Farber Center for Periodontics & Dental Implants
Our periodontists help patients who fear the dentist with compassion and new technology. We make it our goal to ensure patients are comfortable during their visits.
Scared of the Dentist?
Sometimes our new patients vocalize their fear of the dentist. If they neglected their oral health care for a long time because of that fear they often feel embarrassed. At Farber Center we demonstrate compassion and put our patients at ease.
“When I sit down with them and get to know them, they start to feel more comfortable expressing their needs, their desires. Patients are often happy and relieved to hear about treatment options that will help them solve their dental problems,” said Dr. Alan Farber.
Unfortunately, many patients have a history of unpleasant dentistry – what Dr. Farber calls antique dentistry. In this scenario a bad experience left a lasting impression on the patient. The memories of one bad dental experience often linger for years. This leaves patients quivering at the thought of sitting in an exam chair.
The Farber Center Solution
Despite these prior experience, many of our patients say they feel very comfortable in our office environment. Additionally, they express their faith in our team. We go out of our way to get patients numb with minimal discomfort, sometimes with no discomfort.
I have had patients ask me, “When are you going to give me the injection?” and we have already given them the injection and they did not even know it,” said Dr. Farber.
We actually purchase extra small, narrow needles. Although we don’t like using the word “needle,” our special needles make injections much easier for the patients.
Additionally, we use new topical gels that we apply to the gum tissue before giving an injection. These are produced for us by a special pharmacy known as a “compounding pharmacy.” The gel numbs the area and makes the injection much easier for the patient by minimizing discomfort.
Patients in our office find that dentistry can be comfortable because we relate to them personally and do everything possible to give them a pleasant experience. That’s what we’re all about.
Getting referrals from our patients is the greatest compliment we could ever receive. Here at Farber Center, we value the opinions of each and every patient.
We continually thank our patients for their trust and appreciation shown to us. Over the past 30 years, we have enjoyed seeing your loved ones. When people refer us to their friends and family it is the greatest compliment we could ever receive. One of our core values at Farber Center is treating every patient with the utmost respect, providing multiple options and giving high-quality care.
When it comes to the dental industry, some may be apprehensive to make an appointment and visit a dental office. Having a trusted friend or family member share their great experience at our Farber Center for Periodontics & Dental Implant offices will put their anxiousness to rest.
Word of mouth is so powerful in our community. The people of Long Island truly care for one another and it’s important to guide others in the right direction. It is especially important that we keep our oral health in mind when it comes to those that are close to us, even if speaking about the dentist is
uncomfortable. We encourage our patients to spread the word about their visit with Farber Center. Your conversation with them could potentially save your loved ones’
We look forward to hearing from your friends and family soon. Feel free to let a friend know about your time with us and have them give us a call today.
Hauppauge: (631) 265-442 || Medford: (631) 758-3700
Dental implants stimulate bone and provide a strong bite. They are an alternative to removable dentures, which cause bone loss and reduced biting forces. Dr. Alan Farber explains why dental implants are the right choice for optimal oral health.
What’s Wrong with Dentures?
Patients often come to see me with a complete denture that is removable. They complain that they lost much of their chewing force. When people have a healthy set of teeth, their chewing force is strong. They have the power to bite into any food they want to eat. However, when people replace their teeth with dentures their biting force goes down about 80% or more. This problem is present even with denture adhesives, which most people do not like.
Dental Implants – A Fantastic Alternative
Dental implants are a great alternative to conventional removable dentures. We use dental implants to replace an entire arch of teeth–whether it be an upper or lower arch—by supporting a non-removable, permanent bridge. When implant dentistry is used to replace teeth, the biting force is dramatically increased—almost to the level of having healthy natural teeth.
What’s Going on in My Mouth?
When people lose their teeth the jawbone is not stimulated and the bone starts to shrink. We call this process of jaw shrinkage “resorption.” Eventually the removable denture that sits on this jawbone will get looser and looser because there is less bone available. As the process continues, the patient starts to use more denture adhesive and eventually the resorption becomes so severe that the patient cannot wear a denture. I call these patients “denture cripples.”
Even when patients who suffer from bone resorption are able to wear dentures, they come into my office and say, “What happened to my face? It’s collapsing! Now I’m all wrinkled and I look like my face has shrunken.” This cosmetic problem is due to the loss of teeth and the ensuing loss of bone.
A Happy Ending
With a non-removable denture that is secured by dental implants, the patient has a restoration that does not come out, so there is no wear and tear from something removable putting pressure on the jaw. The patient does not feel the implants, but they are stimulating the surrounding cells. The bone cells keep remodeling and replenishing themselves and the bone is well maintained for many years.
Ceramic Implants: A Holistic Option
There are two type of dental implants on the market today, ceramic and titanium implants. Ceramic implants have been used in our practice for about five years at this point. One reason that we would use a ceramic dental implant is by request of the patient who is concerned about metal. Our more holistic patients refuse to have any metal in their mouth because some people report allergies to certain metals.
The ceramic implants are proving to be very durable and an excellent alternative to metal implants. The mechanical strength of ceramic dental implants has improved greatly over time. Another advantage of ceramic dental implants is that unlike any metal, ceramic are not subject to corrosion over time.
Another reason that I may use ceramic is that the restorative doctor has requested that type of material in a specific case. Pure or other ceramic implants do not have a metal color showing; there is more of a body color match, which can be more desirable if that is a patient’s concern. Studies out of Europe show extremely high success rates with ceramic implants. The highest percentage of most of our implants today are still titanium, but the number of ceramics implants being used seems to be on the increase.
However, I do not see ceramic implants taking over and making titanium implants obsolete. There is a limitation of what you can do when it comes to zirconia implants. With zirconia implants the abutment position is very critical. However, when you are placing a titanium implant you have more latitude as far as the abutment portion is concerned. You can angle the titanium implant where the abutment comes out of the tissue at a much higher angle than you can on a ceramic implant.
Your posture and your bite are closely related. When any part of your body is out of alignment with the other parts, there is a similar chain reaction. When your upper and lower teeth are closed together, each tooth actually forms a skeletal relationship with its opposing tooth. This bite determines the position of your jaw, and in turn, the position of your head on your spine.
Check Your Posture
To demonstrate this, tilt your head backwards and close your teeth lightly together. Notice that your back teeth hit first. Now tilt your head forward toward your chest and again lightly touch your teeth together. Now the front teeth hit first. These exaggerated movements demonstrate how the bite and head position affect one another.
The teeth are part of the skeletal system. When your teeth are improperly aligned, there is often a compensating effect throughout the postural chain. The body will adjust itself. This can involve muscles in the neck, back, and even those of the pelvis, legs, and feet. Poor posture is not often thought of as a health problem. Over time, however, the consequences of postural neglect can be as damaging as an injury.
There are specific symptoms of a poorly postured bite such as: Numbing or tingling sensation in one hand, pain in the jaw, head neck, shoulders, back, and difficulty clearing the ears .
When your bite is involved with a postural problem, the dentist must correct it so that the muscles, bones, and teeth can function without strain and tension. Because the postural position of the head, neck, and shoulders is so closely related to the bite, both dental therapy and physical therapy may be needed to correct the bite. Doing so will then frequently relieve seemingly unrelated symptoms such as pain in the head, neck, and back.
Poor postural habits become more difficult to correct the longer they exist, and they also become more injurious to your body. If you have any of the symptoms described, call us today for a routine check-up.
Causes of Oral Cancer
- Tobacco use of any kind, including cigarettes, cigars, pipes, chewing tobacco and snuff, among others.
- Heavy alcohol use
- Excessive sun exposure to your lips
- Sexually transmitted virus called human papillomavirus (HPV).
The Good News
If oral cancer is discovered early, the cure rate is nearly 90%. However, if the cancer has already spread before diagnosis, the survival rate is 60% after five years of treatment. The best outcome for oral cancer is always early diagnosis and treatment.
Ways to Prevent Oral Cancer
At Farber Center we have oral cancer screenings included in our routine maintenance, but how can we prevent it?
- Stop smoking or don’t start smoking. If you smoke, quit!
- Drink alcohol only in moderation, if at all. For women, this means one drink a day.
- Choose a healthy diet full of fruits and vegetables.
- Protect yourself from HPV.
- Always brush and floss your teeth regularly.
- Limit your exposure to the sun.
- Replace frying and grilling with baking, boiling or steaming. Use healthy spices like garlic, ginger and curry powder for added flavor.
We are here to help you with any Oral Cancer questions you may have. Visit our website today for more information!
You may wonder when is the right time to refer your patient to a periodontist. There are specific warning signs that indicate the presence of periodontal disease, or gum disease.
Non-invasive periodontal treatment may no longer be effective if bleeding occurs. Uncontrollable bleeding is the first sign to refer the patient to a periodontist.
How to Detect Periodontal Disease
The probe is the number one instrument used to monitor changes in periodontal health. An increase in probing depth often indicates that the disease cannot be controlled in office. That would be the second indication to refer a patient.
Radiographs are also used to determine when a periodontist is needed, but they are not taken as often, so changes there may not be seen for two to five years.
Standard probing depth reading is 3mm. When it hits 4mm this becomes a warning zone. When it increases to 5mm, to 7mm and higher, a patient needs an immediate referral. This is a sign that there is no longer health in the pocket of the gum tissue.
Evaluate the Patient
When you are thinking about referring your patient to a periodontist, how often you are seeing that patient is a contributing factor. If you are seeing the patient every three months, then you know that you can monitor the situation and reevaluate them again three months later. However, you are only seeing the patient once or twice a year, then that may be a time to be more assertive in your treatment plan. In the case of a patient who visits every three months – and there is no visible improvement – you should ask, “What is the next step?” If there is improvement, then we reevaluate the case at the next hygiene visit. If their condition stays the same, an ideal treatment plan is as simple as telling the patient to increase the frequency of their dental hygiene visits.
Heart Health Awareness Month and National Nutrition Month bring attention to lifestyle factors you should consider regarding heart disease, heart conditions. When we think about heart disease we should take the time to consider our nutrition. There are key fruits and vegetables that are especially good for your heart and teeth.
Nutrition for Heart Health
Many fruits and vegetables are very beneficial to your heart health.
- Berries are high in heart-healthy polyphenols, raspberries particularly have a lot of fiber (8 grams in a one-cup serving).
- Oranges are well known for their vitamin C content, but they also contain pectin, a kind of insoluble fiber that’s important for heart health.
- Tomatoes, like pomegranates, are a good source of potassium, and contain lycopene, a powerful antioxidant linked to heart health. Tip: Cooking tomatoes helps release their lycopene.
- Spinach is high in nitrates, which are linked to blood vessel health. It contains 181 percent of the daily value (DV) for vitamin K, which promotes heart health, in each one-cup serving.
Nutrition for Your Teeth
- Leafy greens such as kale and spinach also promote oral health. They’re high in calcium, which builds your teeth’s enamel. They also contain folic acid, a type of B vitamin that has numerous health benefits, including possibly treating gum disease in pregnant women, according to MedlinePlus.
- While the ADA recommends steering clear of most sweet foods, there are some exceptions. Fruits, such as apples, might be sweet, but they’re also high in fiber and water. The action of eating an apple produces saliva in your mouth, which rinses away bacteria and food particles. The fibrous texture of the fruit also stimulates the gums. Eating an apple isn’t the same as brushing your teeth with a toothpaste that contains fluoride, but it can tide you over until you have a chance to brush. Pack either a whole apple or apple slices in your lunch to give your mouth a good scrubbing at the end of the meal.
- Carrots are crunchy and full of fiber. Eating a handful of raw carrots at the end of the meal increases saliva production in your mouth, which reduces your risk of cavities. Celery acts a bit like a toothbrush, scraping food particles and bacteria away from your teeth. It’s also a good source of vitamins A and C, two antioxidants that give the health of your gums a boost.
Patients express their surprise by how comfortable they feel during and after the placement of dental implants. They often express the procedure was much easier than they expected.
Types of Sedation
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 use what we call conscious sedation techniques using medications. I am currently certified in New York State for 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, and puts the patient to sleep and carefully monitors all vital signs during the procedure.
After the procedure, the patient wakes up and we conduct further assessments. The patient stays in our office for a period of time in order to fully recover from the anesthesia and receive post-op instructions. A driver who accompanied the patient to the office then drives them home.
When patients compare the procedure to having a tooth removed, they often tell me time and time again that the implant placement felt easier. They say afterwards that they hardly felt any discomfort.
Also after a dental implant procedure in one of our Long Island clinics, most patients report that they use a minimal amount of medication for discomfort. Often we recommend Motrin, Advil, Tylenol or similar medications if needed for a short time after a procedure.