February 25, 2012
December 2, 2011
I’m in Cayman and need extensive work including implants, teeth removals and possibly bone grafting in my sinus. My concern is that I won’t be able to take that much time off to fly into Miami for long or extended treatment. My dental condition is very complicated. How many visits can this potentially take?
For many years now I have been seeing many patients from Cayman for treatments ranging from a single implant or gum disease to complete implant replacements for patients wanting to avoid or replace removable denture plates. Because of our proven sedation protocols as well as years of experience with up-to-date technology in treating the complex case, it is common for us to develop an appointment plan that provides “life changing” dentistry in as little as one surgical visit.
Some examples of this are the All-on-4 dental implant system in which a complete arch of fixed teeth can be possible at the end of the first appointment-the same day the implants are placed. The use of Alloderm grafting incredibly avoids the need to take gum grafts from the roof of the mouth and therefore allows many more teeth roots to be treated for recession in a single visit. Another is laser periodontal treatment or LANAPwhere the Millenium PerioLase Laser is used to treat even advanced gum disease requiring bone regeneration without the use of bone grafts, scalpels or sutures.
We are located 10-15 minutes from Miami International Airport and there are many hotels in the area that we could help you with. Hope this helps.
Dr. John Paul Gallardo
May 26, 2011
Invialign and braces can be an excellent component of a dental treatment plan for the adult patient. Tooth movement can have amazing cosmetic benefits as well as improvements in the potential health of the gums and underlying bone. From my perspective as a periodontist, the concern that I have for any adult patient facing orthodontic treatment is the health of their gums. Many adults as well as children can have either too much gum tissue or not enough. A receding gum line on one or more teeth can worsen with tooth movement so the first step may need to be a gingival improvement procedure. A much more difficult condition for the patient to “self-diagnose” is that of bacterial periodontal disease since in some cases it may be present without symptoms as a “silent disease”. Periodontal disease is the most common reason we see for people losing their teeth. A periodontal examination including probe measurements of at least six different areas around each tooth to evaluate for gum and bone attachment loss is the most common way to rule this out. The normal range would be that of 1 to 3mm crevices without bleeding. Any measurements greater than 3mm especially with inflammation may require periodontal treatment and/or monitoring. The movement of diseased teeth with braces or Invisalign is a big problem and can be disastrous in some cases even accelerating tooth loss. Luckily many cases can be treated quickly with the minimally invasive PerioLase laser using the LANAP protocol before starting orthodontic movement of any kind. This can save your smile!