Gum Tissue Regeneration Procedures

Gum disease results when the tissue on the surface of the gum becomes inflamed by the waste products of bacteria that cause plaque. At first, the damage is microscopic, but it can grow over time, causing changes to the gum that make it bleed when brushed. Eventually, gum disease can lead to gingivitis and periodontal disease, where the bacteria starts to attack the bone and gum tissue which surround the teeth.

What Damage Can Gum Disease Cause?

Gum disease can cause a lot of damage to the gum and to the structures that hold the teeth in place, leading to tooth loss and sometimes a loss of bone in the jaw and skull. Bacterium gets into pockets in the gumline and live in the moist warm environment, churning out a variety of harmful byproducts which slowly eat away at the surrounding tissue.

The health consequences of gum disease go beyond the mouth. Gingivitis and periodontal disease are both associated with an increased risk of heart attack, poor diabetes control, an increased risk of stroke, and rheumatoid arthritis. Researchers believe that gum disease leads to systemic inflammation which, in turn, leads to greater pathology over the long-term.

Signs You Might Have Gum Disease

There are several signs you might have gum disease.

  • Red/swollen gums after brushing or flossing
  • Bleeding gums while eating or after brushing
  • Pus between your gums
  • Bad breath
  • Receding gums that are moving back from the teeth line
  • Loose teeth
  • Persistent sores in your mouth

Often you can have quite advanced symptoms of gum disease and not feel any pain. If you brush and regularly spit blood, then it could be a sign that your gums are inflamed or damaged by bacteria and require dental treatment.

Why Choose Professional Tissue Regeneration Procedures?

Gum disease is a serious medical condition which can have other effects on the rest of your health. It’s therefore vital to remedy any issues as soon as they become apparent.

Professional regeneration procedures, like the pinhole surgical technique and LANAP therapy, are often necessary if you notice any of the symptoms described above. Waiting for the problem to go away will usually only result in it getting worse. Bacteria will become more established, penetrate further into the gum, and may lead to severe periodontal disease.

The pinhole surgical technique is a procedure that dental professionals use to help restore the gum line if it has receded. Dr. Guzman makes a small incision in the gum above the affected tooth and then uses a proprietary tool to push down on the gum tissue to reverse the root exposure. Small collagen strips are then inserted to hold the gum in place in the new position.

LANAP is a special laser technique that helps to remove sections of infected gum surface tissue that has separated from the roots of the surrounding teeth. Dr. Guzman then removes all the bacteria using an ultrasonic scaler and then a laser. The gum is then better able to heal itself naturally over time.

Schedule An Appointment Today

Home remedies won’t work: only with treatment AND consistent home care will you be able to heal gum disease. If you have any of the symptoms mentioned above it is time to schedule an appointment with Dental Partners of Boston to treat your gum disease, and bring back your beautiful smile.  



Can Dental Botox Treat Headaches?

tmj pain can be treated with botox, learn more from dental partners of boston
Often thought of as purely cosmetic, Botox is actually a useful tool for treating migraine headaches. Your Boston cosmetic dentist at Dental Partners of Boston can apply Botox to the muscles around your head and neck to reduce migraine headaches. Dental Botox works by treating your headaches’ underlying symptom: TMJ (temperomandibular joint) disorder.

What is TMJ Disorder?

There are many types of TMJ disorder, but generally speaking, TMJ disorders involve the muscles around the head, neck, face, and outer jaw. These muscles become chronically tight, stressed or overworked, which results in facial pain and migraine headaches. Unfortunately, it is difficult to determine the exact cause of TMJ disorder because there are many factors that contribute to it including:

  • Genetic problems
  • Prior jaw injury
  • Arthritis
  • Bruxism (the chronic grinding of teeth, either while awake or asleep)

It may be difficult to determine the exact cause of your migraine headache, but dental Botox from Dental Partners of Boston is effective at treating all four of the listed causes above.

How Does Dental Botox Work?

A member of our dental team will talk with you about where you are experiencing your headaches. They then will examine you to find where the best place will be to target the specific muscles along your head and neck to give you optimal relief. The targeted muscles are shallow, so unpleasant deep injections are not necessary. Oddly, nobody is sure exactly how dental Botox fixes migraines, but the treatment has been proven effective for treating chronic headaches.

Another fortunate result of dental Botox is that it can also treat your headaches before they occur. Alternative treatments like prescription medicine only treat the problem once you’re already began suffering from it.

How Will I Know Dental Botox Could Help Me?

When you consider treatment for frequent headaches, we strongly suggest you consult with your primary care physician to rule out any other causes you may have for migraines. However, if you suffer from a migraine headache often enough that it interrupts your life, you may be a candidate for our Boston dental Botox procedure. If you struggle with headaches 15 out of 30 days and are over the age of 18, you are officially eligible to receive dental Botox therapy. We strongly advise you to look into dental Botox if you are tired of constantly taking prescribed medication to combat your headaches.

A dental Botox treatment is easy and comfortable. We will examine your neck and teeth to search for muscle soreness and signs of bruxism, then we will design your custom Botox treatment plan. After it has been applied, you can expect quick results, and start living free of your headaches. Schedule an appointment with Dental Partners of Boston today to look into a Botox treatment.

How Painful Is It To Get Dental Implants?

What is a Periodontist?
One of the most common questions at any dental practice is how much will it hurt? Fear of pain is universal. At a dentist’s office, that fear can be more than at any other meidcal doctor’s office. Frequently, patients will ask the dentists at Dental Partners of Boston this question when considering dental implants.

Since receiving a dental implant is an invasive procedure, there is always the possibility of some discomfort. Fortunately there are many sedation options and ways that our dentists can ensure that you feel To help you feel comfortable in our office, we compiled a list of the pain people can expect during and after their dental implant procedure.

Pain During The Procedure

Our team will work to ensure that during the dental implant procedure you’ll feel comfortable with minimal discomfort. Prior to starting the procedure Dr. Guzman will apply an anesthetic around the area where he will be working in your mouth. Your mouth in the area of the procedure will start to become numb and ask that you communicate with us during the procedure if you feel any discomfort that you let us know. Once you are in a comfortable state, the procedure can begin.  Many patients tell us that it was more painful to have a tooth removed than it is to have a dental implant placed.

There have also been experiences where patients feel so comfortable during the dental implant procedure that they fell asleep from being in such a relaxed state. That does not mean your procedure was 100% painless, but it does mean that only minor discomfort can be felt.

Pain After The Procedure

After your dental implant surgery is complete, you can expect some mild soreness in the area where your implant was placed in your mouth.  If you experience discomfort while healing try these suggestions to help:

  • Only as needed, take ibuprofen a few times per day to lessen the soreness. If needed, our Boston dentists can prescribe a stronger pain reliever. 
  • When brushing your teeth, be extra cautious around the site of your dental implant to avoid irritating the gums as they heal. Continue brushing carefully until your soreness has gone away.
  • Do not eat harsh or abrasive food (like apples) while your dental implant is healing. Start with liquids, and softer foods during the initial healing phase.

Also, keep in mind that while all patients are eligible for pain medication after their procedure. Many find that they don’t need to take any at all.

If you are interested in getting dental implants in Boston you can feel confident knowing you’ll be in good hands while working with the dental team at Dental Partners of Boston. Their team approach to dentistry ensures you receive some of the best dental care in Boston. Their combined expertise and experience ensures you’ll be able to have a whiter and brighter healthy smile! Schedule an appointment today for your initial consult, so we can see what will be the best option for your unique situation. We look forward to your visit!

Can You Be Too Old To Get Braces?

Adult orthodontics are becoming very popular, and it’s not surprising why:

  • Adjusting your teeth as an adult can correct lifelong problems you’ve had due to crooked or improperly aligned teeth.
  • Braces treat several orthodontic problems, like an uneven and improper bite.
  • Because of the power of adult orthodontics, other problems can be solved like headaches.
  • Finally, of course, braces straighten your teeth and make your smile look beautiful!

Some patients associate braces with adolescence, recalling pictures of the bracey kids in middle school who could barely speak over the set of train tracks on their teeth. Fortunately, this stigma is uncommon and untrue, and further still, the problems associated with braces are no longer so pervasive. There are many options for diminishing the bothersome consequences of braces. In fact, with Invisalign braces, no one will notice you’re straightening your teeth at all.

Learn More About Invisalign Braces

Is It Safe? Invisalign braces are made of a clear, flexible plastic that is set over your teeth. They are 100% safe, as demonstrated by the more than 5 million people who have benefitted from them. Invisalign braces are BPA, BPS and latex free, and FDA approved.

Is It Convenient? Invisalign braces are almost entirely invisible. Often, people wearing Invisalign braces forget they’re there at all. Additionally, Invisalign braces are the quickest and most efficient teeth-straightening method. Instead of applying metal brackets to your teeth one at a time, your dentist casts a mold of your teeth, then sets the Invisalign over all your teeth at once.

In fact, Invisalign is completely removable. While traditional braces don’t allow you to eat caramel, apples, popcorn, and other fun enjoyable foods, you can eat them with Invisalign. Simply remove your Invisalign braces before a meal, then brush/floss your teeth after eating and replace your invisible braces.

Is It Fast? Invisalign braces are faster than traditional braces. Traditional braces can take from 1-3 years to complete your treatment. Invisalign braces in contrast can take only 9-15 months.

What Are You Waiting For? Schedule A Consultation Today!

If you are reading this then it’s likely you are considering an adult orthodontics solution for your smile. With discrete and convenient options like Invisalign now available, don’t wait. You can finally gain positive results in less time than in the past. Schedule an appointment with Dental Partners of Boston today to meet with an Orthodontist to improve your smile now!

Save Money By Flossing Daily

Flossing your teeth is kind of like eating less sugar, getting up at the right time, and stretching your back regularly: the professionals all tell us it’s important, but it’s hard to always listen! What can help is perhaps gaining a better understand of why flossing is so important.

What can make matters worse, we know that our common excuses, like not having enough time, are nothing more than that: common excuses. In truth, the reason we don’t floss like we should be is because we don’t understand why it’s important. The purpose of flossing is to keep bacteria away from your gum line. On a more negative note, failing to floss allows bacteria to accumulate in your gum line and cause serious gum disease.

Gum Disease

While we could get into specifics like gingivitis, periodontitis and peri-implantitis, the term “gum disease” is rather general. Basically, it applies to any sort of disease that involves bacteria accumulating and causing the following symptoms to your gums:

  • Swelling
  • Pain
  • Bleeding
  • Redness

If left untreated, these diseases progress to later, more harmful stages:

These symptoms and problems you can run into are not fun. If left unchecked, they can cause pain upon eating, talking, or even just sitting still. Additionally, they eventually look very unattractive, and they lead to expensive dental treatments.

The Cost of NOT Flossing

While gum disease is ugly and painful, we haven’t even talked about financial costs. Treating gingivitis can cost upwards to about $2,000, periodontitis costs around $4,000, and if bone restoration is required, it can cost over $400 per tooth.

Alternatively, you can buy dental floss for about $3.

The Treatment For Not Flossing

If you acquire a gum disease due to not flossing, your dentist starts with a technique called scaling, which involves scraping away at the base of your teeth to remove harmful bacteria. Later, if unsuccessful, the dentist applies a technique called root planing that involves surgically cutting into the gums around your teeth to clean and restore the roots of your teeth that have been impacted by bacteria.

The good news is that if you have neglected to floss your teeth and now have a gum disease, our experts at the Dental Partners of Boston are specially trained in scaling and root planing. They can keep you comfortable and confident while they help you get onto the road to health.

More Teenagers Choose Aligners To Straighten Teeth

Dental Partners of Boston’s own Orthodontist, Dr. Yael Frydman, was recently featured on CBS Boston. The story shares that there is growing trend among teenagers who are choosing to use teeth aligners over traditional braces, the most popular aligners being Invisalign, to help straighten their crooked teeth.

Braces are the traditional method of straightening teeth and is shown to be a procedure that many patients avoid, teenagers and adults alike, because of the fear of feeling embarrassed or being teased over their looks. This is why people may have avoided going to an orthodontist to fix their crooked teeth, but with this recent innovation in dental technology of teeth aligners, that fear can be completely eradicated!

Invisalign was first developed for adults as an alternative to braces to allow them to straighten their teeth unbeknownst to their colleagues or acquaintances. As invisible aligners have become popular and have started to show how effective the treatment is, there have been many teenagers expressing interest in Invisalign as well. Orthodontists, like Dr. Frydman, now work not only with adults but also teenagers and even children as young as 7 years old to straighten their teeth with this amazing technology that’s practically invisible, more hygienic and less uncomfortable!!!

At Dental Partners of Boston, the cost of Invisalign aligners the same as traditional braces and they give you the same results in shorter amount of time for certain patients! Some treatments can be less than a year depending on the amount of adjustment your teeth need. The exact time frame for your treatment will be determined by you and Dr. Frydman when you come in for your initial consultation. It is vital that you work with Dr. Frydman throughout the entire process to ensure that the your teeth straighten properly with minimal complications.

Treatment begins with Dr. Frydman taking a 3D scan of your mouth which will be used to design your custom aligners. You can see on a big screen a simulation of your teeth, but straight! Aligners then go into production, and about 3 to 4 weeks later they will arrive at our office. Visits are then scheduled every 4-10 weeks, depending on how well you do, and you will take home the amount of aligners needed for that period of time. Being able to eat what you want, brush your teeth, and floss is another benefit for invisible aligner treatment since they can be removed easily. And no more poking wires is always a plus!

If you are interested in Invisalign, and would like to see if it is the solution to fix your crooked teeth then schedule an appointment with us today!


Dangers of Vaping To Your Oral Health

A big marketing strategy that e-cigarettes companies have used to improve sales and sell to more and more customers is the notion that they are safer than regular cigarettes. The reasoning behind this marketing strategy is that an e-cigarette’s oil is cleaner and doesn’t use smoke or have chemicals in it that produce carcinogens that then enter your body. Nicotine is instead introduced into your body from an oil vapor. “Vaping” may be marketed as safe, but it can unfortunately have huge oral health implications.

In 2014, the US Food and Drug Administration (FDA) concluded that e-cigarettes have not been fully studied. Consumers know there can be potential risks of e-cigarettes when used as intended, but may not know what all of the risks are. This is a serious problem, and there are many e-cigarette users that have no idea what kind of harm they are doing to their body, which includes your oral health.

What Are the Effects of Vaping on Gum Health?

Effects of e-cigarette use

Even if extensive research by the government has not been done on the negative effects of vaping, we do know that e-cigarettes still do cause problems we know about. Their main purpose is still to deliver nicotine to your body and that can cause harm to your mouth, gums and tongue. Nicotine may also contribute significantly to the development of gingivitis and periodontitis, which can cause bad breath and infections which can in turn start going into the rest of your body. Below are some other ways nicotine from vaping can impact your oral health:

  • Causes Gum Recession: Nicotine reduces the amount of blood that can flow through your veins. Without sufficient blood flow, your gums don’t get the oxygen and nutrients they need to stay healthy. Nicotine basically chokes the tissues in your mouth from the blood that they need to survive, which in turn causes the gum recession. A Gum recession treatment would then be necessary to repair your gums and eliminate any tooth sensitivity you’d be experiencing.
  • Masks The Symptoms of Gum Disease– Nicotine can hide the symptoms of gum disease, making it harder to be diagnosed. When you have gum disease your gums begin to get inflamed from the increased blood flow. As mentioned above nicotine reduces the amount of blood flow in your veins which makes diagnosing gum disease harder. If the progression of gum disease can’t be observed, diagnosed, and treated then things go from bad to worse rather quickly!
  • Causes Bad Breath: Nicotine also inhibits your body’s ability to produce saliva. With not enough saliva you are more susceptible to bacteria buildup, dry mouth, and tooth decay which are all major causes of bad breath! Chewing gum, and mouth wash can hide your bad breath only temporarily as the root cause isn’t being treated.

If you’re thinking about using e-cigarettes or if you already use them you’ve got to watch out for the signs of gum disease. But like we have explained nicotine reduces the appearance of symptoms so it is a lot more difficult to determine. If you are concerned about your oral health because of the use of e-cigarettes then you need to come in to Dental Partners of Boston to consult with our experienced dentists. Dr. Guzman is our resident periodontist who can use his expertise to determine if you do in fact have gum disease which would need to be treated.

Ultimately the best prevention method of gum disease from vaping is to avoid the habit all together. It’s best to avoid any product that includes nicotine. If you show signs of gum disease from vaping and are willing to break the habit it is recommended that you visit our Boston dental office every three months to allow Dr. Guzman to treat and monitor the removal of any gum disease present in your mouth.  

All of the dentists and staff at Dental Partners of Boston truly care about your oral health. You should as well! Give our Boston dental practice a call or schedule an appointment here today so we can help you to improve your smile and live a healthy happy life!

Why It’s Vital That Metal Fillings Have To Be Replaced!

the inside of a mouth that has a metal filling that needs to be replaced with a tooth colored filling from dental partners of bosotn
Many studies* have been conducted on metal fillings that show how dangerous they can be and why they need to be removed and replaced with a tooth colored filling. In this post you will learn about the dangers of having a metal filling and how important it is to come into our Boston dental practice to have them replaced.

Metal silver-colored fillings, also known as Dental Amalgam Fillings within the dental industry, are around 50% mercury. If you are unfamiliar with the dangers of mercury we hope to educate you on what it can do to your body. We also encourage you to always ask your dentist for tooth colored fillings to repair your tooth not only for the cosmetic purpose but for your overall health!

Multiple countries all over the world have placed a ban or limit the use of dental mercury amalgams but there are still regions around the world that use them including here in the United States.  Many dentists offer alternatives to amalgam that are mercury free, the most popular being a direct composite resin, known as a tooth colored filling, because it’s a lot harder for anyone to detect a filling is in your mouth.

Many adults have had a metal filling in their mouths for years. Unfortunately they are probably unaware of the potential risks, and damage it might have caused to the rest of their body. Mercury which is a toxic metal to humans, is continuously emitted from dental amalgam fillings in a vapor form that can be absorbed by the body and remain in the brain, kidney, liver, lug, or gastrointestinal tract. If you are a patient that has had multiple metal fillings the output of this vapor increases. This is especially the case from daily activities such as drinking hot liquids, chewing, and teeth grinding.  Mercury also is released during the placement, replacement, and removal of the filling.

When Should I Replace My Metal Fillings?

As soon as possible! The soonest you can schedule an appointment with Dental Partners of Boston the better your overall health is going to be without the risk of mercury poisoning. Additionally, replacing a metal filling with a tooth colored filling is that it also can help protect your tooth. The resin has very good adhesion to help your tooth keep its shape. Metal fillings can unfortunately destroy a healthy tooth as it stretches, and expands inside of your mouth.  Schedule an appointment with us today so that we can take care of replacing your metal fillings to improve your overall health and smile.

* If you would like to learn more about mercury in metal fillings you gain more information here

How Can I Get My Jaw To Stop Hurting?

TMJ pain can be treated with a TMJ appliance from Dental Partners of Boston
If you are experiencing pain in your jaw it could be caused by many different kinds of conditions. From gum inflammation to a tooth ache, but one of the most common is a TMJ disorder.  TMJ stands for temporomandibular joint, which is the joint connecting your jawbone to the skull. It is one of the most used joints in your body as it allows for chewing, and talking, we utilize this joint daily, and if it becomes inflamed it can cause major pain and discomfort. Dental Partners of Boston’s dentists can treat TMJ which we will share more about below.

This inflammation or other cause of pain are called TMD, temporomandibular disorder, or TMJ disorders. More commonly it’s known simply as TMJ.

Over 15 percent of Americans deal with chronic facial pain. This includes jaw pain or headaches related to TMD. Women between the ages of 20-40 are the most impacted. This pain can last for a few weeks then slowly go away, but for some patients the pain won’t stop.

What Can Cause TMJ?

There is no single cause of TMJ, but it can be related to tension in your jaw or temporal muscles. There are many factors that contribute to the problem. Some common examples include:

  • A Jaw or Neck Injury.
  • Grinding or clenching your teeth.
  • Dislocation of the joint
  • Poorly Placed Crowns or Fillings
  • Improper Bite Alignment

Do I Have The Symptoms of  TMJ?

If you are wondering if you have TMJ know the condition can actually impact patients differently. The symptoms you might experience if you have TMJ can include:

  • Jaw Pain or Stiffness
  • Pain Around The Jaw, Cheek, Ears, & Neck
  • Headaches
  • Migraines
  • Pain While Chewing
  • Lock Jaw
  • Popping, Clicking, or Grating jaw noises
  • Earaches
  • Changes To Your Facial Expressions
  • Changes To How Your Upper & Lower Teeth Fit Together

As you can see there is a vast array of symptoms you might feel if you have TMJ. A dentist cannot officially diagnose the condition but our Boston dentists can help treat TMJ  symptoms.

How Do You Treat TMJ?

Once we determine what symptoms you are experiencing our Boston dental team will work with you to create a treatment plan. We will address the main causes of your pain and use methods specific to the symptom and if needed a custom TMJ appliance can be created that you wear while you sleep.  The appliance is like a mouth guard that helps to realign your jaw and prevent additional damage from happening.  Your custom TMJ appliance can be made in our office in a single office visit, and we will work with you to ensure that it is helping to alleviate the symptoms you are feeling from TMJ.

Schedule An Appointment

If you are experiencing some of the symptoms above and feeling discomfort schedule an appointment with Dental Partners of Boston today. Our experience and team approach will give you a customized treatment plan specific to your case, and faster results than at a normal dental practice. Stop living with the discomfort of TMJ. Schedule an appointment with our practice today!

Why Is My Mouth Dry?

A decrease in saliva can be sometimes be a normal thing and often it’s just annoying to deal with. But it can also have a major impact on your general health and the health of your teeth and gums as well as your appetite and enjoyment of food.

Dry mouth happens when the salivary gland in your mouth don’t make enough saliva to keep your mouth wet. Saliva helps prevent tooth decay by neutralizing acids produced by the bacteria, which limits bacterial growth and washes away food particles. Saliva also increases the ability to taste and makes it easier to chew and swallow. In addition, enzymes in saliva aid in digestion of food. Suffice it to say saliva plays an important role in the health of your mouth and teeth.

Causes of Dry Mouth

Treatments of dry mouth depend on what it’s caused by:

  • Sickness – When we are ill, our bodies can be affected in a variety of ways. Depending on the illness, the symptoms can range from being mildly unpleasant to dangerous. One side effect that can be caused by being ill is having a dry mouth.
  • Medications – Many different medications can cause dry mouth. This can include different types of drugs in the following categories: blood pressure medication, antidepressants, antihistamines, sedatives and others.
  • Radiation therapy – You have been exposed to radiation there is a good chance your mouth may feel unusually dry. It may also be a side effect of anti-nausea medicine to help with the effects of radiation.
  • Diabetes – If you have diabetes leads to high blood sugar levels including in one’s saliva which can lead to dry mouth.

Symptoms of Dry Mouth

If you’re not producing enough saliva, you may notice these signs and symptoms some or all of the time:

  • Saliva that seems thick and stringy
  • Dryness or a feeling of stickiness in your mouth
  • Difficulty chewing, speaking and swallowing
  • Bad breath
  • Dry or sore throat and hoarseness
  • Dry or grooved tongue
  • A changed sense of taste
  • Problems wearing dentures

Having a dry mouth can be very uncomfortable. But even more than that dry mouth can increase your risk of tooth decay and gum disease. A periodontist, like Dr. Guzman, specializes in the treatment of gum disease and, depending on the cause, can help determine what kind of treatment you will need. Do not let your dry mouth go undiagnosed. Everyday it will get worse and every day there will be less and less saliva to fight away the bacteria in your mouth. Schedule an appointment with our periodontist in Boston today to have your dry mouth assessed and get the treatment that is right for you.