2020 SW 27th Avenue
Miami, FL 33145
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November 21, 2011

I’m interested in the LANAP procedure and was wondering if you do consultations so that I can learn more about how it works and whether or not it’s right for me.

Yes we do consultations for LANAP on a daily basis.  Since we have a multidisciplinary approach to treating periodontal disease it is important to know about contributing factors to your tissue breakdown such as genetics, medical history,smoking, grinding teeth during sleep. etc. We would begin with  a dental history discussion with either myself or Dr Lamas. This allows us to understand more about what has led up to your decision to consider LANAP. Many patients are fearful of gum surgery so we compare and contrast  traditional periodontal surgery with LANAP during the treatment conference appointment. You would then be escorted to the examination room where we will take your medical history, your blood pressure and perform a comprehensive periodontal exam including intra-oral photos, bacterial testing and necessary films. At that point we would know whether LANAP is a realistic consideration for you. After careful study of your case,  a detailed appointment plan would then be formulated and presented at a subsequent treatment conference visit. Despite our many years of experience, we find it very valuable for our patients to understand existing conditions, risks of delaying or not having treatment and have us explain treatment alternatives as well as  answer any questions from you, loved ones or even your current dentist.

September 17, 2010

Dr. Gallardo, I live in Cayman and have been told by a few people I know that you’ve treated them. They are very pleased with the expirience at your office as well as the reults. Do I need a special referral or letter from my dentist to have you evaluate for gum disease and possible dental implants?

Let me be the first to welcome you!  I have been successfully seeing Cayman patients for specialty dental care for many years now and have met and become friendly with some of your dentists on the Island. Although you don’t need a referral from your dentist to see me, I would like to make sure that we keep them involved in your case as more complex dental problems usually require a team approach. Because we have a CT scan in the office and routinely complete even the more complex treatments in as little as one day with Intravenous Conscious Sedation, we make traveling to Miami a very efficient trip. We are located within 15 minutes from Miami International Airport. Many patients take advantage of the shopping while here or make time for a consult on their way to or from Europe.  Please call usto discuss specific scheduling arrangements we have for out of town guests. Look forward to meeting you.

August 4, 2010

What is Laser Periodontal Therapy? How does it work?

Laser Periodontal Therapy™ is a laser based technique for the treatment of periodontal disease using the Millennium Dental Technologies, Inc., PerioLase Laser. Fear of periodontal treatment vanishes when patients find out no scalpel or sutures will be used. Patient friendly laser treatment gets patients to agree to the treatment they need and continue with the follow-up care that is prescribed.
Our office is one of the first in the area to offer Laser Periodontal Therapy™ for the treatment of gingivitis and/or periodontitis.
How does it work?
Tartar, associated with inflamed and bleeding gums, is removed form the root surface of the tooth using an ultrasonic scaler and small instruments.
Then, a small amount of light energy from a laser is directed through a tiny fiber, which is gently placed between the gum and tooth. This light energy removes a tiny amount of diseased tissue and aids in reducing the bacteria associated with the disease. After the area is thoroughly cleaned, the body can heal the area naturally.

10 Things You Need To Know About Treating Gum Disease Without A Scalpel

1. LASER PERIODONTAL THERAPY™  also known as LANAP (laser assisted new attachment procedure) is easy since there’s no cutting and no suturing.
2. There’s much less discomfort with LASER PERIODONTAL THERAPY™ than with standard surgery – during and after the procedure.
3. It takes less time than traditional surgery. All it takes is one 2 to 3 hour laser procedure visit and two follow up visits.
4. Traditional surgery requires four sessions of about one hour each, with subsequent visits for suture removal and additional check-ups.
5. LASER PERIODONTAL THERAPY™ gives better, longer-lasting results. In fact, 98% of LASER PERIODONTAL THERAPY™ treated patients remain stable after five years, while only 5% reportedly remain stable after surgery.
6. Drs Gallardo and Lamas will probably recommend a soft diet for a day or two, and common sense should prevail, but in most cases, patients feel good enough to eat anything they want right after the procedure.
7. Following traditional surgery, recovery can take between to 2-4 weeks during which patients can experience considerable pain and swelling, where they may be restricted to liquid or soft diets.
8. There’s less than 24 hour recovery period, so you won’t lose time from work.
9. LASER PERIODONTAL THERAPY™ is safe for patients with health concerns such as diabetes, hemophilia, or those taking medications such as Coumadin or Cyclosporin.
10. LASER PERIODONTAL THERAPY™ is less expensive than traditional gum surgery since materials such as bone grafts and stitches are not used. Deep cleanings ( scaling and root planing) are not necessary prior to starting treatment. This also saves on overall cost.

August 2, 2010

I am getting an implant to replace two teeth that have had a removable bridge. Do you do anything to the teeth adjacent to the bridge to build them up?

That depends on whether there is a need to strengthen what holds the teeth in place or change the tooth itself. During a proper evaluation we would evaluate for mobility patterns (you may not realize your teeth are starting to loosen), bone support around the remaining teeth,  pathology such as root canal type infections that may show up only on x-rays and make sure that the natural teeth and the implants work together in providing the best possible function. The forces on the “new bite” have to be designed in a very specific way and this could vary depending on the circumstances of the patient.  Where the tooth is positioned in the arch dermines, in part, what role it should play in overall chewing as well as appearance. Sometimes the surrounding teeth do have to be built up in order to achieve this proper bite and also create a more youthful appearance if something called the “vertical dimension” of the face has been changed (iefacial collapse). If all that is nessary is the treatment of gum disease then a simple non-invasive laser option called LANAP can reverse the damage to the bone that supports the teeth. I hope this helps!

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