Periodontal Specialists – Dr. Herbert Veisman
During the week of March 15, 2020, The Royal College of Dentists of Ontario and the Ministery of Health for the province of Ontario have effectively shut down the practices of 7000 dentists in Ontario. The only services which are considered acceptable are emergencies, such as broken teeth or attending to someone with facial injury. However, because of the shortage of personal protective equipment (PPE), most dentists are not in a position to treat patients even for such emergencies. Only a handful of clinics such as the Emergency Dental Services has been seeing some patients and even they are running out of PPEs if they haven’t done so already. PPE’s have been in short supply from various distribution centres all over the country because the COVID19 pandemic caught everyone off guard.
Once the isolation/quarantine curtain lifts in the next couple of months, many people who didn’t sustain any serious injuries or suffer through any emergencies will still be in need of considerable dental care. Whether you haven’t had your teeth cleaned for several months or you’ve had fillings, crowns or other dental work crack or fall out of your mouth during the quarantine, you’ll need to see a dentist soon.
We encourage you to give us a call at 416-225-9910 and let us assess your post-COVID19 treatment needs so that you continue to maintain the highest level of oral health possible.
We wish everyone the best of health and stay safe during this challenging time.
Dr Veisman and team
If you have a gummy smile, there are two reasons for it. Either your teeth never fully erupted through the gums or your jaw bone is too long, or a combination of both. If your teeth never fully erupted, then we can help encourage that to happen by simply trimming some of the gum away. If your jaw bone is too long, then this would require consultation with an oral surgeon for more extensive treatment. However, we start with the gum trimming procedure first (as it is more conservative and simpler) and then decide later if you still require other interventions. Usually, 90%+ of patients are happy with the results from the gum trimming, called CROWN LENGTHENING, and do not proceed with more surgery. The most amazing aspect of this procedure is the fact that each patient experiences instant gratification. The results are INSTANT. You wake up from your procedure and you see the changes right away. It’s a NEW YOU.
Are your gums sore? Do your gums bleed when you eat, brush or floss your teeth? Many think that treating gum disease is painful and requires surgery. This is simply NOT the case. In fact, with most patients, simple root planing and scaling with local anesthetic and some antibiotics is all it takes. Once the disease is under control after a few weeks, it is recommended to return to the office for cleanings every 3 months. Why every three months? Because that is how long it takes bacteria to set up a new niche of colonies in the gums and that’s when their colonies must be destroyed. So don’t be afraid of gum surgery because chances are, you will only need deep cleanings.
Imagine you can’t go out with your friends, you can’t eat a good steak, corn on the cob, bite into a chocolate bar or an apple because your teeth are loose or you are wearing dentures and afraid they’ll get stuck in the food. It’s a pretty difficult and unhappy life. Dental implants will allow you to look your best, eat ANYTHING that you want, speak properly, and live your life with confidence. You won’t have to put your food through a blender first and you can get your dignity back. If this sounds like you, the call Dr Veisman at 416-225-9910 and tell us how we can help you get your life back.
You don’t need to sit white knuckled throughout your dental procedures any longer. Now you can sleep through the entire procedure and awaken refreshed and rested. Perio Asleep is a safe and comfortable way to have any type of gum or implant surgery with the use of analgesics and sedatives. You are monitored the entire time so it is the safest way to have any type of surgical intervention. Call us at 416-225-9910 for any further information
At the Periodontal Specialists, we work collaboratively with your dentist and consultatively with you to formulate the optimal treatment plan that will ensure your best chance for success.
Gum disease is often silent, meaning symptoms may not appear until an advanced stage of the disease.
Warning signs of Gum Disease:
- Red, swollen or tender gums or other pain in your mouth
- Bleeding while brushing, flossing, or eating hard food
- Gums that are receding or pulling away from the teeth, causing the teeth to look longer than before
- Loose or separating teeth
- Pus between your gums and teeth
- Sores in your mouth
- Persistent bad breath
- A change in the way your teeth fit together when you bite
- A change in the fit of partial dentures
SINGLE TOOTH DENTAL IMPLANTS
What are the advantages of a single-tooth implant over a bridge?
A dental implant provides several advantages over other tooth replacement options. In addition to looking and functioning like a natural tooth, a dental implant replaces a single tooth without sacrificing the health of neighboring teeth. The other common treatment for the loss of a single tooth, a tooth-supported fixed bridge, requires that adjacent teeth be ground down to support the cemented bridge.
Because a dental implant will replace your tooth root, the bone is better preserved. With a bridge, some of the bone that previously surrounded the tooth begins to resorb (deteriorate). Dental implants integrate with your jawbone, helping to keep the bone healthy and intact.
In the long term, a single implant can be more esthetic and easier to keep clean than a bridge. Gums can recede around a bridge, leaving a visible defect when the metal base or collar of the bridge becomes exposed. Resorbed bone beneath the bridge can lead to an unattractive smile. And, the cement holding the bridge in place can wash out, allowing bacteria to decay the teeth that anchor the bridge.
How will the implant be placed?
First, the implant, which looks like a screw or cylinder, is placed into your jaw. Over the next two to six months, the implant and the bone are allowed to bond together to form an anchor for your artificial tooth. During this time, a temporary tooth replacement option can be worn over the implant site.
Often, a second step of the procedure is necessary to uncover the implant and attach an extension. This temporary healing cap completes the foundation on which your new tooth will be placed. Your gums will be allowed to heal for a couple of weeks following this procedure.
There are some implant systems (one-stage) that do not require this second step. These systems use an implant which already has the extension piece attached. Your periodontist will advise you on which system is best for you.
Finally, a replacement tooth called a crown will be created for you by your dentist and attached to a small metal post, called an abutment. After a short time, you will experience restored confidence in your smile and your ability to chew and speak. Dental implants are so natural-looking and feeling, you may forget you ever lost a tooth.
Every case is different, and some of these steps can be combined when conditions permit. Your dental professional will work with you to determine the best treatment plan.
How to Pick a Top Periodontist
When you have moderate-to-severe gum disease, you need a top periodontist to help restore your mouth to good health. Periodontitis can be difficult to control, and sometimes, the most a dentist can hope for is to slow the progression of the disease. But the best periodontists can often stop periodontitis and reverse some of the damage that’s already been done to your gums and jaw. Here are some areas you can ask prospective providers about to help you identify the right periodontist for your treatment.
Education and Board Certification
Periodontists are specialists who have gone through several years of advanced training in an ADA-accredited periodontology program after completing four years of general dental training. The national board that certifies periodontists is the American Board of Periodontology (ABP). A good periodontist will always keep up with the recertification process and renew their status with the ABP every six years. A top periodontist will go above and beyond the minimum requirements for recertification by pursuing additional education in the latest periodontic disease prevention, treatment and restoration options. They may also be an active member of the American Academy of Periodontologists – a professional organization for dentists who limit their practice to periodontics and related specialties.
Length of time in practice is another factor to consider in choosing a provider to treat your gum disease. There are many excellent periodontists who have just begun their own practice after completing the certification process. These new graduates are likely to be up to date on the most modern treatment protocols. However, they may lack experience with non-standard or more complex cases. You’ll also have a more difficult time finding reviews online from satisfied (or dissatisfied) patients regarding the standard of care at a new practice.
On the other hand, a periodontist who has been in business a long time but doesn’t keep up with all the latest advances may not offer top-of-the-line treatment either. Your best bet is to find a top periodontist who has been in practice for many years but who also places a high priority on continuing education and research. Some of the most respected specialists will be those who have participated in and published recent peer-reviewed journal articles on periodontics.
Even within the field of periodontistry, there are many areas of additional specialization. Some practitioners focus on treating gum disease using mostly non-surgical interventions. Others have experience with complex and lengthy procedures such as gum grafting or bone regeneration along with the placement of dental implants. There are also periodontists who crossover into the field of cosmetic dentistry by performing gum revision and contouring to create a more even and attractive smile for patients who don’t necessarily have any gum disease. The top periodontist for your procedure is the one who has the best track record for treatment success with cases like yours.
This is something you can only assess during an in-person consultation. Periodontal disease is often a condition that takes many sessions to effectively treat. You could be seeing this specialist for many, many years for ongoing maintenance. The periodontist and his or her staff members need to be emotionally supportive so you stay on track with treatment. If you dread visiting the periodontist because you feel like you aren’t being shown compassion or respect, you are likely to stop going. A top periodontist will take time to fully explain both the recommended treatment plan and the rationale behind it. The staff should make every effort to ease any anxiety you feel and encourage you in following your at-home oral hygiene plan to ensure the success of your treatment.
Your general dentist may be able to refer you to a top periodontist who has a history of providing top-notch patient care. Since your periodontist will need to communicate well with your general dentist about your treatment, choosing a specialist your general dentist trusts is often a good option. However, also understand that some general dentists will refer you to a periodontist because they are golf buddies, friends from school or simply conveniently located in the same building. These are not good enough reasons to go that particular periodontist. This is why today, it’s “buyer beware” and you should do your homework and research the internet to help you find the best specialist for you.
Surprisingly enough, there is very LITTLE pain IF ANY after dental implant surgery. Dental implant surgery is very gentle surgery performed at low drill speed with copious irrigation to keep the bone cool and prevent it from burning from the heat. An implant surgery for a single implant should take no longer then 10 to 15 minutes. As such, the surgical site is open for a minimal amount of time. As well, a good surgeon will use anesthesia and give you three drugs through the IV: 1. Anti-inflmmatory 2. Anti-biotic 3. Sedative. This way, you will have very little swelling, consequently, very little if any pain. Anti-inflammatory prevents swelling which in turn prevents pain. Same for the anti-biotic.