2nd Annual Free Dental Day for Veterans at Britten Periodontics & Implant Dentistry in Clearwater, FL.

On Friday, November 11th, 2016 the team of Britten Periodontics & Implant Dentistry in Clearwater, FL gathered together to provide compassionate, comprehensive dental care to deserving veterans. “There was something really special about coming into work today. It was just so rewarding knowing that the office is filled with veterans and we are doing something great for them,” one dental hygienist stated. Dr. Britten reflected that one of the patients who made a lasting impression on him was a young lady that served in the Marine Corps in Afghanistan. This veteran’s armored transport unit had been hit with an explosive that left her with a traumatic brain injury. “She was so proud of her Marine’s tattoo and showed me a photo of herself in action before the accident. I could tell she was a Marine for life, right down to the bone. It made me proud that we have men and women serving us that are so dedicated.”

This is the 2nd annual Free Dental Day Dr. Todd M. Britten has organized in his Clearwater, Florida periodontal practice. A little over two years ago, Britten and his team were brainstorming ways to give back to the community. Britten stated, “Our veterans and their families have made so many sacrifices for our freedoms and I wanted to find a way that we could give something back. Offering a day of dental work is the least we could do.”

After Dr. Britten and his team decided to plan the event, it was full steam ahead. One member of the Britten Periodontics staff, Ellen Byrd, helped find patients in need and organized the event. Byrd, a dental hygienist, reached out to local dentists and organizations such as the Community Dental Clinic to find patients in need of periodontal care. Dr. Britten stated, “Ellen really stepped up. She got the word out about what we were doing and was able to find an incredible group of vets both last year and this year that were in need of periodontal treatment. We wouldn’t be able to do what we are doing without all of her hard work.”

“Dr. Britten and his staff were amazing. They put compassion over cost when it came to helping us out. I am so grateful.”

Dr. Britten’s dental specialty, periodontics, often involves managing and treating advanced gum disease. A periodontist is often able to help a patient in danger of losing teeth or with active oral infection to turn their health around. The staff at Britten Periodontics expressed that if they could find Veterans in need of periodontal care they could improve their quality of life. “Most of the time, periodontal disease is not painful until it gets to be very advanced. Some of the veterans had been dealing with painful teeth for a long time,” Dr. Britten expressed his concern. “Even though we had to remove some teeth I felt better knowing these veterans do not have to be in discomfort anymore.”

The majority of the surgical and non-surgical dental procedures were performed on November 11th, however there was significant pre-operative work involved. This included new patient exams, dental x-rays, medical history reviews, even post-operative care. Dr. Britten performed the same comprehensive exam that he would for anyone under his care. He wanted it to be a very personal compassionate experience for these veterans. Dr. Britten stated, “It was a priority to make sure they were comfortable with us. Many of our veteran patients have dental phobias and are suffering from post-traumatic stress disorder so we needed to take the time, go the extra mile and treat them with the utmost respect.”

Veteran Chuck Pankow, one of the veterans referred by a local dentist said, “From the moment I walked in I have been treated so well. This has been a really great experience.” Another Veteran, Chris Bode, referred by the Community Dental Clinic in Clearwater, was also pleased with his care, “Dr. Britten and his staff were amazing. They put compassion over cost when it came to helping us out. I am so grateful.”

Britten Periodontics & Implant dentistry has provided over $25,000 worth of dental treatment these past two years. One of the best parts about this event is that it has already started to gain more participation in just its second year. The team members and dentists (Dr. Matthew Burton, Dr. Nolan Allen, Dr. James Hayslett, and Dr. Keith Kiskaddon) of Clearwater Dental Associates were happy to partner with Britten Periodontics to provide general dentistry for as many veterans as they could. Dr. Britten stated he and his staff were honored to hear that Clearwater Dental wanted to join in this cause. Their hope is that with each year this event will grow and be able to help more veterans. Nearly 95% of veterans are without dental coverage, making this a serious need in our community.

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten received his Bachelor of Science & Doctorate of Dental Surgery from University of Florida, a Master’s Degree and Certificate in Periodontology and Implant Dentistry; and completed extensive training at the Institute of Advanced Laser Dentistry. He is one of the only board-certified periodontists in Pinellas County. He is a member of the American Academy of Periodontology, American Dental Association, Florida Association of Periodontists, Upper Pinellas County Dental Association, Hillsborough County Dental Association, Hillsborough County Dental Research Association and Florida West Coast Dental Association.

To learn more about Dr. Britten and his dental services visit his website at http://www.brittenperio.com or call (727) 586-2681.

Dental Implants Periodontist, Dr. Todd Britten, Accepting New Patients With Missing Teeth at Clearwater, Florida Office

Britten Periodontics & Implant Dentistry and Dr. Todd Britten go the extra mile when it comes to dental implants using the latest techniques for implant planning and surgery. For some patients, implant-supported dentures are not only a good, but the best option for missing teeth.  Improving smiles at an affordable cost, as well as enhancing the overall health of his patients has made Dr. Todd Britten a leading periodontist in Clearwater and St. Petersburg, FL.

Dr. Todd Britten believes strongly in the comfort of his patients, and is dedicated to educate, enlighten and empower his patients to achieve optimal oral and physical health.  He partners with other caring healthcare providers to deliver patient treatment with honor and dignity. All risks, benefits, options and cost options are explained to ensure patient understand and are on board for periodontal surgical treatment.  

Because gum disease can worsen over time, dental implant costs pale in comparison to the long-term effects of untreated gum disease or the problems that missing teeth can cause.  In the case of implant-supported dentures, this option for the permanent replacement of missing teeth has many more health, financial and self-esteem benefits than many other treatments for gum disease.

Surgically placed in the jawbone, dental implants are shown to successfully integrate with bone in 97 percent of all cases.  The result includes many positive improvements for patients, including a better appetite, enhancement of taste, a more cosmetic and aesthetic appearance, and preservation against deterioration of the jawbone (which often happens where teeth are missing), or dentures that break or come loose. 

Following surgery, most patients have reported confidently returning to work without having to worry about much discomfort or pain.  Dr. Todd Britten uses the latest technique and technology for implant planning and placement, to help ensure that his patients receive the treatment his patients need to live a full and happy life with a healthy smile.

Visiting the periodontist does not have to be an anxiety-inducing experience, especially not when you are working with Dr. Todd Britten and the staff of Britten Periodontics and Implant Dentistry.  After evaluating dental implant costs, service and results offered by this highly professional and compassionate team, most will find that this team delivers comfortable care and ethical treatment in a very welcoming environment.

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten received his Bachelor of Science & Doctorate of Dental Surgery from University of Florida, a Master’s Degree and Certificate in Periodontology and Implant Dentistry; and completed extensive training at the Institute of Advanced Laser Dentistry. He is one of the only board-certified periodontists in Pinellas County.  He is a member of the American Academy of Periodontology, American Dental Association, Florida Association of Periodontists, Upper Pinellas County Dental Association, Hillsborough County Dental Association, Hillsborough County Dental Research Association and Florida West Coast Dental Association

Dr. Todd Britten is now offering this FDA-cleared laser procedure for gum disease and periodontal treatment. To learn more about Dr. Britten and his dental services visit his website at:http://www.clearwaterperiodontist.com or www.brittenperio.com or call (727) 586-2681.

From your Clearwater FL Periodontist: November is National Diabetes Month

About 30 million people suffer from Type 1 or 2 diabetes in the United States. You may have a friend, family member or even you may be affected yourself by this condition. Most people are familiar with the basics of diabetes: your body either doesn't make enough insulin or responds to insulin improperly, leading to high amounts of sugar in the blood (known as high blood glucose). Diabetes effects all parts of the body: the heart, muscles, limbs and even the mouth.

Diabetes also has a significant effect on the health of the gums and bones. Poorly controlled diabetes has a particularly negative effect on your teeth and gums. Periodontal disease is typically worse in patients with diabetes. Additionally, all types of dental surgeries (tissue grafts, implants, sinus lifts, etc.) may take longer to heal and have a higher chance of failure in diabetic patients. The high concentration of blood glucose decreases your body's ability to heal, and may even interfere with a procedure's success, particularly in poorly controlled Diabetes. 

Controlling periodontal disease has a positive effect on managing blood glucose in diabetics. By removing and controlling chronic inflammation and active infection in the gum tissues, your body may likely better regulate its response to insulin. This will have a positive effect on the management of diabetes due to the connection between the health of your mouth and your overall health. Some health insurance companies are beginning to offer coverage for a yearly hygiene visit to their patients with diabetes, due to better gum health results in better diabetes control and lower medical costs.

Of course, diabetes is only one of many conditions that can affect your oral health. Many health conditions, medications, habits, and even stress can effect your oral health and how your body responds to dental treatment. Therefore, please keep us updated on all aspects of your health history- even the parts that may seem irrelevant.

If you would like to know more about the importance of oral health to overall health, please contact our office today at 727-586-2681 or visit our website at www.brittenperio.com

Clearwater FL Periodontist Dr. Todd Britten Discusses, Can My Medication Cause A Problem With My Gums?

Can My Medication Be Enlarging My Gums?

As a gum specialist, we often see and help treat changes in patient’s gum tissues related to certain medications they are taking.  One of the main issues we come across is gingival overgrowth, or hyperplasia. 

Gingival hyperplasia is an overgrowth of the gum tissue around your teeth.  In our practice, we sometimes see that certain medications our patients are taking contribute to gingival hyperplasia.  Other factors can include orthodontic treatment or certain medical issues, such as hormonal imbalances, leukemia, a genetic condition or the growth can sometimes be due to a benign or malignant lesion.  Inflammation of the gums and poor plaque control are often a main contributor for gum overgrowth.  Poor oral hygiene also can increase inflammation which may also play a role.

Medications associated with gum enlargement fall into three main categories:

1.         Anti-seizure medications

2.         Immunosuppressant medications (used in transplant patients),

3.         Calcium channel blockers used to treat certain heart conditions, most commonly high blood pressure.

It is important to notify your dentist or dental hygienist if you take any of these medications so they can watch for changes in your gum tissues.  Many of our patients are on some form of calcium channel blocker such as Amlodopine (Norvasc) or Diltiazem for high blood pressure. 

A more severe case of gingival overgrowth could effect a person’s appearance when they smile or talk.  Enlarged gum tissue will complicate and sometimes completely prevent patients from being able to remove harmful plaque bacteria at and below the gum line and in between their teeth.  The tissues become enlarged, grow over the surface of the teeth and can become fibrotic, or tough.  Once overgrowth has started, it becomes more difficult to maintain good oral hygiene.  This will lead to retaining more damaging periodontal bacteria under the gum line, which can in turn worsen the gingival hyperplasia. 

If a big factor of the gum overgrowth is a medication, your physician may need to be consulted. Stopping or changing the medication can help limit the overgrowth, but do NOT stop the medication on your own.  Your dentist or periodontist can communicate with your medical doctor to see if your medication can be altered.  In some cases, a person’s medical professional will advise against altering a medication, most often in seizure disorders, immunosuppressed patients, and certain heart conditions or difficult to manage blood pressure.  If this is the case, we have to handle the gingival overgrowth as best we can.  Options include increased oral hygiene, non-surgical, or surgical periodontal therapy. 

Even if the medication causing this condition can be altered or discontinued, this will not necessarily reverse the overgrowth.  Additional treatment is sometimes required and often includes:

AT-HOME CARE
Good oral hygiene, especially the effective removal of plaque between the teeth and at the gum line, can alleviate the condition in early or very mild cases.

NON-SURGICAL THERAPY

In a mild to slightly moderate condition, a series of scaling and root planing procedures (commonly known as a “deep cleaning”) can be performed, often by a dental hygienist using local anesthesia.

Your dentist or periodontist may have you return every three months for dental hygiene visits to limit the effects of inflammation on the soft tissues.

SURGICAL REMOVAL

In severe cases, the enlarged or hyperplastic gum tissue may need to be removed surgically. In the case of drug-induced overgrowths, if patients are not able to discontinue the medication, surgical removal may be the only effective treatment. This can be done with a scalpel or laser.

If you think you have an area of overgrowth, visit your dentist for an evaluation of your condition. If you are now taking medications that can cause gingival overgrowth, consult with your dental professional and physician.  If you have questions about gingival hyperplasia you can contact Dr. Todd Britten in his Clearwater, Florida periodontal practice at 727-586-2681 or http://www.brittenperio.com

Moderate gingival hyperplasia

Severe gingival hyperplasia of the lower front teeth

A more mild form of gingival hyperlasia

A very severe case of gingival hyperplasia

Clearwater FL Periodontist & Implant Specialist Dr. Todd Britten Shares Advancements in Dental Implants

Dental implants today are not only considered the gold standard of care for tooth replacement, but they are usually now considered to be the superior or ideal treatment option for damaged or lost teeth.  We are excited about the many advancements in implant planning, placement and technology. 

A major advancement has come in the form of improved imaging and planning of dental implants.  ConeBeam CT scans give an efficient, ultra-low radiation image that allows the surgeon excellent information about the surgical site.  This is often combined with computer software to plan the exact location of the dental implants, which is then used to make a surgical guide.  “This amazing technology takes virtually all human error out of the process.  We can practice planning the dental implants on the computer model before the patient comes in.  We can even plan for the location and shape of the final tooth,” says Dr. Todd Britten.

Implant sizes, materials and systems continue to improve. The titanium ally used in dental implants now allows for more compact and bio-compatible implants while still providing the needed strength to resist the strong bite forces of the mouth. Implant-supported dentures have also come a long way, and many times four implants can be used to retain a complete upper or lower denture. 

Materials to provide bone support are also continuously improving.  After the loss of one or more teeth, the jawbone will deteriorate or lose support where the tooth or teeth used to be.  Ridge augmentation uses bone and tissue-grafting procedures to fill in the area where jaw bone has been lost, leaving more bone and better support for dental implant placement.

Guided bone regeneration for ridge augmentation has been found to be very predictable. Synthetic growth factors have used for this procedure have improved and we can also use our patient’s own blood to produce materials rich in growth factors, such as L-PRF.

In summary, the advances in implant dentistry allowing us to plan our implant placements better, regenerate lost bone more predictably, and place implants with more accuracy and into more sites than ever before. It is exciting to think of what is coming in the future of dental implant placement, all with less patient discomfort and risk.

As an implant specialist, Dr. Britten is highly trained and experienced in the most advanced and current technologies used for long-term implant health and success. He believes in using the best diagnostic tools as well as the highest quality implants in his practice. Dr. Britten works closely with the best restorative dentists in the Tampa Bay area to obtain the best possible outcome for his patients' implants. For more information, contact us at 727-586-2681 or visit our website www.brittenperio.com

Clearwater Periodontist Shares Information on Screening Patients for Obstructive Sleep Apnea

Dentists are becoming more and more aware of the importance of screening patients for Obstructive Sleep Apnea.  

From the American Academy of Dental Sleep Medicine:

"Approximately 25 million adults in the U.S. have obstructive sleep apnea (OSA), which can cause them to stop breathing hundreds of times a night for anywhere from a few seconds to more than a minute.

Sleep apnea is a chronic condition that occurs when your muscles relax during sleep, allowing soft tissue to collapse and block the airway. As a result, repeated breathing pauses occur, which often reduce your oxygen levels. These breathing pauses are followed by brief awakenings that disturb your sleep.

Common signs of sleep apnea include snoring and gasping or choking sounds during sleep. Like snoring, sleep apnea is more common in men, but it can occur in women too, especially during and after menopause. Having excess body weight, a narrow airway or misaligned jaw all increase the risk of sleep apnea."

The AADSM (The American Academy of Dental Sleep Medicine) recommends dentists evaluate patients for the following conditions as possible indicators of Sleep Apnea:


• A thick neck (greater than 16 inches in a woman or 17 inches in a man)
• A short neck
• Lower-face abnormalities, which may include:
        * A large tongue
• A crowded posterior airway (such as caused by an enlarged, floppy uvula or enlarged tonsils)
• An enlarged soft palate that rests on the base of the tongue
• Obesity
• Complaints of being overly tired during the day, low on energy, depressed, or moody
• Falling asleep in dental chair
• Trouble opening mouth wide during dental examination

The most successful treatment for Obstructive Sleep Apnea is a CPA appliance, however, 60% to 83% percent of users cannot tolerate this device.

With the high rejection rate of the CPAP, the American Academy of Sleep Medicine designated dental sleep oral appliances as the No. 1 nonsurgical alternative for the CPAP intolerant. Numerous sleep appliances are available to the public and distributed through dentists.

Your dental professional can help you identify if a sleep appliance may help you. If you have any questions about OSA or dental sleep medicine, contact our office today at 727-586-2681 or visit our website at www.brittenperio.com

Clearwater FL Periodontist Dr. Todd Britten Discusses: Are all dental implants created equal?

Clearwater FL Periodontist Dr. Todd Britten Discusses: Are all dental implants created equal?

                                                               

Dental implants have become a vital and mandatory option for tooth replacement in recent years. While modern implant dentistry has seen major advancements in popularity and success, we must stress that not all dental implants are created equal, and no dental implants are guaranteed to last forever.  However, using a high quality implant as well as a highly trained implant surgeon and restorative dentist, can make a big difference as to whether the implant will last for many years (and preferably a lifetime), which is always our goal.

The best way to ensure implant success is to use a high quality implant and to have the implant properly placed by a highly experienced dentist, or even better - an implant specialist and restored by a highly experienced restorative dentist. Oral surgeons and periodontists have extensive training and have also developed more predictable implant placement technique.

Low-budget implants have poorly designed screws (the portion of the implant that goes into the bone) or may move (even microscopically) when you chew. How an implant crown (the portion of the implant you see above the gumline, or the “tooth”) is made is also critical for the longevity of dental implant health in the bone.

Some of the things we look for in a high-quality implant system are:

1        1.  They should have a very natural look and function just like real teeth.

2.    Strength and reliability of the bond between the abutment and the implant that provides support to the restoration or crown. This bond is so strong that they ultimately unite to form a single unit.

3.    They should be made from neutral titanium. It is accepted by the human body and therefore the chances of long-term success are increased.

4.   The implants are completely sterile and are opened only just before the implant placement begins. Your highly trained dentist or implant specialist and his assistant maintain sterile procedures as the implant is placed

5.   A great quality of the implants we prefer to place is a rough surface which means that it will fit perfectly and heals the new root easily. They are also designed to ensure a perfect fit after restoration and will bond with a patient’s jaw bone.

6.   The implant screw is designed so that the biting forces do not traumatize the surrounding bone.

7.    Implants can be customized for an individual patient’s needs and are selected by length and diameter especially for this patient.

8.   Ideally, implants should be placed around 2mm below the bone crest to get maximum benefits.

9.   The implants system we use in our office have tapered conical connectors to avoid a gap between the restoration and the implant.  This keeps bacteria from collecting where the implant and abutment meet and prevent microscopic movements which over time would put strain on the implant and surrounding bone.

         Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized

dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten received his Bachelor of

Science & Doctorate of Dental Surgery from University of Florida, a Master’s Degree and

Certificate in Periodontology and Implant Dentistry; and completed extensive training at the

Institute of Advanced Laser Dentistry. He is one of the only board-certified periodontists in

Pinellas County. He is a member of the American Academy of Periodontology, American Dental

Association, Florida Association of Periodontists, Upper Pinellas County Dental Association,

Hillsborough County Dental Association, Hillsborough County Dental Research Association andFlorida West Coast Dental Association.  Dr. Todd Britten also routinely uses a 3D GREEN Cone Beam CT Scanner in his office which offers fantastic imaging detail to assist in the digital planning of dental implants for precise accuracy, safety and optimal results.  For more information, visit his website at www.brittenperio.com

Clearwater FL Periodontist Shares: Dental Anxiety and Phobia

Dental anxiety affects many patients and can hinder them from taking the next step to achieve their oral health care goals. 

Dental anxiety and dental phobia are extremely common. Many people have at least some anxiety about visiting the dentist.  But for a patient with a dental phobia, a dental visit can be terrifying. Up to 15 percent of Americans report they avoid seeing the dentist due to severe dental anxiety or dental phobia.  Some people will put off dental care for years or sometimes even decades! This can lead to advanced gum infections (periodontal disease), pain, or even broken or decayed teeth.  The price of dental phobia can include a higher risk of gum disease and can lead to tooth loss. Other people have to live with a loss of self-esteem or reduced quality of life. They suffer with embarrassment over how their smile looks, the inability to eat well, or even discomfort or pain. 

There are many different degrees of dental anxiety or phobia. In the case of a dental phobia, there can be a complete avoidance of the dentist - sometimes for years! Some will go to their appointment, but they may not sleep the night before or feel sick before or during their dental appointment.

When people are feeling tense, they may have a lower threshold for pain and may need extra anesthetic or other pain treatments. They may also suffer from headaches or muscle tension in their back, neck, arms or legs while in the dental chair.

Symptoms of dental phobia or anxiety

·         Tense muscles or trouble sleeping the night before a dental appointment

·         Increasing nervousness or feeling ill while in the waiting room.

·         Feeling like crying or getting overly emotional when you think of going to the dentist.

·         You panic, gag excessively, or have trouble breathing during a dental appointment.

                                                               

                                      What are the causes? And what can help?

Those suffering from dental anxiety or phobia report the main triggers as:  pain, a feeling of helplessness and loss of control, embarrassment, or negative past experiences as the cause for their fear of the dental office. 

The major triggers of dental anxiety or phobia, and how they may be handled:

Pain - Some people have had a previous dental experience that may have been uncomfortable, had trouble getting numb or have very sensitive teeth or gums.  Some of these experiences may have happened before many of the advances in "pain-free" dentistry.  These days, we have many pain control techniques, analgesics and anesthetics available.  

·         Before and during the appointment: different comfort choices can be offered including headphones, music, blanket, a relaxed environment, distraction, mental imaging, sleep mask, breathing techniques, a bite block, or other comfort measures.  Dental professionals have different local anesthetic and topical rinses, liquids, sprays or subgingivally applied gels that can be used.  Tooth desensitizing agents are also available.  Your dental professional will be very knowledgeable about what is available and can select the appropriate method based on the type of procedure, length of procedure as well as your individual needs and preferences.

·            For surgical or more intensive procedures, IV conscious sedation or oral sedation is often an option.  Sedation dentistry can provide a calming experience for patients who have experienced high levels  of anxiety related to dental treatment.  Some dentists are highly trained and certified in IV conscious  sedation or oral sedation. 

IV CONSCIOUS SEDATION

Intravenous (IV) Sedation helps even our most anxious patients remain relaxed and comfortable during procedures. Many patients feel as though they, “went to sleep” during the sedation. The goal of IV conscious sedation is not to provide general anesthesia but instead to allow patients to remain conscious and relaxed with minimal risk during the procedure.

ORAL SEDATION

A prescription medication can be given that can relieve anxiety patients feel before and during their dental procedure. It allows patients to respond verbally and physically to directions all while in a very “restful” state. Patients using oral sedation will need to be driven to and from the procedure.

·         After the appointment:  Warm saltwater rinses, over the counter or prescription pain medications are available to assist in a person’s recovery after the procedure. Having post-appointment care information in writing as well as given verbally is also helpful. 

Helplessness or loss of control — in the dental chair, a patient has to stay still, they can't see what's going on or predict any potential discomfort.  It's common for people to feel helpless and out of control, which may trigger anxiety.  A patient's state of mind is very important especially when one has dental anxiety or phobia.  For some patients, a clear explanation of what procedures will be done, what to expect, and how to indicate if they need the operator to stop or give them a rest can help immensely.

Embarrassment — People may feel ashamed or embarrassed to have a stranger looking in their mouth.  Some people lack self-confidence or are ashamed of how their teeth look, and may be afraid they'll be judged or ridiculed. Dental care also involves an invasion of a person’s personal space as dental treatments require physical closeness. During a treatment, the hygienist's or dentist's face may be just a few inches away. This can make people anxious and uncomfortable.

Negative past experiences — many that have had pain or discomfort during a previous dental procedures, often in childhood, but it could be any other time, are likely to be more anxious. 

To cope with dental fear, it is best to tell your dentist about your feelings, concerns and fears so they can help you overcome these feelings by adjusting your comfort and care in the dental office.

Through the specialty of periodontics & implant dentistry, we at Britten Periodontics strive to deliver comfortable care and ethical treatment in a welcoming environment.  Our goal is to deliver exceptional dental care with compassion, using the latest research based techniques. With education and encouragement, our goal create a strong relationship with our patients and a comfortable experience.

Our team members understand that the treatment provided is not always pleasant or comfortable but they possess the personality to make the patient feel at ease in spite of this.   As a team, we partner with other caring healthcare providers to deliver patient treatment with honor and dignity. A healthy, satisfied patient is our ultimate reward!  For our surgical procedures, Dr. Britten is highly trained and certified in both IV conscious sedation and oral sedation. He is one of the few Periodontists in the Tampa Bay area who offers IV sedation.

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten received his Bachelor of Science & Doctorate of Dental Surgery from University of Florida, a Master’s Degree and Certificate in Periodontology and Implant Dentistry; and completed extensive training at the Institute of Advanced Laser Dentistry. He is one of the only board-certified periodontists in Pinellas County. He is a member of the American Academy of Periodontology, American Dental Association, Florida Association of Periodontists, Upper Pinellas County Dental Association, Hillsborough County Dental Association, Hillsborough County Dental Research Association and Florida West Coast Dental Association.

To learn more about Dr. Britten and his dental services visit his website at http://www.brittenperio.com or call (727) 586-2681.

Clearwater, FL Periodontist Dr. Todd M. Britten is hosting 2nd annual Free Dental Day for Veterans

Clearwater, FL Periodontist Dr. Todd M. Britten is hosting 2^nd annual Free Dental Day for Veterans

"Veterans and their families make so many sacrifices for us all and I am so honored we were able to give something back to them.” - Dr. Todd Britten

Dr. Todd M. Britten and his staff at Britten Periodontics & Implant Dentistry are gearing up for their 2nd annual Free Dental Day for Veterans.  The event will be held in Dr. Britten’s Clearwater office on Friday November 11, 2016.

Last year was the inaugural event and it was a great success.  Dr. Britten, his staff, as well as volunteers from Clearwater Dental Associates and Britten Dental Associates worked together to provide four very deserving veterans with periodontal and general dental care.  When asked about the previous event Dr. Britten said, “It was such a great feeling to help these patients’ oral health improve and help them keep teeth that they were in danger of losing.  Veterans and their families make so many sacrifices for us all and I am so honored we were able to give something back to them.”

For one veteran in particular, treatment included IV sedation (due to the need for extensive treatment and intense dental phobia), extraction of all of this patient’s remaining teeth which were badly broken and excessive bone growth throughout his mouth.  Dr. Jim Hayslett of Clearwater Dental helped Dr. Britten restore this patient’s smile with complete upper and lower dentures.   Dr. Britten stated “All he wanted to do again was eat a steak dinner.  We were able to get a patient out of pain and help him to be able to chew again and smile with confidence.”

Dr. Britten and his staff have been working with The Community Dental Clinic to match patients with periodontal needs with the Clearwater Periodontist’s office.  Allison Sapiega, the exectuve director at the clinic stated, "The Community Dental Clinic has enjoyed the privilege of working with Britten Periodontics for the last few years on their Free Dental Event for Veterans. We are so proud to call them a community partner as we strive together to serve those that fall into the dental services gap. Nearly 95% of veterans are without dental coverage, so events like Britten Periodontics' Free Dental Day for Veterans are imperative in serving those that have served us.”

Dr. Todd Britten explained how glad he is to be doing this the second year in a row and would like to do it annually for the entirety of his career.  When asked why this is a cause so near and dear to his heart he stated that his grandfathers and uncles served in the military and giving back to veterans in need is a top priority for him.  Dr. Britten said, “The entire staff at Britten Periodontics is so grateful to the men and women in the military that make so many sacrifices for our freedom. We are happy to host this annual event, and hope to do it for many years to come.”

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten received his Bachelor of Science & Doctorate of Dental Surgery from University of Florida, a Master’s Degree and Certificate in Periodontology and Implant Dentistry; and completed extensive training at the Institute of Advanced Laser Dentistry. He is one of the only board-certified periodontists in Pinellas County. He is a member of the American Academy of Periodontology, American Dental Association, Florida Association of Periodontists, Upper Pinellas County Dental Association, Hillsborough County Dental Association, Hillsborough County Dental Research Association and Florida West Coast Dental Association.

Dr. Todd Britten is now offering this FDA-cleared laser procedure for gum disease and periodontal treatment. To learn more about Dr. Britten and his dental services visit his website at http://www.brittenperio.com or call (727) 586-2681.

Clearwater FL Periodontist Todd Britten Shares: What is Periodontal Disease?

What is periodontal disease?

Q: What is periodontal disease?

A: Periodontal disease, also known as gum disease, often begins as a buildup of plaque on the tooth's surface near the gum line. If this plaque is not removed by brushing and flossing regularly, it can harden into what your dentist calls tartar. Plaque will continue to build up over the tartar, eventually causing the gums to become red, swollen, and irritated. This is known as gingivitis and is the first stage of periodontal disease. If left untreated, gingivitis can turn into periodontal disease.

What are the symptoms of periodontal disease?
-Red, swollen, sore gums
-Gums that bleed when brushing and flossing
-Teeth that appear longer or become loose
-Large spaces that form between the teeth
-Gums that begin to pull away from the teeth
-Chronic bad breath

Periodontal disease, if left untreated, can contribute to other health problems including heart disease and diabetes. If you're pregnant, having periodontal disease is also linked to premature birth or low birth weight. Your smile's health affects the overall health of your body.

As a periodontist, Dr Britten enjoys making a positive impact in our patients’ lives by improving their smiles as well as their comfort and health. We believe in delivering state of the art care with a gentle touch in a lighthearted environment. If you have any questions about your periodontal (gum) health, please contact our office at 727-586-2681 or visit our website at www.brittenperio.com.

Flossing's Evil Secret Unveiled?

A recent news report from the Associated Press has shed light on the lack of clinical studies and scientific research on the effectiveness of flossing.  Please remember when reading this AP news article that "inadequately researched" certainly does not equate to flossing "been proven useless or ineffective."   This most certainly should not lead us to the conclusion that flossing has no effect on dental health. Even the reporter himself admits he still uses floss daily to remove food from between his teeth. 

The question can be asked, "How many scientific studies have there been saying getting shot with a bullet is bad for your health?"  None or few.   However, common sense as well as real-life examples, talking to doctors, surgeons, or coroners, would lead you to the sensible conclusion that getting shot with a bullet is bad for your health. Similarly, neglecting proper dental care between your teeth daily whether it is with floss, or other dental aids is certainly bad for your oral health.

Bacterial plaque has a direct relationship in the development of caries and periodontal disease. Excellent daily oral hygiene is necessary to remove dental plaque daily to prevent oral disease to remove plaque around and between the teeth, as well as a review of diet, risk factors, and medical history. 

Most patients brush for at least a short period of time, but it is important to use interdental (between the teeth) devices in addition to toothbrushes. Toothbrushes are relatively ineffective between the teeth, and periodontal disease typically begins between the teeth. Preference, availability, interdental anatomy, and dexterity (patient's physical ability) all play roles in the selection of an interdental cleaning device.  Sometimes, more than one aid is required to effectively remove plaque.  This is especially true for our periodontal patients.  Interdental cleaning is so important for the health of your gums and should be done every day!

Since our stance is flossing and/or other interdental care is effective and necessary to prevent both cavities and prevent and control periodontal disease, let's compare our two favorite interdental aids.

                                                 DENTAL FLOSS

Floss is able to reach into narrow spaces between the teeth where use of an interdental brush may be very difficult and will also remove plaque where two teeth have contact. 


Flossing is certainly technique sensitive.  If floss is used too vigorously, gum tissue can be traumatized.  Typically, dental floss should be wrapped around the 2 middle fingers and stretched to a 12 to 18 inch length. Gently move back and forth in the area where the teeth contact each other, wrapping your floss it in a “C” shape around the side of the tooth. Once the floss is through this contact area it is gently moved under the tissue just until resistance is met. It is important not to “jam” the floss under the tissue, as this pulls on the periodontal ligament and can cause damage to the tissue and result in very sore gum tissue. At this point a cleaning stroke moves the floss away from the gum tissue toward the contact spot. Continue with this 6-8 times until a squeak can be heard and the tooth surface is clean. Then move the floss to the adjacent tooth and do the same. 

Possible limitations of floss:  Back teeth (molars and premolars) often have a more complex anatomy between teeth due to root concavities.  A root concavity is a linear developmental depression in the root surface. In health, root concavities are covered in alveolar bone and actually help secure the tooth in the bone.  Flossing may not access these difficult to clean and plaque retentive areas. So for many periodontal patients, flossing as well as the use of an interproximal brush is necessary.

                                                 (anatomy (with root concavity) of a premolar)

                                                             INTERDENTAL BRUSHES

Interdental brushes (proxabrushes), floss and mechanical devices, are available to remove plaque between the teeth. Clinical studies have shown that manual interdental brushes are particularly effective at reducing plaque and gingivitis. Selecting the sizes and types of interdental cleaning devices that are best for you should include an assessment of the space between your teeth, contact points, areas that retain food, gum shape and position, and periodontal pocketing. 

Interdental brushes, or proxabrushes come in wider or thinner sizes Go-Betweens® (Sunstar Butler), to accommodate the various dimensions of the interdental spaces.  Interdental brushes are available with both coated and uncoated wire, and some include antibacterial agents (chlorhexidine) on the bristles. There are also ultrathin, rubbery versions of interdental brushes called Softpicks and Advanced Softpicks® (Sunstar Butler). Our patients who have dexterity issues often find interdental brushes or Softpicks easier to use than floss.  

There are also mechanical (or vibrating interdental brushes), but they do not seem to be as effective as floss or the manual interdental brushes.  A study of a mechanical interdental device (Interclean) in a German population revealed more plaque than with manual interdental brushes. 5 percent of interdental plaque remained following patient use of manual interdental brushes in this study.   In other studies, the same device was compared to the use of dental floss, and the device and manual dental floss were found to be equally effective in reducing plaque. Based upon the results of these clinical studies, manual interdental brushes are superior and floss is equally effective in reducing plaque.


The article by the AP about flossing has brought dentistry and oral hygiene, particularly flossing, into the news and into people's minds.  For that, we are thankful. Even people who admittedly do not floss, are coming to flossing's defense.  And it certainly opens up some open, some lighthearted and some not-so lighthearted discussion on the topic (many dental hygienists, assistants and dental practicioners are NOT happy with this article or the confusion it could cause!)

Ultimately, the goal of oral good hygiene and good dental care is to prevent, arrest, and control periodontal disease and caries. One's ability to remove plaque from all areas, including interproximal areas, is an essential part of every patient’s selfcare program. Your dentist, dental hygienist, and periodontist can work with you as to which oral hygiene aids are going to improve your oral health by examining the effectiveness of your daily plaque removal routine (measuring your plaque levels and the condition of your gum tissues), as well as selecting and demonstrating the best oral hygiene aids for your lifestyle, ability, health, tooth anatomy, your risk for cavities and your periodontal condition.

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten received his Bachelor of Science & Doctorate of Dental Surgery from University of Florida, a Master’s Degree and Certificate in Periodontology and Implant Dentistry; and completed extensive training at the Institute of Advanced Laser Dentistry. He is one of the only board-certified periodontists in Pinellas County. He is a member of the American Academy of Periodontology, American Dental Association, Florida Association of Periodontists, Upper Pinellas County Dental Association, Hillsborough County Dental Association, Hillsborough County Dental Research Association and Florida West Coast Dental Association.

To learn more about Dr. Britten and his dental services visit our website at:http://www.clearwaterperiodontist.com or http://www.brittenperio.com or call (727) 586-2681.