Clearwater Dental Implant Specialist Shares 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 may 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

Dental Implant Advancements in Clearwater, Florida Dr. Todd Britten

Dental implants have become a vital and mandatory option for tooth replacement in recent years. While modern implant dentistry has seen major advancements in popularity and success, not all dental implants are created equal, and no dental implants are guaranteed to last forever.  However, using a high-quality implant as well as a highly trained implant surgeon and restorative dentist, can make a big difference as to whether the implant will last for many years (and preferably a lifetime), which is always our goal.

As an implant specialist, Dr. Britten is highly trained and experienced in the most advanced and current technologies used for long-term implant health and success. He believes in using the best diagnostic tools as well as the highest quality implants in his practice. Dr. Britten works closely with the best restorative dentists in the Tampa Bay area to obtain the best possible outcome for his patients’ implants. For more information, contact us at 727-586-2681 or visit www.brittenperio.com

Clearwater FL Periodontist & Dental Implant Specialist Dr. Todd Britten Discusses: 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 healthysmiles@brittenperio.com or 727-586-2681.

Or visit our website at www.brittenperio.com

Clearwater Periodontist Dr. Todd Britten is using new technology to promote healing of surgical procedures

Clearwater Periodontist Dr. Todd Britten is using Platelet Concentrates (L-PRF, or Leukocyte-Platelet Rich Fibrin) to promote healing in dental procedures in his Clearwater, FL periodontal practice.

Concentrated blood has been used in hospitals for a long time to accelerate healing.  Leukocyte Rich Platelet Rich Fibrin (L- PRF) is a by-products of a patient's own blood that can help healing after dental procedures such as a tooth extraction, as well as promote healing around bone or tissue grafts and dental implants.

L-PRF™ is a 3-D autogenous combination of Platelet Rich Fibrin derived from a patient’s blood.  First, it is determined if patient is a candidate for L-PRF treatment.  If so, blood is then drawn in Dr. Britten's office from a patient's arm. The blood is then immediately placed into a centrifuge to separate the blood into layers.  This thin, compressed layer of platelet rich fibrin is strong, pliable and even suitable for suturing. This natural fibrin network is rich in platelets, growth factors (PDGF, BMP, VEGF)  and cytokines derived from the blood platelets and white blood cells called leukocytes. These proteins promote rapid healing, especially during the critical first seven days after they are placed.

Growth factors are triggered and released and clot formation is stimulated by blood platelets, fibrin and growth factors to help heal wounds.  Growth factors stimulate stem cells to produce new host tissue quickly, making L-PRF effective in the healing process.

Advantages of using L-PRF also include lower infection risk after surgical dental procedures by sealing a treatment wound from bacteria after treatment.  Saturation of the surgical area, bone graft material and/or dental implant helps increase tissue formation due to its growth factors such as BMP, VEGF and PDGF, and this, in turn, results in faster gum and bone regeneration. Speedier healing decreases the risk of later infections, complications, and discomfort."The use of this technology has been shown to lower the chance of dry sockets after extraction, which can be very painful." Dr. Britten said.

L-PRF treatments are often used for greater success for necessary procedures for dental implant placement,  including socket bone grafts, sinus lifts, ridge augmentation, correcting peri-implantitis, block bone grafts and extraction sites prior to implant placement.


Dr. Britten explained, "L-PRF technology is used to quicken the healing process and is completely safe. Disease transmission is not a factor since blood is drawn from a patient's own body.  Most patients report a greater degree of comfort during healing even immediately after their procedure. The amount of blood needed is minimal and can be collected easily."

If you have any questions about treatment with platelet rich fibrin/plasma or would like to find out if you are a candidate and can benefit from this treatment, you can contact Dr. Todd Britten in his Clearwater, Florida periodontal practice at 727-586-2681. 

Clearwater Periodontist & Implant Specialist Dr. Todd Britten: Surgical Procedures: Implant Placement

Extraction of a root tip (tooth broken to gumline), placement of bone graft with immediate implant placement.

First, the extraction of a root tip: Careful management of extraction sockets after a tooth is removed prevents unsightly bone loss and provides a better cosmetic outcome for tooth replacement.

Bone graft plaement: For successful implant placement, and to prevent bone resorption, a ridge preservation(or bone grafting) 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.

Dental implant placement: Implants are versatile. If you are missing only one tooth, one implant plus one replacement tooth will do the trick. If you are missing several teeth in a row, a few strategically placed implants can support a permanent bridge (a set of replacement teeth). Similarly, if you have lost all of your teeth, a full bridge or full denture can be permanently fixed in your mouth with a strategic number of implants.

Sometimes an implant can be placed at the time of extraction and grafting, and sometimes it cannot. This video demonstrates immediate implant placement and an uncovery procedure of the implant at the end of healing. Your implant specialist and restorative dentist will work together to come up with the best treatment plan suited for your particular case.

Please contact our office if you have any questions about dental implants at 727-586-2681 or www.brittenperio.com. ‪#‎dentalimplants‬