Farber Center

Medford Periodontist Discusses Temporary Restorations

Your smile and happiness make for a happy, healthy you!

Your smile and happiness make for a happy, healthy you!

Medford periodontist Dr. Alan H. Farber explains why temporary restorations after dental implant treatment help ensure great looking final restorations.

After dental implants are placed, a temporary restoration is often used for a number of reasons:

1. With the temporary restoration, patients can get a good idea of how the final restoration will look and feel.

2. A temporary restoration is also used to get the proper tissue design—to allow the tissue to heal around the restoration.

3. A temporary is placed to ensure that the patient has a proper bite.

4. If a patient wants something changed, then the esthetics can be worked out in the temporary stage.   In other words, we do not want to go right away to a final restoration which is not reversible. If the patient says, “ I don’t like the way the temporary looks– please change it,” then the final restoration will reflect those changes.

Temporary restorations often look almost as good as the final restoration. We want the patients to look at the temporary and say,  “Wow! This looks great and feels great.”  The final restoration will be better. but we need to work this all out in the temporary stage.

Because temporary restorations look so good, patients sometimes delay getting a final crown or final bridge on their implants. The problem with that scenario is that bacteria can leak under the temporary restoration and that may affect the health of the implant in the long run.

There is a set amount of time that a temporary restoration is designed to last, and people should not go beyond that timeframe. Typically six months is the longest amount of time that I would recommend that a patient keep a temporary restoration.  They need to return to the office in a timely manner and get their new, permanent teeth.

 

 

 

Dr. Alan H. Farber
Periodontist
Offices in Hauppauge and Medford, NY
New Patients Welcome
www.longislandperio.com

Keeping Patients Comfortable During Implant Dentistry

Hauppauge periodontist Dr. Alan Farber explains that he utilizes various types of sedation to keep patients comfortable during implant dentistry:

“Patients are often surprised by how comfortable they are during and after the placement of dental implants. The often report that the procedure was much easier than they expected.

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Many patients have their implants placed with what we call local anesthetic. Once the patient is numb they do not feel any discomfort. They just feel a little pressure or a little vibration during the implant procedure.

Some patients, however, need more relaxation and we have what we call conscious sedation techniques using medications. I am currently certified in New York State to utilize conscious sedation.

Often times patients come in and they say they just want to go to sleep and wake up when the procedure has been completed. We have a medical team of board certified anesthesiologists who come to our office quite regularly. A medical anesthesiologist uses intravenous sedation, also called IV sedation, to put the patient to sleep and carefully monitor all vital signs during the procedure.

After the procedure, the patient wakes up and further assessments are done. The patient stays in our

Our patients' comfort, along with their overall health, is our #1 concern.

Our patients’ comfort, along with their overall health, is our #1 concern.

office for a period of time to more fully recover from the anesthesia and receive post-op instructions. The patient is then driven home by a driver who has accompanied them to the office.

Most patients compare an implant being placed to a tooth being removed, and they tell me time and time again that the implant placement was easier. They say afterwards that they hardly felt any discomfort.

Also after a dental implant procedure in our office, most patients report that they use a minimal amount of medication for discomfort. Often we will recommend Motrin, Advil, Tylenol or similar medications if needed for a short time after a procedure.”

 
Dr. Alan H. Farber
Periodontist
Offices in Hauppauge and Medford, NY
New Patients Welcome
www.longislandperio.com

Dental Implant Treatment Now Much Faster

Dental implant treatment that used to take up to a year is now typically done in weeks or even one day in some cases, according to Dr. Alan H. Farber.

The treatment time for dental implants is very variable. The good news is that the process takes much less time now than 28 years ago when I first started placing dental implants.

Dental implant treatment time in the past.

• Typical cases years ago took six months to a year to complete.

Treatment time now.

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Each one of our patients is treated with greatest care and compassion for a comfortable visit with the goal of improved oral and overall health in mind.

• Today, if a tooth needs to be removed first and then an implant placed at a later date, that timeframe is still approximately six months. However many times in my practice we are placing an implant at the same time as the tooth is removed. We call that “immediate implant placement” and the total treatment timeframe is now only about three months.

• The other good news is if a patient is missing a tooth and the bone is adequate, we can place an implant and have the patient restored. In other words, we get the final post and crown on the implant and put it into function in approximately eight weeks.

• We also have the scenario in which patients need multiple implants. Those are patients who need a full arch of implants. They may have a denture or severely diseased teeth, and with proper planning at the Farber Center, we are able to remove the remaining diseased teeth, place the proper number of implants, and even place a bridge that is attached to the implants on the same day. We call that process Teeth Today.

Some people ask, “How many implants do I need to replace all the teeth in an arch?” For a permanent bridge, in other words a bridge that is not removable by the patient, the minimal number is four. However, depending on how many teeth we want to replace, and the type of material and the size of the patient’s jaw, we sometimes need more implants. This process of anchoring a denture with dental implants is called “All-on-4” or “All-on-X,” where x is the number of implants, which could be four, five, six, or even up to eight.

Every patient is unique in their physical structure and all treatment is customized. Our goal is to provide a very secure and long-lasting solution in the minimal amount of time.

 

 

Dr. Alan H. Farber
Periodontist
Offices in Hauppauge and Medford, NY
New Patients Welcome
www.longislandperio.com

Take Advantage of Your Dental Insurance Today!

As you are a valued patient in our office, we know you are a forward-thinking individual. Your overall health is a top priority to ensure a long and happy life. Farber Center has your health in mind as well and would like to remind you the end of the year is quickly approaching. This is the perfect time for you to take advantage of any remaining or unused dental benefits through your insurance.

Next year, you will have new deductibles and dental benefits that are not “carried over” from this year. We also encourage you to find out from your insurance company if you have monies set aside in a flex spending account or a health savings account which could possibly be lost it if not used. We would not want to see you miss out on some extra savings you could use before the thought it is swept up with the holiday season.

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School is now in full swing and despite this unusually warm weather we are having this week, summer is sadly a distant memory. Before we know it, the holidays and snow days will be filling up our calendars. The last thing we would expect is our plans to be disrupted due to a dental emergency. It is much better for your health, and for your comfort, to plan and schedule an appointment now, especially if you have been avoiding or putting off any type of procedure or incomplete procedure.

Scheduling today will allow you to use the remaining balance you may have in your dental insurance benefits, as well as avoid any future discomfort or emergencies.  We care about your oral health and look forward to your continued well-being.

Please call 631-265-4442 to schedule your appointment today!

 

Dr. Alan H. Farber
Periodontist
Offices in Hauppauge and Medford, NY
New Patients Welcome
www.longislandperio.com

LANAP or Laser Surgery Offers Great Benefits for Patients

Dr. Alan H. Farber, Dr. Vicky Batalias, and Dr. Chris Chondrogiannis all use LANAP or dental laser procedures to provide more specific, more accurate, and less invasive treatment for periodontal disease.

In my practice we are using laser dentistry to do what we call the LANAP procedure. LANAP stands for “Laser Assisted New Attachment Procedure.” New attachment means that we are able to recreate what was lost from the disease process. In other words, we are able to get new attachment fibers, so we are helping the gum tissue grow tightly around the tooth where it was lost before.

The laser that we use in our practice is specifically modified to treat periodontal disease and only removes unhealthy tissue during the surgical procedure. In conventional surgery, sometimes healthy tissue will be removed. The laser is more specific, more accurate, and less invasive. One of the other things that we do not need to use during laser surgery is stitches or sutures, so there is less pulling after the healing process, which means less discomfort for the patient.

Dr. Farber's associate, Dr. Batalias, is also trained and certified in LANAP and laser surgery.

All of the doctors at Farber Center stay on the “non-cutting” edge with LANAP by continuing with seminars, training, and certifications.

The comment I get most often from patients after laser surgery is, “Wow!” They tell me that they hardly had any discomfort. They may take an over the counter pain reliever such as Motrin or Tylenol for two days at the most, and then their mouth feels better.

From my perspective, the results of using laser surgery are impressive. In follow-up appointments I am seeing that the tissue is not bleeding, and it is healthier and tighter. Their breath is good.

We have patients who come to our office with loose teeth. Sometimes they have been told that they need to have their teeth removed and they need to get into a denture. By using the laser, I am seeing the teeth actually tighten up. The gums get tighter too. This decrease in the looseness or mobility of these teeth can delay the placement of a denture for a long time. Patients are very excited and my restorative doctors are also thrilled with the results.

 

 

Dr. Alan H. Farber
Periodontist
Offices in Hauppauge and Medford, NY
New Patients Welcome
www.longislandperio.com

 

Dr. Farber gratefully acknowledges the help of David Schwab, Ph.D. in developing blogs.  www.davidschwab.com 

 

Periodontal Disease: Often Silent and Progressive But Treatable

Periodontal or gum disease is often silent but it is progressive and can lead to tooth loss. With proper diagnosis, periodontal disease is treatable.

Early detection = faster, better treatment.

Early detection = faster, better treatment.

There are many types of periodontal or gum diseases today. The good news is that people are living longer and they want to keep their teeth longer. In spite of this longevity trend and greater health awareness, we are seeing more periodontal disease at younger ages.

Periodontal disease for most patients is a silent disease because they do not feel it and they do not see it. I compare periodontal disease to hypertension or high blood pressure, because in both cases people walk around with the condition and they are not aware of it. If they do not go to the dentist or see their hygienist regularly, periodontal disease often remains undetected. In my periodontal office, this is what we do day in and day out: diagnose periodontal disease. In a matter of minutes we can determine the level of disease and then recommend a course of treatment.

There are different stages of periodontal disease. The first stage of periodontal disease is called gingivitis, which is inflammation of the gums. Sometimes there is bleeding and the gums are getting weaker. Gingivitis is caused by bacteria in the form of plaque on the teeth.

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We coordinate with your general dentist on treatment.

Gingivitis can be treated very easily, and the earlier we catch this type of inflammation the better the success. As the disease progresses or if it is left untreated, it can develop into what we call periodontitis, which is not only inflammation but also bone loss around the teeth. Periodontitis can be arrested and sometimes reversed with proper treatment.

I have been treating periodontal disease for over 28 years. The patients who do well are those who follow through with treatment, return for regular professional visits, and have consistently good homecare habits that we teach them. The treatment itself causes minimal discomfort and there are many different ways to treat this disease. We utilize the latest in nonsurgical treatment, surgical treatment, and dental laser treatment.

We welcome new patients and encourage people to come in for a periodontal evaluation.

 

 

Dr. Alan H. Farber
Periodontist
Offices in Hauppauge and Medford, NY
New Patients Welcome
www.longislandperio.com

LPD: Disinfect, Prevent, & Protect

Laser Pocket Disinfection (LPD) is a pain-free procedure using the PerioLase® MVP-7™ laser to kill bacteria and reduce inflammation.LPD-steps-image

The LPD procedure is founded on improving your oral and whole body health using the PerioLase® MVP-7™ dental laser. This is the only dental Laser specifically designed for better periodontal health.  The wavelength of the MVP-7™ targets the bacteria that causes gum disease for minimally invasive, highly effective treatment, without damaging any healthy tissue.  By removing the bacteria, you are removing the inflammation it causes, giving your body the energy to heal holistically and naturally.  The laser light creates a clean environment for healing. Speak to your dentist about holistic approaches to managing gum disease.

You may be a candidate for Laser Pocket Disinfection.  LPD may used as a preventative measure to reduce chances of Periodontal Disease developing.  If you have gingivitis, LPD can help reverse the symptoms it causes.  LPD can also be used to treat patients on a perio-maintenance program – ask your dentist if this is something you should consider.  LPD is pain-free and studies have shown absolutely no negative side effects results from the procedure in over 25 years of therapy.  The treatment is safe for use around crowns, bridges, sealants and implants, or any other pre-existing dental work. LPD is beneficial to patients who have recently had surgery, or are scheduled to have surgery, as it reduces the bacteria that may enter the bloodstream.

Gum disease, left untreated, can lead to serious health risks and issues.  When Periodontal Disease progresses to Periodontitis, it starts to attack the bone in your jaw, leading to tooth loss, bone loss, and premature aging.  The inflammation it causes has also been linked to heart disease, stroke, diabetes, pre-term birth, certain cancers, and more.  These negative effects are brought on by a disease that we can actually pass on to others, by simply kissing or sharing cups and utensils.  The benefits of LPD are life-changing for your health, and the health of those you love.  It is our responsibility to disinfect, prevent, and protect.  Why wait?

 

 

 

Dr. Alan H. Farber
Periodontist
Offices in Hauppauge and Medford, NY
New Patients Welcome
www.longislandperio.com

What You Don’t Know Can Hurt You: the Danger of Postponing Dental Work

Are you ready for Labor Day Weekend?  It is our last real break before September kicks off, filling up schedules with school, sports, the change of seasons, and eventually holidays and everything else!  Before we get ahead of ourselves, let’s stop and evaluate our situation.  Do you have a dental issue – a minor toothache you are hoping will go away, a postponed maintenance visit – which you have been delaying?

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Patients who stay on schedule are definitely VIP!

This may sound stressful, but it does not have to be.  If you are a proactive patient, you will avoid a great deal of stress, as well as pain, which may come from ignoring a dental issue and allowing it to develop into an actual emergency.  If you have a toothache that you have been tolerating, it could erupt into a real problem for you, and at the worst possible time – on vacation, Open House at your child’s school, a family outing, your grandson’s little league game, etc.  Even putting off coming in for your periodontal (or general dentist) maintenance with a hygienist is hazardous to your overall health.  Bacteria will continue to grow and spread and may lead to Periodontal Disease, which can lead to tooth and eventually bone loss.  Our hygienists also routinely check you for oral cancer with the use of a device called the VELscope.  Catching signs of this condition early is a key factor in recovery and survival.

You are never too young to take your oral health seriously.

You are never too young to take your oral health seriously.

Do not wait for a minor problem to become a major problem.  Make room in your schedule now to take care of these seemingly tolerable issues before you need to put your life on hold to take care of a dental emergency.  It is never too early to improve your smile, your oral health, and your whole-body health!  Call your general dentist or our office today!

 

The Team at Farber Center wishes you a wonderful and safe holiday weekend, along with a great start to Fall!

 

 

Dr. Alan H. Farber
Periodontist
Offices in Hauppauge and Medford, NY
New Patients Welcome
www.longislandperio.com

Are You Infecting Your Family with Gum Disease?

You can take action now to prevent, disinfect, and protect with Laser Pocket Disinfection (LPD) and improve your own whole-body health, along with the whole-body health of your family and loved ones.

Gum disease not only affects over 85% of American adults, but it is also contagious.  IMG_3331It is scary to think about, but we could be unknowingly hosting gum disease in our mouths and spreading it to our loved ones.  Many people do not realize they have gum disease until the symptoms are severe and noticeable.  What starts out as Gingivitis may develop into Periodontitis, which has been linked to other health issues, such as heart disease, stroke, certain cancers, pre-term birth, and stillborn deaths.

Everyday family activities and habits put us at risk for spreading gum disease.  Kissing, sharing silverware, drinking from the same cup – all of these things promote the spread of gum disease.  We should be aware and form good habits now to prevent risk and gum disease in the future.

What can we do now?

  1. Establish good habits: make your oral and overall health a priority in your life, thereby setting the example for your family, especially your children. Keep up your dental hygiene appointments with your general dentist and your periodontist.  Make those trips fun and important for your children in order to encourage a positive outlook and understanding that their mouths are the gateway to the rest of their bodies’ health.
  2. Know the warning signs: gum disease may often go unnoticed because we unknowingly ignore the warning signs. If you are experiencing puffy or red, bleeding gums, bad breath, painful chewing, loose/sensitive teeth, and/or receding gums, talk to your dentist right away and he/she may assess your condition.
  3. Ask about LPD: Using a special FDA-approved laser called the PerioLase MVP-7, Laser Pocket Disinfection is one way you can quickly and painlessly target gum disease, regenerate tissue growth, and protect your oral and overall health. This non-invasive procedure will reach and destroy bacteria far beyond what the eye can see, up to 6 mm beyond the surface, to prevent bacteria from spreading back into the pocket.

Dr. Alan H. Farber
Periodontist
Offices in Hauppauge and Medford, NY
New Patients Welcome
www.longislandperio.com

Seven Reasons Dental Implants are Preferable to a Bridge

Hauppauge periodontist Dr. Alan H. Farber lists 7 reasons that dental implants are preferable to a bridge—including no need for root canals!

Dental implants are often preferable to a conventional bridge for a number of reasons:

  1. A dental implant increases the strength and support of the area of the jaw where the tooth is missing.
  2. With a three-unit bridge, we have to prepare the adjacent teeth, which means that in order to put a bridge on these teeth, we have to remove the outside tooth structure of healthy teeth on either side of the missing tooth. Sometimes that tooth structure will be near the nerve and the patient will then need root canal treatment on a tooth in addition to the bridge.
  3. The area of the mouth around the bridge is much more difficult to clean, so teeth in that area may be more prone to decay. Lack of proper cleaning also increases the chance for gum disease.
  4. An implant will never decay and will never need root canal.3-unit-implant-bridge_ti-abutments_tcm261-41493
  5. Bridges often have to be replaced over a period of 10 to 15 years. Patients should not only consider the initial cost of a dental implant versus a bridge, but the need to eventually replace that bridge.
  6. With proper maintenance, a dental implant can last a lifetime. Dental implants should be maintained just like we maintain our natural teeth. Typically we recommend three to six month hygiene visits both with the periodontist and the hygienist. The reason is that we get a lot of bacteria in the mouth, and an implant is really a sophisticated medical device. Like any other medical device, it needs proper care and maintenance
  7. Patients prefer implants. I have several patients with a bridge on one side and a single tooth implant on the other side, and they prefer the single tooth implant. The implant is stronger, it feels better, and it looks more natural than a bridge.

Dr. Alan H. Farber
Periodontist
Offices in Hauppauge and Medford, NY
New Patients Welcome
www.longislandperio.com

 

Dr. Farber gratefully acknowledges the help of David Schwab, Ph.D. in developing blogs.  www.davidschwab.com