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

missing teeth

Discount Dentures: Worth It?

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

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5 Ways to Replace a Missing Tooth

It is unfortunate when someone loses a tooth, but there are usually several options to replace it.

  1. Removable Partial Denture
  • Worn during the day, can replace one or many missing. We recommend taking them out at night and soaking them in a cleaning solution.  teeth.  Sometimes a partial denture may need metal clasps to help it stay in the mouth.
  • Unfortunately, these metal clasps may be visible when speaking or smiling.
  • They can move a little when speaking or eating, which can be uncomfortable.
  • No need to file down any teeth.
  • This option is often the most economical.

2.  Temporary Partial Denture

  • A short term solution for a missing tooth.
  • We call it a “flipper” because it flips in and out easily.
  • This is used when the tooth will be restored in the future with a bridge or an implant, but is worn during the healing phase.
  • Much like a removable partial denture, but usually less sturdy, less bulky, and less expensive.
  • No alteration to adjacent teeth

3. Bridge

  • A bridge is a fixed solution that stays cemented in the mouth and does not come out.
  • This method involves cutting down the teeth on either side of the missing tooth to be able to connect them together.
  • We recommend floss threaders, which slide under the bridge, to keep it clean.
  • The disadvantages for bridges are cutting down teeth that might be perfectly healthy, and sometimes bridges in the lower jaw do not last as long since the jaw flexes and the unbendable bridge can spring a leak on one side or the other that allows for decay or bacteria to seep in.
  • A bridge can replace one or two missing teeth easily, and sometimes more if there is enough support.

4. Dental Implant

  • A great way to replace a missing tooth.
  • This solution feels and acts the most like a natural tooth when chewing, brushing or smiling.
  • The implant replaces the actual root of the missing tooth and heals in the bone for several months.
  • We then place an abutment, to which a crown will be cemented.
  • A major advantage is no need to alter any other teeth when placing an implant.
  • An implant is a great solution for a single missing tooth, and even more implants can replace many missing teeth.
  • When smiling or talking there is no way to tell the difference between an implant and a natural tooth

5. Do Nothing. There is always the option to do nothing.

  • When a tooth is removed, the bone melts away and the other teeth in the area will shift to fill the gap.
  • This can sometimes create a difficult place to clean and lead to other problems like bone loss or decay around the existing teeth.

Lack of Posterior (Back Teeth) and Splaying of the Front Teeth

When a patient has lost too many back teeth and not replaced them, excess pressure and trauma from increased forces of a person’s bite are placed on their front teeth. These forces are meant to be distributed on the stronger, wider and larger back teeth and can cause the forward shifting, or splaying of front teeth. This can cause periodontal, orthodontic and sometimes even restorative issues for these teeth.

For any questions about your periodontal issues or regarding replacing missing teeth, contact us:

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The Fully Edentulous Patient from Spear Educational Videos

Sometimes, due to severe gum disease or decay, a person may lose all of their teeth. This as known as the fully edentulous patient.

Options for the fully ehttps://spearedu.co/9qD8aLpdentulous patient are:

Full dentures:
Dentures are worn during the day. This is used to replace one or many missing teeth.

Disadvantages
– They move a little when speaking or eating, which can be uncomfortable.
-Must come out at night and be placed in a cleaning solution.

Dental Implant
An implant is a great way to replace a missing tooth.

Advantages
This solution feels and acts the most like a natural tooth when chewing, brushing or smiling. A major advantage is no need to alter any other teeth when placing an implant. An implant is a great solution for a single missing tooth, and even more implants can replace many missing teeth. When smiling or talking there is no way to tell the difference between an implant and a natural tooth.

Disadvantages
The implant replaces the actual root of the missing tooth and heals in the bone for 3 to 7 months and we then begin the restorative phase. We or your dentist then place an abutment, to which a crown will be cemented. Dental implants are usually a more costly option, at least initially, but are often the best long-term investment.

Do Nothing
There is always the option to do nothing.

Advantages
Saves money, at least initially

Disadvantages
When a tooth is removed, the bone shrinks away and the other teeth in the area will shift to fill the gap. This can sometimes lead to other problems like shifting of other teeth, causing bone loss or decay around the existing teeth as they become more difficult to clean.

If you have questions about replacing any teeth lost to fractures, decay or gum disease, contact us today at 727-586-2681.

Here is a great video from Spear Education

https://spearedu.co/oSAZNEa

Dental Implants – The tooth replacement solution

Are missing teeth causing you to miss out on life?

Don’t miss out on life because of missing teeth or loose dentures. Modern dentistry can replace everything from a single missing tooth to missing teeth in an entire section of the mouth. If you have questions about different dental implant options available, feel free to ask your dentist or dental specialist. Restoring your smile can help restore your confidence!

Stop the bone loss that can lead to premature aging!

Stop the bone loss that can lead to premature aging.

Losing one or more teeth can start a change of events that can affect both your physical health as well as your appearance, such as:

  1. Gap in your smile
  2. Loss of chewing function
  3. Inability to eat a complete diet
  4. Bone loss
  5. Jaw bone atrophy
  6. Prematurely age your face

The good news is: Tooth replacement with dental implants offers a solution to help prevent bone loss.

Tooth replacement options:

Crown and bridge and full or partial dentures can address the cosmetic problem of missing teeth, but cannot stop bone loss. A fixed bridge requires that two or more healthy teeth be ground down to serve as posts for a bridge.  With implants, however, the other healthy teeth are left alone.

Dental implants transmit chewing forces to the jawbone, reducing bone loss.  That’s why dental implants are now considered the standard of care for tooth replacement.

Sinus Augmentation Procedures: Science Behind These Procedures for Professionals and Patients

The maxillary sinus is a hollow chamber lined by pseudostratified columnar epithelial cells that make up the Schneiderian membrane.  In a healthy sinus, mucous production helps clear the sinus of foreign particles and microbes.  The base of the maxillary sinus often rests on the bone superior to the roots of the maxillary teeth.

The posterior maxilla consists of bone that is highly trabeculated and often has the lowest density in the mouth.  While the mandibular bone can be as dense as oak wood, in comparison, the posterior maxilla can have the density of pine or even balsa wood.  To further complicate matters, after the loss of the posterior teeth the maxilla resorbs in a palatal and superior direction, and the maxillary sinus elongates down to reduce the available native bone height.

These unique challenges in native bone availability combined with the higher occlusal forces in the posterior jaw lead to the posterior maxilla traditionally experiencing the highest dental implant failure rate.  This is especially true when the limits are pushed, i.e. a very short implant is used with a long crown height.  However, through innovation in bone augmentation techniques patients can have implant restorations in this region now with equal success rates to all other areas of the mouth.  Sinus lift or augmentation surgery can assist implant placement by raising the sinus floor to develop more bone.

Two general techniques for a sinus augmentation exist.  The first, called a crestal approach or indirect sinus “tap” involves drilling the planned implant osteotomy short of the sinus floor, then using an osteotome or other instrument to elevate the remaining bone, add additional bone graft in the site, then place the dental implant.  This technique is appropriate for sites where 7+ mm of native bone remain before the procedure.

The second technique, called a lateral window or direct sinus graft, involves elevating a periodontal flap and creating an osteotomy window at the lateral aspect of the maxillary sinus in order to elevate the sinus membrane and add bone graft.  This may be done as a separate procedure or together with placing the dental implant.

Between 5-8 months is expected for complete healing of the graft.  The lateral window sinus graft is appropriate when 6 mm or less of native bone exist as seen on a CT scan.  Both sinus augmentation techniques are most often done under conscious sedation in our office.

Since 2015, we have added L-PRF technology to all of our sinus grafts.  Leukocyte-Platelet Rich Fibrin is derived from the patient’s own blood. A simplified chairside procedure results in the production of a thin, compressed layer of platelet rich fibrin that is strong, pliable and suitable for suturing. This natural fibrin network is rich in platelets, growth factors and cytokines that are derived from the blood platelets and leukocytes, improving not only bone growth but also natural infection defense.  This is typically combined with a 50:50 mixture of bovine (cow) and human donor bone graft material.  The results have been excellent!  Our lateral window sinus grafts have shown a 98% infection free success rate in that time.  Healing is typically easier than expected and many patients even report that their sinuses actually feel better and clearer than before the surgery!

If you or your team have any question about sinus augmentation procedures, please contact us at any time. As always, we are committed to continuing to work with all of you to provide our patients with the highest level of care available.

Click here for a Zimmer Sinus Augmenation Brochure for Patients

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The latest techniques in tissue grafting

Dr. Todd Britten performs the latest techniques in gingival grafting, or gum grafting, and other gum recession procedures to treat patients suffering from loose, sensitive teeth and receding gums in Clearwater, Florida. “Recent surgical innovations have made this procedure safer and more effective than ever before,” says Dr. Todd Britten.

Gum grafting involves carefully placing a small amount of new gum tissue in an area where little or no gum tissue currently exists to prevent further gum recession or to cover root surfaces of the teeth that have become exposed. 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 tissue used in this procedure may be obtained from a variety of sources: an area of tissue nearby, the hard palate (roof of mouth), or donated tissue from another person, which has been medically processed. 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 re¬establish the protective barrier or layer of the gum around the tooth. Occasionally, a patient may need multiple procedures to achieve the ideal amount of root coverage. The tissue is then delicately sutured (stitched) in place where it’s needed, using very fine suturing material.

Gum recession can occur for a variety of reasons, including genetics or age, oral trauma, and periodontal disease. Patients experiencing signs of gum recession are encouraged to seek treatment right away. Gum recession is not only a cosmetic problem – but it can also affect oral and periodontal health. A successful graft can reduce or eliminate problems like tooth sensitivity and further gum recession, as well as improve the aesthetics of a person’s smile. When a tooth loses the natural protection of healthy gum tissue, they become extremely sensitive to hot or cold temperatures, causing pain when drinking or eating, or even to cold air. Missing gum tissue also makes it easier for bacteria to penetrate the roots and cause decay — or for minor trauma to result in rapid gum recession. The eventual result is often tooth loss.

Dr. Britten offers a variety of modern and effective treatment options for receding gums in his Clearwater, Florida periodontal practice, including gum grafting procedures and the minimally invasive Pinhole® Surgical Technique. For more information on the progression of gum disease, scaling and root planing procedures, or periodontal surgical treatment options, contact us today at 727-586-2681. 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.

4 Ways to Replace a Missing Tooth

Fixed Bridge

A bridge is an option when there are teeth on either side of the missing tooth.

Advantages
It stays cemented in the mouth and does not come out.

Disadvantages
This does involve cutting down the teeth on either side of the missing tooth to be able to connect them together. Floss threaders, which slide under the bridge, should be used daily, to keep it clean.

The disadvantages for bridges are cutting down teeth that might be perfectly healthy. If there is a leak under the anchor teeth of the bridge, decay can occur below. A bridge can replace one or two missing teeth easily, and sometimes more if there is enough support.

Removable partial denture

A removable partial denture is worn during the day. This is used to replace one or many missing teeth.

Disadvantages 
-Sometimes amay need metal clasps to help it stay in the mouth which may be visible when speaking or smiling.
– They move a little when speaking or eating, which can be uncomfortable.
-We recommend taking them out at night and soaking them in a cleaning solution.

Advantages
There is no need to file down any teeth, and this option is usually the most economical. A full denture can replace all missing teeth.

Dental Implant

An implant is a great way to replace a missing tooth.

Advantages
This solution feels and acts the most like a natural tooth when chewing, brushing or smiling. A major advantage is no need to alter any other teeth when placing an implant. An implant is a great solution for a single missing tooth, and even more implants can replace many missing teeth. When smiling or talking there is no way to tell the difference between an implant and a natural tooth.

Disadvantages
The implant replaces the actual root of the missing tooth and heals in the bone for 3 to 7 months and we then begin the restorative phase. We or your dentist then place an abutment, to which a crown will be cemented. Dental implants are usually a more costly option, at least initially, but are often the best long-term investment.

Do Nothing

There is always the option to do nothing.

Advantages
Saves money, at least initially

Disadvantages
When a tooth is removed, the bone shrinks away and the other teeth in the area will shift to fill the gap. This can sometimes lead to other problems like shifting of other teeth, causing bone loss or decay around the existing teeth as they become more difficult to clean.

If you have questions about replacing teeth lost to fractures, decay or gum disease, contact us today at 727-586-2681.

www.brittenperio.com

Are All Dentures Created Equal?

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.

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