Managing Gum Disease

agingThe Centers for Disease Control has found that more than half of Americans, aged 30+, have periodontitis, an advanced form of gum disease. This represents 64.7 million Americans who are at risk of tooth loss because they have gum disease. Fortunately, your dental care providers here at Dental Partners of Boston have a plethora of solutions for diagnosing, preventing, and treating gum disease.

Gum Disease Risk Factors

If you are 35-40, you are at the age where gum disease can become severe. Here are some of the strongest indicators that you could develop gum disease:

  • – Age: As you age, you are more likely to develop gum disease. In fact, more than 70% of Americans over age 65 suffer from gum disease.
  • – Use of Tobacco: Tobacco use can cause and intensify gum disease.
  • – Poor Nutrition: A poor diet can damage your immune system, which can help fight of periodontal infections.
  • – Genetics: If gum disease runs in your family, you are likely to suffer from it.

Knowing the Symptoms

If you havent been to the dentist for a while, you might have some of the symptoms of gum disease. These include tender, red gums, as well as pain in your mouth. You might notice that your gums bleed when you brush, floss, or eat certain types of food. You may also notice:

  • – Loose teeth.
  • – Persistent halitosis (bad breath).
  • – An overall change in how your bite feels. 
  • – If you have caps, bridges, or other dental prosthetics, they might not fit correctly.

Treating Gum Disease: Early Non-Surgical Treatments

It is important for you to get into your dentist for your cleaning, especially if youve missed the last several appointments. Before gum disease becomes persistently bad, your dentist can perform the following treatments:

  • – Professional Dental Cleaning: During your dental cleaning, your dentist will scrape away plaque and tartar that have built up at the base of your tooth.
  • – Tooth Scaling and Root Planing: This is a procedure where your dentist puts you under a local anesthetic. They will smooth your teeth and remove plaque from under the gum line. This procedure gives your gums the opportunity to reattach to your teeth.

Prevention Starts With You

Ultimately, healthy gums start with you. Good dental hygiene, including regular brushing and flossing, will help prevent gum disease. Here is what the experts are saying you should do to prevent gum disease:

  • – Brush your teeth twice per day, using a fluoride-based toothpaste. You should brush for at least two minutes, using a circular motion.
  • – Rinse with a fluoride mouthwash solution twice per day for thirty seconds to kill bacteria.
  • – Floss with a wax-based dental floss taking time to go in between each tooth all the way down to the gum line.
  • – See your dentist twice per year for a checkup and cleaning.
  • – Give up smoking and smokeless tobacco products.

Gum disease is a fact of life for many Americans, but with regular dental hygiene and checkups, you can eliminate and prevent gum disease, keeping your permanent teeth longer. Our specialists at Dental Partners of Boston can help you prevent, manage, and recover from gum disease. Call us today for a consultation.

Full Mouth Reconstruction

restoreIf you have neglected your oral health for too long, dental problems can begin to stack up fast. Even if you do follow good oral hygiene practices, a blow to the mouth or other trauma can result in damage to numerous teeth and the gums and bones of the mouth. Misaligned teeth can encourage tooth decay or can even lead to pain or difficulty biting. If you have problems with multiple teeth or large parts of the mouth’s gum tissue, how can you restore a beautiful, healthy smile?

Full mouth reconstruction is a therapy involving restorative and cosmetic dentistry that brings together experts such as orthodontists, periodontists, endodontists and oral surgeons. It focuses on rehabilitating and repairing multiple teeth, as well as bone and gum tissue, all together to provide not only a streamlined experience but a comprehensive therapy as well. Full mouth reconstruction helps in the following ways:

Teeth – The extent of damage as well as the number of affected teeth determine the treatment used, such as porcelain veneers or full crowns for cracked or cavity-ridden teeth, orthodontics, or bridges, partial dentures or dental implants for missing teeth. Root canal therapy is also used for decaying teeth.

Gum tissue – A periodontist will use scaling and root planing to remove deep and invasive gum disease, and gum grafting to replace damaged or receded gum tissue. In case of bone loss, bone grafting or bone density therapy will help strengthen bones and replace lost bone tissue.

Muscles and joints – Muscle, joint or jaw problems as well as tooth alignment issues that cause an uneven or painful bite can be corrected by orthodontics to prevent further damage and help reduce discomfort.

Cosmetics – Part of full mouth reconstruction is cosmetic, to help the repaired and restored teeth and gums not only function but also look like healthy natural teeth and tissue.

Since full mouth reconstruction is such an involved undertaking and requires the expertise of so many specialists, the treatment for each patient is determined on a case by case basis. This also accommodates the different needs of each patient. Full mouth reconstruction is usually applied over a course of multiple trips to the dentist, with the end result a healthy, natural-looking mouth.

At Dental Partners of Boston, we pride ourselves not only on our wide range of expertise, but also our teamwork and synergy. We have nine experts in various dental fields that are dedicated to not only providing the best care they can, but also communicating openly with each other to ensure that each patient has access to the full spectrum of dental care. If you need full mouth reconstruction, contact Dental Partners of Boston today and let our team of dental experts work together to treat all of your health issues with the best cosmetic and restorative dentistry in the Boston area.

Bad Breath Might Be a Sign of a Serious Problem

bad breathChronic bad breath, called halitosis by the medical community, can have many causes. Some causes of bad breath are mild and can be solved easily, but persistent bad breath might be a sign of a serious medical problem, especially if it remains despite good oral hygiene practices. Some of the less serious causes of bad breath are as follows:

– Poor oral hygiene. If you don’t brush and floss as often as recommended, the bacteria that grow in your mouth and feed off particles of food there will form a sticky substance that covers your teeth and gums called plaque. The more plaque builds up, the worse your mouth will smell. Fortunately, this can be easily remedied by brushing the plaque away.

– Strong foods. Some foods, such as onion and garlic, have a very strong odor. When you eat them, that odor gets into the bloodstream and comes out in your lungs, tainting your breath. Brushing your teeth will cover up the smell, but only temporarily. Only when the food has been fully digested will the smell leave your breath.

– Smoking or chewing tobacco. Not only will the use of tobacco products make your breath smell unpleasant, but they can stain your teeth and damage your gums as well. Avoid tobacco products if you want to have a healthy mouth.

The less serious causes of bad breath are easy to fix. However, if you have good hygiene habits but halitosis still remains, it may be a sign of something more dangerous. It may be wise to consider coming in for a complete oral exam. Some of the more serious things that can cause halitosis are:

– Gum disease. Even with regular brushing and flossing, plaque-causing bacteria can get underneath the gums. This will causes the gums and eventually the bones holding the teeth to decay and recede, leading to tooth loss. Persistent bad breath is often a sign that gum disease is underway.

– Cavities. When holes develop in the enamel of the teeth, bacteria can get inside and produce plaque that can’t be brushed away. The bacteria can also cause the tooth itself to start to rot if the cavity gets deep enough. This will taint the breath, giving an indication that there’s a serious problem.

– Poor-fitting dental appliances. If dentures and other dental appliances don’t fit right, bacteria can invade the gaps. If left unchecked, this will put the teeth and gums in danger of cavities and gum disease.

– Mouth diseases. Halitosis can be caused by major mouth disorders such as yeast infections, dry mouth or respiratory diseases such as pneumonia or bronchitis. Though these disorders often have other, more noticeable symptoms, halitosis can be an early indication or suggest that a disease still lingers.

Although some of the causes of halitosis are serious and can indicate or lead to major oral health problems, all of the causes can be addressed by a dentist. At Dental Partners of Boston, we have nine specialists in oral medicine, and we’re committed to bringing all of our expertise to bear in treating your dental conditions. If you are currently plagued by halitosis or want to prevent it from occurring, contact us today for an examination and let us help your mouth stay healthy.

Toothpaste: It Does Matter

toothpasteWhen you go to the store to buy toothpaste, you’re confronted by a myriad of different brands and additives, all of them promising to improve and protect one aspect of your oral hygiene or another. With so many different choices, it’s important to know whether differences in brand really matter, and if the different additives and various kinds of toothpaste can really help keep your mouth both clean and attractive. At Dental Partners of Boston, we want you to have the best preventive dentistry that is available, and choosing the right toothpaste is an important part of that. Here are some things to know when you go shopping for toothpaste:

Brands don’t matter too much. Brand-name and generic toothpastes generally have the same ingredients, which you can check by looking at the toothpaste box. What is important, however, is that you select an ADA-approved toothpaste, which is also printed on the box. ADA approval means that the toothpaste has undergone rigorous testing to ensure quality, safety and usefulness. Some generic toothpastes are not ADA-approved, but many are.

Know what different additives are in toothpaste. Anti-cavity toothpastes, for example, contain more fluoride than regular toothpastes, which does help to strengthen the teeth against the acid made by bacteria, assuming that good oral hygiene practices are followed. Whitening toothpastes do work to remove stains from the teeth, but they do so using abrasive additives that scrape the teeth. Though this whitens teeth, it also scrapes away at the enamel, eventually leading to tooth damage and sensitivity. Hypersenstivity or desensitizing toothpaste contains potassium nitrate or strontium chloride that helps dull the nerves that register tooth pain. Anti-gingivitis toothpastes contain antibacterial agents that can alleviate gingivitis, but only in its mild stages. This is less important, however, since brushing with normal toothpastes and carefully flossing also alleviate mild gingivitis.

Consult with your dentist before making decisions. You know how your mouth feels and what you want for your smile, and we at Dental Partners of Boston have decades of experience in helping people have the healthiest mouths possible. Let us examine your teeth and then help you decide what you need and what methods will be help you meet those needs.

There are both advantages and disadvantages to using specialty toothpaste, whether brand-name or generic. In order to better understand the risks and choose the toothpaste that will be of most use to you, contact Dental Partners of Boston today and let one of our experts examine you and help you decide what toothpaste is right for you.

How Dental Implants Work

It might surprise you to know just how prevalent tooth loss is in our society. Here are some astounding numbers:

  • More than 35 million people in America don’t have any teeth.
  • 175 million people in America are missing at least one tooth.
  • 69% of Americans, age 35-44, are missing at least one tooth.
  • 25% of Americans over 74 are missing all of their natural teeth.

With the statistics in mind, it’s more important than ever to understand the solutions to missing teeth, and why they’re so important to health and happiness.



It’s very important that the gaps left by missing teeth be filled, and dental implants are the most stable, secure and permanent way to do so. When one tooth falls out, the surrounding teeth will begin to shift into the empty space, ruining the alignment and the orientation of the remaining teeth. Worse, the bone structure under the missing tooth will begin to dissolve, leading to a loosening and sagging of the facial structure. Dentures can alleviate these problems, but to a much more limited degree than full implants. Besides that, dentures are a hassle to constantly remove and reattach, and can easily fail, restricting the kinds of foods you can eat and lowering your confidence.


Dental implants anchor single replacement teeth or bridges that link separated replacement teeth, or even bridges that hold a full set of replacement teeth. The implants themselves are drilled directly into the jawbone, and over time they fuse together with the bone, providing a strong, supporting base. These anchors serve the dual purposes of holding the false teeth permanently and securely in place and maintaining the integrity of the bones of the jaw and face. The replacement teeth feel and operate just like natural teeth, and must be properly cared for just like natural teeth. Without continued oral hygiene, the mouth is still vulnerable to plaque and gum disease, which threatens implants just like normal teeth.

If you have damaged or missing teeth, take advantage of implant dentistry right away! Implants can not only give you new teeth that are just as secure and effective as your old, but can help maintain the integrity and shape of your jaw and facial bones. Contact Dental Partners of Boston, and let our top experts help you evaluate your needs and pick a treatment that’s right for you!

What does DMD stand for?

At Dental Pexpertsartners of Boston, we’re proud to host some of Boston’s top professionals in dental medicine. We’ve brought together a select group with varying qualifications so that we have an expert for any dental service that you may require. Check out the Doctors & Staff page on our website to see the specializations and qualifications that our dental experts bring to the practice. But what qualifications do those abbreviations indicate, and what do those qualifications tell you about our dentists’ education and experience? Here’s a translation:

D.M.D./D.D.S. – Doctor of Medicine in Dentistry or Doctor of Dental Surgery. These are the same degrees, and are earned after four years of undergraduate education followed by four more years of dental school. Before a dentist can practice, he or she must pass qualification and licensing exams, and throughout their careers must meet continuing education requirements to ensure that they stay abreast of all modern developments in dental science. These requirements are on par with those required for other types of doctors. Dr. Yael Frydman here at Dental Partners of Boston is a D.M.D. and specializes in orthodontics, or teeth-straightening services.

M.S.D. – Master of Dental Science. The degree is earned for specialized post-graduate training in a specific field of dentistry. Our own Dr. Sergio Guzman, for example, is a M.S.D. in Periodontics, or the study and care of the gum tissues and supportive bone structures of the mouth and jaw.

C.A.G.S. – Certificate of Advanced Graduate Study. This certification is earned by an advanced post-graduate program that focuses on developing clinical care skills in a specific area of dentistry. C.A.G.S. programs are tailored to ensure that recipients are experts in the practice of specialized dentistry. At Dental Partners of Boston, Dr. Carolina Mujica and Dr. Maria Cardenas each have a C.A.G.S. in restorative dentistry, which deals with cosmetic dentistry needs for those who have damaged teeth, jaws or faces. Dr. Gustavo Infante has a C.A.G.S. in prosthodontics, which makes him a specialist in attaching dental implants for missing teeth.

M.M.Sc. – Master of Medical Science. These are advanced post-graduate programs focusing on the development of clinical and research/training skills – in other words, creating dentists that are both experts and giving dental care and also highly knowledgeable in their specialized aspect of dental care. We at Dental Partners of Boston have three recipients of this special qualification: Dr. Michael G. O’Toole, and Dr. Priyank Taneja. All three specialize in prosthodontics, or the making and attaching of dental implants.

M.Sc.D. – Master of Science in Dentistry. Similar to the M.S.D. above, this degree indicates post-graduate training in a specialized field of dentistry. Our own Dr. Barry Goldberg possesses a M.Sc.D. in endodontics, making him an expert in the dental pulp, or the sensitive tissues in the center of the tooth. He treats damaged teeth with root canal therapy and other similar techniques.

At Dental Partners of Boston, we’ve brought together a wide variety of some of Boston’s top dentists. Contact us or visit our website to see how we can bring our expertise to bear to help you with your specific dental needs.

We Believe Dentistry is All About You!

Dental Partners of Boston believe that dentistry is all about you and your own results! We want our patients to pursue dentistry treatment options that are best suited for them. This not only includes necessary dental treatments based on your dental health, but also cosmetic dentistry options. Dental Partners of Boston stands apart from other dental practices as a result of our dedication to excellence, our commitment to working as a team, and treating every patient as unique. We will explore every possible treatment option to ensure that you achieve the results that you’re after!

one roofDental Partners of Boston Commitment to Excellence

The dentists, the dental staff, and the office staff with Dental Partners of Boston is committed to excellence and to exceeding your expectations. A few of the qualities that we embody for our patients include insight, experience, and dedication. For more than 40 years, our distinctive group of specialists have been providing the best dental care possible for our patients in our luxurious, spacious offices. Through the excellence that we’ve dedicated ourselves to, we want to help all of our patients improve one of their best assets – their smile.

Working as a Team

As a part of being committed to our patients, Dental Partners of Boston is also committed to working as a strong team. Whether it is assisting, educating, or learning from one another, we strive to work as a team and continually strengthen our bonds and skills. We know that while we are each strong as individuals, we’re even stronger as a team. Due to that, we have ensured that each of our dentists is an expert in their respective specialties. We leverage each other for our unique skill sets. By working as a team, we are able to provide you a wide variety of dentistry services such as dental implants, restorative dentistry, periodontology, prosthodontics, orthodontics, and endodontics under one practice.

Every Patient is Unique

Our belief is that every patient is unique. You are unlike any of our other patients. While you might have similar dental problems that we’ve come across before, your circumstances are always unique to you. As a result, we are dedicated to treating every patient as unique; that means doing what works for you. Dental Partners of Boston likes to create customized treatment plans for our patients. We also take the time to listen to your concerns, answer your questions, and recommend the best treatment plan for you.

Dental Partners of Boston, At Your Service

As one of the leading dental practices in Boston, Dental Partners of Boston is proud to serve our patients with the best dental care possible. By treating every patient as unique, by working as a team, and by emphasizing our commitment to excellence, we have created something truly special. We truly believe that dentistry is all about you and what you want out of it. Call or contact us today. We’ll help you get the results that you’re after!

Implants Must Be Done Right the First Time

implants3Whether you are suffering one missing tooth or you have multiple teeth missing, dental implants are one of the standard procedures that we recommend as a solution for our clients. Dental implants act as a true replacement for teeth; restoring full functionality to your mouth and renewing the natural beauty of your smile. However, it is crucial that when a dental implant is done, it is done right the first time. To ensure that your dental implants are done right the first time, you’ll want to ensure that you have a skilled doctor. Here at Dental Partners of Boston, we just don’t have one skilled doctor who specializes in dental implants—we have three!

Our Skilled Dental Implant Doctors

GuzmanDr. Sergio Guzman has been practicing dentistry since 1996 and has been Dental Partners of Boston since 2005. He specializes in the diagnosis, prevention, and treatment of periodontal diseases. He ensures that he is on the cutting edge of dental techniques for dental implants including immediate function protocols like Teeth-in-a-day, All-on-four, and Teeth-in-an-hour. Dr. Guzman has been named one of America’s top dentists for eight consecutive years by the Consumers’ Research Council of America.




For over seventeen years, Dr. Maria Cardenas has been one of leading professionals in the field of dentistry. Her passion is dental esthetics. As a result, she has honed her skills and talents in porcelain veneers, ceramic restorations, mouth esthetic reconstructions, and of course dental implants. She utilizes Digital Smile Design to carefully analyze and plan your esthetic treatment through the use of video and digital photography.





MujicaAnd finally, Dr. Carolina Mujica is the third skilled dentist at Dental Partners of Boston specializing in work with dental implants. She has years of practice behind her and has dedicated her education and life to providing the best dental care possible for patients that she cares for. These three dentists at Dental Partners of Boston are skilled practitioners for their field and are ready to help you with your dental implant needs.




If you receive a dental implant from a surgeon who is not skilled, then there are numerous complications that can arise. Fractures, nerve loss, and bone loss are just a few of the things that can occur if a dental implant is not placed in the mouth properly. For the sake of your overall health and your oral health, it is important for your dental implants to be done right the first time.

How Do Dental Implants Work?

Dental implants essentially are replacement teeth that are designed to match your natural teeth. When utilized properly, dental implants act as a strong foundation for your mouth—a replacement for the tooth roots. Dental implants offer the following benefits: easier eating, improved comfort, improved speech, and improved appearance. The procedure can require multiple stages and it varies based on the patient’s unique circumstances, but the team at Dental Partners of Boston is skilled and will customize a dental implant treatment plan just for you.

Dental Implants: Renew Your Smile

If you have any questions regarding dental implants that we have not answered, please get in touch with us immediately! We are available to address your concerns about dental implants while making sure that you’re properly educated on when to receive dental implants, what the procedure looks like, and why it is important to have a skilled doctor handle your dental implants. We have years of experience in dental implants between our three skilled doctors: Dr. Sergio Guzman, Dr. Maria Cardenas, and Dr. Carolina Mujica. Whether you want to learn more about dental implants or make an appointment to receive a dental implant, Dental Partners of Boston is here to help you!

Some Amazing Facts About Dental Implants

Dental implants are all oveanyoner the news. You probably see advertisements for them in printed media, online, and on television. Here are some amazing facts about dental implants that you probably didn’t know.

Talk To Your Orthodontist About Dental Implants

Your dentist can refer you to an orthodontist about the dental implant process, right here in our Boston office. Generally, it takes a few months and a three-phase approach to get dental implants installed. Here is generally how the process works:

  • Your orthodontist will meet with you about setting up a treatment plan.
  • You will get CT scans and other images taken that will be fitted to a computer-aided design program, making sure that your new implants will compliment your existing jawline.
  • Your orthodontist will install the root, the abutment, and a resin-based crown, giving you teeth that will last a lifetime.

Dental Implants are Affordable

Many people shy away from dental implants because they are afraid that their insurance won’t cover the cost. Dental implants, in the long run, can save a lot of money. One dental implant can be used as a critical anchor for a bridge treatment if you can’t afford a whole compliment of dental implants. The market is also as such that you can shop around, finding the best price from a qualified dentist. Ultimately, dental implants will reduce your need for future dental maintenance, other than checkup visits.

Who Can Use Dental Implants?

Anyone who is missing any number of teeth can benefit from a dental implant. Here are some facts and figures about missing teeth in the United States:

  • More than 35 million people in America don’t have any teeth.
  • 175 million people in America are missing at least one tooth.
  • 69% of Americans, age 35-44, are missing at least one tooth.
  • 25% of Americans over 74 are missing all of their natural teeth.

Most of these adults can benefit from a high-tech dental implant. If you are among them, please call our office today to set up an consultation with one of our doctors.

Benefits of Dental Implants

There are many prosthetic dental solutions. Howeverimplant:

  • Only dental implants provide the look, the feel, and the complete function of natural teeth.
  • Dental implants, 98% of the time, will last for the rest of your life.
  • In most situations, dental implants are better than dentures, allowing your jaw to retain its natural shape.

In addition, there are many cosmetic benefits of dental implants. Dental implants can make you smile confidently, increasing your chance of a promotion at your next job interview. Dental implants can also help you speak more clearly, as missing teeth can change how clearly you speak.

In some ways, dental implants are a better solution. With missing teeth, your jawbone structure will change, even if you get dentures. Dental implants, fitted to your jawbone, will make your jaw retain its natural shape, eliminating the need of future denture adjustments.

The History of Dental Implants

For thousands of years, civilizations have tried various ways to replace missing teeth. The ancient Mayans, in 600 AD, tried treating patients with tooth-like pieces of shell. Other cultures have used animal teeth, pieces of precious metal, and gemstones to fashion dental implants. Thankfully, dentists have perfected the art of dental implants in modern times, with the discovery of a process called osseointegration. In the 1950s, a dental surgeon discovered that titanium, as well as other high-strength metals, fused well with bone. The principle of osseointegration is a key component of today’s dental implant technology.

Dental Implants: Built To Last

Here are a few other facts about the strength of modern dental implants:

  • Dental implants are built to last, with a titanium “root,” a strong abutment to hold the implant, and a strong, resin-based crown to look like a real tooth.
  • While crowns often need replaced after fifteen years, dental implants will last for the rest of your life in most cases.
  • You will never have to worry about cavities or additional work on a dental implant.

Also, dental implants can be used with other treatments if you can only afford one or two implants. Dental implants provide a strong base for fitting crowns, which can support other natural teeth.

Did you know that dental implants last for the rest of your life, 98% of the time? With computer-aided design and high-tech imaging techniques, your implants are made with high-tech, durable materials and can withstand most stress.