You may not realize that persistent swollen, red or bleeding gums, tooth sensitivity, and bad breath are warning signs of periodontal disease. While we can determine if you do have this problem, visit http://www.PhiladelphiaLANAP.com for the ten questions you can ask yourself about the warning signs behind periodontal disease so that you can seek treatment.
Thursday, November 11, 2010
Dentures Philadelphia
During your first visit, your periodontist will review your complete medical and dental history with you. It's extremely important for your periodontist to know if you are taking any medications or being treated for any condition that can affect your periodontal care. You will be given a complete oral and periodontal exam. Your periodontist will examine your gums, check to see if there is any gum line recession, assess how your teeth fit together when you bite and check your teeth to see if any are loose. Your periodontist will also take a small measuring instrument and place it between your teeth and gums to determine the depth of those spaces, known as periodontal pockets. This helps your periodontist assess the health of your gums. Radiographs (x-rays) may be used to show the bone levels between your teeth to check for possible bone loss.
Thursday, November 4, 2010
Dental Implants Philadelphia
Committed to your complete comfort during dental treatment, Dr. Stephen Brown is a nationally recognized expert, providing a wide variety of cosmetic, periodontal, and implant dentistry procedures to enhance your smile’s comfort, function, and beauty.
He believes that all dental procedures can and should be delivered in an anxiety and pain-free environment. Dr. Brown is a certified expert in the delivery of sedation dentistry.
Wednesday, November 3, 2010
Dental Implants Philadelphia
Committed to your complete comfort during dental treatment, Dr. Stephen Brown is a nationally recognized expert, providing a wide variety of cosmetic, periodontal, and implant dentistry procedures to enhance your smile’s comfort, function, and beauty.
He believes that all dental procedures can and should be delivered in an anxiety and pain-free environment. Dr. Brown is a certified expert in the delivery of sedation dentistry.
Monday, November 1, 2010
Laser Gum Treatment Philadelphia
Periodontist & Dental Implant Specialist Dr. I. Stephen Brown, Serving Philadelphia PA, Camden NJ & Montgomery County
I. Stephen Brown, D.D.S., F.A.C.D., F.I.C.D., is a nationally recognized expert, providing a wide variety of cosmetic, periodontal, and implant dentistry procedures to enhance your smile’s comfort, function, and beauty. Unconditionally committed to your complete comfort during dental treatment, Dr. Brown believes that all dental procedures can and should be delivered in an anxiety and pain-free environment. Dr. Brown is a certified expert in the delivery of sedation dentistry. For a healthy, beautiful smile, contact Dr. Brown.
Our mission at The Perio Group is to create a compassionate environment in which people may make informed choices regarding their oral health and wellness. Through our commitment to excellence and service to others, we also nurture our own personal growth and development.
Monday, October 12, 2009
Philadelphia Implant Dentist Treatment Options
Implant Treatment Options
Single Tooth Implant Replacement
Full Upper Arch Implant Replacement
Posterior Implant Replacement
Full Lower Arch Implant Replacement
Implants and Bridges 
Single Implant
Several Teeth With a Bridge
For more information about dental implants Philadelphia, visit www.theperiogroup.com or call (215) 735-3660 to schedule an appointment with a Philadelphia implant dentist.
Tuesday, October 6, 2009
Good Home Hygiene Can Be the Key to Dental Implant Longevity
Good oral hygiene is incredibly important when it comes to dental implants and can be a contributing factor to the longevity of the implant components. It is critical that patients prioritize good home care and receive proper instruction so that they do not lapse into ineffective habits.
Home Care Techniques
Dental implants require special oral hygiene techniques. Depending on what type of prosthesis has been placed on the implant, different home care techniques can be recommended.
A removable appliance allows access to the implant-retained bar, and an interdental brush and small cleaners are usually adequate because patients are working in a relatively large space. However, fixed restorations require proper brushes and flossing techniques.
While many home hygiene instruments are being designed with dental implants in mind, an adaptation of traditional instrumentation needs to be used with the special needs of an implant in minds. For example, metal tools such as interproximal brushes with a stainless steel core wire must be avoided. The stainless steel wire can easily cause damage to the soft titanium metal in the implant.
Instead, the following techniques should be employed:
Manual or Automatic Toothbrushes
- Brushing is imperative and soft or medium toothbrushes are appropriate
- Small heads are useful because they allow better access to the cylindrical contours of a dental implant Philadelphia.
- Automatic toothbrushes effectively disturb biofilm and are specifically useful for edentulous patients
- Specific techniques need to be learned because the anatomy of the implant is significantly different than the anatomy of a natural tooth.
Interdental Threaded Cleaners
- The use of super-floss or floss-threaders is important around any implant supported bridge, crown or bar.
- Patients need to be made aware that sometimes implants are placed more lingually, or closer to the tongue, than natural teeth. Because of this, it may be difficult for patients to reach the tongue-side surface of the dental implant. Difficult as it may be, cleaning the lingual surface of the dental implant is a critical step in avoiding bone loss around the implant.
- Patients with dental implants should be wrapping super-floss 360 degrees around the implant and polishing in both horizontal and vertical motions in order to keep all surfaces of the dental implant free from biofilm.
Interdental Brushes and Cleaners
- All wires of interdental brushes must be nylon-coated to prevent damage to the titanium implant surface.
- A back-and-forth motion should be used with an interdental brush to cover the entire surface of the dental implant and restoration.
Reduced Size Brushes
- Many manufacturers of oral hygiene instruments now design brushes specifically with the needs of the dental implant patient in mind covering a wide array of brush sizes and shapes.
- Careful instructions regarding angulation and orientation of the brushes are critical to provide optimal plaque removal and to prevent injury to the tissues.
- The angulation and orientation of the brushes should be adapted to contact as much of the surface area of the restorations as possible.
To learn more about the care and maintenance of dental implants, contact Philadlephia implant dentist, Dr. I. Stephen Brown at the Perio Group (215) 735-3660 or on the web at www.theperiogroup.com.
Wednesday, September 30, 2009
Choosing Dental Implants Philadelphia
Patient Information Pages
March 2007
www.perio.org
If you had a choice between a set of removable dentures or permanent replacement teeth that look and feel like your own, which would you choose? What if the replacement teeth would also allow you to speak and eat with comfort and confidence, offer you freedom from irksome clicks and wobble s of dentures, and allow you to say goodbye to worries about misplaced dentures and messy pastes and glues? Dental implant are growing in popularity and advancing in technology. They are a permanent and effective alternative to dentures.
A dental implant is an artificial tooth root laced into your jaw to hold a replacement tooth or bridge in place. While high-tech in nature, dental implants are actually more tooth saving than traditional bridgework, since they do not rely on neighboring teeth for support. The ideal candidate for a dental implant is in good general health and oral health. Adequate bone in your jaw is needed to support the implant, and the best candidates have healthy gum tissues that are free of periodontal diseases.
Once you decide to get a dental implant, there are some different options. Some implants take two to six months for the bone and implant to bond together to form anchors (osseointegration). During this time, you can wear a removable temporary tooth replacement option over the implant site(s). However, there is now the option of immediate loading, whereby a periodontist places the implant immediately following tooth extraction and attaches a temporary fixed tooth replacement. Depending on your specific condition and the type of implant chosen, your periodontist will create a treatment plan tailored to meet your needs.
Perhaps the most important decision you need to make regarding your dental implants is who should perform the procedure. Since periodontists are the dental experts who specialize in precisely these areas, they are ideal members of your dental implant team. Not only do periodontists have experience working with other dental professionals, they also have the special knowledge, an additional three years of training and facilities that you need to have teeth that look and feel just like your own. Speak with your periodontist about dental implants today.
Just like your own teeth, dental implants require the proper care. In order to keep your implant clean and plaque-free, brushing and flossing still apply! After treatment, your periodontist will work closely with your dentist to develop the best care plan for you. Periodic follow-up visits will be scheduled to monitor your implant, teeth and gums to make sure they are healthy.
For more information about dental implants Philadelphia, mini implants Philadelphia, Montgomery County Dental implants, Camden, NJ implant dentist visit www.theperiogroup.com or call Dr. Stephen Brown at (215)735-3660.
Monday, September 28, 2009
Philadelphia Mini Dental Implants - A New Approach to Replacing Multiple Missing Teeth
What are mini dental implants?
A mini implant is a man-made titanium replacement for a tooth root. These mini, man-made tooth roots act as a retaining fixture for a denture. The head of the implant is shaped like a ball, and the retaining fixture acts like a socket that contains a rubber O-ring. The O-ring snaps over the ball when the denture is placed and retains the denture at a predetermined level of force. When seated, the denture gently rests on the gum tissue. The implant fixtures allow for micro-mobility while withstanding natural lifting forces.
How are mini dental implants placed?
The mini implant placement procedure is a quick and relatively simple surgical procedure performed in a dental office setting. Local anesthesia and a light sedation is typically administered before the patient undergoes a precise, controlled, minimally invasive surgical technique. Mini Dental Implants are placed into the jawbone, while the heads of the mini implants protrude from the gum tissue. These protruding mini implant heads provide a strong, firm foundation for retaining dentures. This one-step procedure is not only minimally-invasive, but it also negates the need for sutures and months of healing time as with a typical dental implant.
How does mini dental implant technology broaden your options?
Dental Implant therapy has been one of the most significant advances in dentistry in the past 25 years. Thousands of grateful patients testify to the benefits derived from having the opportunity to replace missing teeth, while restoring their smiles and confidence. While several different types of implants and restorations are avaliable, the choice not only depends upon the amount of bone avaliable, but also on the patient's general health as well as his or her restoration preferance. These mini dental implants (1.8mm in diameter) enable your dentist to broaden the spectrum of preferences even more. The Mini Implant System provides greater denture stability and make a permanent restoration possible for those patients without enough bone to undergo conventional implant surgery.
Friday, September 18, 2009
NEED A DENTAL IMPLANT? FEAR NOT!
March 2008 Patient Page
from the American Academy of Periodontology
For some people, there is nothing more terrifying than the thought of a trip to the dentist. Even scarier for some is the prospect of replacing a missing tooth with a dental implant. However, as dental implants grow in popularity as a permanent solution to tooth loss, it is time to put nervous minds at ease.A recent survey conducted informally by the American Academy of Periodontology asked periodontal patients what factors stopped them from getting a dental implant. The second most popular answer given by respondents was “fear or anxiety”. However, the same survey also revealed that of those patients who had previously received a dental implant, more than half reported “very little to no pain or discomfort” experienced during the process and only 33% described the procedure as “somewhat painful or uncomfortable”. These survey results help demonstrate that although dental implant procedures illicit fear or anxiety in potential patients, the reality is that the actual experience is not something to be frightened of.
Why is everyone so afraid of procedures such as dental implants? Perhaps fearing the dentist and certain dental procedures is something that is ingrained in our minds from a young age. Perhaps it is the result of ongoing, perpetuated stereotypes. Regardless of the cause, it is important to find ways to “unlearn” this fear, especially if your dental professional recommends a dental implant as the best course of treatment. Seeing a dental professional regularly and trusting his or her advice will help you to best maintain your oral health and minimize expense, time, and discomfort.
If you decide to get a dental implant and are feeling anxious or fearful, find ways to feel more in control of your experience.
- Ask your periodontist to explain the procedure. Knowing exactly what will occur when the dental implant is placed can help put your mind at ease.
- Have your periodontist explain your options for techniques to control pain and stress, such as medications, anesthesia, sedation, or relaxation techniques that can make your treatment virtually painless.
If you need a dental implant in the Philadelphia, PA area visit http://www.theperiogroup.com/ for more information or call the Perio Group 215.735.3660 for a Philadelphia dental implant specialist.
Monday, September 14, 2009
Tooth Loss Linked to Cognitive Impairment
1336 subjects were studied with a composite age of 6079 years. Each individual's cognitive impairment was assessed with the Mini-Mental Status Examination (MMSE). A high MMSE score indicated normal cognitive behaviors, while lower MMSE scores indicated some degree of cognitive impairment.
The study found that a decreased number of teeth was associated with lower MMSE scores in females and males in age-adjusted models. While in the fully adjusted models, tooth loss was associated with cognitive impairment in females but not in males.
The study concluded that a significant association between tooth loss and cognitive impairment was found in females. The study also showed that since former periodontitis accounted for this association because periodontitis was frequently the cause of the tooth extractions.
Therefore, this study showed that there is at least potential for a strong correlation between cognitive impairment in many elderly patients and tooth loss as a result of the chronic subclinical inflammation brought on by periodontal disease. This association between periodontal disease and cognitive impairment is just one of the many systemic implications of chronic periodontitis or gum disease.
For more information about the link between gum disease Philadelphia and a variety of systemic afflictions, contact Dr. Brown at http://www.theperiogroup.com/ or by phone at 215.735.3660. Submit your gum disease questions online at by filling out one of the online contact forms.
Friday, September 4, 2009
Placement of Dental Implants Results in Minimal Bone Loss
A major concern for a patient who is facing the possibility of losing a tooth is bone loss at the extraction site. A recent study published in the Journal of Periodontology and evaluated by the American Academy of Periodontology (AAP) suggests that replacing a missing tooth with a dental implant results in minimal bone loss. Read about this important study below or visit the AAP website.Subsequently, little mean bone change was observed in the five years following the implant placement, independent of type of restoration or implant length. The study, conducted at the University of Texas Health Science Center at San Antonio, evaluated 596 dental implants placed in 192 patients over the age of 18. Patients were screened for adequate oral hygiene and bone volume. Exclusion criteria included heavy smoking, chewing tobacco use, drug abuse, and untreated periodontal disease, amongst others.
Study author Dr. David Cochran, DDS, PhD, Chair of the Department of Periodontics at the University of Texas Health Science Center at San Antonio, and President of the American Academy of Periodontology (AAP), believes that this study provides additional support for the use of dental implants to replace missing teeth. "As a periodontist, I am committed to saving my patients" natural dentition whenever possible.
Free oral health brochure samples including one titled "Dental Implants: Teeth That Look and Feel Just Like Your Own" are available by calling 800-FLOSS-EM or visiting the AAP's Web site at www.perio.org.
Friday, August 28, 2009
Treatment Planning Considerations for the Complex Implant Case
A review of the patient's dental history is an essential part of the overall evaluation, including previous surgeries and prosthetics, recurrent or frequent abscesses, the number of dental restorations, compliance with previous dental recommendations and current oral hygiene practices. If there is a history of dissatisfaction with past treatment, the patient may have similar difficulties with implant therapy or implant-supported restorations. This may also be indicative of potential practice management problems.Tuesday, August 11, 2009
Transitional Implants Prove Effective in Protecting Implant Surgical Sites
These narrow diameter implants are similar to root form implants, providing immediate tooth replacement, and allowing the patient to immediately experience the positive benefits of implant dentistry.
Some important considerations when using transitional implants are as follows: One must maintain adequate space between "temporary" and "permanent" implants. Similarly, adequate space maintenance between transitional implants and natural teeth is essential. Furthermore, to prevent failure from occlusal overload, it is advisable to use an adequate number of mini implants to support the interim prosthesis.
Transitional implants appear to be more successful in the mandible than the maxilla. It has been suggested that this maty be due to enhanced bone density in the mandible. The noticeable deficiency may be overcome by increasing the number of mini implants in the maxilla. Following confirmation of osseointegration of the permanent implants, the transitional implants can be easily removed.
If immediate loading of the implant is desired, three methods of provisionalization are commonly selected:
- A restoration may be delivered the day of implantation, or at the time of uncovering, by indexing the implant platform with a fixture level impression.
- A temporary cylinder or abutment can be used upon which to fabricate a provisional restoration.
- A laboratory processed acrylic tooth shell can be relined and adapted to a temporary or custom abutment.
To read more about transitional implants and other methods of provisionalization, visit The Perio Group on the web at http://www.theperiogroup.com/.
Monday, June 29, 2009
How Much Does a Dental Implant Philadelphia Cost?
When compared to routine dental procedures like fillings, cleanings, extractions and root canals, dental implants might be considered expensive. However, unlike conventional methods of tooth replacement, a successful dental implant can last a lifetime.
Multiple published studies have shown that virtually every other form of tooth replacement has a finite life, and requires replacement on a regular basis. For instance, caps or crowns and bridges represent short term solutions to tooth loss, and need to be replaced every 5-7 years. Every time a crown is replaced it causes additional loss of tooth and gum tissue, a potential need for root canal treatment and / or periodontal therapy.
Furthermore, each time a crown is replaced, the current fee is considerably greater than the original fee, simply due to inflation. Consider the initial cost of a dental implant versus the continuing costs of replacing existing restorations. Many studies have shown that the success rate of implants and implant supported crowns and bridges is around 95% or better. Every other form of tooth replacement, or medical procedure, pales by comparison.
Unfortunately, it’s hard to provide an “average” fee for dental implants. Fees are determined based on type and number of implants required. Costs are also related to the extent of related procedures which are often necessary to properly prepare the site of a missing tooth to receive an implant. These procedures may be required to build up bone and gum tissue. The condition of the jaw bone, medical issues such as Diabetes and smoking, are all elements which also must be factored into the establishment a fair fee.
It should be remembered that nobody comes to a dentist for an implant. Discerning patients expect that an implant is placed to insure a functional and cosmetically acceptable tooth replacement. Providing such an outcome requires significantly more skill than simply placing an implant in the jaw bone.
All things considered, dental implant treatment represents not only the most technologically advanced, but the most cost effective form of tooth replacement. Coupled with the level of care, skill and judgment exercised by a well trained implant surgeon, one would be hard pressed to find a more affordable option. Dental implants can provide a permanent solution to your dental problems, while avoiding the long term inconvenience and escalating costs associated with less permanent options for tooth replacement.
Thursday, June 25, 2009
Montgomery County Patient Chooses Dental Implant Specialist Dr. Stephen Brown To Permanenty Replacement His Missing Tooth
Tuesday, June 9, 2009
Montgomery County Man Chooses a Dental Implant Instead of a Bridge to Replace His Missing Front Tooth
3-unit bridges have traditionally been used to replace a single missing tooth. A bridge uses the teeth adjacent to the missing tooth to provide support for an artificial tooth that fills in the void left by the missing tooth. Although the goal of a bridge is to restore function and achieve an aesthetically favorable outcome, it does so at the expense of the bone under the replacement tooth. Because that space is no longer stimulated by chewing, bone in that area tends to get resorbed into the body, creating a gap between the replacement tooth and the gums.
Fortunately, a more state-of-the-art solution exists - a dental implant. Dental implants provide an esthetically pleasing single tooth replacement without compromising surrounding teeth. Now you can start over! With man-made, substitute tooth roots, Dr. I. Stephen Brown can offer you a unique and permanent solution to missing teeth that look, feel, and function just like natural teeth. These modern miracles of tooth replacement can be matched exactly to your own teeth, restoring your smile to its optimal state. Dental implants can be your doorway to renewed self-confidence and peace of mind.
This Philadelphia man suffered a fractured front tooth. He did not want his adjacent teeth cut down for crowns
To see more cases like this one or to learn more about Dental Implants Philadelphia, visit Dr. Stephen Brown on the web at http://www.theperiogroup.com/. Questions about whether you're a candidate for dental implants? Call 215.735.3660.
Wednesday, June 3, 2009
Philadelphia Dental Patient Chooses a Dental Implant to Replace Her Lost Tooth
This Philadelphia dental patient lost her tooth due to a gum abscess. Periodontal abscesses usually happen in patients who have existing periodontal disease that is advanced enough to have resulted in bone loss around the root of a tooth. As destructive species of periodontal disease bacteria move into the gum pocket, byproducts of the bacteria cause more extensive bone destuction. Sometimes an obvious swelling is seen around the tooth as the infection around that tooth becomes more severe. This is called a Periodontal abscess.
This patient wanted a tooth replacement that looked, felt and functioned like a natural tooth. A dental implant filled the bill. It took one visit to place the implant. The procedure was painless. Alternative treatments would have involved cutting down her adjacent teeth or would have caused her to wear an uncomfortable, removable partial denture. She says the dental implant, placed by Philadelphia Dental Implant Specialist Dr. I. Stephen Brown, looks, feels and functions so naturally, she is unaware that she has had a tooth replaced.
Below are the before and after photos:
Tuesday, May 19, 2009
Montgomery County Periodontist Provides Tooth Extractions Without Trauma
The clinical challenges which result from the extraction of periodontally-hopeless teeth are profound. Treatment planning and atraumatic management of extration sites must focus upon the retention or re-creation of sufficient volume of bone and soft tissue and adequate crestal height and contours to achieve esthetic and functional restorations.
It is extremely important to envision a functionally and cosmetically acceptable tooth replacement and consider ridge preservation or immediate implant placement before the removal of any tooth. Patients are encouraged to consult with Dr. I. Stephen Brown regardging the most efficient way to handle such treatment and to click here to read more about atraumatic extraction and ridge preservation.
By anticipating the possibility of alveolar loss subsequent to the extraction of a tooth, Camden, NJ dental implant specialist Dr. I. Stephen Brown can also minimize the number of surgical procedures a patient may have to endure to achieve optimal treatment results.