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Some patients’ periodontal needs can be managed by the general dentist. However, as more and more patients are exhibiting signs of periodontal disease, coupled with research that suggests a relationship between periodontal disease and other chronic diseases of aging, periodontal treatment may necessitate a greater understanding and increased level of expertise by a trained specialist. Patients who present with moderate or severe levels of periodontal disease, or patients with more complex cases, will be best managed by a partnership between the dentist and periodontist. A referral directly from a general dentist is not necessary to visit a periodontist.

Periodontists often treat more problematic periodontal cases, such as those with moderate to severe gum disease or a complex medical history. Periodontists offer a wide range of treatments, such as scaling and root planing (in which the infected surface of the root is cleaned) or root surface debridement (in which damaged tissue is removed). They can also treat patients with severe gum problems using a range of surgical procedures. In addition, periodontists are specially trained in the placement, maintenance, and repair of dental implants.

If you have questions about your gum health, contact us today!

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From Perio.Org:

“PERIODONTAL PLASTIC SURGERY PROCEDURES
Periodontists are often considered the plastic surgeons of dentistry. If you are looking to improve your smile, a periodontist may be able to help.

GUMMY SMILE OR UNEVEN GUM LINE
Do you feel your teeth look too short and your smile is too gummy or your gums cover too much of some teeth while leaving the others the right length? If so, dental crown lengthening might be the solution for you. During this procedure, excess gum tissue is removed to expose more of the crown of the tooth. Then your gumline is sculpted to give your new smile just the right look.

LONG TEETH/EXPOSED ROOTS
Sometimes gum recession causes the tooth root to become exposed, which makes your teeth look long and can make you look older than you are. This recession can happen as a result of a variety of causes, including periodontal diseases.

Gum graft surgery and other root coverage procedures are designed to cover exposed roots, to reduce further gum recession and to protect vulnerable roots from decay.

INDENTATIONS IN THE GUMS AND JAWBONE
Tooth loss can cause an indentation in the gums and jawbone where the tooth used to be. This happens because the jawbone recedes when it no longer is holding a tooth in place. Not only is this indention unnatural looking, it also causes the replacement tooth to look too long compared to the adjacent teeth.

Ridge augmentation can fill in this defect recapturing the natural contour of the gums and jaw. A new tooth can then be created that is natural looking, easy to clean and beautiful.”

If you have questions about how we can approve the appearance of your smile, contact our Clearwater periodontal office today!

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Fixed bridge

Replacing a missing tooth with a fixed bridge requires preparation of at least one of the adjacent teeth on each side for a crown. It is important to still care for the teeth on each side of the bridge to prevent periodontal disease and tooth decay. This will require careful plaque control with brushing, using a floss threader under the bridge, and sometimes the addition of a rubbertip stimulator to clean under the margins of the abutment teeth (the teeth supporting the bridge which will now have full coverage restorations cemented on them).

Dental implant

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.

Implant Supported Dentures

There are two types of implant supported dentures, bar-retained dentures and ball-retained dentures. Both types of dentures require two or more dental implants to be placed and both will provide you with a beautiful, natural smile.

Many patients prefer implant-supported dentures to traditional dentures because they alleviates much of the discomfort and rubbing of traditional dentures. The denture is held in place far more securely and is less likely to come loose. Dr. Britten is a dental implant specialist who can evaluate to see if you are a better candidate for a fixed bridge, dental implant or implant-supported dentures. Call us today 727-586-2681 or visit www.brittenperio.com

SEDATION
Dental anxiety affects many patients and can hinder them from taking the next step to achieve their oral health care goals. Dr. Britten is highly trained and certified in both IV conscious sedation and oral sedation.
He is one of the few Periodontists in the Tampa Bay area who offers IV sedation. Sedation dentistry can provide a calming experience for patients who have experienced high
levels of anxiety related to dental treatment.

IV CONSCIOUS SEDATION
Intravenous (IV) Sedation helps even our most anxious patients remain relaxed and comfortable during procedures. Many patients feel as though they, “went to sleep” during the sedation.
The goal of IV conscious sedation is not to provide general anesthesia but instead to allow our patients to remain conscious and relaxed with minimal risk during the procedure.

ORAL SEDATION
Is a prescription medication that can relieve anxiety patients feel before and during their dental exam. It allows patients to respond verbally and physically to directions all while in a very “restful” state.
Patients using oral sedation will need to be driven to and from the procedure.
You may be a candidate for Sedation Dentistry if you have experienced any of the following:
High Fear
Had traumatic dental experiences
Difficulty getting numb
A bad gag reflex
Very sensitive teeth
A fear of needles and shots
Aversion to the noises, smells, and tastes associated with dental care

LOCAL ANESTHETIC
For most periodontal procedures, a local anesthetic is utilized to numb the area being treated.
Some anesthetics are short acting and others last several hours. Dr. Britten will determine which local anesthetics are best for the procedure.

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As we continue to face uncertainty as a community due to COVID-19 and the social distancing guidelines passed down from the federal, state and local leadership, our team at Britten Periodontics & Implant Dentistry has realized the continued importance of strong and ongoing relationships.

We want you to know that we are here for you!

Where We’ve Been

When we think about the individuals that bring us joy in fulfilling our vision for health and well-being, we immediately think of you, our patients and friends. We miss you greatly and are continuing to find ways of connecting with you regularly and being available for you in any way possible as we get ready for opening the practice beyond emergency appointments.

The original goal of the reduction to Emergency Care only was to suppress the spread of the virus and reduce the use of protective masks, surgical gowns, and other personal protective equipment (PPE) that hospitals and clinics found in short supply. This also gave us an opportunity to reinforce what we have always done when it comes to sterilization and infection controls, as well as implement additional steps to make sure that every patient can be assured a safe dental experience.

Where We’re Going

We are very excited to announce that our practice reopened on May 18, 2020, for a wider spectrum of dental care. We have been working diligently to replenish our supplies, so that we are ready with a new schedule in place that ensures the safety and comfort for both team and patients, as we return to full care and service.

Our team has worked hard to reach out to patients who have had to cancel their appointments due to the shut down as well as patients who are currently scheduled in the up-coming months to confirm new appointments that promote social distancing mandates and protect our most vulnerable. Our new scheduling options are designed to address individual oral healthcare needs and maintain a safe and sterile environment.

If you have NOT gotten a text or email from us to reschedule, or are confused about your appointment status, please call (727-586-2681) or email us at healthysmiles@brittenperio.com.

Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). You may see some changes when it is time for your next appointment. We made these changes to help protect our patients and staff that we wanted to share.

We know things will be different, but one thing that will never change is our commitment to your safety, comfort and dental health! We’ve missed you and are excited to see your smiling faces again!  Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends.

We have made the following changes to help protect our patients and staff that we wanted to share.

  • We have developed a system in the office to maintain the highest level of sterility and disinfection. This includes treatment areas as always, but we have elevated our infection protocols to also include increased and frequent cleaning of all common areas in the building of all surfaces, including door handles, faucets and countertops.
  • Our office will communicate with you beforehand to ask some screening questions. You’ll be asked those same questions again when you are in the office.
  • We are screening all patients for recent travel, fever or signs of respiratory illness. If travel has occurred or symptoms are present, please do not schedule a visit in our office until 2 weeks has passed.
  • Our reception area (waiting room) will be temporarily CLOSED; please honor our NO VISITOR POLICY. Visitors will be permitted for extreme exceptions only, which must be pre-approved before arriving.
  • We have a touchless hand sanitizer at the front desk that we will ask you to use when you enter the office. You will also find some in the reception area and other places in the office for you to use as needed.
  • Please bring a MASK of face covering with you to wear in all common areas of the building. If you do not have one, we will provide one prior to your entry into the building. Please let us know if you need one.
  • When you arrive to the office PLEASE STAY IN YOUR CAR and CALL 727-586-2681 to “Check in”.
  • We will be taking all patient TEMPERATURES.
  • A pre-rinse of hydrogen peroxide will be performed with your care provider at your appointment to reduce microbial numbers, as recommended by the ADA.
  • All staff members will be wearing CDC and OSHA recommended personal protective equipment, even our administrative staff to some degree. Don’t worry; your favorite faces are still here behind those masks! This measure is to protect you as much as possible while in our care. Please know that our administrative staff is as friendly and eager to talk to you as always and ALWAYS available for longer discussions or question & answer sessions over the phone or by email.
  • If possible, please pay for your visit over the phone prior to your appointment. Otherwise, we are able to accept payment in a contact-less manner.

If you have any questions about any of the above changes or guidelines, we will be happy to discuss them further and answer any questions

 

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.

X-RAY TAKEN BEFORE IMPLANTS, HOPELESS TEETH

X-RAY TAKEN OF SUCCESSFUL DENTAL IMPLANTS

This video shows the loss of the upper jawbone following tooth extraction. The jaw bone can be preserved with bone augmentation grafting for better denture retention or future implant placement, as well as to maintain the proper shape of a patient’s face.

The signs of bone loss are: Periodic changes in the way your denture fits; Sore spots on gum tissues; Food becoming trapped between the gums and denture; and, Difficulty chewing even with the help of denture adhesives and pastes.

There is a procedure we perform in our practice to help save your jawbone!

A common use of bone grafting is for ridge augmentation. Ridge augmentation can recapture the natural contour of your gums and jaw after the loss of a tooth as a result of trauma, congenital anomalies, infection, or periodontal disease. Achieving an ideal amount of gum and bone as a support to surrounding restorations or implants may require hard and soft tissue reconstruction. After the loss of one or more teeth, your gums and jawbone may become indented where the tooth or teeth used to be. This occurs because the jawbone recedes when it no longer is holding a tooth in place. Not only is this indentation unnatural looking, it also causes the replacement tooth to look too long compared to the adjacent teeth, and this can create an area that is difficult to keep clean.

Ridge augmentation uses bone and tissue-grafting procedures to fill in the indented area of the jaw and gums, leaving you with a smooth gum line that coexists with your restoration or dental implant.

If you have any questions about the surgical procedures performed in our office, visit https://brittenperio.com/procedures/surgical-procedures/

Our team at Britten Periodontics has realized the continued importance of strong and on-going relationships.

We want you to know that we are here for you!

Where We’ve Been

When we think about the individuals that bring us joy in fulfilling our vision for health and well-being, we immediately think of you, our patients and friends. We miss you greatly and are continuing to find ways of connecting with you regularly and being available for you in any way possible as we get ready for opening the practice beyond emergency appointments.

The original goal of the reduction to Emergency Care only was to suppress the spread of the virus and reduce the use of protective masks, surgical gowns, and other personal protective equipment (PPE) that hospitals and clinics found in short supply. This also gave us an opportunity to reinforce what we have always done when it comes to sterilization and infection controls, as well as implement additional steps to make sure that every patient can be assured a safe dental experience.

Where We’re Going

We are very excited to announce that our practice will be opening as of 5/6/2020 for a wider spectrum of dental care. And likely on 5/18/2020 for dental hygiene services. We have been working diligently to replenish our supplies, so that we are ready with a new schedule in place that ensures the safety and comfort for both team and patients, as we return to full care and service.

Our team is now reaching out to patients who have had to cancel their appointments due to the shut down as well as patients who are currently scheduled in the up-coming months to confirm new appointments that promote social distancing mandates and protect our most vulnerable. Our new scheduling options are designed to address individual oral healthcare needs and maintain a safe and sterile environment.

Rest assured, Britten Periodontics, as always, will place the health and well-being of our team and our patients first. We will continue to reach out and update you on a regular basis through various forms of contact. Please follow us on Facebook, Instagram, and our blog https://brittenperio.com/our-blog/ for up to date information as well as tips and resources on how to maintain your oral hygiene at home during these times.

We look forward to seeing you all again and catching up with you at your next appointment.

Stay Healthy,
Dr. Todd Britten

Our community has been through a lot over the last few months, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your safety.

Infection control has always been a top priority for our practice and you may have seen this during your visits to our office. Our infection control processes are made so that when you receive care, it’s both safe
and comfortable. We want to tell you about the infection control procedures we follow in our practice to
keep patients and staff safe.

Our office follows infection control recommendations made by the American Dental Association (ADA) www.ada.org, the U.S. Centers for Disease Control and Prevention (CDC) https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html and the Occupational Safety and Health Administration (OSHA) https://www.osha.gov/SLTC/covid-19/standards.html. We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued. We do this to make sure that our infection control procedures are current and adhere to each agencies’ recommendations.

You may see some changes when it is time for your next appointment. We made these changes to help
protect our patients and staff. For example:

• Our office will communicate with you beforehand to ask some screening questions. You’ll be
asked those same questions again when you are in the office.
• We have hand sanitizer that we will ask you to use when you enter the office. You will also find
some in the reception area and other places in the office for you to use as needed.
• You may see that our reception area will no longer offer magazines or other reading materials,
since those items are difficult to clean and disinfect.
• Appointments will be managed to allow for social distancing between patients. That might mean
that you’re offered fewer options for scheduling your appointment.
• We will do our best to allow greater time between patients to reduce waiting times for you, as well
as to reduce the number of patients in the reception area at any one time.

We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, and every patient, safe in our practice. To make an appointment, please call our office at 727-586-2681.

Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends.

Sincerely,
Dr. Todd Britten and Team


 

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.

For more info on our surgical procedures, visit:

Surgical Procedures

or contact us!

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