human mouth is filled with bacteria.  These bacteria, along with mucous and other particles form a sticky film called plaque is constantly forming and which adheres to the teeth.  This plaque can be removed by brushing and flossing.  When the plaque is allowed to remain on the teeth, the bacteria involved become more harmful, and more difficult to remove, creating an environment that is more toxic to the tissue.  The plaque itself can harden creating a cement like substance (calculus) that cannot be removed with brushing and flossing alone.

This leads to inflammation and gum disease.

The first stage of periodontal disease is gingivitis.  It is an inflammation of the gingiva or gums and  is characterized by red, tender, swollen gums, and halitosis or bad breath.  It  is a mild form of gum disease that can usually be reversed with daily brushing and flossing, cleaning by a dentist or dental hygienist, healthy nutrition and the cessation of smoking.  This form of gum disease does not involve any loss of bone and tissue that hold the teeth in place.  Untreated gingivitis can lead to periodontitis.

 Periodontitis

The next stage of periodontal disease is  periodontitis. It causes irreversible  damage to  the bone  and connective tissue that support the teeth in the mouth. As it  progresses the pockets deepen and the body’s immune system initiates an inflammatory response in which the body in essence turns on itself and the bone and connective tissue that hold the teeth in place are broken down and destroyed. If not treated the teeth may eventually become loose and need to be removed.

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten received his Bachelor of Science & Doctorate of Dental Surgery from University of Florida, a Master’s Degree and Certificate in Periodontology and Implant Dentistry; and completed extensive training at the Institute of Advanced Laser Dentistry. He is one of the only board-certified periodontists in Pinellas County. He is a member of the American Academy of Periodontology, American Dental Association, Florida Association of Periodontists, Upper Pinellas County Dental Association, Hillsborough County Dental Association, Hillsborough County Dental Research Association and Florida West Coast Dental Association.  To learn more about Dr. Britten call (727) 586-2681.

Our staff had a wonderful time volunteering at a home building project for the Habitat for Humanity last week! What a rewarding and educational experience. We spent the day with Mike and Bill, some of the handiest and most patient site supervisors ever! We caulked, cut and hung shelving units and cut and installed baseboards. The family will be moving in at the end of the month!

The Pinellas branch is #14 out of 1,400 branches worldwide as far as home building and services to the community. For every home they build in Pinellas they also donate $4,600 to Malawi and Guatemala to build homes there. Habitat Pinellas has been creating opportunities for homeownership for low income people and families in our community and internationally since 1985. To learn more about Habitat for Humanity or how to get involved check out their website:

www.habitatpinellas.org

Thank you Habitat of Pinellas it was an honor to volunteer with you!

#brittenperio#habitatpinellas#lovetogive#learnedsomehandyskills

Dentists are becoming more and more aware of the importance of screening patients for Obstructive Sleep Apnea.  

From the American Academy of Dental Sleep Medicine:

“Approximately 25 million adults in the U.S. have obstructive sleep apnea (OSA), which can cause them to stop breathing hundreds of times a night for anywhere from a few seconds to more than a minute.

Sleep apnea is a chronic condition that occurs when your muscles relax during sleep, allowing soft tissue to collapse and block the airway. As a result, repeated breathing pauses occur, which often reduce your oxygen levels. These breathing pauses are followed by brief awakenings that disturb your sleep.

Common signs of sleep apnea include snoring and gasping or choking sounds during sleep. Like snoring, sleep apnea is more common in men, but it can occur in women too, especially during and after menopause. Having excess body weight, a narrow airway or misaligned jaw all increase the risk of sleep apnea.”

The AADSM (The American Academy of Dental Sleep Medicine) recommends dentists evaluate patients for the following conditions as possible indicators of Sleep Apnea:

• A thick neck (greater than 16 inches in a woman or 17 inches in a man)

• A short neck

• Lower-face abnormalities, which may include:

        * A large tongue

• A crowded posterior airway (such as caused by an enlarged, floppy uvula or enlarged tonsils)

• An enlarged soft palate that rests on the base of the tongue

• Obesity

• Complaints of being overly tired during the day, low on energy, depressed, or moody

• Falling asleep in dental chair

• Trouble opening mouth wide during dental examination


The most successful treatment for Obstructive Sleep Apnea is a CPA appliance, however, 60% to 83% percent of users cannot tolerate this device.

With the high rejection rate of the CPAP, the American Academy of Sleep Medicine designated dental sleep oral appliances as the No. 1 nonsurgical alternative for the CPAP intolerant. Numerous sleep appliances are available to the public and distributed through dentists.

Your dental professional can help you identify if a sleep appliance may help you. If you have any questions about OSA or dental sleep medicine, contact our office today at 727-586-2681 or visit our website at www.brittenperio.com

Dental implants today are not only considered the gold standard of care for tooth replacement, but they are usually now considered to be the superior or ideal treatment option for damaged or lost teeth.  We are excited about the many advancements in implant planning, placement and technology.

A major advancement has come in the form of improved imaging and planning of dental implants.  ConeBeam CT scans give an efficient, ultra-low radiation image that allows the surgeon excellent information about the surgical site.  This is often combined with computer software to plan the exact location of the dental implants, which is then used to make a surgical guide.  “This amazing technology takes virtually all human error out of the process.  We can practice planning the dental implants on the computer model before the patient comes in.  We can even plan for the location and shape of the final tooth,” says Dr. Todd Britten.

Implant sizes, materials and systems continue to improve. The titanium ally used in dental implants now allows for more compact and biocompatible implants while still providing the needed strength to resist the strong bite forces of the mouth. Implant-supported dentures have also come a long way, and many times four implants can be used to retain a complete upper or lower denture.

Materials to provide bone support are also continuously improving.  After the loss of one or more teeth, the jawbone will deteriorate or lose support where the tooth or teeth used to be.  Ridge augmentation uses bone and tissue-grafting procedures to fill in the area where jaw bone has been lost, leaving more bone and better support for dental implant placement.

Guided bone regeneration for ridge augmentation has been found to be very predictable. Synthetic growth factors have used for this procedure have improved and we can also use our patient’s own blood to produce materials rich in growth factors, such as L-PRF.

In summary, the advances in implant dentistry allowing us to plan our implant placements better, regenerate lost bone more predictably, and place implants with more accuracy and into more sites than ever before. It is exciting to think of what is coming in the future of dental implant placement, all with less patient discomfort and risk.

As an implant specialist, Dr. Britten is highly trained and experienced in the most advanced and current technologies used for long-term implant health and success. He believes in using the best diagnostic tools as well as the highest quality implants in his practice. Dr. Britten works closely with the best restorative dentists in the Tampa Bay area to obtain the best possible outcome for his patients’ implants. For more information, contact us at 727-586-2681.  

On Friday, November 11th, 2016 the team of Britten Periodontics & Implant Dentistry in Clearwater, FL gathered together to provide compassionate, comprehensive dental care to deserving veterans. “There was something really special about coming into work today. It was just so rewarding knowing that the office is filled with veterans and we are doing something great for them,” one dental hygienist stated. Dr. Britten reflected that one of the patients who made a lasting impression on him was a young lady that served in the Marine Corps in Afghanistan. This veteran’s armored transport unit had been hit with an explosive that left her with a traumatic brain injury. “She was so proud of her Marine’s tattoo and showed me a photo of herself in action before the accident. I could tell she was a Marine for life, right down to the bone. It made me proud that we have men and women serving us that are so dedicated.”

This is the 2nd annual Free Dental Day Dr. Todd M. Britten has organized in his Clearwater, Florida periodontal practice. A little over two years ago, Britten and his team were brainstorming ways to give back to the community. Britten stated, “Our veterans and their families have made so many sacrifices for our freedoms and I wanted to find a way that we could give something back. Offering a day of dental work is the least we could do.”

“Dr. Britten and his staff were amazing. They put compassion over cost when it came to helping us out. I am so grateful.”

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After Dr. Britten and his team decided to plan the event, it was full steam ahead. One member of the Britten Periodontics staff, Ellen Byrd, helped find patients in need and organized the event. Byrd, a dental hygienist, reached out to local dentists and organizations such as the Community Dental Clinic to find patients in need of periodontal care. Dr. Britten stated, “Ellen really stepped up. She got the word out about what we were doing and was able to find an incredible group of vets both last year and this year that were in need of periodontal treatment. We wouldn’t be able to do what we are doing without all of her hard work.”

Dr. Britten’s dental specialty, periodontics, often involves managing and treating advanced gum disease. A periodontist is often able to help a patient in danger of losing teeth or with active oral infection to turn their health around. The staff at Britten Periodontics expressed that if they could find Veterans in need of periodontal care they could improve their quality of life. “Most of the time, periodontal disease is not painful until it gets to be very advanced. Some of the veterans had been dealing with painful teeth for a long time,” Dr. Britten expressed his concern. “Even though we had to remove some teeth I felt better knowing these veterans do not have to be in discomfort anymore.”

The majority of the surgical and non-surgical dental procedures were performed on November 11th, however there was significant pre-operative work involved. This included new patient exams, dental x-rays, medical history reviews, even post-operative care. Dr. Britten performed the same comprehensive exam that he would for anyone under his care. He wanted it to be a very personal compassionate experience for these veterans. Dr. Britten stated, “It was a priority to make sure they were comfortable with us. Many of our veteran patients have dental phobias and are suffering from post-traumatic stress disorder so we needed to take the time, go the extra mile and treat them with the utmost respect.”

Veteran Chuck Pankow, one of the veterans referred by a local dentist said, “From the moment I walked in I have been treated so well. This has been a really great experience.” Another Veteran, Chris Bode, referred by the Community Dental Clinic in Clearwater, was also pleased with his care, “Dr. Britten and his staff were amazing. They put compassion over cost when it came to helping us out. I am so grateful.”

Britten Periodontics & Implant dentistry has provided over $25,000 worth of dental treatment these past two years. One of the best parts about this event is that it has already started to gain more participation in just its second year. The team members and dentists (Dr. Matthew Burton, Dr. Nolan Allen, Dr. James Hayslett, and Dr. Keith Kiskaddon) of Clearwater Dental Associates were happy to partner with Britten Periodontics to provide general dentistry for as many veterans as they could. Dr. Britten stated he and his staff were honored to hear that Clearwater Dental wanted to join in this cause. Their hope is that with each year this event will grow and be able to help more veterans. Nearly 95% of veterans are without dental coverage, making this a serious need in our community.

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten received his Bachelor of Science & Doctorate of Dental Surgery from University of Florida, a Master’s Degree and Certificate in Periodontology and Implant Dentistry; and completed extensive training at the Institute of Advanced Laser Dentistry. He is one of the only board-certified periodontists in Pinellas County. He is a member of the American Academy of Periodontology, American Dental Association, Florida Association of Periodontists, Upper Pinellas County Dental Association, Hillsborough County Dental Association, Hillsborough County Dental Research Association and Florida West Coast Dental Association.

To learn more about Dr. Britten and his dental services call (727) 586-2681.

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