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clearwater periodontist

What is Crown Lengthening?

Crown Lengthening

Crown lengthening is generally performed to improve the health of the gum tissue or to prepare the mouth for restorative or cosmetic procedures.  In addition, crown lengthening procedures can also be used to correct a “gummy” smile, where teeth are covered with excess gum tissue.  Crown lengthening exposes more of the natural tooth by reshaping or recontouring bone and gum tissue.  This treatment can be performed on a single tooth, many teeth, or the entire gum line, exposing an aesthetically pleasing smile.

Reasons for crown lengthening

Crown lengthening is a versatile and common procedure that has many effective uses and benefits.  The vast majority of patients who have undergone this type of surgery are highly delighted with the results.

Here are some of the most common reasons for crown lengthening:

  • Restoration of damaged teeth – Periodontal disease can cause severe damage to the teeth, as can trauma and decay.  Where teeth have been broken beneath the gum line, crown lengthening can be used to prepare the area for a new restoration to correct the damaged teeth.
  • Cosmetic uses – Extra gum tissue can make teeth look unnaturally short and can also increase susceptibility to periodontal infections.  Removing excess gum tissue can restore a balanced, healthy look and improve the aesthetic appearance of the smile.
  • Dental crowns – Crown lengthening provides more space between the supporting jawbone and dental crown.  This prevents the new crown from damaging gum tissues and bone once it is in place.

What does crown lengthening involve?

Your dentist will make a series of small incisions around the soft tissue in order to separate the gums away from the teeth.  Even if only one tooth requires the re-contour, neighboring teeth are usually treated to provide a more even reshaping.  Separating the gums provides your dentist with access to the roots of the teeth and the underlying bone.

In some cases, the removal of a small amount of tissue will provide enough tooth exposure to place a crown.  In other cases, your dentist will also need to remove a small amount of bone from around the teeth.  The bone is usually removed using a combination of special hand instruments, and rotary instruments.  The rotary instruments roughly resemble the drill that is used in cavity treatment.

The teeth will look noticeably longer immediately after surgery because the gums will have been repositioned. The teeth will look noticeably longer immediately after surgery because the gums have now been repositioned.

Your dentist may secure the surgical site using an intraoral (periodontal) bandage which serves to prevent infection.  Prescriptions may be provided for pain medication, and a chlorhexidine (antimicrobial) mouth rinse will be given to help reduce any bacteria attempting to recolonize.  The surgical site will be completely healed in approximately two to three months.

Mouth-Body Connection: What You Should Know

Mouth – Body Connection

Research studies have shown that there is a strong association between periodontal disease and other chronic conditions such as diabetes, heart disease, pregnancy complications and respiratory disease.

Periodontal disease is characterized by chronic inflammation of the gum tissue, periodontal infection below the gum line and a presence of disease-causing bacteria in the oral region.  Halting the progression of periodontal disease and maintaining excellent standards of oral hygiene will not only reduce the risk of gum disease and bone loss, but also reduce the chances of developing other serious illnesses.

Common cofactors associated with periodontal disease:

Diabetes

A research study has shown that individuals with pre-existing diabetic conditions are more likely to either have, or be more susceptible to periodontal disease.  Periodontal disease can increase blood sugar levels which makes controlling the amount of glucose in the blood difficult.  This factor alone can increase the risk of serious diabetic complications.  Conversely, diabetes thickens blood vessels and therefore makes it harder for the mouth to rid itself of excess sugar.  Excess sugar in the mouth creates a breeding ground for the types of oral bacteria that cause gum disease.

Heart Disease

There are several theories which explain the link between heart disease and periodontitis.  One such theory is that the oral bacteria strains which exacerbate periodontal disease attach themselves to the coronary arteries when they enter the bloodstream.  This in turn contributes to both blood clot formation and the narrowing of the coronary arteries, possibly leading to a heart attack.

A second possibility is that the inflammation caused by periodontal disease causes a significant plaque build up.  This can swell the arteries and worsen pre-existing heart conditions.  An article published by the American Academy of Periodontology suggests that patients whose bodies react to periodontal bacteria have an increased risk of developing heart disease.

Pregnancy Complications

Women in general are at increased risk of developing periodontal disease because of hormone fluctuations that occur during puberty, pregnancy and menopause.  Research suggests that pregnant women suffering from periodontal disease are more at risk of preeclampsia and delivering underweight, premature babies.

Periodontitis increases levels of prostaglandin, which is one of the labor-inducing chemicals.  Elevated levels prostaglandin may trigger premature labor, and increase the chances of delivering an underweight baby.  Periodontal disease also elevates C-reactive proteins (which have previously been linked to heart disease).  Heightened levels of these proteins can amplify the inflammatory response of the body and increase the chances of preeclampsia and low birth weight babies.

Respiratory Disease

Oral bacterium linked with gum disease has been shown to possibly cause or worsen conditions such as emphysema, pneumonia and Chronic Obstructive Pulmonary Disease (COPD).  Oral bacteria can be drawn into the lower respiratory tract during the course of normal inhalation and colonize; causing bacterial infections.  Studies have shown that the repeated infections which characterize COPD may be linked with periodontitis.

In addition to the bacterial risk, inflammation in gum tissue can lead to severe inflammation in the lining of the lungs, which aggravates pneumonia.  Individuals who suffer from chronic or persistent respiratory issues generally have low immunity.  This means that bacteria can readily colonize beneath the gum line unchallenged by body’s immune system.

How often should I see my dentist?

Many people are afraid or experience anxiety about going to the dentist, and because of this, some patients will try to go as infrequently as possible. The answer to how often you should see your dentist actually varies, depending on the state of your mouth.

If your teeth and gums are very healthy, you should visit your dentist at least twice a year for dental exams and cleaning. If you have a history of gum disease or other problems, you may need to visit your dental hygienist more often, often anywhere from 3 or 4 up to 6 times a year. Periodontal patients often see their dentist or periodontist every 3 months for hygiene visits, as many studies have shown that more harmful periodontal bacteria repopulate in the mouth in only 11 weeks time.

Frequent dental visits (particularly those for dental cleanings and periodontal maintenance visits) are in your best interest to prevent breakdown of the health of teeth and gums.

Why Should Gum Recession be Taken Seriously

Gum recession refers to the loss of gum tissue along the gumline. This can occur as a result of periodontal disease (gingivitis, periodontitis, advanced periodontitis), the natural aging process, or abrasive habits when it comes to brushing the teeth.

Why should gum recession be taken seriously?

When gum recession occurs, the root structure of the tooth becomes exposed. This means that tooth decay and other problems can affect the teeth along the gumline and beneath it. Since healthy gums are essential for a healthy mouth, getting gum recession treated is important for lasting dental wellness. When recession occurs to the point that no firm gum tissue remains, this leaves the roots of the teeth and the underlying bone relatively unprotected, which could result in root sensitivity, bacterial penetration, decay and even loss of teeth.

A gingival graft is designed to address these problems. A thin piece of tissue is taken from the roof of the mouth or gently moved over from adjacent areas to provide a stable band of attached gum tissue around the tooth. The gingival graft may be placed in such a way as to cover the exposed portion of the root, however, the main objective is to re­establish the protective barrier or layer of the gum around the tooth. Occasionally, the patient may need multiple procedures to achieve the ideal amount of root coverage.

Dr. Britten has trained in the latest minimally invasive techniques of gum grafting and can often perform the entire procedure through a pinhole incision.

Gingival (Gum) Excess

Gingival (Gum) Excess

Healthy gums are an important part of a person’s general oral hygiene and appearance.  Sometimes in certain people the gums can grow and build up over the front surface of a tooth. This can often occur when patients have braces on their teeth. This formation of extra gum can change the balance between the length of the teeth and the height of the gum line, leading in some cases to a person having an uneven smile.

Before and After Ginigvectomy by Dr. Todd Britten

Gingivectomy is best described as the surgical removal of excess gum tissue.

Your orthodontist or family dentist may recommend gingivectomy for several reasons:

  • Prevent teeth from shifting after orthodontic appliances have been removed.  Excess tissue can cause the teeth to separate even though braces have brought the teeth together. 
  • There are gaps or pockets that have formed between your teeth and your gums. These pockets will trap food particles, harbour colonies of bacteria, and make it difficult for you to clean. If the pockets only involve soft tissues then these gaps may be removed by simply trimming the gums through gingivectomy.
  • There is too much gum tissue for your teeth. Aside from cosmetic reasons, too much gum tissue for your teeth will make it hard for you to keep your mouth clean. In severe situations, this condition can interfere with the way you eat and the way you talk.

Britten Periodontics is excited to host another Holiday Food Drive with Metropolitan Ministries!

Britten Periodontics is excited to host another Holiday Food Drive with Metropolitan Ministries!

Thanks to Metropolitan families will find HOPE through receiving much-needed commodities!

Metropolitan Ministries’ greatest holiday food needs: Frozen protein (turkey, ham, chicken), yams, cereal, stuffing, and cranberry sauce.

Additional food needs: Canned beans, soup, bags or boxed rice, boxed/canned potatoes, packets of gravy, and dessert mixes

 The greatest toy needs are “teen” toys with a focus on Ages 10 – 12 (boys and girls), and our additional age group needs: 0-2, 3-9, and 13-17 (boys and girls).

 Please drop off your donations from October 24th -November 17th at our office at:

 1472 Jordan Hills Court

Clearwater, FL 33756

 727-586-2681 

 #BeHope #InspireHope

 

Tori Removal or Reduction

What are Tori?

Tori are excess bone that develops either in the upper or lower jaw. When present in the roof of the mouth (palate), the condition is referred to as torus palatinus. When present in the lower jaw, it is called torus mandibularis. Tori may develop due to genetic or environmental influences such as local irritation, grinding your teeth (bruxism), or misaligned teeth causing an uneven bite (malocclusion).

In most cases tori are benign and do not require treatment. However, tori will need to be surgically removed to accommodate upper or lower dentures and upper or lower partial dentures (flippers). Tori may also be removed to aid in minimizing food impaction under the excess bone, which will promote improved home care. In certain cases tori may contribute to plaque accumulation and periodontal pockets, and therefore will require removal to improve oral hygiene by allowing better angulation of the toothbrush. Once tori are removed, recurrence is rare. In situations where tori do reappear, regrowth is typically very slow.

Tori Removal On One Side performed by Dr. Todd Britten

Great Oral Health is a Team Effort!

In order to achieve successful treatment results we must work together. Oral health goals are best reached when you, the patient, is actively involved in treatment through excellent compliance!

MORNING

  1. After eating breakfast, brush for at least 2 minutes with your Sonicare Powerbrush using a fluoride toothpaste. (If using Clinpro 5000 prescription Toothpaste: Do not rinse with water; no eating/drinking for 30 minutes)
  2. Clean between your teeth using one or more of the following:  Softpicks (original, advanced/curved, wide), proxabrushes (tight, moderate, wide, extra wide) or unwaxed floss.  If you have bridges or implants, you should also use: Proxysoft Bridge & Implant Floss, GUM EasyThread Floss, or Floss Threaders. You may be instructed to dip your proxabrushes or floss in Peridex (prescription chlorhexidine mouthwash) , Clinpro Toothpaste (prescription fluoride toothpaste) or another over-the-counter antibacterial or fluoride rinse.  *Talk to your dentist or dental hygienist about the ideal interdental aides, prescriptions, toothpaste, or over the counter rinses for you!

MID-DAY (and after meals)

  1. Brush for at least 2 minutes with your Sonicare Powerbrush using a
  2. Perform interproximal care using the above recommended tools

EVENING

  1. After eating & before bedtime, again brush for at least 2 minutes with your Sonicare Powerbrush using a fluoride toothpaste. (If using Clinpro 5000 prescription Toothpaste: Do not rinse with water; Leave Clinpro on teeth all night!)
  2. Clean between your teeth using one or more of the following:  Softpicks (original, advanced/curved, wide), proxabrushes (tight, moderate, wide, extra wide) or unwaxed floss.  If you have bridges or implants, you should also use: Proxysoft Bridge & Implant Floss, GUM EasyThread Floss, or Floss Threaders. You may be instructed to dip your proxabrushes or floss in Peridex (prescription chlorhexidine mouthwash) , Clinpro Toothpaste (prescription fluoride toothpaste) or another over-the-counter antibacterial or fluoride rinse.  *Talk to your dentist or dental hygienist about the ideal interdental aides, prescriptions, toothpaste, or over the counter rinses for you!

OTHER COMMONLY RECOMMENDED SPECIAL TOOLS:
TEPE Compact Tufted Brush: Great for around gumline of all teeth and dental implants, hard to reach surfaces

TEPE Universal Care Brush: Great for under fixed implant appliances, dental implants or hard-to-reach surfaces

Rubbertip stimulator: Use around gumline to remove plaque and tone tissue

How 3-D Technology is Revolutionizing Implant Dentistry

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.

      

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