FREQUENTLY ASKED QUESTIONS

 

1) What is a Periodontist?
2) What is Board Certification?
3) What is Periodontal Disease?
4) If I have periodontal disease, why doesn't it hurt?
5) What are Dental Implants?
6) What is Halcion used for?
7) Why is a Full Mouth set of Dental X-rays (FMX) needed?

 

1) What is a Periodontist?
A Periodontist is a dental specialist with advanced training in the prevention, diagnosis and treatment of diseases affecting the gums and supporting structures of the teeth. Periodontists also place dental implants, which are used to replace missing teeth. To become a Periodontist one must attend a 2-3 year advanced training residency after completion of dental school. (Reference: American Academy of Periodontology)

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2) What is Board Certification?
A Periodontist may become Certified by the American Board of Periodontology (ABP). The ABP is the oldest dental specialty board recognized by the American Dental Association and is the only national certifying board in the specialty of Periodontics. Requirements for Certification by the ABP include:

  • Completion of a 2-3 year post-doctoral Periodontal Residency at an approved program.
  • At least four years of active experience in the clinical practice of Periodontics.
  • Comprehensive oral and written examination covering all phases of periodontal disease and its treatment.
  • Presentation of detailed reports on a broad range of actual treatment personally provided by the candidate.

Once certified by the ABP, a periodontist is considered to be a Diplomate of the American Board of Periodontolgy. Currently approximately 30% of practicing periodontists nationally are Board Certified. Dr. Rubinoff is a Diplomate of the American Board of Periodontolgy.
(Reference: American Board of Periodontology)

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3) What is Periodontal Disease?
Periodontal Disease ("gum disease") is a bacterial infection of the gums, supporting bone, periodontal ligament (the microscopic fibers which support and attach the tooth to the jaw bone) and cementum (the tooth root outer surface layer). If left untreated, symptoms may include:

  • Persistent bad breath
  • Gums that bleed when you brush your teeth
  • Red, swollen and tender gums
  • Gums that have pulled away from the teeth
  • Loose or separating teeth
  • Pus between the gum and tooth
  • A change in the way your teeth fit together when you bite

(Reference: American Academy of Periodontology)

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4) If I have periodontal disease, why doesn't it hurt?
Periodontal disease is a chronic low-grade infection. As such, there is usually no pain involved until you develop a severe abscess. An analogy would be the patient with high blood pressure who has no pain until has/she has a heart attack.

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5) What are Dental Implants? - Click on the link to learn more about Dental Implants
Dental Implants are artificial titanium tooth roots that are placed into your jawbone to take the place of one or more missing natural teeth. Dental implants may be used to replace a single missing tooth or an entire dentition. The number of dental implants required will vary depending on the number of teeth being replaced, remaining jaw structure and type of replacement teeth being planned (fixed or detachable). Dr. Rubinoff can evaluate your particular concerns and needs and determine if you will be a favorable candidate for dental implants. He works closely with your restorative dentist in a team approach to ensure best results for you.

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6) What is Halcion used for?
Halcion (Triazolam) is a small tablet that may be used to relax and sedate patients before dental procedures. Most patients "doze-off" during the procedure and report that they don't have that "hung-over" feeling after waking up from the Halcion as they may have with other pharmacological agents. As an added bonus, most patients also report that they remember little, if anything, of the procedure. Please ask Dr. Rubinoff if the use of Halcion is indicated for you.

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7) Why is a Full Mouth set of Dental X-rays (FMX) needed?
Dental X-rays are used to view and evaluate areas of the dental structures (teeth and bone) that are not visible to the eye. Dental X-rays assist us in diagnosing dental caries (decay), root canal abscesses, bone loss around teeth and calculus (tartar) on the teeth under the gums. Even though you may have been referred for evaluation of a problem in a particular area, there are often other subtle areas involved as well. A complete dental/periodontal evaluation including a FMX (18-21 small X-ray films) is necessary to properly diagnose your condition.

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