Periodontal disease is caused by dental plaque which is plaque bacteria that are allowed to build up, creating a biofilm over the surface of the teeth and just below the gum line. The interaction of plaque with your body’s immune system creates inflammation as the body tries to fight this infection. Of course this is a very simplified explanation as periodontal disease is really a group of different diseases but all have the same result which is to gradually destroy the gum tissue, the bone and ligaments supporting your teeth and which will eventually lead to tooth loss.

Periodontal disease begins life as a condition called gingivitis which is a mild inflammation of the gum tissues. Unless this is treated it will develop into a far more serious form of periodontal disease which is called periodontitis and this can cause extensive damage to your mouth. Periodontal disease is incredibly common as according to the Centers for Disease Control and Prevention, 47.2% of adults aged 30 or older have some form of this condition. Your likelihood of developing periodontal disease increases with age, with 70.1% of adults’ age 65 or older having some form of this disease.

Periodontal Disease Treatment in NYC

If you have been diagnosed with periodontal disease, then hopefully you have received the appropriate periodontal disease treatment. Periodontal disease treatment revolves around removing the cause of the disease. This is the plaque biofilm and hardened plaque which is called calculus or tartar and it has to be removed from the teeth and the root surfaces. You’ll find periodontists in NYC who are specialists in treating this disease are by far the best people to visit.

They’ll not only remove plaque and tartar but will concentrate on removing other surface irregularities such as any rough areas on the tooth roots that make it easier for plaque and tartar to stick to the teeth. The treatments offered by periodontists are extremely sophisticated, particularly if this disease has already done a significant amount of damage to your gums and other structures surrounding your teeth. Gum surgery can help repair the damage and bone grafts can replace bone destroyed by the disease.

Periodontal Maintenance Program

After periodontal disease treatment is completed it’s likely you’ll be provided with a regular periodontal maintenance program. This might include scheduled deep cleanings or other periodontal disease treatment to help keep your gums healthy. At the same time, a periodontists such as Dr. Navid Rahmani of NYC Periodontics will also talk to you about reducing any risk factors so this condition is less likely to recur.

Risk factors can include smoking, high stress levels and any inflammatory conditions that may affect your general health, for example rheumatoid arthritis, diabetes or cardiovascular disease. These conditions can worsen periodontal disease and vice versa.

Periodontal disease treatment can be complicated which is why it’s so important to follow the recommendations of your periodontist on after care. As well as regular cleanings, it’s likely your periodontist will want to update your medical and dental history, conduct clinical examinations and they might want to take regular dental x-rays. You may need to improve your oral care at home as a poor oral hygiene is a frequent cause of periodontal disease.

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Although some people are happy wearing full dentures, others aren’t and the main problem is the fact that they can become loose and ill-fitting and very uncomfortable to wear. This is an issue that can’t really be fixed by remaking or relining a denture as it is caused by the way the jawbone changes shape once natural tooth roots are removed as it gradually reabsorbs.

How Dental Implants Work

Dental implants act in a way that is very similar to a natural tooth root, consisting of a titanium post that is precisely inserted into the jawbone during a short surgical procedure. Over a period of several months the titanium integrates with the natural bone surrounding it, a process which is called Osseo integration. After the implant has healed, it’s strong enough to support a tooth. Multiple implants can be used to hold a full arch bridge that will either be screwed or cemented in place.

Who Can Use Dental Implants to Replace Missing Dentures?

There is a common misconception that dental implants are only for the young but this is far from the truth and this treatment can be highly beneficial for older patients. The main thing that will need to be determined by Dr. NavidRahmani is your current dental health and oral health and the amount of bone available in which to insert the dental implants. As the jawbone is reabsorbed this may mean there isn’t sufficient bone in someone who lost their teeth quite some time ago. This certainly doesn’t mean that dental implants aren’t an option as Dr. Rahmani is extremely experienced in placing bone grafts using the most sophisticated and up-to-date artificial and grafting materials to help replace and rebuild missing bone.

Is the Process for Having Dental Implants Complicated?

The procedure for placing dental implants is quite complicated but a lot of this happens behind the scenes and doesn’t involve patients. Instead Dr. Rahmani will need to take various diagnostic tests and will carefully study the results in order to plan surgery. By the time you visit the dental office for your implant procedure, he will know exactly the best place to insert the dental implant and will have the right information to ensure placement is extremely precise. Afterwards you may be given a set of temporary teeth that will last until your implants have healed. At this stage your new teeth can be made and fitted so you can begin enjoying the sensation of having teeth that look and function just like your own.

If you prefer to stick with dentures but are just looking to stabilize them, dental implants can also be used for this purpose. This does mean you’re likely to require fewer dental implants so treatment can be very cost effective. When you visit our dental office we can discuss all these options with you and can tell you much more about each procedure.

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Dental Implants: Same-Day Smile

Lots of people have lost all their teeth in the upper or lower jaw, or are faced with this prospect. Although one option is to replace teeth with a full denture, this isn’t a prospect that most people will relish, especially as dentures often come with numerous problems that often only become worse after they have been worn for a few years.

An alternative is to use multiple dental implants that are optimally placed in the jawbone to provide adequate support for a fixed bridge or removable  dental implant retained denture.

This type of procedure does require extremely careful planning on the part of your implant dentist at the Manhattan Periodontics & Implant Surgery Center. It will be necessary to determine if you have adequate bone to support the implants as otherwise you may need a bone graft prior to surgery.

The number of dental implants required can vary from person to person, depending on the type of bridge to be used and the number of teeth to be replaced.

With Dental Implants You Won’t Be Left without Teeth during Treatment

If you still have some teeth remaining that will need to be extracted, there may be a number of different options.

It could be that your dentist will recommend removing these teeth before dental implant surgery, or sometimes it’s possible to extract them and to place the implants at the same time.

It may also be possible to use these teeth to support a temporary fixed bridge while your dental implants are healing, but could depend on where your new dental implants need to be inserted. Once the implants have fully healed then these teeth can be extracted and a full replacement bridge constructed.

The advantage of this type of scenario is that it will enable you to eat and chew, and to speak and smile quite normally during treatment without the need to wear a removable denture.

Same-Day Smiles or Same-Day Teeth with Dental Implants

If this is impossible, your dentist will provides you with a temporary removable denture to wear during the healing process. It’s also becoming increasingly common to use a temporary bridge that is fixed onto the newly placed implants straightaway in a process known as immediate loading.

This means you will be able to chew quite normally while the dental implants are healing in your jaw. This process is very technique sensitive as the implants have to be precisely placed so they are locked in position by the bridge during healing. This helps ensure they are completely secure during the healing process and cannot move around.

You might hear this process referred to as “same-day smiles” or “same-day teeth,” but even though you receive your replacement teeth straightaway they will always be temporary and will need to be replaced with your permanent restoration at a later date once your dental implants have healed.

Deciding on a Fixed Bridge or Removable Denture

When you replace a full arch of teeth then there are two different options to choose from. You can opt for a fixed bridge that is firmly cemented or screwed into position and which can only be removed by your dentist. Alternatively you can have a removable denture that clips onto the dental implants and which can be taken out for easy cleaning each day.

Your dentist at the Manhattan Periodontics & Implant Surgery Center can discuss each option with you, as it is likely one particular choice will prove more suitable.

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Why You Should Choose a Laser Dentist

There are several reasons why laser in dentistry can be more effective for treating advanced gum disease. Here at Manhattan Periodontics & Implant Surgery, we have invested in the latest dental laser therapy technology to help treat our patients in the most comfortable and best way possible. One of the reasons we prefer to use a laser is because the technology is extremely precise. Our periodontist, Dr. Navid Rahmani can accurately remove diseased tissue while leaving as much healthy tissue as possible fully intact. This accuracy is far greater than can be achieved with a scalpel.

Dental Laser Therapy: Best Choice for Your Gums

Another reason for choosing dental laser therapy is increased patient comfort. The actual treatment procedure is far more comfortable and it may not even be necessary to use local anesthetic during this procedure. Afterwards there is no need for stitches, the gum tissues will not swell up as much with conventional gum surgery and discomfort is greatly reduced. Healing is also faster.

Then there is the way the dental laser therapy helps to sterilize the area being treated. The laser energy helps to kill bacteria while not harming the surrounding tissues and this reduces the risk of infection afterwards. This laser energy also helps to seal small blood vessels, again reducing the risk of infection while decreasing discomfort.  Treatment is minimally invasive so it’s perfect for anyone who feels nervous about dental treatments and Dr. Rahmani is also very gentle! Once treatment is completed there is often no need for any pain medication and it should be possible to return to work the next day or to get on with everyday life.

Dental Laser in Manhattan Upper East Side

We use the WaterlaseiPlus which is an extremely sophisticated piece of equipment. This particular laser is able to treat both soft tissues as well as hard tissues so we can offer a greater range of gum treatments. It is a very gentle laser, combining a fine spray of water and air with the laser energy to increase your comfort levels during treatment.  We will often use dental laser therapy in combination with more traditional periodontal procedures to provide the best results for our patients.

If you have advanced gum disease, a condition called periodontitis, we may suggest laser gum treatment as part of ongoing periodontal therapy. This helps to control bacterial infection in the gums and treatments may be provided at three monthly intervals to maintain these results. As this procedure is so comfortable and safe, there is no need to worry about having continued periodontal care as it should have very little impact on everyday life.

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Your Periodontist Specializes in Treating Gums and the Bone Underneath

Your periodontist has undergone several years of additional and highly specialized training that makes them uniquely qualified to treat any problems with gums or the bone underneath. Dental implants are inserted through gum tissue and into the jawbone which is precisely a periodontists area of expertise. In addition, your periodontist is more likely to have specialized equipment to plan and carry out this type of oral surgery.

Dental Implants Need to Be Properly Planned

The planning procedure for dental implants is quite involved, and this is necessary to ensure treatment is a success. In general, dental implants have success rates in excess of 95% and this is largely down to dentists carefully screening patients for their suitability for treatment and then taking the time to plan treatment.

The treatment procedure begins with a full consultation that includes a checkup, dental x-rays and a CT scan. At this stage your dentist is looking to see if you have sufficient bone to support the dental implant, and they’ll want to know your medical history to assess your suitability. If you decide to go ahead, the next stage is to actually plan the insertion of the dental implant and this requires a great deal of skill.

A Periodontist Places Many Dental Implants Each Year

It’s important to choose a dentist such as Dr. Navid Rahmani at Manhattan Periodontics & Implant Surgery in midtown NY as he places many implants each year whereas your family dentist may only do one or two. This type of skill level is essential to make sure your implant looks and feels good once treatment is completed as it must be inserted in precisely the right place to avoid any important structures and to ensure it looks entirely natural once fully restored with a crown, bridge or denture. It’s even more important to visit a periodontist for dental implants if your case is at all complicated.

Periodontists Can Carry out Additional Procedures Such As Bone Grafts

Quite often it’s necessary for patients to have bone grafts to build up the bone levels prior to placing dental implants. This helps ensure there is plenty of bone to support the dental implant and the gum tissue, increasing the chances of long-term success. Sometimes the bone grafts can even be placed at the same time as a dental implant, but it is a skillful process and is best carried out by someone who regularly carries out these specialized procedures.

With proper care, dental implants should last for decades or hopefully for life so it’s well worth taking your time in choosing your dental implant dentist. The time spent selecting an expert such as Dr. Rahmani should help ensure you get excellent and long-lasting results.

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Bone Loss Prevention Research

Now a new study carried out by a group of researchers at the University Of Pennsylvania School Of Dental Medicine has found a protein that has the ability to inhibit the type of bone loss associated with advanced periodontal disease. The researchers found that the protein is able to reduce the activity of osteoclasts which are cells that absorb bone tissue. This ability can prevent bone loss and could lead to new treatments for periodontal disease in the future. This protein could also help treat other inflammatory diseases where bone loss is a factor, for example rheumatoid arthritis and osteoporosis.

Periodontal Disease Does Require Good Periodontist

Any research that could help treat periodontal disease in the future is certainly good news as this is a serious condition that does require specialized treatment. This is why if you are diagnosed with periodontal disease or suspect you may have this condition, it’s best to visit a good periodontist who will be able to offer you the type of care necessary to control advanced periodontitis. You do not need a referral from your family dentist to book an appointment with a periodontist in Midtown, Manhattan, NYC.

Advanced Periodontitis Treatment

A periodontist will be able to provide all the latest and most advanced treatments after making a thorough evaluation of your teeth and gums. They will carefully check the condition of your gum tissue and will take specialized measurements to assess the severity of any gum disease. You’ll probably find they will take some dental x-rays to determine any possible bone loss. Using this information, they’ll be able to provide you with a written treatment plan showing the procedures they think will best help you.

Highest Quality Dental Treatment in NYC

For example, if you visit Manhattan Periodontics & Implant Surgery then you’ll be able to access the highest quality treatment. Most plans will include a procedure called scaling and root planing that is used to help remove some of the bacterial infection. At this particular practice, Dr Navid Rahmani can also provide laser dental treatments that can be a far more comfortable and precise way of treating badly infected gums. A dental laser can be used to remove tissue that has been destroyed by the disease, leaving the maximum amount of healthy tissue intact so your gums are able to heal more easily.

If you have suffered bone loss then there are a number of advanced techniques that can be used to help replace it including the very latest bone grafts that use materials to help promote the growth of your own bone cells.
Treatment for advanced periodontal disease does tend to be ongoing so it’s important that you are committed to attending regular appointments and to following your periodontist’s advice on home dental care.

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Who Is Most Suitable for Dental Implants?

Most healthy people will be suitable for dental implants, but it’s important that you don’t have any untreated dental diseases such as gum disease, and that you don’t have any medical conditions that could affect implant healing. If you do have any gum disease then this can be treated by your implant dentist at Manhattan Periodontics & Implant Surgery beforehand, but if you have any diseases such as diabetes or if you smoke then you might need to rethink your plans for dental implants. Anything that slows down healing will increase the chances of implant failure and it’s possible you might be better off choosing an alternative solution to replace missing teeth. If you do have diabetes it’s still worth inquiring about treatment as it might be possible if it is exceptionally well controlled and completely stable.

I’m a Little Older, Can I Still Have Dental Implants?

You’re in with a good chance, provided you are in good general health and this treatment is suitable for many older patients who currently wear full dentures. Dental implants can be used to stabilize loose dentures and are particularly good for lower denture wearers where retention is often poor. You can also choose to use dental implants to stabilize upper dentures although it’s generally necessary to have a few more dental implants to hold the denture firmly in place. If you currently wear dentures and would prefer to do away with them completely, then dental implants can be used to secure a full arch bridge that will be permanently held in position.

Finding an Implant Dentist Who Can Tell You More

Dental implants are a great solution for most people, but the best way to find out for sure is to visit your implant dentist. It also pays to pick your implant dentist carefully, as for example Dr. Navid Rahmani at Manhattan Periodontics & Implant Surgery specializes in dental implants and places many implants each year. This is a huge advantage as dental implant surgery requires a lot of very careful planning and experience to ensure treatment is successful. It’s vitally important that the implant is inserted in the correct place so it avoids any important structures such as sinus cavities, blood vessels and nerves and also to make sure that the fully restored tooth will look and feel entirely natural. Your choice of dentist can help ensure the success of treatment so it’s worth choosing someone who has the necessary skill and experience rather than a general dentist who may at any place a few dental implants each year.

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In the past this would have meant using a dental bridge or even a denture to fill in any gaps, or to replace complete arches of missing teeth, but these can be less than perfect solutions, especially as they can negatively affect any remaining natural teeth and dentures are often tricky to wear. Luckily nowadays there are newer and much better forms of tooth replacement available, one of which is immediate dental implants.

How Can Immediate Dental Implants Replace Teeth?

Dental implants are very similar to natural tooth roots as a titanium post is inserted into the jawbone and used to firmly support a replacement tooth. At the moment, this is by far the best and most long-lasting way to replace missing teeth, but the entire process can often take several months to complete.

This is because conventional implant techniques require the tooth to be extracted then the empty socket is left to heal for several months before the implant post is inserted. Once inserted, the post is then left in position for several months so the bone around the post can form new cells that will stick to the surface of the post, holding it firmly in the jawbone so it becomes fully integrated with the bone. In the meantime patients are provided with a temporary tooth. However there is often a quicker solution.

Placing Immediate Dental Implants

Conventional methods of tooth extraction can sometimes cause damage to the surrounding bone as the tooth is removed. This can be inevitable in spite of the skill of the surgeon. Manhattan Periodontics & Implant Surgery will often use a technique called atraumatic extraction which causes minimal damage to the surrounding socket and bone so it is much easier to place immediate dental implants – dental implants at the same time! This is the ideal situation as Dr. Navid Rahmani always recommends patients replace missing teeth as soon as possible, and this is due to a few different reasons.

Advantage of Replacing Teeth Immediately

Firstly, the sooner lost teeth are replaced the sooner patients will feel better about their appearance, increasing their self-confidence and self-esteem. Missing teeth can result in the facial features appearing as if they have collapsed inwards, a look that can be prematurely aging. Secondly, tooth loss can make it difficult to eat properly, and if you end up restricting your food choices then it could mean you end up missing out on essential nutrients and vitamins. Thirdly, tooth loss affects any remaining teeth and they are more likely to shift out of position which can create problems with your bite, and they are more at risk of breaking down or fracturing because all the forces created during eating will be concentrated on fewer teeth rather than spread over a complete mouthful.

Atraumatic extraction and immediate dental implants might not be suitable for everyone, but if you do need to have teeth extracted then it is well worth your while asking Dr. Rahmani about this method. Immediate dental implants can be used to create beautifully natural smiles so no-one need know you have suffered from tooth loss.

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How Will I Know If My Wisdom Teeth Need Extracting?

Not all wisdom teeth need extracting as some people have sufficient room in the jaws to accommodate these teeth. Dr. Rahmani periodontist in New York can assess whether or not your wisdom teeth will be able to erupt normally. If dental x-rays show impacted wisdom teeth, which means they are likely to try to come up underneath other teeth, then you will need to prepare yourself for atraumatic tooth extractions nyc.

What Is the Process for Tooth Extractions NYC?

If the extraction is straightforward then it’s likely we can do it here at the Cosmetic Dentistry Center with our top dentists nyc. However if it looks more complicated or if you need to have all four wisdom teeth removed then we may refer you to an oral surgeon who will have a great deal of experience in removing tricky wisdom teeth. Either way, the actual extraction process is really quite quick and can be completed under a local anaesthetic, or if you are nervous you can opt for extra sedation. Quite often these teeth are removed in several sections and this is perfectly normal and nothing to be concerned about. It’s simply because they are quite large and this makes tooth extractions nyc much easier and more comfortable.

What about Afterwards and Will I Be in Pain?

You may feel some discomfort after having your wisdom teeth removed but it’s likely that this can be controlled with over-the-counter painkillers. You may experience some localized bleeding at the extraction site for the first few hours after surgery but this should gradually stop as a blood clot forms in the empty socket. It’s best to stick to eating soft foods for the first few days and to avoid foods that could easily get stuck around your teeth. You’ll still need to gently clean the rest of your teeth, but obviously avoid the actual surgery site. From the second day onwards, it can be useful to rinse with warm salt water to aid healing. It’s not unusual to experience some minor facial swelling. Try using an ice pack during the first 24 hours and then switch to using moist heat for the next few days.

Is There Anything That Can Go Wrong?

It’s highly unlikely that anything will go wrong as this procedure is so straightforward. If you experience continued bleeding from the empty tooth socket, then contact us for further advice and help. It is important to protect the blood clot that forms in the empty socket as this helps it to heal and protects the socket from infection. Avoid smoking for the first week after surgery as the sucking motion can dislodge the blood clot and smoking delays healing. Make sure you don’t use a straw, as again the sucking motion can disturb the blood clot. If the clot is disturbed then it can lead to a condition called dry socket which is treatable but will delay healing.

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What is Peri-Implantitis?

Dental implant infection or peri-implantitis is a condition that is very similar to gum disease. It infects and inflames the gum and bone tissue surrounding a dental implant that has already fully integrated with the jawbone. Dental implant infection can result in the loss of bone around the dental implant which has a destabilizing effect. This condition can occur without the patient being aware of it actually happening and it may develop soon after the dental implant has been restored with a crown or many years after the implant was placed. This condition is tricky to treat, but the good news is that most people who have dental implants will never develop dental implants infection.

What Can Cause Dental Implant Infection?

Peri-implantitis can be caused by a number of different factors. Smoking is a major risk factor for dental implant infection as it causes the blood vessels in the gums to constrict making it more difficult for the body to send essential nutrients to the gums to help them heal and fight off infection, and to carry away toxins and other waste products. Medical problems such as osteoporosis, diabetes or having a compromised immune system can increase the risk of this condition, and you will also more at risk if you had gum disease in the past.

What Are the Signs of Dental Implant Infection?

Signs of dental implant infection include noticing gum pockets around the dental implants begin to deepen and there may be pus or bleeding around the gum line. The gum might look red or swollen and it’s more likely that tartar or plaque will have built up around the tooth. If the disease is particularly advanced then the bone loss might mean you can see the metal thread of the dental implant post. Otherwise dental x-rays will show the loss of bone around the implant.

Ask Your Periodontist Upper East Side About

If you suspect you might have this condition then it’s best to consult an expert as soon as possible such as Dr. Navid Rahmani at the Manhattan Periodontics & Implant Surgery. Dr. Rahmani is a periodontist which means he specializes in treating problems with the gums and tissues surrounding your teeth. He will quickly be able to diagnose the issue and is the best person to try to correct it. Sometimes this may be due to the implant being placed incorrectly or to a poorly designed dental implant. It can also be caused by gum disease spreading from adjacent teeth or even simply by a poorly designed implant crown.

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