Dental implant detailEvery so often I like to take a step back and evaluate the progress made in the area of dental implants and how it has changed in my practice. Over the last few years I have been placing a dental implant (Biohorizon) with improved design features from past implants. These improved design features have minimized a few of the complications associated with dental implants in my practice. One of the complications that has be reduced greatly is peri-implantitis. Peri-implantitis is the inflammation of bone and gums around dental implants in patients. With the added Laser-lok design feature on the Biohorizon implants, tissue stays firm and attached around the implant fixture. Therefore, reducing the likelihood of peri-implantitis developing. The biggest advantage I have noticed because of improved implant design is the increased rigid fixation I attain while placing the Biohorizon dental implant. This has allowed me to place the majority of dental implants at the time of tooth extraction. Anyone familiar with the traditional healing process for dental implants is aware that a dental implant procedure from start to finish can take 6-12 months. This includes multiple surgical and post operative visits. Today, with the immediate placement of an implant during extraction, that time-frame has been reduced to 3-6 months start to finish. This has not only reduced the healing time, but reduced the amount of surgery and visits a patient needs to complete the process. The overall satisfaction from the procedure has improved tremendously. These improvements have made a significant impact in the treatment of my patients with dental implants today.  I look to forward to further advancements and sharing them with you as we progress. Remember to keep those implants clean!!! (T-32 Ultrasonic Rechargeable Toothbrush).]]>

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As a clinician that places and restores dental implants, the Biohorizon internal tapered dental implant is my favorite dental implant to place in the right situation.  Each dental implant site requires careful evaluation and can present with difficult obstacles for success. Therefore, clinicians need to be versatile in the type of implant they select because certain dental implants will perform better in specific situations. With the hundreds of different types of dental implants out there, choices can be daunting for a clinician. There are several factors as to why I chose Biohorizon dental implants in the right situation.  The biggest benefit I see from Biohorizon implants is the Laser-Lok microchannels.  In my opinion, the tissue response and attachment that Biohorizon provides is most similar to a natural tooth compared to all the dental implants I have  come across.  One of my main goals as a Implantologist is to replicate nature and Biohorizon helps achieve  those aesthetics.   Biohorizon internal tapered dental implants carry a lifetime warranty .  I place hundreds of dental implants a year, aside from research and studies on the Biohorizon implants, the warranty gives me confidence that the company believes and stands by its product.  The final factor that causes me to lean heavy towards this dental implant is the ease of placement and restoration.  Surgically it is a very simple system with very high success rates nationwide.  Prosthetically, Biohorizon is a well know dental implant within the laboratory circles that the lab technicians are familiar.]]>

osteoporosis and osteopenia often ask if they are candidates for dental implants.  My short answer is dental implants result in a better quality of life for osteoporotic women.  There are studies that show women Glckliche Seniorinwith osteoporosis and dental implants have higher overall satisfaction with their lives as opposed to living with false teeth (dentures) or no restorations at all.  The dentist placing implants needs to take into consideration the simple fact studies show overall satisfaction with dental implants in osteoporotic women and then weigh that against the risk indicators that could affect the long term success of dental implant restorations.  The causality between oral bone loss and systemic bone loss (osteoporosis or osteopenia) has not be proven, but there is evidence that a relationship exists between the two diseases.  Undoubtedly, dental implants can be successful initially in the dental patient with osteoporosis, its the long term success that is uncertain. In our practice we carefully evaluate the osteoporotic patient and determine the likelihood they will have a high percentage of success with initial dental implant placement and restoration.  We do this with an extensive screening of the patients medical history and a CT scan to measure the quality and amount of bone in the oral cavity.  At Frangella Dental, 98% early surgical success is what we strive for with each patient.   Because the CT scan can evaluate the quality and amount of bone, we can categorize the surgical site into a specific type of bone.  Through extensive clinical studies from the past, we can use this input and inform the patient with a range in percentage of early dental implant success before we begin the procedure. When dental implants are successful with our patients, we then give strict guidance on the proper oral hygiene maintenance.  With close supervision through periodic dental visits and proper oral hygiene maintenance, our osteoporotic patients with dental implants have experienced overall satisfaction and achieved long term success.  In our practice, the overall satisfaction of osteoporotic patients with dental implants far outweighs the potential risks.]]>

  Lately, I have been receiving a lot of questions from my patients regarding mini dental implants and their uses in dentistry today.  In our practice, we rarely use mini dental implants for reasons my colleague and brother-in-law Dr. Brian Davis describes in his recently published article.  This article, “The Truth About Mini Implants”, is about the uses of mini dental implants and some misconceptions that have arisen.  Please enjoy the article  and pass on to anyone that may have questions about the latest hot topic in implant dentistry!  ]]>

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In the past we have discussed how to teach your children and yourself child brushing teethto be a great patient, and how to maintain a healthy oral environment. We’ve shared our insights from prenatal to postnatal as well. However, one very important group that seldom is addressed is the Adolescent group. Dentally, this is one of the most important age groups. These budding individuals are past the age where their parents can help them brush, but not mature enough to keep their mouths as clean as they should. A lot of damage can be done in those teen years that can set your child up for a lifetime of dental aggravation. Today’s post is about how to keep your teen’s mouth healthy.

  • Keep the fluoride coming, getting your teen to brush well and brush often is a hard job in itself, asking them to floss and rinse afterwards is even harder. I recommend buying a toothpaste that includes fluoride to help keep their enamel strong and healthy, and if you can try and have them rinse with a fluoride rinse like ACT before bed, even better. You can check out some ACT products here.
  • Try and make sure that your child is brushing at least twice a day. As much as they’ll be annoyed by your hounding them, they’ll be even more annoyed when they have to sit through a filling or two.
  • With the surge in popularity of energy and sports drinks kids are really drawn to these types of beverages.  Limit your teen’s consumption as much as you can. Always stick to sugar free, and be aware of what your teen is consuming. Some sports drinks, although sugar free, are very acidic and are unhealthy for dental enamel.
  • During the teenage years we often see many kids with braces. It is incredibly important to keep your teens mouth clean during this time. There are plenty of tools made to help keep brackets and orthodontic appliances clean. Ask your dentist or orthodontist which tools are best for your teens mouth and have them show your child (and you) how to use them.
  • Candy and carbohydrate laden snack foods are definite cavity causers. If you can’t avoid your child eating these types of foods then at least limit the amount of times during the day that they do. One sitting of eating candy and snacks followed by tooth brushing and flossing can reduce the risk of cavities as opposed to short periods of snacking throughout the day.
  • Teens can be very insecure, with all sorts of new social situations some kids are more concerned than ever about their appearances. Help boost your kids confidence by giving them the tools to keep their smile healthy and beautiful. If they are looking for inspiration, remind them that by not taking care of their mouths there are other risks besides cavities, such as bad breath, broken and discolored teeth.
Overall, to keep your teens mouth healthy make sure your teen is continuing with their regular dental appointments. By instilling in them the value of oral hygiene and good health habits you give your teen the building blocks for a lifetime of great oral and overall health. And finally, the best way to lead is by example!]]>

Fluoride has been and continues to be a hot topic in the field of dentistry. Despite all the information available regarding the benefits and Fotolia_5327278_XS-resized-600risks of fluoride use there still seems to be a large amount of misinformation about this topic. Fluoridation of the water system has been recommended by numerous health organizations, most notably the CDC and WHO have long supported the dental benefits of fluoride.
The CDC has stated that:  “For 65 years, community water fluoridation has been a safe and healthy way to effectively prevent tooth decay. CDC has recognized water fluoridation as one of 10 great public health achievements of the 20th century.” And,  the World Health Organization explained that:  “Public health actions are needed to provide sufficient fluoride intake in areas where this is lacking, so as to minimize tooth decay.” As a dentist I do believe that fluoride is a great tool to use to help prevent tooth decay. In our practice we frequently recommend fluoride products for adults and children alike. And, with my recommendations I have encountered many questions about fluoride, such as where does it come from, how much am I getting and how much do I need?

  • Fluoride is a naturally occurring mineral and can be found naturally in all water sources.
  • There are two ways to receive fluoride.
    • Systemically such as in a supplement or in your drinking water.
    • Topically, such as in toothpastes, mouthrinses and topical foams or gels.
  • Fluoride, when applied to the teeth can cause the enamel, or outermost layer, to become stronger and more resistant to cavities.
  • Fluoride when applied to the teeth in addition to preventing new cavities, can help heal or re-calcify small cavities
  • Like any other supplement fluoride is most effective when used in moderation.
  • The American Dental Association only recommends fluoride supplements for children ages 6 months- 16 years old. And, only for children who live in an area without fluoridated water and are at high risk for cavities.
  • Although bottled water may contain fluoride they are not required to report the amount of fluoride present unless they have actively added it to their water.
  • By ingesting too much systemic fluoride (fluoride supplements, processed/manufactured foods high in fluoride, and fluoridated water) you are at risk for  fluorosis of the teeth, this means that the enamel on the teeth can appear mottled or patchy.
  • By ingesting topical fluoride (toothpaste, mouthrinse, foams or gels)  you can cause stomach upset and nausea
  • Topical fluoride, such as in toothpastes and rinses are not meant to be swallowed and should not be used on children that may ingest it during use.
  • To find out if your water is fluoridated visit this website
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conscious sedation is the surgical placement of dental implants.  With the surgical placement of dental implants it is crucial that a patient is anxiety free as to prevent any movement during the procedure.  There are certain parts during the procedure that may not cause pain, but can make a patient uncomfortable.  Conscious sedation removes this uncomfortable feeling because the patient is often At Dentist's Officeasleep or at the very least anxiety free and very calm. During the procedure I often have the patient perform tasks such as “open wide” or “bite down” or ask them questions in regards to how they are feeling.  With conscious sedation this is never a problem because the patient is able to maintain their own breathing and reflexes, they are also able to respond to different instructions. Also, most people would care not to remember the surgical procedure they have just experienced.  As an added benefit, 90% of the time the patient has amnesia towards the procedure just performed.    But, the biggest benefit to me as a practitioner is that conscious sedation is safe for the patient.  I cannot say the same about general anesthesia, the risks of complications are much higher.   As a practitioner who performs surgical placement of dental implants regularly, there is no other safe and comfortable way to have this procedure done then with conscious sedation.  ]]>

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