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Wednesday, September 21, 2016

What's New: CeraRoot Implants

Zirconia oxide implants are the newest  most bio-compatible material on the market. This means they are not only hypoallergenic but that they will integrate seamlessly, your gum tissue will grow back up the tooth like it would on your natural tooth. They have been FDA approved since 2011 and are corrosion resistant, holistic-friendly and will not conduct electricity or heat. 
Another positive to these implants is their color. Because they are ceramic they are white like teeth not gray like metal, which can leave a noticeable line near the gum line. They are also ONE-piece, which eliminates the space for bacterial growth that can cause halitosis (& that bad taste in your mouth), a low grade inflammation around the implant and bone loss.
Some criteria of being a candidate for these implants are being a non-smoker and having no advanced gum disease. The implants are wider than the traditional metal implant or mini-implants so you would need enough healthy bone available to place them. Dr. Bertolini can evaluate your oral tissue and bone health and recommend a periodontist who can place them for you. Your smile is waiting!

Wednesday, September 7, 2016

You Should Still Floss

According to the recent Associated Press report, we should no longer floss because it has yet to be proven effective.  But lack of high-quality evidence is not proof of ineffectiveness! Did you know that there are more than 500 different types of bacteria that can be found in dental plaque? Brushing your teeth will remove that bacteria from your tooth surfaces but how will you get rid of the bacteria that collects between your teeth and just below the gum line? We encourage our patients to think of dental floss like a long toothbrush bristle going between your teeth to remove the plaque your surface brush cannot.
Prolonged exposure to plaque build up can create an inflammatory response in your gums, which often leads to periodontal disease. As it advances, periodontal disease can erode bone and gum tissue supporting teeth, leading to tooth loss. A large body of research links periodontal disease to systemic conditions such as diabetes and heart disease. So by removing the bacteria in hard to reach places you are not only protecting your oral health but your overall health.
One thing the Associated Press failed to mention was that flossing isn't the only way to clean between teeth and below the gums. While flossing with dental floss is one way, there are other options available such as interproximal brushes, waterflossers and even a toothpick (we recommend Stim-U-dent).
According to the U.S. Centers for Disease Control and Prevention, one out of every two American adults over the age of 30 have some form of periodontal disease. There are many factors that contribute to this statistic: including age, smoking, presence of other systemic conditions and family history. However, by continuing to floss as a low-cost and low-risk part of a regular oral hygiene routine (which should also include brushing twice daily and receiving a comprehensive periodontal evaluation every year) you are doing your part to contribute to a life of healthy gums.
An ideal investigation of flossing's impact on gum health - research that has not yet been done, possibly due to the expense and length of research because periodontal disease progresses slowly.  So until this research is conducted, The Francis A. Bertolini Dental Team and the American Academy of Periodontology encourage you to floss on.

Peshoff, Carl M. "Flossing." Received by Francis A. Bertolini, DDS, 31 August 2016.
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Wednesday, July 27, 2016

Watch Your Mouth.

The new school year is quickly approaching. Make sure your child is
ready for the sport season ahead by protecting their mouth from sports
 related injuries. During practices & games it is important to have your
child wear protective gear, which includes mouthguards! They help
protect your child's teeth, jaw, lips, tongue and even their face from
sport related injuries. For more in depth information about mouthguards
read our blog post "Play Hard. Protect Your Teeth.".

Wednesday, July 13, 2016

Choosing the Right Toothbrush

There so many choices in color, bristle type, style, size, manual or electric and it's easy to become confused or overwhelmed about which toothbrush is best. Toothbrush technology has come a long way over the years and while we no longer have to use a stick or boar hair to clean our teeth, how do we choose a brush?
Your toothbrush is an especially important tool in your oral hygiene because brushing your teeth helps remove food debris and plaque. Using the proper brush is your best defense against plaque build up. Prompt and proper removal of plaque will prevent further oral health problems like difficulty brushing because of tartar build up and gingivitis.

What type of bristles do you use?
A. Multi angle, colored
B. Hard/ bristles
C. Soft flat cut, simple

Dr. Bertolini recommends C - a simple even layered soft-bristled brush head for the best and safest clean. The extra bells and whistles on other types of brush heads can actually injure your teeth and gums. Hard bristles don't clean better instead they can wear away your gums and enamel! Angled bristles can sometimes wear unevenly with use and add more pressure onto certain areas of your gums and cause them to recede.
Brushing twice a day, flossing, having regular check ups and changing your tooth brush every 3 months (or earlier if you see wear in the bristles because a frayed/ worn brush does not clean as effectively) is the best way to keep your smile bright and healthy.
For more information on how to brush your or your child's teeth, visit our website .

Wednesday, February 24, 2016

Socket Preservation/ Bone Augmentation

If you've ever had a tooth that your dentist was unable to preserve, Dr. Bertolini recommends that the extraction site should be augmented.
Why do an augmentation?
Bone in the jaw is kept strong and healthy when a healthy tooth is in place. When a tooth has to be removed, the bone in and surrounding the socket loose stimulation and the bone volume begins to to decrease as does the gum tissue. When this happens, ones ability to speak and chew is also affected negatively.
What is augmentation? 
If the site is augmented it will preserve the bone around the extraction site. It will help retain the height and width of the jawbone for future use by an implant or as a better foundation for a partial.
What does this involve?
When Dr. Bertolini extracts a tooth, because the tooth socket is small, it can be filled with an augmentation material. He prefers to use an artificial bone material that conducts your own bone to grow into the area. Using this type of material reduces atrophy and bone loss around the extraction site. If the site were not augmented, bone loss is normally about 60% in width and 40% in height and when augmented the loss is much less - between 10-15%.

Below are the before & after x-rays of the bone augmentation procedure done by Dr. Bertolini on his patient.

As you can see the augmented area is integrating with the augmentation material nicely and shows minimal decrease in bone or tissue volume.

Call today if you have any questions about your smile. We are here to help our patients make well-informed decisions about the health of their mouth. 330-494-6305.