141 North State Road #2; Briarcliff Manor, NY (914) 762-1885
Dr. Victor Sternberg: Westchester Center for Periodontal and Implant Excellence
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Doctor To Patient

We strive to keep our patients and friends up to date with 
the most recent news regarding dentistry, including special news and announcements. You are encouraged to review our journal below.  You never know what you will learn!

We encourage you to share this page with a friend!

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PATIENT IMPLANT MAINTENANCE

4/12/2013

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I hope this finds you enjoying our long-awaited spring.

I spent last weekend in Chicago at an international conference on dental implantology. Watching the field evolve from when I first started placing implants in 1986 to where it is now has been a wonderous march with science.

The biggest take-aways from the speakers who traveled from afar including Europe and Asia to share information with those of us who are committed to implant dentistry were:

1) The maintenance of implants after they have been placed is critical. When implants were first introduced in the mid-1980’s, there was a belief that they were somewhat immune to some of the issues that affect teeth such periodontal disease. As the years go by, we are now discovering that is not true and that implants need to be maintained, cleaned by the patient and maintained by the dentist, as carefully as regular teeth. They are impervious to decay so that issue is eliminated but loss of bone can occur making follow-up care for implants as important as having your teeth followed professionally. Careful oral hygiene, similar to what you employ in cleaning your teeth, should be done around your implants.

2) The second take-away was the progress in terms of placing immediate implants and making restorations in shorter periods of time. When implants were first introduced, we had to wait approximately 6 months to put crowns on them. That’s been shortened by some of the implant systems, one of which we are employing in our office, to as little as six weeks when it’s appropriate.

In addition, there are cases and patients for who implants can be restored immediately; even for patients who have no teeth, it is possible to replace all the teeth in one day with a temporary type of bridge eliminating the denture they are wearing.

Please share this information with your friends and family since implant dentistry has progressed to a level that we can make significant differences in a very short period of time.

One final note, 15 years ago I placed implants in a man who had no lower teeth and had difficulty eating. In a recent conversation with him, he told me that this was the biggest life-style change that he’s ever experienced. His ability to eat, smile and speak comfortably has created a huge difference in his personal sense of well-being as well as his health.

 Wishing you all a healthy and peaceful spring,

 Dr. Victor M. Sternberg, D.M.D.
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A Correct Bite

2/18/2012

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A correct bite can only be evaluated by your dentist. A correct bite is essential for your dentures, your partials and your implants and your teeth. Dentures will break, teeth will loosen or break and bone can dissolve if your bite is incorrect and your teeth do not meet evenly and gently. A great deal of extensive and expensive dental care results from not addressing the issue of a proper bite (occlusion). Your dentist should always be evaluating your teeth, your dentures and the muscles of your face to prevent the damage that can occur from an improper bite.

Symptoms of possible improper bite can include:

  • Headaches in the morning
  • Sore jaw
  • Facial pain

These are just a few and could all be symptoms of grinding your teeth at night. Grinding is caused by stress, anxiety, but more likely an incorrect bite, missing teeth or crooked teeth.

Please feel free to discuss with me.

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Tooth Replacement

2/4/2012

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The proposal of implants, bridges (partials) and dentures become a restoration option when our natural teeth are no longer present in the mouth.

Implant supported dentures

An implant supported denture is a type of denture that is supported by and attached to implanted teeth. A regular denture rests on the gums and is not supported by implants. An implant supported denture can be used when a person does not have any teeth but has enough bone in the jaw to support implants. An implant supported denture is removable and can be cleaned daily and remains out of the mouth at night. Implant supported dentures are ideal for the lower jaw because regular dentures tend to be less supportive for the lower jaw.

Partial Dentures

A removal partial denture or bridge consists of replacement teeth adhered to a pink or gum-colored plastic base, which are connected by a metal framework that holds the denture in place in their mouth. Partials are used when one or more natural teeth remain in the upper or lower jaw. A fixed partial (or bridge) is permanent; it replaces one or more teeth by placing crowns on the teeth next to the missing tooth and an implant for the space. The bridge is cemented into place to prevent adjustment or movement. A bridge also prevents the other teeth from moving. A precision partial, is removable and has attachments that are not seen, esthetic in appearance that attach to adjacent crowns. Partials are undetectable and appear as natural teeth. Removable appliances can be made to function very much like natural teeth if they are supported by dental implants. The denture can snap on the implants so that when you chew or speak, the denture remains fixed or unmovable allowing you to not only look as if you have your own natural teeth but be able to enjoy eating as if you never lost a tooth. Bridges can also be attached permanently to implanted teeth. Implants feel and look like natural teeth and support the bridge. Implants eliminate the need for adhesives, they preserve the bone underneath your appliance and can make you forget that you ever lost a tooth.

Conventional Dentures

These types of dentures can be either 'conventional' or 'immediate'. Conventional are made after the teeth have been extracted and the gum tissue has healed. Conventional dentures are placed about 8-12 weeks after the teeth have been removed. Immediate dentures are provided right after the teeth have been removed as a temporary option so that the wearer does not have to go without teeth. However, the gum tissue still has to heal and bones and gums shrink over time, especially during healing period after teeth removal. This means the 'immediate' dentures will require adjustment possibly several times after the healing process to fit properly until the conventional dentures are ready for placement.

There are so many options to chose from. A qualified dental specialist is best able to make the correct determination of what is the best for the patient dentally, functionally, esthetically and medically.

I want to reiterate what has been determined in Canada. Patients who had a two-implant-supported overdenture reported 97% of the time they were happier with their denture. 87% said they were more comfortable in their lives, happier around people and felt more confident. 84% felt systemically healthier. Over a six-month period, their diets changed and they ate more fruits, vegetables, corn, nuts, and in Canada, generally ate a healthier diet. The National Health system in Canada is now paying for an implant denture supported by two implants since they believe it will reduce the medical problems faced by patients who are fully edentulous in the mandible.

Please feel free to discuss with me.

Click here to contact me

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You Can't Have General Health Without Gum Health

1/7/2012

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The health of your gums is clearly related to your general health. The numerous studies related to heart disease particularly show that there is a relationship between inflammation combined with periodontal bone loss, periodontal disease and coronary artery disease. Periodontal health may, in some cases, contribute to cardiac health. The preservation of natural teeth and sufficient chewing allows you to have unlimited choices in food selection. Many people are unable to chew due to missing teeth and rely on diets that are high on carbohydrates. Softer foods also lead to obesity and other health issues. A healthy, attractive smile is one of the hallmarks of a good self image and all the positive things that it brings. The ability to chew comfortably, the absence of bleeding or a bad taste or bad breath all contribute to a sense of well being. Having treatment for periodontal disease can result in a general all-around sense of comfort and well-being. The replacement of natural teeth can be extremely expensive and fraught with time, and discomfort. It can be avoided by keeping one's natural teeth and keeping them in a healthy state. 

Please feel free to discuss with me.

Click here to contact me

In a recent study in Montreal where they treated a large number of edentulous (without teeth) patients and followed them for several years, they found the following: Patients who had a two-implant-supported overdenture reported 97% of the time they were happier with their denture. 87% said they were more comfortable in their lives, happier around people and felt more confident. 84% felt systemically healthier. Over a six-month period, their diets changed and they ate more fruits, vegetables, corn, nuts, and in Canada, generally ate a healthier diet. The National Health system in Canada is now paying for an implant denture supported by two implants since they believe it will reduce the medical problems faced by patients who are fully edentulous in the mandible. They found that the patients were not only psychologically more comfortable but they had less gastric reflux and weight gain was reduced due to changes in the diet and their blood chemistries improved as they ate fewer carbohydrates.

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    Staff

    From the desk of...
    Dr. Victor Sternberg

    This is a series of regular postings focusing on preventing disease and maintaining good health.  I will share information available through professional journals as well as my own personal experiences and those of my patients.

    When you are in our office our time communicating to you is focused on your treatment and visit. We have much to share with our patients that we feel is valuable for continued health and wellness.


    I hope you find this page informative and helpful. We look forward to having additional dialogue with you electronically and in person!  All the best!

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Dr. Victor Sternberg:
Westchester Center for Periodontal & Implant Excellence
141 North State Road #2
Briarcliff Manor, NY 10510
TEL: (914) 762-1885
FAX: (914) 762-1880

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