Saturday, April 7, 2018

Botox for Treatment for TMJ Disorders

BOTOX® Treatments for TMJ

American Academy of Facial Esthetics Trained Physicians, Dentists and Nurse

BOTOX® Treatment for Jaw Tension and TMJ

BOTOX® is used as an alternative treatment for TMJ (temporo-mandibular joint) disorders and associated jaw tension and pain. When injected into facial muscles afflicted with soreness and discomfort, BOTOX® relieves TMJ and jaw tension for many patients. The injections often eliminate headaches resulting from teeth grinding, and, in cases of severe stress, BOTOX® can even minimize lock jaw. Although BOTOX® treatment for these conditions is presently experimental; evidence indicates that it can be extremely effective.

How Does BOTOX® Treat Jaw Tension and TMJ Disorder?

Located on both sides of the head at the point where the jawbone meets the skull, the temporo-mandibular joint (TMJ) is used during talking, eating, swallowing, and other everyday activities. If this joint becomes displaced or is overworked through excessive teeth grinding, a person may suffer severe tension headaches, as well as sharp pain in the jaw. BOTOX® relieves jaw tension by making muscles unable to engage in the powerful, often unconscious movement of the jaw that produces headaches and pain.
The BOTOX® alternative treatment for TMJ disorders and jaw tension is usually quick, straightforward, and effective. A non-surgical procedure, BOTOX® injections are administered in a doctor’s office and treatment requires no hospital stay. Most patients experience noticeable improvement within one or two days of their first treatment, although relief can take up to a week.

Areas Affected by TMJ Botox Therapy

Only the areas injected with Botox will be “relaxed.” Botox treatment for TMJ therapy will not affect anywhere else in your body. The injections are mainly in the temporalis, frontalis and masseter (see picture below) additional sites may be injected with Botox depending on the severity of the headaches.

How long is the Botox Treatment Procedure?

The length of the Botox treatment procedure depends on the number of injections needed as determined by the doctor. Still, it is reasonable for the treatment procedure to be completed within 10-30 minutes.

Is the Botox Treatment Painful?

The pain associated with the Botox TMJ Treatment procedure is due to the injections, but it is generally minimal and brief. Some patients have likened the Botox injection pain unto a “bug bite” or “prick”. Pain from the injection can be reduced by numbing proposed injection sites with a cold pack or anesthetic cream. If you are scared of needles the doctor may offer you Happy Gas.

What to Expect After the Botox TMJ Treatment?

After the Botox TMJ Treatment muscle tenderness will start to disappear almost immediately. Wrinkles begin to disappear within 24 – 48 hours after the injections, and you may continue to see the wrinkles diminish up to one week after the Botox treatment procedure.
There may be mild temporary bruising, numbness, or redness around the injection sites. You will not look 20 years younger, but you may find that you look more natural and relaxed or less sad and angry. A small number of patients treated with Botox injections reported no noticeable difference in the reduction of their wrinkles.

What is the Recovery from Botox Therapy for TMJ Treatment Like?

Because the Botox Treatment procedure is non-surgical and non-invasive, it is highly likely that the patient can return to normal activities immediately. However, to avoid spreading the toxin to other muscles, patients should not rub or massage the area injected with Botox and remain upright for many hours. Physical activity should also be limited for a time.

Risks, Limitations & Possible Complications of Botox Injections for TMJ Treatment

As with any medical procedure there are possible risks and side effects when using Botox for TMJ treatment. Since this is a non-surgical treatment procedure, the risks and possible complications are infrequent, minimal and temporary.
The most common reported side-effects of Botox treatment are headaches, respiratory infection, flu syndrome, temporary eye-lid droop, and nausea. Less commonly reported effects of Botox are pain, redness at spot of injection, and muscle weakness. These symptoms are thought to be connected with the Botox injection and occur within the first week.
There could also be bruising at the injection site. The lips are used more than the forehead for common activities such as chewing, kissing, and talking. Therefore Botox injections around the mouth are less useful in TMJ treatment and can have more potential inconvenient effects. These every day activities may become more difficult and too much Botox® around the mouth can result in drooling. Another limitation to Botox® injection for TMJ treatments is that there is a possibility of developing antibodies that would render the TMJ treatments less and less effective over time. This resistance could be delayed by using the lowest effective dose possible over the longest intervals of time. Botox injection treatments should be avoided during pregnancy and lactation.
Disclaimer:botox, dysport, dermal fillers, facial injections, and other skin care information contained on this website is provided for educational purposes and should not be taken as medical advice. To consult with one of our AAFE trained members, please contact one of our trained members today.

Sunday, March 4, 2018

Bad Breath?

Thursday, February 1, 2018

Importance of Good Oral Hygiene

Beyond tooth decay: why good dental hygiene is important

Most of us are aware that poor dental hygiene can lead to tooth decay, gum disease and bad breath - but not brushing your teeth could also have consequences for more serious illnesses.
In this spotlight feature, to coincide with National Dental Hygiene Month, we peer beneath the plaque to investigate what other - perhaps unexpected - health conditions are affected by poor dental health.

Alzheimer's disease

In 2010, researchers from New York University (NYU) concluded that there is a link between gum inflammation and Alzheimer's disease, after reviewing 20 years of data on the association.
toothbrush with toothpaste
The American Dental Hygienists' Association recommend that we should brush for 2 minutes, twice daily.
However, the number of participants in the NYU study was fairly small. The researchers analyzed data from 152 subjects enrolled in the Glostrop Aging Study - a study looking at psychological, medical and oral health in Danish men and women. The study spanned a 20-year period and ended in 1984, when the subjects were all over the age of 70.
Comparing cognitive function at ages 50 and 70, the NYU team found that gum disease at the age of 70 was strongly associated with low scores for cognitive function.
Study participants were nine times more likely to have a score in the lower range of the cognitive test - the "digit symbol test" (DST) - if they had inflammation of the gums.
Although this study took into account potentially confounding factors like obesity, cigarette smoking and tooth loss unrelated to gum inflammation, there was still a strong association between low DST score and gum inflammation.
In 2013, UK-based researchers from the University of Central Lancashire (UCLan) built on the findings of this study, by comparing brain samples from 10 living patients with Alzheimer's with 10 brain samples from people who did not have the disease.
Analysis showed that a bacterium - Porphyromonas gingivalis - was present in the Alzheimer's brain samples but not in the samples from the brains of people who did not have Alzheimer's. What was interesting was that P. gingivalis is usually associated with chronic gum disease.
The team followed up this research in 2014 with a new mouse study, the results of which were published in the Journal of Alzheimer's DiseaseMedical News Today spoke to co-author Dr. Sim K. Singhrao regarding the findings.
Dr. Singhrao says that there is sufficient scientific evidence to show that two of the three gum disease-causing bacteria are capable of motion (or "motile") and have been consistently found in brain tissue.
"These motile bacteria can leave the mouth and enter the brain via two main routes," he explains. "They can use their movement capability to directly enter the brain. One of the paths taken is to crawl up the nerves that connect the brain and the roots of teeth. The other path is indirect entry into the brain via the blood circulation system."
In a patient who has bleeding gums, says Dr. Singharo, the gum disease-causing bacteria will enter the blood stream every time they clean their mouth and even when they eat food.
He continues:
"P. gingivalis is particularly interesting as it has found ways to hitch a lift from red blood cells when in the blood stream and instead of getting 'off the red blood cell bus' in the spleen, they choose to get off in the brain at an area where there are no immune checkpoints. From there, they spread to the brain at their will. In addition, in older individuals, the blood vessels tend to enlarge and become leaky."
"The published work confirmed P. gingivalis placed in the mouths of mice finds its way to the brain once gum disease becomes established first," Dr. Singhrao concludes. "Furthermore, our hypothesis is strengthened by the recent results demonstrating that the chemicals released by the brain's immune system in response to P. gingivalis reaching the brain 'inadvertently' damage functional neurons in the area of the brain related to memory."

Pancreatic cancer

A research team from Harvard School of Public Health in Boston, MA, were the first to report strong evidence on a link between gum disease and pancreatic cancer, back in 2007.
illustration showing the location of the pancreas
Researchers are unable to prove whether the periodontitis bacteria are a cause or result of pancreatic cancer - current research can only prove that the two are linked.
The type of gum inflammation associated with pancreatic cancer in the study was periodontitis, which affects the tissue that support the teeth and can cause loss of bone around the base of the teeth.
The other main kind of gum disease - gingivitis; where the tissue around the teeth becomes inflamed - was not linked to increased cancerrisk. However, gingivitis can lead to periodontitis if persistent. Gingivitis happens when bacteria in the plaque around the base of the teeth build up due to bad dental hygiene.
Examining data on gum disease from the Health Professionals Follow-Up Study, which involved a cohort of more than 51,000 men and began collecting data in 1986, the Harvard researchers found that men with a history of gum disease had a 64% increased risk of pancreatic cancer compared with men who had never had gum disease.
The greatest risk for pancreatic cancer among this group was in men with recent tooth loss. However, the study was unable to find links between other types of oral health problems - such as tooth decay - and pancreatic cancer.
The researchers suggest that there may be a link between high levels of carcinogenic compounds found in the mouths of people with gum disease and pancreatic cancer risk. They argue that these compounds - called nitrosamines - may react to the digestive chemicals in the gut in a way that creates an environment favorable to the development of pancreatic cancer.
However, a follow-up study from the team in 2012 was unable to prove whether the periodontitis bacteria are a cause or result of pancreatic cancer - the study could only prove that the two were linked.
"This is not an established risk factor," admitted author Dominique Michaud. "But I feel more confident that something is going on. It's something we need to understand better."

Heart disease

Perhaps more well established is the association between dental hygiene and heart disease.
close up of mouth
"The mouth is probably the dirtiest place in the human body," said Dr. Steve Kerrigan.
In 2008, MNT reported on research from joint teams at the University of Bristol in the UK and the Royal College of Surgeons in Dublin, Ireland, who found that people with bleeding gums from poor dental hygiene could be increasing their risk of heart disease.
The researchers found that heart disease risk increased because - in people who have bleeding gums - bacteria from the mouth is able to enter the bloodstream and stick to platelets, which can then form blood clots, interrupting the flow of blood to the heart and triggering a heart attack.
"The mouth is probably the dirtiest place in the human body," said Dr. Steve Kerrigan from the Royal College of Surgeons, explaining that there are up to 700 different types of bacteria co-existing in our mouths.
Prof. Howard Jenkinson, from the University of Bristol, added:
"Cardiovascular disease is currently the biggest killer in the western world. Oral bacteria such as Streptococcus gordonii and Streptococcus sanguinis are common infecting agents, and we now recognise that bacterial infections are an independent risk factor for heart diseases."
The Bristol University researchers investigated how the bacteria interact with platelets by mimicking the pressure inside the blood vessels and the heart. Prof. Jenkinson's team found that the bacteria use the platelets as a defense mechanism.
By clumping the platelets together, the bacteria are able to completely surround themselves. This platelet armor shields the bacteria from attack by immune cells and makes them less detectable to antibiotics.
Although some of the associations we have looked at in this spotlight feature are still under investigation, good dental hygiene remains important for lowering risk of a variety of conditions.
The American Dental Hygienists' Association (ADHA) recommend that we should brush for 2 minutes, twice daily. The ADHA guidelines also stress the importance of flossing daily and rinsing with mouthwash. You can read the full recommendations on the ADHA website.

Tuesday, January 2, 2018

E-Cigarette Usage May Complicate Dental Surgery

E-Cigarette Usage May Complicate Oral Surgery

 22 Nov 2017   
 6180 times
E-Cigarette Usage May Complicate Oral Surgery
Electronic cigarettes often are marketed as a “safer” alternative to traditional tobacco products. Yet they are still packed with nicotine, which inhibits wound healing, increases the risks of anesthesia, and may lead to other complications during and after surgery, according to the American Association of Nurse Anesthetists (ANNA).
With these potential dangers in mind, ANNA encourages patients to be completely honest about their health history with their surgeons, anesthetists, and other healthcare providers. Cathy Harrison, DNAP, MSN, CRNA, who has been a dental anesthesia provider for more than 17 years, recently shared her insights about e-cigarettes and oral health with Dentistry Today.
Q: What effect does e-cigarette use have on anesthesia during dental procedures and subsequent healing?
A: Anesthesia providers need to be aware that smokers, whether cigarettes or e-cigarettes, have very reactive airways. When patients are sedated, they may start coughing during the procedure. This also presents a hazard for the dentist, particularly in invasive procedures, such as when using a drill. 
Smokers may have other underlying issues, which can lead to complications. A thorough health history is important for the anesthesia provider to understand the patient’s health and adjust the anesthetic or sedation plan accordingly.  
Nicotine impacts the body’s ability to deliver oxygen to organs and tissues, which is very important to keeping organs viable. This also may lead to increased risk of infection. If your body is not using oxygen and promoting adequate circulation, this decreases the body’s capability to heal appropriately and increases the risk of infection.
Smoking also is a risk factor for periodontal disease, which can lead to bone loss and loose teeth. This is an important consideration for anesthesia providers who provide general anesthesia because there is a large population of smokers who need surgery.
Q: What guidelines should dentists give their patients for e-cigarette use before or after these procedures?
A: Though a longer period of cessation around anesthesia and surgery is most beneficial, even 12 to 24 hours can significantly increase the body’s ability to deliver oxygen to vital organs and tissues. Patients should be advised not to smoke or use e-cigarettes after dental procedures, particularly if they involved bone grafting, sinus lift, or extractions. The action of drawing on a vaping apparatus causes negative pressure, which can pull the clot from the extraction site and cause dry socket. This is extremely painful.
Q: What effects do e-cigarettes have on oral health overall?
A: Smoking is a significant risk factor for the development of periodontal disease and can lower the chances of successful dental treatment. Smokers have increased incidence of periodontal disease, which can lead to destruction of the gums, bleeding gums, tooth loss, and bone loss.
Patients with periodontal disease also have a higher incidence of cardiac disease, which is an important consideration for anesthetic management. Pregnant patients with periodontal disease also have a higher incidence of premature labor. Diabetics, who already have slowed wound healing, increase the risk of poor wound healing when they use cigarettes or e-cigarettes. 
Q: Should dentists advise patients to quit and provide assistance in doing so? 
A: It is always good practice for all healthcare providers, including dentists, periodontists, and anesthesia providers, to encourage their patients to quit smoking or vaping due to the correlation with periodontal disease, oral cancer, and many of the issues noted above. It is important to educate patients and involve them in the plan of care, thus helping then make better choices about their oral health.
Patient education is also critical, especially with e-cigarettes, because patients aren’t aware of the health effects. Vaping and e-cigarettes are perceived to be a safer alternative to smoking cigarettes. This is not the case. E-cigarettes contain nicotine and have many detrimental health effects on oral and overall health. The incidence of teenagers taking up vaping continues to increase, which is an unfortunate statistic that they are becoming addicted so early in their lives.  

Saturday, November 11, 2017

Nomination For Best Dentist & Best Cosmetic Dentist of Long Island

It has  been announced that I have been nominated  for the second year in a row  for the category for Best Dentist on Long Island. In addition we were nominated for a second category for Best Cosmetic Dentist on  Long Island. It is an honor and I greatly  appreciate the support from my wonderful patients for this nomination.
You can vote 1 time each day per category.
Click on the link below  and then go to the category of   Dentist and vote and also go to category of Cosmetic Dentistry .  I am grateful for your vote and support.

Thank You
Dr. Michael Kampourakis
886 West Jericho Turnpike
Smithtown NY 11787

Dental Implants; Evaluating Your Options for Care

Dental Implants

Evaluating Your Professional Options for Care

Dental implant options for care.
Millions of people throughout the world now have a better quality of life because of dental implants. Dental implants are the only tooth replacement option that preserves bone and doesn't compromise the health of adjacent teeth — and they can potentially last a lifetime. Implants are today's preferred choice for restoring your natural smile with replacements that look, feel and function like natural teeth.
In Part One of our series we discussed the problems that follow tooth loss — the loss of alveolar (tooth-supporting) bone, changes to the face and jaws — and the subsequent impact on personal and social well-being. Maintaining alveolar bone is necessary for proper tooth replacement with dental implants, which are state of the art dentistry. We also considered other tooth replacement alternatives and why implants, long term, are the most cost effective.
In Part Two, we'll discuss the most suitable dental health professionals for both placing implants and fabricating the teeth that attach to them. We'll also give advice on where to go — and why, as well as when and how to make these important choices.
Figure 1: An experienced team understands what each member needs from the others and works in harmony to achieve health, proper function and a beautiful result.
Click to enlarge

Choosing the Right Dental Team for Successful Implant Treatment

What are the advantages of a team approach? Think of it this way: an experienced dental team is like a well-rehearsed and experienced orchestra — though each individual knows his particular instrument well, when they all play together in harmony with the other members of the orchestra, the end result is beautiful music [Figure 1].
Implants are normally placed by dental surgical specialists (periodontists and oral surgeons) and in some cases general dentists who have undertaken special training in implantology and surgery. Implant placement requires planning and involves collaborative efforts between the surgeon (dental specialist), restorative dentist (general dentist or prosthodontist) and dental laboratory technician who is responsible for building the crowns on successfully integrated implants.
Most often your general dentist is the place to start. Some general dentists will have more knowledge than others in the field of implant dentistry depending on their individual interest, knowledge and expertise. The responsibility lays with the general dentist in communicating his/her expertise and comfort level and referring you to specialists so that together you can make confident decisions.
Cat Scan technology.
Figure 2: CAT scan technology provides dentistry with images that allow for proper implant placement and safety.
Photo courtesy of Materialise Dental Inc.
The following is a general sequence of steps necessary in planning dental implant treatment so that your dental team has all the facts they need for your situation. This includes an assessment of your medical status and general health — to determine your fitness for surgery — and an examination of your overall dental health, including;
  • The site where the potential implant or implants are to be placed;
  • Study models (molds) of your teeth to assess your bite;
  • Photographs, especially if there is an aesthetic concern;
  • Special radiographs (x-rays) to assess bone quantity and quality [Figure 2];
  • Fabrication of surgical guides or templates to ensure accurate surgical implant placement.
This will provide answers to two critical questions necessary for successful implant treatment: Is there enough bone; and is it in the right place to allow tooth replacemen


Insufficient Bone — “Regeneration” In Our Generation

Sufficient bone volume for implant placement is vitally important to proper tooth placement resulting in both the most natural-looking and properly functioning tooth. Today there is general scientific agreement supporting the concept that when a tooth is removed a bone graft placed into the extraction site will minimize inevitable melting away of bone or “resorption.” Maintaining “bone volume” following removal of a tooth will facilitate implant placement in the best possible position.
Understanding the principles of wound healing now allows for regeneration of bone to occur using a variety of techniques. Most include opening the gingival (gum) tissues to expose the bone and then augmenting the existing or remaining bone by adding bone grafting materials to it. Healing of the bone can be enhanced by the utilization of membranes which cover the grafts and act like little subterranean band-aids to “guide bone regeneration.” Along with other biologically active molecules (found normally in the body) these techniques promote and enhance healing. In addition, excellent techniques exist for replacing and adding gingival gum tissues.
These surgical procedures are generally carried out by a periodontist or oral surgeon skilled and experienced in these techniques, especially in advanced situations. When creating new bone for implant placement, particularly in the upper jaw where sinuses are involved and bone grafting is necessary, these procedures are more predictably carried out in the hands of a specialist or a general dentist who has taken special and advanced training.
Cat Scan technology.
Figure 3: Using CAT scan technology, a dentist can verify that there is sufficient bone to place an implant in the right location for an aesthetically pleasing crown.
Photo courtesy of Materialise Dental Inc.

Implant Placement and Positioning

Sometimes described as “top down treatment planning,” the teeth to be replaced are recreated in a wax model form by a dental laboratory technician. The idea is then to establish the position of the underlying bone and to make sure the implant(s) is properly aligned (down) with the wax tooth form (top). The implant position can then be predetermined using a combination of specialized radiographs (x-rays) and imaging technology to assure success and in the process avoid major structures like nerves and air sinuses [Figure 3].
From this information surgical guides are made to assist the surgeon in precise implant placement; this in turn will assure the restorative dentist (general dentist or prosthodontist) that a crown will fit in the right position. If the bite will not accommodate implant placement, orthodontic treatment (braces carried out by an orthodontist) may be necessary to reposition teeth.
This process is analogous to the scuba diving adage, “Plan the dive and dive the plan.” A lot of preparatory work goes into initially deciding where an implant is going to be placed long before the actual surgery.
Finally, even with all the appropriate diagnosis and preparatory work, it's not a slam dunk — surgical know how does count. Surgical technique is in part an art, dependent upon proper knowledge, training and experience that can take years to acquire. It really comes down to this: every expert is an artist in his/her own field. Working on his/her particular canvas with all the appropriate information and experience at hand, the surgeon creates a work of art using materials with which he/she is most familiar.t with an implant?

Crown Manufacture and Placement

After the successful osseointegration (osseo – bone, integrate – join or fuse with) of the implant(s) to the jawbone your general dentist or prosthodontist (crown and bridge specialist), together with a skilled laboratory technician, will make a crown to fit on top of the implant that will precisely mimic a normal tooth both in form and function. Even this is not a simple task. It requires accurate record-taking and the transfer of this information to the dental laboratory for “abutment” fabrication (the part that fits into the implant and holds the crown in place). The crown of the tooth is then made of porcelain-like materials that look and function exactly like natural teeth. Implant success rates are extremely high and give patients many years of function and satisfaction.

Questions to ask your dentist

Doctors who are actively involved in implant dentistry should be more than willing to provide patient testimonials and references, as well as before and after photos of their cases. Also, ask about membership in professional associations related to implant dentistry. It does not certify proficiency, but it is a statement of commitment to this growing area of dentistry.
  1. If the doctor who is surgically placing the implants is an oral surgeon or a periodontist, they have had a residency program in surgical procedures as part of their training. Pose the following questions to assist you in selecting the right option for implant treatment:
    • How long have you been placing implants, and how many implants do you place each year?
    • Do you have before and after photos to show the results?
  2. If a general dentist will be placing the implants, ask them the following questions about training:
    • How many surgical training courses have you taken?
    • Do you routinely attend continuing education courses on implants?
  3. If your treatment plan requires procedures to enhance the final aesthetic and functional results, such as bone augmentation, ask how many of these procedures the doctor has performed.

Technical Challenges — Aesthetic Areas and “Teeth In A Day”

Achieving acceptable aesthetic results with implants is most challenging in highly visible areas like the front of the mouth, particularly in people who show not only teeth but the gum tissues as well. In these cases the whole tooth/gum tissue complex must be recreated including the papillae, the pink gum tissues that fill the triangular spaces between healthy teeth. It's at this point where knowledge and experience really come to the forefront.
There is a lot of advertising about “teeth in a day” where implant results can seemingly be achieved in a lot less time. In the right circumstances where multiple implants replace missing teeth, and where crowns (the portion of the teeth you see in the mouth) can be attached to them in such a way as to prevent any movement, “teeth in a day” is a possibility. This is accomplished by “splinting” the crowns to multiple implants — a precise fitting splint that keeps them movement free. However, this still requires multiple appointments for proper assessment, diagnosis and treatment-planning prior to “teeth in a day.” It also requires experience, great precision and care.
In some instances implants can be placed directly into extraction sockets and occasionally temporary crowns placed simultaneously. This also includes single tooth replacement, but stabilizing an implant in this situation is even more precarious and critical for success.
Our advice can be distilled to this: successful dental implant treatment can't be accomplished overnight and shouldn't be hurried. Anyone who is serious about dental implant treatment should first secure the services of well-trained and experienced dental professionals. Embracing this prudent route will greatly enhance the chances of a successful outcome.(Continued)

Frequently Asked Questions (FAQ)

  1. Where should I go to start the process of considering dental implants?
    The time-honored starting point is your general dentist, the professional on the front lines who is in the best position to preliminarily assess all your dental needs. It is then his/her responsibility to refer you to the appropriate specialists who, in the context of a team, can help you make the right choice for your health, appearance and well-being.
  2. What is the responsibility of a dentist when you visit his/her office?
    Every licensed dentist is responsible for a complete examination of your oral and dental condition even outside the confines of his/her specialty if they are dental specialists. They are also responsible for communicating their findings and your treatment needs to you. Any dentist, whether a general dentist or specialist, has to first examine your overall oral and dental condition, even if they only want to place implants. It is their medical and legal responsibility.
  3. How do I know if my general dentist is qualified to do dental implants?
    Your general dentist is responsible for diagnosing and maintaining your overall oral health. With so much new knowledge and science to keep up with he/she may have varying levels of knowledge in specialty areas like implants. You have to do your due diligence. Trust is the most important aspect of the doctor/patient relationship. If you're not comfortable you must ask the necessary questions to assure you are.
  4. What should I know and be told before I undertake dental implant surgery?
    Your dentist or specialist is required to review an informed consent procedure. This is to establish that you have been told and are comfortable with all the risks, benefits and alternatives of the procedure(s) being recommended. You will be asked to sign an informed consent form, a copy of which becomes part of your medical record together with a copy for you.
  5. Implant “Super Centers” have been opening in my area advertising that they are the experts in dental implant treatment. What about them?
    This new concept is based on the premise that if the surgical specialist, the restorative dentist and the dental laboratory technician are under the same roof, implant treatment is more “convenient” for patients. While it is more convenient to have treatment completed in one location, the most important consideration should be whether or not the implant center has doctors with the experience and skill to provide the best possible aesthetic and functional results for each individual patient. When considering a procedure that involves surgery and impacts overall health, appearance and well-being, expertise should outweigh convenience. Avoid the traps of advertising hype by asking the right questions.
  6. Can you tell me more about “teeth in a day” advertisements?
    Some implant centers advertise “teeth in a day,” implying that anyone can get their replacement teeth in one day, or even in just an hour. Unfortunately, relatively few patients are candidates and the advertising creates false expectations for the typical dental implant patient. The fact is that even the patients who qualify for this procedure do not actually receive their replacement teeth in one day. There is preliminary diagnostic work that is necessary prior to the “day” that they have treatment. And it's a very long day, for those that do qualify.
  7. There are general dentists and prosthodontists who promote that they provide both the surgical and restorative aspects of dental implant treatment themselves. Is this OK?
    It is important for you to determine — and for them to tell you — whether they are dental implant specialists or not. If they do decide to do implants, they must have taken extra training to be proficient in implant treatment as required by law to treat to the same standard as specialists. It is their responsibility to tell you that you have the right to see a surgical specialist if you prefer.