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DID YOU KNOW?

According to the American Academy of Periodontology, an estimated 100 million Americans are living with periodontal disease, a chronic bacterial infection that affects the gums and bone supporting the teeth.

Here are some Frequently Asked Questions and Answers about Periodontology, additional treatments, and the BPDI practice in general.

 

Q. WHAT HAPPENS IF PERIODONTAL DISEASE IS LEFT UNTREATED?

A. Periodontal disease may destroy the attachment fibers and supporting bone that hold your teeth in your mouth. Left untreated it can lead to tooth loss and expose you to systemic disease. Recently, certain types of periodontal disease have been linked to chronic inflammatory conditions such as Type I diabetes and cardiovascular disease. Periodontal disease management and oral health are crucial to maintaining your overall health and wellness.

 

Q. HOW DOES BPDI HANDLE INSURANCE?

A. If you have a dental insurance plan we will complete and submit your claim forms so that your insurance company will reimburse you according to the provisions of your policy. You will be responsible for all financial obligations incurred during treatment in our office, as we do not accept payment directly from insurance companies. Detailed questions about your individual needs and insurance coverage should be discussed with Dr. Nevins and your insurance provider.


Q, ARE SPECIALIZED SEDATION OPTIONS AVAILABLE?

A. BPDI is licensed to provide intravenous conscious sedation to patients who request it to help alleviate anxiety associated with treatment. I.V. conscious sedation is an extremely effective and reliable form of sedation that allows patients to enter a state of deep relaxation in which time appears to pass quickly, while still allowing them to respond to requests and instructions. If you are a candidate for I.V. conscious sedation, an anesthesiologist from Anesthesiologist Associates of Massachusetts will join Dr. Nevins to administer and monitor your sedation. AAM is one of the largest private anesthesia practices in the country and a nationally recognized leader in patient safety. Dr. Nevins will discuss all available sedation options with you, and together you'll determine what is the best course for your individual case based on your health and medical history.


Q. HOW DO I KNOW IF I AM A CANDIDATE FOR DENTAL IMPLANT TREATMENT?

A. In general, anyone healthy enough to undergo a routine dental extraction or oral surgery can be considered for an implant procedure. Patients should have healthy gums and adequate bone to hold the implant and be committed to good oral hygiene and regular dental exams. Heavy smokers, people suffering from uncontrolled chronic disorders such as diabetes or heart disease, or patients who have had radiation therapy to the head/neck area need to be evaluated on an individual basis.

 

Q. WHAT SHOULD I EXPECT DURING DENTAL IMPLANT TREATMENT?

A. Dr. Nevins performs implant placement as an outpatient surgery from our state-of-the-art medical center, usually under a local anesthetic. The treatment has two stages. First the implant, a tiny piece of titanium that forms a foundation for attaching the future crown restoration, is surgically placed with the utmost precision utilizing 3-D software and CT scans.


Q. WHAT HAPPENS AFTER THE TREATMENT?

A. After your treatment we will provide you with detailed postoperative instructions, which if followed properly will result in the best possible outcome and a short recovery time. Dr. Nevins will prescribe medications as needed, such as an oral antibiotic as a precaution against infection, and will provide you with a prescription pain relief medicine to help with any discomfort from the treatment.

 

Q. WHAT ARE THE BENEFITS OF LASER THERAPY?

A. As with other forms of periodontal therapy, a main goal of laser therapy is to stimulate regeneration of connective tissue and bone between the gums and teeth. Additionally, during treatment the heat of the laser causes instant clotting in the gum tissue that actually works to seal the gums and create a physical barrier to any new bacteria that might invade the gums in the future. LANAP is also an excellent approach for patients who want to improve the esthetics of their gum line with treatments such as cosmetic crown lengthening and tissue re-contouring procedures. For our patients who are candidates for laser therapy, other welcome benefits include less-painful treatment without cutting or stitches, less risk of infection, shorter appointment times, and an easy and fast recovery.

 

Q. WHAT SHOULD I EXPECT DURING AND AFTER LASER TREATMENT?

A. Before your laser treatment you will be given a local anesthetic to eliminate any possible discomfort. During the procedure a tiny laser fiber (about the thickness of three hairs) is inserted between the tooth and the gum to clear away infection, reduce inflammation, and trigger an immediate healing response in the tissue. You'll most likely feel well enough to go right back to work after your treatment. If necessary, Dr. Nevins will prescribe an oral antibiotic as a precaution against infection. A soft diet for a day or two is recommended, but most patients are able to eat anything they want right after the procedure. Best of all, your likely recovery period will be less than 24 hours.

 

Q. WHY DO I NEED A SOFT TISSUE GRAFT?

A. Recession is often caused by overly aggressive tooth brushing, but can also be a result of systemic periodontal disease. For many patients discrepancies between tooth size and jaw dimension leads to crowding, which also results in recession. Beyond the discomfort, excessive recession, if left untreated, may progress to further gum disease, bone loss, and eventual tooth loss. Dr. Nevins and your hygienist will work with you to identify and improve your oral hygiene habits to help you control recession in the future, but for now a soft tissue graft will help you repair and hopefully prevent further recession and bone loss.

 

Q. WHAT SHOULD I EXPECT DURING SOFT TISSUE GRAFT TREATMENT?

A. Soft tissue grafts can be used with predictably successful results to cover roots or to develop gum tissue that has degraded due to past extractions or missing teeth. During the treatment Dr. Nevins will take gum tissue from your palate or another donor source to cover the exposed root of one tooth or even several teeth. While procedures with the patient's tissue provide the most optimal results, Dr. Nevins continues to work with biomaterials and tissue engineering alternatives to provide options for gum grafting without the need for donor tissue from the palate.

 

Q. WHAT IS COSMETIC CROWN LENGTHENING AND TISSUE RE-CONTOURING?

A. Crown lengthening adjusts the gum and bone level to expose more of your tooth, correcting your gum line and resulting in a more natural and more beautiful smile.

 

Q. WHAT IS POCKET DEPTH REDUCTION?

A. If Dr. Nevins recommends a pocket depth reduction treatment, it means that your pockets have reached a depth that makes it impossible for you and your hygienist to properly clean your teeth and maintain your oral health. During pocket depth reduction treatment the gum tissue is folded back and any bacteria is removed. Dr. Nevins will often apply growth factors to stimulate regeneration of bone and build periodontal support before securing the tissue back into place.

 

Q. WHY WOULD I NEED TO REBUILD ORAL BONE AND REGENERATE TISSUE?

A. Preserving or rebuilding oral bone can be important for both your appearance and your health. If you have lost gingival tissue due to tooth brushing techniques, disease, or injury, it may be possible to restore what has been lost by using new techniques in bone and tissue regeneration.

  

Q. WHAT MAINTENANCE SERVICES ARE AVAILABLE?

A. As ongoing maintenance therapy is crucial for our patients to sustain long-term oral and overall health and to help us identify any new developments and areas of concern, Dr. Nevins will determine whether your cleanings should be performed by our specially trained hygienists. You may come to our practice for all cleanings and checkups or split routine visits between your regular dentist and our practice.

 

HELPFUL LINKS
American Academy of Pediatrics, Academy of Osseointegration, American Diabetes Association, Delta Dental of MA