• (727) 586-2681
  • 1472 Jordan Hills Court, Clearwater, FL 33756

dentist

What is a Dental Implant?

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.

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.

What is the difference between plaque and calculus?

Plaque is the sticky, colorless film that constantly forms on your teeth. Bacteria live in plaque and secrete acids that cause tooth decay and irritate gum tissue. This irritation causes an inflammatory reaction by your body that can eventually lead to gingivitis and periodontal disease. If plaque is not removed regularly by tooth brushing and flossing, it hardens to create calculus (also known as tartar). Calculus cannot be removed with a toothbrush; only a dental professional can remove it during an oral cleaning. To keep plaque and calculus under control, it is essential to brush your teeth twice every day, floss at least once every day, and see your dental professional for regular cleanings.

From Perio.org

Do you have 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.

What are teeth made of by Spear Education

As a periodontist, Dr. Todd Britten enjoys making a positive impact on his patient’s lives by improving their smiles as well as their comfort and health. He has patients that were once told they would lose all of their teeth, but through periodontal care, even after many years still have every one of them!

Sometimes, a basic understanding of what are teeth are made of, and how they are held in our mouths is the first step in understanding why they are so important, and how to properly care for them.

Please watch this great video about teeth from Spear Education

https://spearedu.co/QmKFtsg

Why choose a Board-Certified Periodontist

A few years ago, Dr. Todd Britten successfully passed the rigorous requirements to become a Board-Certified Diplomate of The American Board of Periodontology. Board-Certified periodontists are held to a higher level of care and skill by the American Board of Periodontology and we know he is so proud to be a Diplomate of this professional organization.

“The Mission of the American Board of Periodontology is to Advance the Art and Science of Periodontics and Elevate the Quality of Periodontal care through the Examination, Certification, and Recertification of Periodontists and by Encouraging the Achievement and Maintenance of Diplomate status.”

Dr. Britten is committed to excellent patient care by continually updating his skills and knowledge of new procedures and technology so that he can provide the highest quality, least invasive care available in our industry.

A Diplomate is a periodontist who has made significant achievements beyond the mandatory educational requirements of the specialty and who is certified by the American Board of Periodontology.

To be educationally qualified for Board certification requires:

  • Certification as a dentist, including basic college education and completion of dental school to earn the D.D.S. or D.M.D. degree and;
  • Certification as a periodontist after successful completion of an educational program in Periodontology, which is accredited by Commission on Dental Accrediation of the American Dental Association.
  • Comprehensive qualifying and oral examination covering all phases of periodontal disease and its treatment, including dental implants.
  • Recertification every six years.
  • [iphorm id=”3″ name=”Contact form”]

How Sugar Causes Cavities

When digesting carbohydrates, bacteria in your mouth produce an acid that combines with food debris and saliva and forms plaque.
It’s the plaque — not sugar — that directly leads to tooth decay. Plaque starts building up after every meal, and if it isn’t brushed away frequently, it can erode the hard, outer enamel of a tooth, resulting in tiny holes in the tooth’s surface. These holes mark the first stage of cavities and can do a lot of damage to a tooth if left untreated.

Eventually, acid and bacteria in plaque can eat through the other layers of your teeth, as well — from the softer layer of teeth under the enamel, known as dentin, to the third layer (the pulp), which contains your teeth’s blood vessels and nerves. Cavities affecting the pulp of a tooth, as well as the bone supporting the tooth, can cause severe toothaches, sensitivity, pain when eating and even abscesses in the mouth.

It is important to know that the kinds of foods and drinks you consume, and how you are consuming them is also important to oral health.

Sticky foods — like hard candy, breath mints, raisins and dry cereal — can get stuck in the grooves and crevices of your teeth, where they could cause decay. Fruit and yogurt, on the other hand, wash away easily with saliva and are, therefore, less likely to cause plaque buildup.

Quickly finishing a can of soda does less damage to your teeth than sipping on it throughout the day, because the acid created by mouth bacteria stays in the mouth around 20 minutes after eating or drinking. Every time you eat carbohydrates, sugary food, or take a sip of soda, you restart the plaque-production clock and increase your risk of developing cavities.

In addition to a high sugar content, soft drinks and sports drinks also contain phosphoric and citric acids that erode tooth enamel. Eating or drinking highly acidic foods — even healthy foods, like citrus fruits — can lead to tooth decay if oral hygiene is not properly maintained.
None of us can totally avoid eating all carbohydrates, sugars, or acidic foods all of the time but we can limit the amount and more importantly the frequency of consumption. And we can also work on effective and regular plaque control by using oral hygiene aids to remove the plaque colonies which are forming constantly on the teeth.

Dr. Britten recommends brushing at least twice a day with a power toothbrush for two minutes as well as cleaning between the teeth at least once a day using floss or other interdental aids. For more information on effective oral hygiene and plaque control visit our website atwww.brittenperio.com or call the office at 727-586-2681

[iphorm id=”3″ name=”Contact form”]

The reason many patients have to take antibiotics before their dental visit

What is antibiotic prophylaxis or “premedication” for a dental procedure? How do I know if it applies to me?

Antibiotic prophylaxis, or premedication, refers to giving a patient a loading dose of antibiotics in preparation for a dental surgical procedure, dental hygiene visit or other dental treatment dealing with the teeth or gums. During some dental treatments, bacteria your mouth can enter your bloodstream. In most people, the immune system kills these bacteria. But in some patients, bacteria from the mouth can travel through the bloodstream and cause an infection somewhere else in the body. Antibiotic prophylaxis, or dental premedication may offer these patients extra protection. Patients that normally require antibiotic prophylaxis have fallen under 2 categories: those with joint replacements or certain heart conditions. Some other health issues such as breast implants, brittle diabetics or organ transplant patients may require dental premedication, based on a physician’s recommendations.

Up until 2012, antibiotics were recommended for two years after joint replacement surgery or for a lifetime. Since that time, physicians and dentists have become more concerned about the potential harm of antibiotics including risk for anaphylaxis (allergic reaction), antibiotic resistance, and opportunistic infections such as Clostridium difficile (C-diff) were included in creating the new recommendation.

The 2015 American Dental Association stated that “In general, for patients with prosthetic joint implants, prophylactic antibiotics are NOT recommended prior to dental procedures to prevent prosthetic joint infection.” However, many orthopedic surgeons are still recommended premedication with antibiotics for their patients for 2 years or a lifetime.  In patients with a history of complications associated with their joint replacement surgery, prophylactic antibiotics or premedication with antibiotics should be considered after consultation with the patient and orthopedic surgeon.

If you have a joint replacement and are unsure whether you should premedicate for your dental appointments or not, it is best to contact your orthopedic surgeon to determine what is best for you.

In patients with certain heart conditions, dental premedication is recommended to avoid infective endocarditis.  Infective endocarditis (IE), also called bacterial endocarditis (BE), is defined as an inflammation of the endocardial surface of the heart. Endocarditis generally occurs when bacteria or other germs from another part of the body enter and spread through the bloodstream and attach to damaged areas in the heart. If left untreated, endocarditis can damage or destroy the heart valves and can lead to life-threatening complications.

The American Heart Association says that premedication for dental procedures is required for the following conditions:

  • “A prosthetic heart valve or who have had a heart valve repaired with prosthetic material.
  • A history of endocarditis.
  • A heart transplant with abnormal heart valve function.
  • Certain congenital heart defects including:
    • Cyanotic congenital heart disease (birth defects with oxygen levels lower than normal) that has not been fully repaired, including children who have had a surgical shunt and conduits.
    • A congenital heart defect that’s been completely repaired with prosthetic material or a device for the first six months after the repair procedure.
    • Repaired congenital heart disease with residual defects, such as persisting leaks or abnormal flow at or adjacent to a prosthetic patch or prosthetic device.”

Patients that have had stents placed in their hearts or a history of coronary artery bypass surgery no longer require to premedicate with antibiotics prior to dental procedures under the American Heart Association’s guidelines. Numerous scientific evidence concluded that the risk of adverse reactions to antibiotics generally outweighs the benefits of prophylaxis for many patients who would have been considered eligible for prophylaxis in previous guidelines. Concern about the development of drug-resistant bacteria also was a factor for the simplified guidelines.

The 2014 American Dental Association & American College of Cardiology guidelines add that optimal oral health is maintained through regular professional dental care and the use of appropriate dental products, such as manual, powered, and ultrasonic toothbrushes; dental floss; and other plaque-removal devices.

Antibiotic dosage and schedule

  • 1 hour before the procedure to allows the antibiotic to reach adequate blood levels. However, if the dosage of antibiotic is inadvertently not administered before the procedure, the dosage may be administered up to 2 hours after the procedure.
  • Patients not allergic to penicillin: oral amoxicillin 2g (50 mg/kg for children)
  • Patients allergic to penicillin or ampicillin: oral cephalexin 2g (50 mg/kg for children) or clindamycin 600 mg (20 mg/kg for children)

If you have questions about whether you need to premedicate for your dental procedures, we will be happy to answer any questions you may have. It is best to carefully consider this matter with both you and your physician or surgeon and we are always happy to communicate with both.  Contact us today 727-586-2681 with any questions.

TMD: A Painful Disorder of the Jaw

Headaches, neck pain, and frequent jaw tenderness or popping are signs you may be suffering from a TMJ condition.

What is the difference betweenTMJ and TMD?

The TMJ, or temporomandibular joints, are the two  joints on each side of the face that connect the jaw to the temporal bone of the skull. Each temporomandibular joint has a disc located between a ball and socket. The disc provides padding for chewing forces while enabling the jaw to open wide and glide and even rotate.  The TMJ work together during chewing, speaking and swallowing.  They control the lower jaw (mandible) as it moves forward, backward and side to side.  When the TMJ is not functioning properly, it is known as TMD. TMD is a disorder which includes any problem that prevents the joints, jaw muscles, ligaments or jaw bone that work to open and close your mouth from working properly.

A disruption in this complex system of muscles, ligaments, discs and bones from may result in a painful TMJ disorder.  TMJ disorders (or TMD) can be caused by arthritis,  jaw dislocation or injury, tooth and jaw alignment or can be complications due to muscle tension stress and tooth grinding. During a TMJ exam, your dentist will evaluate the joints and muscles for tenderness, clicking, popping, creaking and discomfort . Depending on the severity and cause of  any irregularities, the dentist may refer you to a physician or another dental specialist. There are many options for treatment of TMJ, ranging from very conservative treatments to more invasive surgeries. According to the American Dental Association, the “National Institute of Dental and Craniofacial Research recommends a “less is often best” approach in treating TMJ disorders”.

Treatments for TMD include:

– a soft diet (avoiding chewing gum or nail biting)

-simple pain care such as warm compresses, over the counter anti-inflammatory medications (Nsaids, ibuprofen)

– Relaxation techniques for jaw tension , such as help for stress reduction, meditation or biofeedback.

-physical therapy for jaw exercises or jaw massage. Physical therapy may also include  transcutaneous electrical nerve stimulator (TENS) to use low-level electrical currents to relax joint and facial muscles and provide relief or laser therapy.

-prescription medications for muscle relaxers, pain relief, or anti-anxiety medications,

– a night guard or bite splint to decrease clenching or grinding of teeth.

– sometimes an evaluation and adjustment of a person’s bite by their dentist can help.

-orthodontic treatment may be recommended to change jaw and teeth alignment for a more favorable position for TMJ health.

In extreme cases, surgical intervention may be advisable for TMD treatment. While other joints in our bodies can be treated by complete rest or isolation with a cast or splint… this is not easy with our jaw! Eating and speaking are so important in daily life! For those suffering from TMD, relief begins with a proper diagnosis, understanding of the underlying causes and often trying the more conservative methods first before considering surgical intervention.

If you feel you may be suffering from TMD, contact us today for more information. 727-586-2681

Signs You Should See a Periodontist Immediately About Your Dental Implants

Dental implants can dramatically improve the appearance and health of your smile.  If you have one or more dental implants in your mouth, it is important to be on the lookout for the signs of peri-implant disease. Bleeding gums, gingivitis, and other issues can be even more severe in dental implant patients. Read more for the signs that you should see a periodontist about your dental implants.

Swollen or Red Gums

Pay careful attention to the health and condition of the gums that surround the implant site. Swollen or red gums are among the first signs that you are developing peri-implant disease. If you notice bleeding when touching, flossing or brushing your implant, that is something to get checked. A periodontist will be able to help you care for your gums and make sure that your dental implant is in good condition.

Pain When Eating or Chewing

A healthy implant will not cause pain or discomfort when you are chewing, eating, or swallowing. You should see a periodontist if you start to experience any of these symptoms around your dental implant. Swollen and inflamed gums can cause pain and discomfort around the implant area. Treating your gums will help you restore comfort to your entire mouth.

Shifting or Crooked Teeth

Periodontal disease can cause your teeth around the implant to shift out of place over time. If you have started to notice that your implant has moved from its original position, it may be time to make a trip to the periodontist. Your periodontist can treat your gums and ensure that your implant has a healthy and properly placed position in your smile.

[iphorm id=”3″ name=”Contact form”]

 

Book Now

BOOK AN APPOINTMENT

Contact Us

Back to Blog

appointment

Categories