Massachusetts Governor and Department of Health Declare Public Health Emergency

At Dental Partners of Boston, we recognize that oral health and overall health are intricately linked. As health care providers, we strive to educate our patients on better health practices across all aspects of their lives.

At this time, we want to share the recent disturbing news regarding the use of e-cigarettes and vaping, the effects they are having on the health of many in our own communities, and the associated recommendations from the Governor, the CDC, and the Public Health Department.

As of September 24, 2019, Governor Charles D. Baker has declared a public health emergency in the Commonwealth, in response to disease linked to the use of e-cigarettes and vaping products and the unprecedented rise of e-cigarette use among youth.

The declaration comes on the heels of the CDC’s September 19th confirmation of 530 cases of unexplained vaping-associated pulmonary disease across 39 states and U.S. territories. The report included seven fatalities, and all 530 cases had a history of vaping, and a history of using vaping products containing tetrahydrocannabinol (THC), nicotine, or a combination of both.

In tandem with the Governor’s declaration, Dr. Monica Bharel, Commissioner of the Massachusetts Department of Public Health, has announced that the sale or display of all e-cigarettes and vaping products to consumers in retail establishments, online, and through any other means is prohibited in the Commonwealth.

This ban covers both non-flavored and flavored vaping products, including those with the following ingredients:

  • Mint and menthol
  • Nicotine
  • Tetrahydrocannabinol (THC) and any other cannabinoid

As of September 11th, Dr. Bharel mandated that possible cases of vaping related pulmonary disease be immediately reported to the Massachusetts

Department of Public Health (DPH), for the investigation, monitoring, and resolving of the public health issue.

We know that vaping and smoking are presenting similar results across our patient population. We are committed to providing support for patients who are seeking a cessation of smoking or vaping. The following resources may be helpful:

 

https://teen.smokefree.gov

http://mylifemyquit.com/

https://www.mass.gov/info-details/vapes-and-cigarettes

http://makesmokinghistory.org/dangers-of-vaping/

http://quitworks.makesmokinghistory.org/uploads/Pharma_Guide2.pdf

What Is A Partial Denture?

A partial denture is an option that you have if you lose one or more teeth. Whether you have teeth extracted or they are knocked out, replacing them with prosthetic teeth helps you to restore your smile. There are various options available to you, including a dental bridge or dental implants. Unlike implants and fixed bridges, a partial denture is removable. There are various reasons to consider a partial denture, including its affordability. By restoring your smile with a partial denture, you can improve your speech and eat more easily. Partial dentures replace just a few of your teeth, rather than all of your top or bottom teeth.

What Is A Partial Denture Made Of?

Partial dentures are made using various materials, including acrylic, plastic and metal. Some are made of only acrylic, but they can be less durable than those that use metal. They are made to be strong and durable, so that they can handle normal eating and talking. Partial dentures are made to look as natural as possible, matching the color and the shape to your teeth and gums. A partial denture is made to fit your mouth, and needs to be kept moist to help it keep its shape.

How Is a Partial Denture Attached to Your Teeth?

Partial dentures can be held in place using a few different methods. Some partial dentures have a mental framework and clasps that attach to your teeth. Others might have connectors, which can offer a more natural look. Another option is to have a partial denture that uses precision attachments.

How a Partial Denture Is Made

To make a partial denture that fits your mouth, your Boston Prosthodontist will first take measurements that can be used to create the denture. Before casting the final denture, they will make initial model, which can be adjusted. This will help get the best fit. When the denture is first made, you might be asked to wear it all the time so that you can make notes of any areas where it might feel uncomfortable or be exerting too much pressure. The denture will be adjusted at further appointments to ensure it fits well.

Benefits of a Partial Denture

Partial dentures offer a number of benefits. If you want to replace missing teeth, you can improve your bite and enhance your smile. Wearing a partial denture can make it easier to talk, as well as to eat. It can prevent you biting your tongue or the inside of your cheek too, by correcting your bite and filling the space left by your teeth.

Schedule An Appointment Today

Our team of Boston Dentists can help you with partial dentures or other options available for replacing missing teeth, such as fixed bridges and dental implants. Schedule an appointment with Dental Partners of Boston today to see which treatment method is best for your unique situation.

How Do You Treat Bleeding Gums?

Living with bleeding gums isn’t pleasant. It’s something that you need to address to prevent the bleeding and possible infection from becoming severe. 

Bleeding gums are almost always a sign of gingivitis, which is an infection and inflammation of the gum tissue around the teeth. In gingivitis, bacteria attack the lining of the gums and can, over time, break the surface layer or enamel. When you brush over an infected region, you disturb the exposed blood vessels, causing them to bleed. 

If you have bleeding gums, what should you do to treat them? 

Brush Regularly

Even though brushing may seem to cause bleeding, regular brushing is actually essential for keeping gum disease at bay. Brushing removes the plaque, the bacterial byproducts, which causes the damage to the sensitive gum lining in the first place. We recommend that you use a soft-bristled brush. The soft bristles will remove the harmful plaque and bacteria while protecting the integrity of the gum tissue. 

Always use fluoride-containing toothpaste. Research shows that fluoride toothpaste is the most effective for removing plaque and bacteria, keeping your mouth healthy over the long term.

Floss Regularly

The bacteria that cause gum disease can find refuge in the gaps between your teeth. As it consumes food debris in your mouth, it releases nasty byproducts that causes inflammation of the gum between teeth.

Flossing removes the bacteria you can’t reach by brushing alone. Flossing is simple, but an important step in your home care routine. Just take an 18-inch piece of floss and then grab it with your thumb and pointer finger two inches apart and insert it into a gap between your teeth. Then use a sawing motion to dislodge bacteria and plaque between the teeth, leaving them fresh and clean. Use a different section of floss for each space. 

Use Mouthwash

Antibacterial mouthwash rinses your mouth and helps to eliminate all of the bacteria you dislodge brushing and flossing, leaving it fresh and clean. 

Antibacterial mouthwashes contain special agents which kill bacteria. Mouthwash, therefore, can help if you have an excess of bacteria in your mouth that is leading not only to gum disease but other problems, like bad breath. 

Make Regular Appointments To Come In For Cleanings & Check-ups.

You can’t always treat gum disease at home by improving your oral hygiene habits. Sometimes, the disease progresses beyond the initial stage into more severe periodontal disease where infection gets below the gumline. 

Our Boston Periodontist, Dr. Guzman, use several techniques to treat gum disease. 

  • Laser therapy. Laser therapy is where the dentist shines a laser on the gums to kill the bacteria. You do not need an anaesthetic for laser therapy. 
  • Scaling. With scaling, the dentist uses tools to remove tartar and plaque from teeth below the gumline, proving an opportunity for the gum to heal. 
  • Root planing. Root planing is another technique which helps to resolve gum disease that has migrated below the gum line. 

With the help of Dental Partner of Boston, you can treat your bleeding gums and get your oral health back on track. If you notice bleeding when you brush, schedule an appointment with us today!

 

What Is Involved In A Full Mouth Reconstruction?

While most patients benefit from having individual teeth removed and replaced with dental implants and crowns, for some, that might not be enough to fully restore health and function. There are all kinds of situations in which a patient isn’t just missing a single tooth, but many, and may need more involved treatment. 

Extensive tooth loss can result from: injury, decay, and as a result of other medical conditions. The good news, though, is that there is a solution: Full Mouth Reconstruction.

What Is Full-Mouth Reconstruction?

A full-mouth reconstruction is a dental treatment plan that our Boston dentists use to reconstruct all of the teeth in a patient’s upper or lower jaw. Full-mouth reconstruction differs from a “complete smile makeover” because it is a medically-necessary procedure. It’s not about making the teeth appear more attractive: it’s about providing the patient with a biting surface that they can use to eat food, all the while eliminating any infection such as periodontitis. 

What Happens During A Full-Mouth Reconstruction?

A full-mouth reconstruction is not a single procedure. Instead, it’s something that we perform over several appointments. 

Full-mouth reconstruction is a catch-all term that doesn’t refer to any specific procedure. It’s better to think of “full-mouth construction” as the end goal. The goal for us is to use a variety of techniques that will restore the patient’s mouth to a healthy and usable state. 

You might be in need of a range of procedures during full-mouth reconstruction treatment. These could include: 

  • Dental implants – when a post is attached to the jawbone, and a crown is fixed to an abutment.
  • Root canal therapy – a procedure where we remove infected material from the interior of a tooth and replace it with an artificial putty.
  • Porcelain crowns – where the dentist restores the chewing surface of teeth with a porcelain substitute
  • Inlays and onlays – when a restoration is created to fit the specific shape of a cavity and cemented in place
  • Tooth Colored Fillings – a standard restoration where decayed tooth material is removed, and the resulting cavity is filled with amalgam or a dental composite.

The range of treatments that we will recommend will depend on your current situation. We will discuss what is necessary to bring your mouth back to health. While the aim of a full mouth reconstruction is not primarily cosmetic, we will make that your smile functions properly and also looks beautiful. 

Should You Get A Full-Mouth Reconstruction?

A full-mouth reconstruction is not suitable for every patient. It mainly benefits those who are missing a large number of their teeth either because of an accident, decay, or illness. 

Our Boston dentists will assess your situation, and work with you to determine whether you need a full-mouth reconstruction or not. They will examine your mouth to assess the extent of damage and build a treatment plan with you. 

Schedule An Appointment Today!

We will be happy to meet with you and answer all your questions. We understand that having dental procedures can be a frightening experience, but you’re in the right hands at Dental Partners of Boston. You’ll have a whole team of dentists that will work on your case, giving you the best possible options, and ensuring that you are well-informed and comfortable with a treatment plan. Schedule an appointment with us today!

 

What is Scaling and Root Planing?

What Is Scaling and Root Planing?

Scaling and Root Planing In Boston

Scaling and root planing is a treatment offered at Dental Partners of Boston that doesn’t require surgery. Often used as an initial non-surgical treatment for gum disease, it is also referred to as deep cleaning. Using specific instruments, a licensed dental hygienist will clean the surface of the tooth root. Removing the tartar that’s below the gum line, the surface will also be smoothed.

If untreated, gum disease can result in tooth loss, inflamed gums, damage to and loss of the jaw bone (alveolar bone), etc. So it’s important that you regularly book in an appointment with your dental practice and have this procedure done as soon as possible.

 

How Many Appointments Does The Procedure Require?

This procedure might need 2 to 3 appointments to ensure that all of the tartar is removed. During the procedure, a local anesthetic is used to ensure only minor discomfort – the tissues within the teeth are sensitive, so it’s essential that you have a local anesthetic.
Appointments will be scheduled within 6 weeks of the initial scaling and root planing procedure, in order to re-assess the build-up and recommend what the next course of action is.

What Is The Process?

Firstly, the scaling will scrape the tartar and plaque off the teeth. Then, the root planing will smooth the roots. By smoothing the root’s surface, the gum will heal and reattach to the teeth. Even though it’s a non-surgical procedure, once the treatment is complete, the patient might feel a slight discomfort as the gum is healing.

At Dental Partners of Boston, Dr. Guzman will ensure that all the disease that’s above the gum line is removed. If it’s located underneath the gum, it will be a little harder to remove and locate. If he can’t remove all of the tartar, bacteria and plaque, further non-surgical treatments will be needed.
At the Dental Partners of Boston, we want to make sure that periodontal disease is managed and correctly treated – no matter what your symptoms or how severe it is. We want you to have the best possible dental hygiene help, giving you a sparkling and healthy smile.
Throughout your scaling and root planing appointments, we will guide you through the appropriate oral hygiene practices and techniques that you should use at home. Unfortunately, there is no cure for gum disease, therefore it’s important that you try to keep the amount of plaque buildup as minimal as possible by following a frequent brushing routine.

Aftercare

It’s important to know that following the procedure, you shouldn’t eat until approximately 3 hours after the procedure. This will ensure that the numbness has gone away and that you won’t accidentally bite your tongue/irritate your gums. If you are still feeling sensitivity in your gums for a while after the procedure, you can either use warm salt-water to rinse out the area or use Tylenol.

Schedule An Appointment Today

Are you wanting to find out more about scaling and root planing? Schedule a consultation with us today and our Boston Periodontist, Dr. Guzman, can guide you through the procedure.

What is Dental Bonding?

What is Dental Bonding?

If you’ve not come in contact with the concept of dental bonding before, understanding it can be a challenge. It’s a bit like dental veneers in the sense that it helps to enhance the appearance of your teeth, but it relies on an entirely different technology.

Instead of porcelain, dental bonding uses a resin substance that dentists place on your teeth to fill in chips or improve the shape of the tooth. It’s a bit like when you plaster over an uneven surface in your house to provide a smooth finish. Dental bonding attempts to achieve the same effect.

When Is Dental Bonding Used?

One of the advantages of dental bonding is how easy it is to use. All the dentist has to do essentially is paint it on, covering up any chips or blemishes, instantly improving the appearance of your teeth.
The advantages of resin over veneers can be considerable in some circumstances. Dental labs have to make veneers which conform to the exact shape of your teeth. There’s a whole process of taking impressions, manufacturing the veneers – not to mention the expense. Dental bonding, on the other hand, can be completed in a single visit, making it a far less involved procedure. You arrive at your dental practice, the dentist paints on the resin in a color which matches that of your teeth, sorts out the cosmetic issue, and you’re done.

You can use dental bonding in a variety of situations. The most common application is filling and repairing chipped teeth. Your dentist can shape the resin to fill the gap, restoring the natural beauty of your teeth with minimal downtime.

Patients also choose dental bonding to improve the color of teeth. Some teeth can become discolored, either because the root died or the person took tetracycline antibiotics in their youth. Here again, resin can help. The dentist uses dental bonding to change the color of the tooth so that it matches the other teeth or appears more white.
Dentists also use dental bonding when the shape of the tooth is undesirable. Dental resin can lengthen or widen a tooth to help improve your smile.

What Happens During Dental Bonding?

The first step is to find a resin color that matches the rest of your teeth (in the case of a repair).
Next, your dentist will abrase your teeth to provide a stickier surface for the resin. After that, they will apply a conditioning liquid which helps the bonding agent to adhere.
After preparing the tooth, the dentist will apply the putty-like resin. The resin comes out soft so that the dentist can shape it into the desired form. It is then exposed to a UV light which hardens it.

Is Dental Bonding Safe?

Dental bonding is a highly safe and effective method of improving the visual appearance of your teeth and correcting color issues. Dental resin, however, isn’t as strong as natural tooth enamel so you may have to be careful with how you use your teeth following treatment. You can get dental bonding in Boston at Dental Partners of Boston.

Schedule An Appointment Today

If you are interested in dental bonding to help restore your smile then now is the perfect time to schedule an appointment with Dental Partners of Boston. Our team of Boston cosmetic dentists look forward to working with you.

Why Do We Have Wisdom Teeth?

Why Do We Have Wisdom Teeth?

Wisdom teeth are frustrating for many patients – they are a regular source of pain and infection. But if wisdom teeth are so problematic, why do we have them? It seems strange that evolution would give us teeth that are problematic and not necessary.

The Purpose Of Our Wisdom Teeth

Researchers believe that the reason modern humans have wisdom teeth is that our ancestors needed them for our diet. Ancient humans ate a lot of tough roots and leaves. This required large, strong jaws to process all that roughage and chew it so that it could pass down their gullets. “Wisdom teeth,” are a set of extra molars at the back of the mouth, helped considerably with this process by providing a large surface area on which to munch.


Our big brains are one of the causes of our wisdom tooth problems today. Big brains gave us the cognitive capacity to create fire and cook our food, but they also led to evolutionary pressures which changed size of our jaws, leading to current wisdom teeth problems. Cooking helped to break down the fibrous structures that hold plant matter and meat together, making it easier to chew and increasing the total number of calories available. With that our big jaws were no longer necessary.

The problem, however, is that while our jaws changed, we still have wisdom teeth. This for some patients can create a problem. 53 percent of adults with wisdom teeth do not have enough real estate in their mouths to accommodate the extra molars.

The Problems Caused By Wisdom Teeth

While wisdom teeth were necessary in our distant evolutionary past, that’s no longer the case today. Many patient do not have any wisdom teeth at all. We do not need an extra set of molars to chew our food since most patient eat a mainly cooked and processed diet.
Wisdom teeth, however, can cause a variety of problems for some patients. Often, there isn’t enough space for the tooth to emerge at the back of the mouth. The teeth can rotate and become “impacted” in the space next to the regular molars.
Impacted wisdom teeth doesn’t always lead to infection, but it is a common outcome. The gums surrounding the teeth can become swollen and inflamed. Pus can exude from the site and lead to a foul taste in your mouth and cause bad breath.
Worse still, if you leave the problem to fester, you can cause damage to the surrounding bone, which is why wisdom tooth extraction is vital.

Schedule An Appointment Today

If you still have your wisdom teeth, and they have become a nuisance then now is the time to schedule an appointment with Dental Partners of Boston. We look forward to talking with you about your particular situation to help alleviate your frustration with wisdom teeth.

What is A Boston Cosmetic Dentist?

What Is A Boston Cosmetic Dentist?

You can put the reasons patient go to the dentist into two broad categories: those who go for medical procedures, and those who go for cosmetic. A cosmetic dentist is, as you might expect, a dentist carrying out treatments to improve the visual appearance of teeth.

Teeth can suffer from a variety of aesthetic issues. Sometimes teeth can be stained by coffee, tea, wine and other foods because of the tannins they contain. Staining makes teeth appear a yellowish-brown – not ideal. Cosmetic dentists use cleaning methods to remove the stains, and whitening agents to make them look whiter.  

In some cases, no amount of cleaning or bleaching can whiten teeth. For instance, patient who took certain types of antibiotics called tetracyclines in childhood can have permanently discolored teeth. In these situations, however, a dentist can still improve the appearance of their teeth using dental veneers. Dental veneers are just small pieces of ceramic (or other material) which sits over the top of teeth, providing a new front to make them appear better.

Boston cosmetic dentists, therefore, focus on making teeth look as good as possible. What’s more, improving the appearance of teeth often makes them more functional too.

Dental Partners of Boston: Comprehensive Dentistry

At Dental Partners of Boston, we believe that patients should be able to get all their dental needs met by a single clinic. That’s why we offer both regular and cosmetic dentistry, integrating our services into a seamless whole. Through us, you can get extractions and fillings as well as whitening and other cosmetic procedures. We’re a one-stop-shop, meaning that you don’t have to go to multiple dentists to get work done. It’s all available right here at our practice.
Our team of dentists have years of experience and, thanks to their knowledge, can meet any cosmetic dental needs that you might have. Our cosmetic dentists can beautify your smile in all kinds of ways.

  • Porcelain Veneers. Our cosmetic dentists in Boston can fit thin, porcelain veneers over the surface of your teeth to eliminate flaws and hide chips. As discussed above, porcelain veneers are ideal for patient with tetracycline-based discoloration.
  • Tooth-Colored Fillings. Nobody wants big, black chunks of amalgam in their mouths, ruining their smile. While old fashioned fillings used dark materials, new varieties can match the color of your teeth perfectly. With us, you can get your old fillings removed and new, less visible alternatives installed.
  • Teeth Whitening. Cosmetic dentists use a variety of techniques to help you whiten your teeth. Your dentist can show you how to use a home whitening kit and also offer in-house, professional whitening services.
  • Invisalign. The alignment of your teeth is essential, both medically and cosmetically. Traditionally, orthodontists install wired braces which rely on highly visible mounts. But Invisalign is a modern discrete tooth alignment system which uses a series of transparent retainers to shift your teeth into a better position.

Schedule Your Appointment Today

If you are looking for cosmetic dentistry in Boston. then now is the time to schedule an appointment with Dental Partners of Boston. Our team of dentists look forward to working with you to create the smile of your dreams.

BOTOX® Treatments and Dentistry

Uses of BOTOX® As A Dental Treatment

BOTOX® has traditionally been thought of as a solely cosmetic procedure designed to stop the face from aging. But it has now entered the world of dentistry and it’s making a large impact that’s here to stay. A minimally invasive procedure, it can be used to help with an array of conditions such as bruxism, Temporomandibular joint disorder, masseter hypertrophy, deep nasolabial folds and headaches. Using Botulinum Toxin, it is a dental procedure which is available to patients at Dental Partners of Boston. It will help to sculpt your face (for up to six months) and help to diminish the pain and discomfort that you are feeling.

How Can Dental BOTOX® Help With Headaches?

As mentioned above, dental BOTOX® in Boston can help to ease headaches – both migraines and tension. These headaches are generally caused by muscle contraction. The dental BOTOX® will help with this contraction by creating paralysis in the muscles, getting rid of some tension. 

How Can Dental BOTOX® Help With Treating Temporomandibular Joint Disorder (TMJ)?

A common cause of the syndrome is teeth grinding, which can result in lockjaw, pain throughout the jaw and painful tension headaches. A BOTOX® treatment will help with this condition by easing the pain and relaxing the muscles. Immobilizing the muscles, the treatment has fast and impressive results, working within a week of the procedure. If the discomfort starts to come back, you can arrange another appointment, as long as it is within the right time frame – i.e several months after your first appointment. 

How Does Dental BOTOX® Work?

After the dentist talks to you about the condition that you are suffering from, an examination will take place which will identify where the injection will be inserted. The BOTOX® will then attach itself to the nerve endings that control the muscle a few hours after it is injected into the muscle. Over the next week or so, the toxin within the BOTOX® will block the transmission between the nerve signals. 

Is It A Safe Procedure?

A BOTOX® dental treatment is a safe and simple cosmetic procedure that carries minimal risks – swelling or drooping of the eyelids, blurred vision, dry mouth, rashes and swelling. These are very unlikely but are important considerations when you are thinking of having dental BOTOX®. Before you make an appointment, ensure that provide us with your full medical history. Both ALS (and other nerve/muscle conditions) and pregnancy can cause complications with the treatment. 

Schedule An Appointment Today

All of your dental care needs can be met at Dental Partners of Boston. A multi-speciality practice with a dynamic team of doctors and years of experience within the dental industry, we will work together with you to find the best solution to your dentistry needs. If you are considering dental BOTOX® but are still unsure as to whether the treatment is appropriate for you, get in contact with us today by scheduling an appointment. We look forward to hearing from you and seeing you at one of our Boston practices.

Gum Disease in Children

Periodontal disease can occur due to a number of factors, even in children. Generally, periodontitis begins with plaque buildup. From plaque forming on teeth due to a buildup of bacteria from sugar and starch to tartar, gum inflammation and gingivitis, it is a disease that will have to be treated by a dentist. If it isn’t treated quickly and safely, deep infections can occur that will result in loss of bone and tissue, tooth loss and it can greatly impact the immune system.

What are the main types of periodontal disease that can affect children?

Generalized Aggressive Periodontitis – this type of periodontal disease usually begins either within childhood or in puberty. A rare disease, it infects the entire mouth and can cause severe damage to the bone, as well as resulting in tooth loss if it is not treated rapidly. A clear sign of this condition is a heavy accumulation of plaque and gum inflammation.

Chronic Gingivitis – the best way to prevent this condition is to teach children the importance of brushing and flossing, as well as visiting the dentist regularly. If it does occur, however, it will cause the gum tissue to bleed and swell. This type can easily advance to more serious forms of the disease if it is not treated as soon as possible.

Necrotizing Periodontal Disease – one of the rarer forms of periodontal disease, it generally occurs in children that are suffering from a suppressed immune system. This aggressive infection kills gum tissue and tooth ligaments.

Aggressive Periodontitis – found in teenagers, this form of periodontal disease affects the incisors and molars. It is caused by plaque and calculus.

What Are The Main Signs of Gum Disease?

  • Bleeding while flossing or brushing
  • Receding gums
  • Swollen and sensitive gums
  • Consistent bad breath
  • Changes in jaw alignment or bit
  • loose teeth
  • White pus between the gums and teeth

How is periodontal disease treated?

The type of gum disease will be determined by your dentist, who will then decide the best course of action for your child. After taking an examination

and evaluating the history of your child’s health, a solution will be found. The Dental Partners of Boston guarantees the most efficient, safe and appropriate treatment is found for your child’s requirements. Preventing gum disease from getting worse, we understand the importance of early diagnosis and treatment.

From recommending regular cleanings to deep cleanings, antibiotic treatments and occasionally surgery, there are a number of treatments that will be made available for your child.

What can parents do?

As well as establishing good dental habits early (teaching them that it’s important to regularly brush their teeth and floss), you should schedule regular dental visits and check-ups. You can also check your child’s mouth when you are home for any signs of plaque buildup or gum swelling. If you notice these, alongside receding teeth, you should book an appointment as soon as possible in order to diagnose and treat the issue.