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Clearwater Periodontist and Dental implant specialist Dr. Todd Britten says he wants to ensure his dental implant patients have the best care possible using the latest technology available. By using advanced 3-D technology, Dr. Britten explains that he is able to obtain and review high-quality images for dental implant planning and even create a 3-D printed surgical guide.

When a patient is ready for a dental implant, Dr. Britten explains the first step is often to take a 3-D CT scan. Dr. Britten said he invested in a scanner that is both comfortable for patients, but provides high quality images at the lowest radiation levels possible. “The PAX-i3D Green is a digital imaging system that provides multiple views of a patient’s jaw and mouth. A 3-D digital scan can now be taken at the same visit in place of a tradition dental impression.” Dr. Britten explains he has a Medit i-700 scanner, making the scanning experience for our patients comfortable and easy. This digital impression can be done at the same visit as the CT scan.

He goes onto explain the patient’s CT scan and Digital Impression are then uploaded to the Dental Laboratory’s sophisticated software program. Dr. Britten plans the implant surgery (deciding on any need for bone grafting, sinus grafting and appropriate implant size and type) as well as a surgical guide to be fabricated by his experienced laboratory clinician.

The Dental Lab then can fabricate the surgical guide with their state-of-the-art 3-D printer. The process usually takes a few weeks, and then the patient is ready for dental implant surgery. Dr. Britten says with 3-D technology and imaging, he can perform dental implant surgeries with confidence, using a precision-crafted 3-D printed Implant Surgical Guide.

      

We want to ensure that our patients have the best care possible. By using the latest technology, we are able to review high-quality images for dental implant planning and create a 3-D printed surgical guide.

Step 1: CT Scan taken in our office

Our patients deserve the best service we can offer and that is why we invest only in the finest technology.

The PAX-i3D Green is a digital imaging system that provides multiple views of a patient’s jaw and mouth (called a Cone Beam CT Scan).

 

Step 2:  Digital Scan

In place of a tradition dental impression, Dr. Britten uses a Medit  i-700 scanner to take a digital 3-D impression for the surgical guide. This can be done at the same visit as the CT scan!

Step 3:  Planning the Surgery 

Your CT scan and Digital Impression are uploaded to the Dental Laboratory’s sophisticated software program. Dr. Britten plans your implant surgery and  surgical guide along with an experienced laboratory clinician.

Step 4:  3-D Printed Surgical Guide

Our Dental Lab will fabricate the surgical guide with their state-of-the-art 3-D printer. We usually receive your surgical implant guide in four weeks from the time the digital impression and CT scan is completed in our office.

Step 5: Dental implant surgery

Dr. Britten can perform your dental implant surgery with confidence, using a precision-crafted Scan Implant Surgical Guide. This ensures the highest degree of safety and accuracy of the implant placement.

Care for your dental implants just as well as you would care for your natural teeth. Thorough oral hygiene is necessary to prevent diseases to develop around the implants. With proper home care and regular professional maintenance, you can make your new teeth last throughout life.

 
Flossing around implants works best using a thicker and flexible floss. Implant floss has stiff plastic ends for easy insertion.
 
We like Bridge & Implant Floss made by Proxysoft (www.proxysoft.com or available on Amazon.com) for many of our patients, or if you have a very narrow area around the implants, Gum Easy Thread Floss (https://www.amazon.com/dp/B07KPZWBR9/ref=cm_sw_em_r_mt_dp_E86WAFHF5MXSRWDMN0VQ) is a great product!
 
Sometimes it can be hard to see where the implant is, so remember to ask your dental professional exactly where your implants are placed and which floss is best for you.
Care for your dental implants just as well as you would care for your natural teeth. Thorough oral hygiene is necessary to prevent diseases to develop around the implants. With proper home care and regular professional maintenance, you can make your new teeth last throughout life. There are various types of implants which may need different home care.
 
Mucositis (gum inflammation around implants) and peri-implantitis (bone-loss around implants) is caused by dental plaque. Therefore, it is important to clean all implant surfaces, especially between implants and the adjacent tooth. Pay extra attention to the areas where gums and implant meet. Sometimes this can be hard to see where the implant is, so remember to ask your dental professional exactly where your implants are placed. In case of pain or suspected inflammation, a dental professional should be consulted as well.
 
Watch This Helpful Video about how to use one of our favorite products for implants. And don’t forget to use fuzzy dental floss or interdental brushes to clean in between your implants! Check our blog for other articles on how to use implant floss and proxabrushes around implants!

Care for your dental implants just as well as you would care for your natural teeth. Thorough oral hygiene is necessary to prevent diseases to develop around the implants. With proper home care and regular professional maintenance, you can make your new teeth last throughout life. There are various types of implants which may need different home care.

TePe offers a range of products to make cleaning easier. Your dental professional will help you choose the products to suit your particular needs and preferences.

Mucositis (gum inflammation around implants) and peri-implantitis (bone-loss around implants) is caused by dental plaque. Therefore, it is important to clean all implant surfaces, especially between implants and the adjacent tooth. Pay extra attention to the areas where gums and implant meet. Sometimes this can be hard to see where the implant is, so remember to ask your dental professional exactly where your implants are placed. In case of pain or suspected inflammation, a dental professional should be consulted as well.

The TePe Universal Care brush has a unique contra-angled handle to enable easy access for hard-to-reach areas and a slim brush head design to fit in narrow areas. It is optimal for implants, under bridges, retroclined teeth, lingual braces or retainer, tongue-side lower molars to prevent gag reflex.

Available on Amazon.com or TePe.com.

An oral hygiene product we love is the Compact Tuft Brush from TEPE!

The brush is designed to clean hard-to-reach areas, such as implants, attachments for overdentures, fixed braces or along the gum line.

TePe Compact Tuft™ is an angled brush with a small, dome-shaped tuft with tightly packed short bristles that give a firm feel. The stable handle and dense, firm tuft make this brush ideal for precise cleaning of hard-to-reach areas. The brush is suitable for cleaning implants, attachments for overdentures, fixed braces or along the gum line. It is also ideal for brushing children’s erupting molars.

Available on Amazon.com or TEPE.com

Oxidative stress is a known contributing factor in the development of chronic inflammatory diseases, including periodontitis, or gum disease. Clearwater Periodontist Dr. Todd Britten explains that adding antioxidants to your diet or the use of natural topical antioxidants as part of an at-home care regimen can help improve oral health by preventing or helping repair oxidative damage.

Antioxidant products used in the oral cavity can promote homeostasis, enhance wound healing, and alter microbial flora during medical treatments such as chemotherapy and dental procedures, or by dental materials. Dr. Britten has found that antioxidant products can also have a healthy antimicrobial (germ-killing) effect. They can also be used to help heal ulcers and other types of tissue trauma or injury.

A product that Dr. Todd Britten recommends regularly in his periodontal practice is PerioSciences AO Provantage Gel [www.periosciences.com]. “It is a gel that can be used up to 5 times a day for many conditions. PerioSciences also makes a toothpaste and a rinse which can be used in addition to the gel to improve periodontal health.” Dr. Britten goes on to explain that the essential oils in the mouthwash (menthol and thymol) have an anti-plaque and anti-gingivitis effect without damaging tissue cells and antioxidants (phloretin and ferulic acid) have beneficial effects on the cells and tissues found in the mouth.
“Your dental professional can recommend specific regimens for each type of surgery or any acute conditions requiring antioxidant products. A maintenance program after that is often recommended.”

Dr. Britten also goes on to explain that anti-inflammatory foods incorporated into the diet are also beneficial for oral and overall health. According to the American Heart Association, some foods high in antioxidants or have a high degree of anti-inflammatory effect would be fatty fishes, dark leafy greens, tea, whole grains, nuts, ginger and even dark chocolate.

“Since we know that periodontal disease is connected to variety of other diseases, including heart disease, diabetes, and rheumatoid arthritis, treating inflammation by using antioxidants both in our diet and/or topically may not only help manage periodontal diseases but may also help with the management of other chronic inflammatory conditions.”

Adding antioxidants to your diet has been shown to fight inflammation naturally and help protect from disease. Chronic inflammatory diseases are becoming more severe and common and currently contribute to more than half of the deaths worldwide. Inflammation is associated with autoimmune diseases like rheumatoid arthritis, cardiovascular diseases like hypertension and heart disease, lung and airway diseases like asthma, metabolic diseases such as type 2 diabetes, mental illnesses like depression, and some forms of cancer such as colon cancer.

Both for oral health and overall health, it is helpful to regularly take antioxidants and/or natural anti-inflammatory items into your diet to help reduce inflammation systemically.

 Anti-inflammatory foods

Not every food (or antioxidant) works for every person but encouraging your patients to include them in their diet could provide them with an extra line of defense.

According to the American Heart Association, the following foods are high in antioxidants or have a high degree of anti-inflammatory effect.

  • Fatty fishes high in omega-3 fatty acids are well known for reducing inflammation. They include fish such as salmon, tuna, sardines, and mackerel. Some of these can be high in mercury, so eating them more than three times per week is generally not recommended.
  • Dark leafy greens. Generally, the darker or more colorful the vegetable, the higher the antioxidative effect. Remember, patients on certain anticoagulants and those with a specific type of kidney stone disease need to limit their intake of some dark leafy greens.
  • Tea is well known for containing many types of antioxidants. Green tea has been shown to have a higher level of antioxidants, but they are present in black and white teas also.
  • Whole grains. One current diet fad is to go “gluten-free.” Unless you have celiac disease or a medically confirmed gluten intolerance whole grains are an important source of protein and fiber in addition to their anti-inflammatory effect on the body. Examples of healthy whole grains include whole-wheat bread, oatmeal, barley, brown rice, and popcorn (with minimal salt and butter).
  • Nuts are full of antioxidants and reduce inflammation. In addition, they are high in fiber which makes you feel full.
  • Ginger. In addition to its anti-inflammatory effect, ginger helps to settle an upset stomach, reduce the effects of motion sickness, and reduces muscle soreness.

Source: Dr. Robert Winter, Spear Digest

Many patients suffer from tooth hypersensitivity that can range from mild to severe, and from just one area or tooth to their whole mouth.
Dentin tubules that are open and exposed are a leading cause of tooth or root sensitivity to cold, touch, or dental visits.
Treatment options can vary per patient, with some in-office treatments or special products to be used at home daily, or a combination of both. The trick is to “plug” those open tubules with minerals and keep them as free from acids and plaque as much possible. Quite often, finding the right product or combination can produce immediate results
and provide instant relief!
Talk to your dental professional to decide the best treatment for tooth hypersensitivity which can make your daily activities and dental hygiene visits a lot more pleasant.

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