Category Archives: Uncategorized

What You Should Know About Immediate Dental Implant Placement

Immediate dental implants are often necessary due to a non-restorable fracture of a tooth. In some cases, there may be infection associated with the cracked or fractured tooth. The procedure begins with an exam, 2-D and 3-D x-rays. A diagnosis is made and treatment options are discussed. An immediate dental implant is the treatment of choice. Any pre-operative study models that are needed are taken.

Surgical Procedure:  The patient is generally well sedated with either oral or IV sedation. Just like any other procedure, topical anesthetic is applied prior to local anesthesia administration. Impressions of the teeth are taken if necessary prior to the tooth extraction. The fractured tooth is removed very carefully to minimize any damage to any surrounding bone. At the time of surgery, Dr. Britten can determine if immediate implant placement is possible. This is the part you don’t always know until you get there. Additional bone grafting is often necessary to fill the voids between the dental implant and the remainder of the extraction socket. In addition, a membrane, soft-tissue graft or platelet graft (L-PRF) may be used to protect the bone graft.

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


Ouch! Why do Wisdom Teeth Get Infected?

How does a wisdom tooth become infected? What can happen? What can be done? Watch the video with sound for answers to these questions.

Dr. Britten normally refers to an oral surgeon for the extraction of wisdom teeth, unless gum surgery is being performed to treat other areas right next to a problematic wisdom tooth.

We work cohesively with the best dentists, prosthodontists, orthodontists, endodontists, oral surgeons, and pedodontists to provide you with the best care possible. We have a team of dentists that focuses on the area that they are trained and most skilled at and work together to provide the best care. The advantages? We strongly believe you will receive a higher quality of care and better end result.

If you have any questions about wisdom teeth or any aspect of dentistry, contact us today!

How Deep Cleanings Can Save Your Smile

How scaling and root planing procedures can help treat gum diseaseThe human mouth is filled with bacteria.  These bacteria, along with mucous and other particles form a sticky film called plaque is constantly forming and which adheres to the teeth.  This plaque can be removed by brushing and flossing.  When the plaque is allowed to remain on the teeth, the bacteria involved become more harmful, and more difficult to remove, creating an environment that is more toxic to the tissue.  The plaque itself can harden creating a cement like substance (calculus) that cannot be removed with brushing and flossing alone.

Your gum tissue does not attach directly to your teeth. There is a space or pocket between the gum and the tooth before it attaches. The pocket gets deeper when plaque, tartar and inflammation are present. This leads to inflammation and gum disease. The gums become irritated and begin to separate from the tooth, creating a periodontal pocket.

The bacteria and infection causing the detachment needs to be addressed.

Scaling and Root Planing

Non Surgical Periodontal Therapy includes a very important option known as scaling and root planing or “a deep cleaning” This is often recommended as the first step in periodontal therapy. Treatment is usually done by one of our hygienists using local anesthesia to provide comfort for the patient as the root surfaces in deep periodontal pockets are debrided to remove calculus or “tartar” and to smooth the root surfaces to remove bacterial toxins. This may take more than one visit with the hygienist and is followed up with a visit with Dr. Britten in four to six weeks to evaluate the periodontal tissues.


If you have any questions about gum disease or its treatments, please contact our team or make an appointment. Our incredible staff will give you the best dental care possible.


Why Healthy Gums and Braces Go Together

If you have crooked teeth, you should schedule a visit to your dentist and ask about braces. Your dentist will likely send you to an orthodontist who will explain you in detail all the benefits of the treatment, the risks and the costs involved.

The number one reason people want braces is to have a beautiful smile. But crooked teeth are not only a cosmetic problem. It is also often a health problem.

Misaligned or crooked teeth can cause problems with your bite. Over time, a bad bite can hurt your teeth and gums by causing wear to the enamel, fractured or broken teeth, and contribute to periodontal disease. A bad bite can also  the jaw bone and the TMJ joint. sometimes leading to lots of other medical problems such as headaches or migraines.

In addition, when your teeth are positioned in the correctly in your mouth, this provides the comfort and the ease of being able to clean your teeth properly.

Make sure your gums are as healthy as they can be before orthodontic treament! Your gums are the tissue that help hold your teeth in place. If your gums are not in good shape, the stress of moving your teeth with braces cause him recession, bone loss and also impact tooth stability.

Dr. Todd Britten works cohesively with the orthodontists and general dentists to provide you with the best care possible. This way, you can be seen by a team of dentists that focuses on the area that they are trained and most skilled at and work together to provide the best care.

Please contact us today with any aspect of dentistry that concerns you. Our very knowledgeable staff would be happy to answer your questions! Contact us today 727-586-2681 or visit

The 3 Main Parts of a Dental Implant

The 3 Main Parts of a Dental Implant

1. The Fixture

The fixture is the bottom of the implant and is the part that is embedded below the gum line, fusing with the jawbone.  It is like the root of the tooth. The fixture is made of titanium and has a cylindrical, screw-shaped design. It is often coated with a material known as hydroxyapatite, which can assist with the process of fusing the implant to the jaw bone. This part is placed first and appropriate healing has to take place before the restorative phase, which includes placing the abutment and crown.

2. The Abutment

The abutment is screwed into the fixture and will eventually hold the actual tooth portion that you see in your mouth. It is a small piece that lies right around the gum line.

3. Implant crown

The crown is cemented or screwed into the abutment. If the prosthesis is a crown or bridge, or snapped onto the abutment if the prosthesis is a bridge or denture.

Dental implants are designed and constructed to be extremely strong and able to last decades, becoming a permanent solution to replace missing or chipped teeth.

If you have any questions about Dental Implants, please contact our team or make an appointment. Our incredible staff will give you the best dental care possible. Contact us today:

727-586-2681 or visit

Clearwater Periodontist Shares: What is a Root Canal

What is a root canal?
When a cavity, or tooth decay, extends into the root, root canal therapy is often the most effective way to retain the tooth.
This video shows root canal therapy which can be performed by your general dentist, but in most cases referral to a root canal specialist, or endodontist, is recommended. A temporary filling is placed, and then a patient will see a general dentist for a permanent restoration, normally a crown.
At Britten Periodontics and Implant Dentistry, we do not perform root canals in our practice but work cohesively with the best endodontists and general dentists to provide you with the best care possible. This way, you can be seen by a team of dentists that focuses on the area that they are trained and most skilled at and work together to provide the best care.


If you have any questions about root canals (endodontic treatment), or any other aspect of dentistry that concerns you, contact our knowlegeable staff today at 727-586-2681.

Clearwater Periodontist Shares 3 types of restorations

These illustrations are showing the difference between 3 very different types of restorations – a tooth-colored gum line filling or composite bonding, a dental veneer and a dental crown.
filling vs veneer vs crown
1st row:  The top illustrations show abrasions in the enamel at the gumline from using a toothbrush that was too hard. Defects in the enamel at the gumline are also caused by a bad bite from misaligned teeth, or clenching and grinding habits, or can even be from decay. In the top illustration, the teeth are being filled in with tooth-colored filling, known as composite resin.

2nd row:  When bonded to the surface of teeth, porcelain veneers improve the outer appearance by camouflaging discoloration. They can also be used to close gaps or when other cosmetic improvement is needed.

3rd row:  Dental crowns are used to repair and restore larger areas of decay or damage for which tooth-colored fillings or dental bonding will not suffice. The crown covers and strengthens the natural tooth. A crown can be made from a variety of materials, based on the location of the repair and patient needs, including porcelain, ceramic, and zirconia.

We don’t do this type of restorative work in our office, but we like to use illustrations and videos to help our patients understand how the wonderful restorative dentists we work with can fix their teeth. If you have questions about your teeth or gums, contact us today at 727-586-2681 or visit our website

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.

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

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.

-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.

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.

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.

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.

Saves money, at least initially

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.

Clearwater FL Periodontist Holding 3rd Annual Veteran’s Day Event

Dr. Todd M. Britten and the team at Britten Periodontics & Implant Dentistry is holding their 3rd annual Free Dental Day for Veterans on Friday, November 3rd, 2017. “The sacrifices made by veterans and their families are truly astounding. I am aware that dental coverage for veterans is very hard to attain, so each year, we have hit the ground running trying to deliver periodontal care to as many veterans as we could.” Britten Periodontics once again had overwhelming offers to help from many dental professionals in the community willing to donate their time and resources to provide free dental care. Patients were directed to the event this year from The Homeless Emergency Project in Clearwater, as well as local V.A. Branches from Pinellas, Pasco and Hillsborough counties.

“Once again, we have had an incredible response from the community and were able to get skilled and compassionate local restorative dentists involved.”  For the third year in a row, Clearwater Dental Associates, Dr. Jim Hayslett and Dr. Keith Kiskadden and their staff are on board to help out with our event, seeing patients for fillings, crowns and even dentures. New to this year’s event, Dr. Michael Podlusky in Seminole, Florida, also reached out to Dr. Britten to also help, making upper and lower dentures at no-cost for one of the patients.

Dr. Britten’s dental specialty, periodontics, often involves managing and treating advanced gum disease. A periodontist is often able to help a patient in danger of losing teeth or with active oral infection to turn their health around. “Having Clearwater Dental Associates involved again this year, and the gracious help of Dr. Mike Podlusky and his team enables us to provide more comprehensive care to our veterans. Being a periodontist, my specialty is really the surrounding structures of the teeth; roots, gum and bone. My job is to help with the foundation. Having the restorative specialists involved helps us to treat the whole mouth and really deliver comprehensive care to these veterans.”  “Most of the time, periodontal disease is not painful until it gets to be very advanced. Some of the veterans had been dealing with painful teeth for a long time,” Dr. Britten expressed his concern. “Even though we sometimes have to remove some teeth we felt better knowing these veterans do not have to be in discomfort anymore.” Britten says being able to offer two different forms of sedation to Veterans for this event in his Clearwater, FL practice has helped for patients who have PTSD, dental anxiety, or need extensive surgical treatment.

For Britten and his team this event is something they look forward to all year long. They keep in touch and have provided follow up care for many of the veterans. “This year we were able to invite Veterans from previous events to receive follow up maintenance care at this year’s event,” said one dental hygienist at Britten Periodontics who helped organize this year’s event.

Dr. Todd Britten explained how glad he is to be doing this the third year in a row and would like to do it annually for the entirety of his career. When asked why this is a cause so near and dear to his heart he stated that his grandfathers and uncles served in the military and giving back to veterans in need is a top priority for him. Dr. Britten said, “The entire staff at Britten Periodontics is so grateful to the men and women in the military that make so many sacrifices for our freedom.”

One patient returning this year received treatment at the inaugural event was John Smith, who served in the US Navy in Vietnam from 1965-1969. Dr. Britten explained that he was honored to be able to help Mr. Smith and to continue in his care since the 2014 event. The VFW Post 2473 in Clearwater where Mr. Smith serves as canteen manager does much to help local veterans. Mr. Smith stated that his local branch recently fed over 100 VA patients and raised over $15,000 for homeless veterans and participated in additional fundraising for Cancer Research.

When asked what this event meant to him in 2014, Smith had stated, “I get to keep my teeth and I can’t believe it’s free.”

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.

Clearwater Periodontist Shares What You Need to Know About Dry Mouth

Have you ever noticed bad breath due to dry mouth?

Do you experience pain or discomfort from dry mouth?

Have you had changes in your oral health – like sudden decay or worsened gum disease?

Do you get sores in your mouth or on your tongue frequently?

Does your dry mouth interfere with your sleep?

Do you avoid certain foods because they are too difficult to eat with dry mouth?

Do you have trouble swallowing due to thick mucus?

If you answered “yes” to one or more of these questions, be sure to ask your dentist about dry mouth.  Chronic dry mouth is a condition that can be painful, or even unnoticed by a patient sometimes because they have gotten used to living with the discomfort or incovenience of choronic dry mouth.  It can occur due to medicine, medical conditions, or even lifestyle choices.  It can lead to significant oral health issues like cavities, gingivitis, periodontitis, or problems eating or wearing dentures.

We have also found in our practice that different remedies help different patients combat chronic dry mouth. Here are some possible suggestions and options for patients with dry mouth:


1. Some patients find comfort from carrying water with them throughout the day and taking small sips.  Cold water may help soothe and calm fiery red tissues. For those without high blood pressure or an adversion to sodium, you can mix a pinch of baking soda in their water and swish and spit this mixture out throughout the day. Baking soda is alkalizing and can protect from decay.


2. A combination of over the counter Biotene products (gels, rinses, sprays, lozenges) used 5 times a day (A combination and routine of these products can usually be recommended by your dental health professional).  Many patients find Biotene Gel to be extremely comforting to their dry oral tissues, especially before bed time.  Patients using C-Pap appliances should use an oral gel as these devices often blow air which aggravates this condition greatly.


3. There is a product available via prescription called Neutrasal. Neutrasal works like saliva to help restore a healthy mouth. A powder pack is mixed and dissolved in one ounce of water, and swished for 1 minute before spitting.  It can be used 2 to 10 times a day, depending on what your dental health care provider recommends, and you should avoid eating or drinking for at least 15 minutes after use.


4. PerioSciences’ Anti-Oxidant Gel can also be helpful for our patients suffering from dry mouth.


5. Many patients with dry mouth should be on a strict caries prevention program, which can include prescription toothpaste, rinse, gel, trays, or in-office treatments.  Calcium and phosphate are often included in some of these products, which are minerals that help rebuild weakened enamel.


For more information, call us today at 727-586-2681 or visit our website at


Dr. Britten, your dentist, or dental hygienist will review the cause of dry mouth, as well as your risks for periodontal disease or tooth decay.


Talk to your dentist about your dry mouth symptoms to see which dry mouth treatment is best for you!