Tag Archives: Periodontist

Clearwater FL Periodontist Dr. Todd Britten Shares: What happens when a baby tooth does not erupt properly?

Most people have heard of wisdom teeth that become impacted, however the upper canines, or eye teeth are the second most common impacted adult teeth. If a canine tooth does not erupt spontaneously, your orthodontist and periodontist or oral surgeon will work together to get these unerupted canine to erupt. Each case must be evaluated on an individual basis but treatment will usually involve a combined effort. The most common scenario will call for the orthodontist to place braces on the teeth (at least the upper arch). A space will be opened to provide room for the impacted tooth to be moved into its proper position in the dental arch. If the baby canine has not fallen out already, it is usually left in place until the space for the adult canine is ready. Once the space is ready, the orthodontist will refer the patient to the oral surgeon to have the impacted canine exposed and bracketed.

In a simple surgical procedure performed in the surgeon’s office, the gum on top of the impacted tooth will be lifted up to expose the hidden tooth underneath. If there is a baby tooth present, it will be removed at the same time. Once the tooth is exposed, your oral surgeon or periodontist will bond an orthodontic bracket to the exposed tooth. The bracket will have a miniature gold chain attached to it. The surgeon will guide the chain back to the orthodontic arch wire where it will be temporarily attached. Sometimes the surgeon will leave the exposed impacted tooth completely uncovered by suturing the gum up high above the tooth or making a window in the gum covering the tooth (on selected cases located on the roof of the mouth). Most of the time, the gum will be returned to its original location and sutured back with only the chain remaining visible as it exits a small hole in the gum.

Shortly after surgery (1-14 days) the patient will return to the orthodontist. A rubber band will be attached to the chain to put a light eruptive pulling force on the impacted tooth. This will begin the process of moving the tooth into its proper place in the dental arch. This is a carefully controlled, slow process that may take up to a full year to complete. Remember, the goal is to erupt the impacted tooth and not to extract it! Once the tooth is moved into the arch in its final position, the gum around it will be evaluated to make sure it is sufficiently strong and healthy to last for a lifetime of chewing and tooth brushing. In some circumstances, especially those where the tooth had to be moved a long distance, there may be some minor gum surgery required to add bulk to the gum tissue over the relocated tooth so it remains healthy during normal function. Your dentist or orthodontist will explain this situation to you if it applies to your specific situation.

 

Dr. Britten works with excellent pediatric dentists, general dentists and orthodontists in our area to surgically intervene in case of an impacted tooth.  Call us today if you have any questions!  727-586-2681 or visit our website at http://www.brittenperio.com

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Clearwater FL Periodontist Dr. Todd Britten, Offers Laser Dental Surgery As a Successful Treatment for Periodontal Disease

Dr. Todd Britten is offering patients at Britten Periodontics & Implant Dentistry surgical treatment utilizing the PerioLase and LANAP® protocol for treatment of periodontal disease. LANAP, or the Laser Assisted New Attachment Procedure, is an alternative to traditional periodontal surgery for the treatment of gum disease. Dr. Britten also offers LAPIP®, the Laser Assisted Peri-Implantitis Procedure, to treat infected and/or save failing dental implants.

Dr. Todd Britten, DMD, M.S. , a board-certified periodontist, provides LANAP therapy as an option to traditional surgery for patients who suffer from gum or periodontal disease. Dr. Britten received special training on the procedure, which uses the PerioLase MVP-7 laser for periodontal disease treatment. This procedure kills harmful bacteria and removes unhealthy gum tissue without harming bone or healthy tissue.

At Britten Periodontics & Implant Dentistry, Dr. Todd Britten and his staff care about their patients’ total oral and systemic health and are concerned that nearly half of American adults have some form of gum disease and many don’t even know it.  Gum disease can cause serious oral health problems, and has been connected to a number of other major health issues, such as heart disease and Diabetes. The uses a laser instead of scalpel, so it is minimally invasive. Patients who have undergone this periodontal disease treatment have reported little, if any, discomfort or pain and a shorter recovery period.

The laser dental surgery procedure begins with Dr. Britten using a periodontal probe to determine the depth of the pockets between the teeth and gums that contain bacteria.  He then uses the PerioLase laser to eliminate those harmful bacteria, tartar and diseased gum tissue in the pockets.   The healthy tissue is compressed and stimulated to attach to the tooth and bone regeneration may also stimulated by the laser.

The LANAP procedure is fully cleared by the FDA for periodontal disease treatment and has been shown to be quite effective. Patients who suffer from gum disease can now be evaluated to determine whether they are candidates for this new treatment procedure. For additional information on the LANAP procedure, visit http://www.clearwaterperiodontist.com or www.brittenperio.com

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

Dr. Todd Britten is now offering this FDA-cleared laser procedure for gum disease and periodontal treatment. To learn more about Dr. Britten and his dental services visit his website at:http://www.clearwaterperiodontist.com or www.brittenperio.com or call (727) 586-2681.
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