periodontist (4)

Finding A Great Periodontal Practice

Many dentists will refer patients to a seasoned periodontist when they see signs of gum disease in their patients. And, more than likely, your regular dentist has often teamed with an area periodontist for restorative dentistry. Your regular dentist knows that the periodontist can offer more in-depth diagnostic and treatment protocols to help you save your teeth, or perhaps offer today’s best solution for tooth replacement—dental implants. But what if you’re making the search on your own? What are some of the steps you can take to ensure you’re in the best hands? 

Credentials Count 

Make sure your periodontist is board-certified. National board certification from the American Board of Periodontology (ABP) means your specialist has passed tests demonstrating current knowledge regarding all phases of periodontal disease and treatment. Board certification requires re-certification every six years. Your specialist must continue to demonstrate current knowledge and competence. 

Check Out Online Reviews 

Google reviews are a great place to start investigating. Read actual patient feedback. See if comments reflect that everyone from the receptionist that greets you when you arrive to your periodontal hygienist, periodontist and entire periodontal team are all noted as treating patients not just clinically on point, but with compassion and the utmost respect. A 5-star rated practice should be run by a team of professionals with top credentials and experience, experts who fully understand that many patients need extra assurance in addition to top clinical care. They should take the time to make you feel like one of the family. As Theodore Roosevelt is attributed to have said, “nobody cares how much you know, until they know how much you care.” 

Your Safety Is Paramount 

All good dental practices should be models of patient safety. Given the recent added challenges of the COVID-19 pandemic, your periodontal office will hopefully have taken even more stringent efforts to ensure you of enhanced sanitation and infection control measures. Feel free to ask the practice what extra precautions they took, or are still taking, to ensure the safety of patients and their own practitioners. 

Monitoring Your Overall Health 

A great office should automatically confirm all the medications you are taking and have a good idea of your general health. Certain conditions, like heart valve issues, for instance, may require pre-medication. Your practice should also take your blood pressure before any procedure. Patients on blood thinners may be asked to temporarily cease taking the medication prior to periodontal surgery.   

Skilled and Compassionate Hygienists 

Hygienists are an important part of a periodontics practice. They’re specially trained to fight and treat gum disease by removing calculus and plaque from under the gumline with specialized instruments. They help eradicate gum disease and prevent your risk of tooth loss. You will most likely alternate visits between your periodontal hygienist and a regular dental hygienist, the latter who will perform more routine dental cleanings. Timing of these visits may depend on factors including the severity of your periodontal disease. 

Anesthesia Alternatives 

Many patients with gum disease may have delayed treatment due to dental anxieties. Maybe their fears were caused by a bad experience from childhood, the noise of a drill or a severe gag reflex. Regardless, once they’ve taken the important step to address their failing teeth, they may need extra assurance in order to experience the stress-free, positive treatment they deserve. One of the ways we can do so is through safe sedation options ranging from nitrous oxide (laughing gas) and prescribed medication (oral conscious sedation) to, in very special circumstances, general anesthesia. 

Choices in Payment Plans 

Dental Implant surgical procedures may not be covered by your dental insurance. A flexible periodontal practice understands this and will offer interest-free or low-interest financing options. You should always be provided a detailed cost estimate before the start of any treatment plan. One caveat:  Keep in mind that some of today’s advertised in-and-out discount implant plans may look like great bargains. But these “deals” often can prove to be poor investments in the end when it comes to durability and overall quality. Check those reviews to see longevity of the practice and patient retention over time. 

Overall Convenience 

Even the most highly skilled periodontist may not do you much good if he or she is never available, or if you’re limited to one practitioner with no emergency backup. Early morning hours means you may not have to take off time from work. And practices with more than one practitioner assures backup within the same practice, a group that already has your records and understands your individual situation. Lastly, making an appointment should also be a straightforward process via an easy-to-reach reception desk or online appointment scheduler. 

Need Treatment? Don’t Delay! 

Choosing a great periodontic office is an important decision not just for your oral health but your overall health. More and more research is pointing to a link between the inflammation from severe gum disease (periodontitis) and other health issues like heart, lung and kidney diseases, rheumatoid arthritis, cancer and more. With today’s latest technologies, like LANAP® laser treatment and Yomi robot-assisted surgery, failed or missing teeth can be more easily addressed.  Find a periodontist that meets your qualifications and make that important appointment today!  

Lilliana Aranguren is a bilingual (Spanish) board-certified periodontist and dental implant surgeon who practices at the South Florida Center for Periodontics & Implant Dentistry, 3020 North Military Trail, Suite 200, in Boca Raton, Florida. A member of the International Team for Implantology (ITI) and other local, state and national associations, she is originally from Venezuela.  

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If you have a missing tooth or need to have a tooth removed, a dental implant is one replacement option. A dental implant can replace one tooth, two or more teeth, or serve as an anchor for a bridge or dentures. Dental implants are the best quality tooth replacement option, but they come at a price.

How much do dental implants cost in Middlesex County, MA and the surrounding area? It depends on a number of factors. Here’s an overview of what you can expect for a dental implant quote and what contributes to the cost.

What is a Dental Implant?
A dental implant is an artificial tooth and root system. A titanium post is placed in the jaw bone to serve as the anchor for a porcelain crown. It looks and functions as closely as possible to a natural tooth and can last for a lifetime.

Average Cost of a Dental Implant
One dental implant to replace one tooth can cost between $3,000 and $4,500. Depending on where you go, you could get a slightly higher or slightly lower quote. Many different factors affect the cost of a dental implant, and the price may not be the same for every patient.

Factors that Contribute to the Cost of Dental Implants
The price of a dental implant may vary depending on the following factors:

  • Location of the missing tooth. Where the dental implant will be placed in your mouth is a factor in the cost. The easier it is to access, the lower the price may be. On the other hand, if the tooth is a highly visible front tooth, it may cost more to ensure it looks natural.
  • Preparatory procedures. Before a dental implant can be placed, there must be sufficient bone density in the jaw to support it. If there isn’t, which is likely if the tooth has been missing for a while, a bone graft procedure may need to be performed first. A bone graft involves surgically placing a bone graft on top of the existing jaw bone under the gums to fortify it and encourage regeneration. This adds to the total cost of a dental implant.
  • The quality of the materials. Most dental implants and the abutment / connection post are made of titanium, with a porcelain crown. These are considered to be the best quality materials for dental implants. Anything less may come at a lower cost, but may not last as long or look as natural.
  • The location of your dentist’s office. The geographic location of your dental office plays a part in the cost of a dental implant. The cost of living in an area affects all kinds of services, and dental care is included.
  • Your dentist’s level of experience. The more experienced your dentist is at placing dental implants, the higher the cost may be. With experience comes a better reputation, a wider base of patients, and the ability to charge more for their expertise.

Does Insurance Cover Dental Implants?
In most cases dental insurance will not cover dental implants. Insurance providers consider dental implants to be a cosmetic procedure, even though they serve a dental health purpose. In some cases medical insurance will cover just the implant root when there is a medical need for it. Insurance providers also tend to cover the least expensive option rather than what is best for the patient.

How to Make Dental Implants More Affordable
If a dental implant is in your best interest, it is worth the cost. Financing is one way to make the cost of dental implants more affordable, allowing you to make affordable monthly payments. CareCredit and other credit options are available to help you pay for medical costs not covered by your insurance.

Periodontal Associates Specializes in Dental Implant Placement
If you’re looking for an experienced periodontist to place your dental implant, contact Periodontal Associates. Our skilled surgical specialists have over 30 years of experience placing Dental implants and performing other dental procedures. You can rest assured that we have your best interest in mind when it comes to your dental health.

Call 508-875-6185 today to schedule a consultation at our Framingham office or 617-964-6185 for our Newton Centre office. You can also request an appointment at your convenience. We look forward to providing you with top quality periodontal services.

www.periodontal.com

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What are Dental Implants? 

Wikipedia's definition of dental implants "A dental implant is a surgical component that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, facial prosthesis or to act as an orthodontic anchor". Let's break that down into simple terms. A dental implant is made of titanium and is one of the few metals that will successfully fuse with our bone and tissue. The surgical component is the titanium piece that is surgically installed into your gum tissue. After being installed the implant works as the root of your tooth and will hold a crown, bridge, or denture depending on the extent of your tooth loss.

Dental Implants are becoming a popular choice for teeth replacement. In the past, traditional dentures were the only option for replacing missing teeth. As technology and medical advancements increased we were introduced to Dental Implants. This new breakthrough in dentistry has allowed people to have their teeth replaced while offering a wide variety of benefits for the patient. In this article, we will explore the benefits of dental implants and give you a better understanding of the process of getting implants. 

 

Are dental Implants Expensive? 

The average price for a single implant can range from $2,500 to $3,000. Dental Implant cost is generally high but the price varies depending on if you need a bone grafting and also depending on the number of teeth extractions.  When the teeth are missing and the root is gone you start to lose the bone that helps maintain your facial profile. A bone graft is usually needed when the patient has suffered significant bone loss due to the teeth missing. Some Cosmetic Dentistries also charge extra for the abutment crown. It is important to get a consultation with your dental specialist in order to get the best idea of the cost. Most patients are offered convenient financing options to help them with the cost of the implants.  

 

What Are All-on-4 Dental Implants?

All-on-4® is a dental implant treatment that has been developed over the years to become a viable solution to restoring multiple teeth at once. This type of procedure minimizes the number of surgical procedures and Implants that a patient needs to completely restore their smile. In turn, this lowers dental expenses and also time spent at the dentist's office. 

Should I get my implants out of the country to cut costs?

Many people choose to leave the country in search of a better deal on dental implants. It is strongly recommended that you DO NOT sacrifice the quality of care needed for this procedure to save money. This procedure requires a great amount of care and the right technology, equipment, and most importantly the best dentist! 3D X-Rays allow a doctor to see if you need a sinus lift or if any other complications are present that can seriously harm the patient. Some out-of-country doctors do not have these types of imaging capabilities and if the patient is not properly examined they can cause irreversible damage. It is important that you know what kind of equipment the doctor you are going to use and that you also do research on the doctor to determine their success rate.

Implant placement is a very sensitive cosmetic procedure that requires a lot of cosmetic training for optimum placement. When placed incorrectly, the metal might show through the gum tissue causing a non-cosmetic appearance. Although some general dentists do place implants, always look for a dental specialist like a prosthodontist or a periodontist. They have at least an extra 3-years of advanced training for implant placement and restoration and usually, they offer the implants at the same price compared to general dentists.

What are the benefits of Dental Implants? 

  • Maintain Original Bone 
  • Improved Speech 
  • Comfort and feeling of your natural teeth
  • No movement allowing for easier chewing of food
  • A permanent solution to replacing your natural teeth

Please visit iSmile Specialists for more information on dental implants. 

 

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Periodontal Reconstruction - Dr. Victor Terranova discusses the  restoration of structure and function of the diseased periodontium.

 

Dr. Victor Terranova received his BA from Rutgers College of Rutgers University in New Jersey. He received his DMD from the University of Medicine and Dentistry of New Jersey in 1972 and his MS and PhD in Molecular Biology at the University of Rochester in 1978. Specialty training in Periodontolgy was completed at the Eastman Dental Center of Strong Memorial Hospital, affiliated with the University of Rochester under the mentor of Dr. Helmut A. Zander in 1976.
After his training Dr. Terranova spent seven years as Senior Staff at the National Institutes of Health and National Institute of Dental Research. Dr. Terranova is currently on the faculty of the California Implant institute. In 30 years of practice, Dr. Terranova has performed thousands of surgical procedures, including implant placement, periodontal surgery and grafts, sinus augmentation, and simple and complicated tooth extractions including 3rd molar extractions.

Periodontal disease was first treated back in the 1950’s and has undergone significant changes in the modality of treatment in the last 4-5 years.  During the 1950’s the main focus of treating periodontal disease was to eliminate  the ‘pyorrhea’ that was found in the patient’s mouth. Pyorrhea was the ‘man in the street’’ term for bleeding, pussy gums.

 

Since then various treatments have been proposed for treating adult periodontal disease and are used effectively. These include scaling and root planing and pocket elimination which has been the very foundation of treating periodontal disease. Getting rid of the periodontal pocket and making the tooth surface more accessible for the patient to clean.

 

Within the last 20 years however the methodology has changed. Instead of eliminating the periodontal pocket by cutting the gum tissue away, people have been more focused on rebuilding the periodontal apparatus in the mouth than the previous method of removing diseased gum tissue and  enlarging the tooth surfaces.

 

By this we mean periodontal reconstructive surgery - rebuilding  the patient’s periodontium ( the specialized tissues that both surround and support the teeth). This entails surgically opening the gums to expose the diseased root surfaces and the bone, then cleaning the inside of the soft tissue flap and reconstructing the ‘boney’ environment around the diseased teeth.

 

In doing this we are undertaking a process now termed ‘periodontal regeneration’. Periodontal regeneration  has been shown to a limited degree. We are now proposing to rebuild the bone structure around the teeth and then consequently place the gum tissue at it’s natural position in the mouth therefore re-establishing a periodontal situation that is disease free and appears natural.

 

By doing this we take bone graft and membrane for guided tissue regeneration and we supplement this with Platelete Rich Plasma  derived from the  patient in conjunction with  the patient’s own mesenchymal stem cells. PRP technology is a highly effective technique used in bone and soft tissue regeneration that yields quicker results and also reduces the discomfort due to improved and faster healing.

 

This process of using PRP and Stem Cells allows for:

 

Better healing

Accelerated healing

Using bone graft material from patient or from tissue bank


In this way the patient’s entire periodontal well being  is rebuilt as we slowly  supply the patient with a disease free periodontium.



Advantages of this technique after the procedure is that:

 

The process  involves minimum post-op discomfort to the patient

There is increased bone around the teeth

There is more stability around the teeth

A more natural environment is created that the patient can clean and maintain.

 

If you are worried about periodontal disease or have been told by your dentist that you need to be referred to a periodontist and you would like to have a consultation with Dr. Victor Terranova, then please call us on 718-499-2375.


Our website is www.dentistparkslope.com and http://www.austindentalplusny.com our you can read about periodontal reconstruction here at http://www.dentistparkslope.com/periodontist-park-slope-brooklyn.php and  http://www.dentistparkslope.com/periodontist-brooklyn.php where you can learn about what we perform at Jim Sarji's office, Advanced Gentle Dentistry of Park Slope where I am the periodontist. Our practice is located in Park Slope, Brooklyn. The practice focuses on all forms of general and cosmetic dentistry. We also offer dental implants, dental crowns, porcelain veneers The practice is located in the heart of Brooklyn and has a number of hygienists offering dental cleanings from Monday to Saturday. 

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