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! 

www.brittenperio.com
727-586-2681

https://youtu.be/EjlOgvraEHU

Eat the foods you love again with gum grafting procedures in Clearwater, Florida

Want to be able to eat ice cream again?

Tooth pain that you experience because of sensitivity to hot, cold, or acidic food or drink can be caused by decay, fractured teeth or worn fillings. But gum disease, causing exposed roots due to a receding gum line, along with with worn teeth or roots can also be the source of the problem.

Healthy teeth have a layer of enamel that protects the crowns of your teeth—the part you can see above the gum line. Below the gum line a layer called cementum protects the roots, and below the enamel and the cementum is dentin. Dentin contains microscopic tubules (small canals). If dentin loses its protective covering of enamel or cementum –or sometimes when gums recede — these tubules allow heat and cold or acidic or sticky foods to reach the nerves and cells inside the tooth. The result can be hypersensitivity.

Sensitive teeth can be treated in a variety of ways. Dr. Britten will recommend the appropriate treatment based on the cause of your sensitivity. Those might include:

- A de-sensitizing or prescription toothpaste containing minerals or compounds that help block transmission of sensation from the tooth surface to the nerve. Repeated applications (4 to 6 weeks) are usually necessary before the sensitivity is reduced.

- Application of a fluoride varnish or Kuraray desensitizing mineral powder, an in-office treatment which strengthens tooth enamel and reduces the transmission of sensations.

- Sometimes gum grafting is needed. This is a surgical procedure to protect the root and reduce sensitivity by replacing gum tissue that has been lost from the root.

Proper oral hygiene can often prevent tooth pain not caused by trauma.  Contact us today if you have any questions about your daily oral hygiene routine or concerns about tooth sensitivity.

www.brittenperio.com

Clearwater FL Periodontist Holds 3rd Annual Veteran's Day Event

Dr. Todd M. Britten and the team at Britten Periodontics & Implant Dentistry had an early start on Veteran's Day which is Friday, November 11th. They held their 3rd annual Free Dental Day for Veterans on Friday, November 3rd, 2017. 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 compassione 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. "Many thanks to Dr. Britten for organizing the Veteran's Day Event and graciously offering me the opportunity to help treat a patient. So glad to help at least one of our honored Vets. One person can't do everything, but all of us working together surely can!" Said Dr. Mike Podlusky.   

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.” Dr. Britten sees most patients for a comprehensive evaluation, radiographs and treatment consult prior to the event in order to determine what services he as the gum specialist can provide in his office, and make appropriate referral for restorative care from local dentists who have volunteered to help with the event.

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 may require extensive surgical treatment.  Dr. Britten expressed his concern. “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.”

For Britten and his team this event is something they look forward to all year long. They keep in touch with veterans from previous events and this year they were able to provide follow up exams, x-rays and periodontal maintenance procedures, which help prevent reinfection of the gums following treatment. “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. "It was great to see them again and the progress they have made in their oral health. It is touching to be a part of something that has changed someone's life in such a positive way."

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 2015 event. The VFW Post 2473 in Clearwater where Mr. Smith serves as canteen manager does much to help local veterans.

When asked what this event meant to him in 2015, Smith had stated, "I get to keep my teeth and I can't believe it's free." A patient new to this year's event, Yvette said, "This was the most amazing dental cleaning I have had in my whole life!"

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.”

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.

www.brittenperio.com

Clearwater FL Periodontist Dr. Todd Britten discusses importance of Periodontal Maintenance

If you've undergone treatment for periodontal (gum) disease, you know how involved it can be, whether your treatment required nonsurgical therapy, surgical therapy or a combination of both.

Following gum surgery or scaling and root planing, a nonsurgical periodontal therapy, plaque and calculus (hardened plaque deposits) are removed and as they heal swollen, red gums finally begin to regain their healthy pink color.

Treatment does not stop there. If it does, there's a high chance of a re-infection of the gums.

Periodontal maintenance (PM) is important for gum disease patients after treatment. Plaque, a thin film of bacteria and food particles responsible gum disease, continue to grow again on your tooth surfaces as it did before. Diligent, daily brushing and flossing to curb that development.

It is also important to keep up regular dental visits for advanced cleaning to remove hard to reach plaque and calculus. For gum disease patients it is usually four but for some advanced gum disease patients, six times a year, especially just after treatment. Many of our patients alternate visits for periodontal maintenance between our office and their general dentist so that their periodontal condition is closely monitored, as well as the health of their teeth.

Our goal is to reduce the chances of re-infection. To do this, we'll thoroughly examine your teeth, gums and any implants for signs of disease (as well as an oral cancer screening). This includes an assessment the health of your teeth and gums and to see how well you're doing with plaque control and review your recommended customized daily oral hygiene instructions.

Overall, we want to prevent the occurrence of any future disease and treat it as soon as possible if it relapses. Keeping up with homemade and a routine periodontal maintenance schedule will help ensure your gums continue to stay healthy.

If you would like more information on periodontal disease, please contact us or schedule an appointment for a consultation 727-586-2681 or visit our website at www.brittenperio.com

Clearwater Periodontist Dr. Todd Britten Shares: Is it worth investing in a power toothbrush?

Most of our patients can tell the difference in how their teeth and gums feel when they switch to a power toothbrush. Dr. Britten and his team can also typically tell when a patient uses an electric toothbrush versus a manual toothbrush – as there is usually a noticeable difference in the amount of plaque present as well as a patient’s gum tissue tone and color.

Improving oral health will improve overall health, a reason most patients will be happy to make the extra investment for a powerbrush. An electric toothbrush (our favorite professional-grade brands typically run from $150-200) is only a fraction of what it costs to complete most dental procedures. In the end, investing in a good power toothbrush, changing brush heads every 90 days, and using the proper technique will save you money!

Why choose a powerbrush?

Power toothbrushes usually have built in features with an advantage for better oral health.

Timer - Many brands feature a timer to ensure patients brush for a full two minutes, and may also have a pressure indicator to pause brushing or to let patients know if they’re brushing too hard and possibly damaging their gums. The Phillips Sonicare, one of our favorites, hesitates every 30 seconds, to help a patient distribute their brushing in all four sections of the mouth.

More effectively disrupts and removes harmful bacteria in the mouth. The sonic vibrating or oscillating of bristles from an electric brush remove sticky plaque bacteria effectively and stimulate the gum tissue, reducing inflammation. Electrics brushes operate at 30,000 strokes per minute while a manual is only 200 strokes.

Simpler technique. With a power toothbrush, all you have to do is move the brush from tooth to tooth, spending a few seconds at a time. The professional line of powerbrushes from Philips Sonicare are definitely our favorite because they can penetrate below the gum line to disrupt the bacterial environment formed by plaque. Other brands, most notably the Oral B have brush heads that oscillate in a half-circle motion to remove biofilm (plaque) from the tooth surface.

Gentle and safe at the gumline. Using a powerbrush with the correct technique will help prevent gum recession, enamel abrasion (wearing away) and tooth sensitivity from improper brushing as well as tooth decay and gum disease. Even with their phenomenal power, power toothbrushes such as the Sonicare are still very gentle on the teeth and gums. If patients have gum recession, they can just place the brush on the tooth without using a scrubbing action, which can traumatize and wear away more thin and delicate gum tissue.

Stain removal. Electric toothbrushes help with stain removal, which is attractive to patients who really want a bright, white smile. Some Sonicare models come with a “whitening” setting or even special polishing brush heads.

Helps those with dexterity issues. Elderly patients or others with dexterity issues can also benefit from electric toothbrushes. Many patients can’t move their hands the way they need to, so if they use a manual brush, they’re likely leaving plaque behind. Powerbrushes help remove plaque from the teeth for them, so as long as they get it close to where it needs to be, it’s going to remove plaque and help prevent problems.

Great for kids. Electric toothbrushes are also great options for children, especially if they have braces!

Less time brushing, with a better result! In two minutes, a power toothbrush will remove plaque and massage and stimulate gum tissue more effectively than the minimum of four minutes you would need to brush with a manual toothbrush.

For more information on the proper technique for healthy teeth and gums using a power toothbrush (and other helpful oral hygiene tips) visit http://brittenperio.com/oral-health/oral-hygiene/

#wednesdaywisdom #wednesdaywellness #clearwaterperiodontist

Clearwater Periodontist Shares What is Oral Lichen Planus

If you’ve noticed a small sore in your mouth, it’s possible you have a non-contagious disease known as lichen planus. Although usually benign, it’s still a good idea to have it examined and monitored.

 The condition is so named because its lesions are similar in appearance to lichen, the algae and fungi organism often found on rocks and trees. It’s believed to be a type of autoimmune disease, in which the body treats some of its own cells as foreign and reacts adversely to them. Certain medications and substances may also cause a lichenoid reaction. Besides the inner cheeks, gums or tongue, lichen planus may also appear on other skin or mucous surfaces on the wrists, legs or fingernails.

When it appears inside the mouth it usually resembles a lacy pattern of white lines or ulceration. Gum tissues may become red and inflamed, with some soreness after brushing or eating. Although there’s no known cure for lichen planus, it rarely causes serious problems — in fact, you may not even be aware you have the condition unless pointed out during a dental exam. It may, in time, fade away.

If the lesions do become bothersome (painful, itchy or overly-sensitive), there are some ways to ease discomfort: brushing with a soft toothbrush (to minimize irritation), flossing, and avoiding acidic or spicy foods and beverages which have been known to cause flare-ups. Managing stress is also helpful, and a topical steroid may be prescribed for more severe outbreaks.

Perhaps the greatest concern with lichen planus, though, is it may resemble more serious conditions, particularly oral cancer. The only way to be certain that it is a benign condition is to perform a biopsy on some of the affected tissue. If you notice a problem, be sure to visit us for a complete examination. And regardless of whether you have the condition or not, regular oral cancer screenings, as well as limits on alcohol consumption and stopping use of tobacco, will also reduce your risk of oral cancer.

Odds are if you have a case of lichen planus it isn’t causing you any problems. If it does cause you discomfort, though, you can take steps to ease your symptoms.

If you would like more information on lichen planus and similar oral conditions, please contact us or schedule an appointment for a consultation. www.brittenperio.com

Clearwater FL Periodontist Dr. Todd Britten Welcomes You!

I haven't been to the dentist in a long time! What do I need to do?

Please know that you are not alone! Whether you have been away from the dentist for 6 months or 6 years, it’s never too late to get back into a good and healthy routine.  We are here to help!  Call us to schedule a thorough and educational exam appointment. 

We are grateful for the opportunity to assist you in achieving a healthy and functional smile.
Your initial exam will last approximately one hour. We will review your medical and dental history and perform a thorough examination of your teeth and gums.  This will include looking for signs of periodontal disease, gum recession, tooth looseness, and missing teeth.  Dr. Britten will also check your bite (occlusion) and perform an oral cancer screening exam.

During this initial consultation we will be able to provide a diagnosis of your periodontal condition and propose a treatment plan to improve your dental health.  Occasionally, Dr. Britten prefers additional time to review his findings and “do his homework” so that he can provide the best ​recommended treatment options.  We may then ask you to return for a complimentary second consultation visit.  

Dr. Todd Britten and his talented and experienced staff are focused on providing patient-centered care, and we take the time to explain to our patients the risks, benefits, and alternative options they have with any dental treatment. Our practice is very warm and compassionate, and we are sensitive to the needs of each individual patient. Contact our Clearwater periodontal office today to schedule an appointment at 727-586-2681 or visit our website at www.brittenperio.com

Clearwater Periodontist Dr. Todd Britten talks about Custom Fitted Nightguards

 

Many people clench or grind their teeth whether they realize it or not. Clenching and grinding can be detrimental to your teeth and to their supporting structures (gum tissues and bone). It can cause wear on the biting surfaces, root defects, gum recession, contribute to gum disease and tooth shifting and mobility, and cause muscular and TMJ (joint) issues.

Most people are completely unaware that they do it, because it happens while they are sleeping. Many patients do not realize they grind their teeth and find the thought of wearing a night guard very unappealing.

Nightguards purchased online or at the drug store are not custom fitted, they are usual one size fits all or boil & bites. They can be large, unattractive, poorly fitting and may even come out during the grinding.

Your dentist is trained in how a persons' bite should function, how the teeth should come together and will take into account your specific situation and grinding pattern. Your dentist’s office will take impressions of your teeth so that the dental lab can make a might guard that is the exact match to your teeth.

Although the initial investment may be greater, a custom fit nightguard can be an extremely worthwhile investment in the long run. It is designed by your dentist to fit your teeth exactly and is much more likely than a store bought guard to prevent you from needing more expensive dental work in the future. In many case, dental insurance covers all or part of the cost.

Dr. Britten can check your teeth and bite for signs of abnormal clenching and grinding and work with your dentist to fabricate the right appliance for you. Contact our office at 728-586-2681, via email at healthysmiles@brittenperio.com or visit our website atwww.brittenperio.com with any questions or concerns you have.

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Clearwater Periodontist Dr. Todd Britten: Periodontal Disease Can Be Treated and Controlled

Periodontal Disease Can Be Controlled and Treated

Periodontal Disease Can Be Controlled and Treated

Your dentist and/or dental hygienist routinely perform an examination of your gum tissue health which includes periodontal probing, or measuring of the depth of your gums.

Unhealthy gums pull away from the teeth and form "pockets" that are infected. The body's immune system fights bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body's own enzymes fighting the infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and connective tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.

Periodontal disease – and the harmful affects to the gums and supporting structures of the teeth – can be controlled and treated. Improvement to our patients’ overall health is also often dramatically improved.

The health improvement is easy to appreciate when you consider living with an active bacterial infection, easily exposed to one’s bloodstream, can have a detrimental affect beyond the harm to the tooth and gums.

If you have symptoms of gum disease, contact us immediately. Gum disease addressed early can be reversed – and gum disease addressed later can be controlled. For more information, please contact our office at 727-586-2681 or www.brittenperio.com.