What Is A Periodontist?

A periodontist is a dentist specialist who specializes in the prevention, diagnosis, and treatment of periodontal (gum) disease and in the placement and maintenance of dental implants. Periodontists are experts in the treatment of all forms of periodontal disease, including gingivitis, periodontitis, and gingival recession. The American and Canadian Dental Association recognize periodontics as one of the nine specialties of dentistry. Periodontists receive extensive post graduate training in treating periodontal (gum) disease, aesthetic plastic periodontal procedures, gum grafting, soft tissue and hard tissue reconstructive surgery and dental implant placement, including three years of additional education beyond dental school. By choosing a specialist you will benefit from the latest procedures for treating periodontal disease and placing dental implants tailored to your needs. In addition, Drs. Noroozi and Pauletto can perform cosmetic periodontal procedures to help you achieve the smile you desire.

My periodontist says that he/she is “board certified.” What does that mean?

All periodontists must complete an additional three years of specialized training in periodontics following dental school. However, some periodontists opt to take the board-certification examination, which is offered by the Royal College of Dentists of Canada (RCDC) once per year. Board certification in periodontology denotes someone who has made significant achievements beyond the mandatory educational requirements of the specialty, including demonstrating a high calibre and comprehensive mastery of all phases of periodontal treatment and in the dental implant surgery.

What Is A Prosthodontist?

Prosthodontics is a branch and specialty of dentistry concerned with the diagnosis, restoration and maintenance of oral function, comfort, appearance and health of the patient by the restoration of the natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. The clinical expertise of the Prosthodontist consists mainly of two components:

  • Diagnosis, treatment planning and prevention
  • Dental treatment with a wide repertoire of solutions including fillings, dentures, veneers, crowns, bridges, splints/nightguards, implants and cosmetic dentistry

Are you considering a dental implant?

Who should perform your dental implant surgery?

The obvious answer is you want someone who has had a lot of experience with dental implant surgery as well as general oral surgery. A Periodontist is an obvious choice. These types of dentists complete 3 year post doctoral residencies in the surgical disciplines of dentistry. 

A simple analogy that I like to use is that it is like playing golf. The more you do it the better you get at it. You develop consistency and instincts that guide your play. Placing implants is similar. If it is a discipline that you engage in day in and day out your results become consistent. That is not to say someone with a great deal of experience will never make mistakes its just to say that they will not be made as often.

The majority of dental implant therapy is carried out under the guise of the team approach. The general dentist would refer the placement of the dental implants to a surgical specialist. Once that treatment was completed, the surgical specialist would refer the patient back to the general dentist’s office for the restoration of the dental implants. The team approach is the most ideal model for dental implant therapy because all the aspects of the patients treatment are handled by the most qualified professionals – surgery performed by surgeons, restorations performed by dentists. 

In conclusion, experience and knowledge in dental implant surgery, should be the major criteria in who should perform dental implant surgery. Experienced defined as several hundred implant placements if not over a thousand and someone who does it routinely. 3D cone beam or similar technology should be used for diagnosis and treatment planning.

Having a dental implant is a lifelong investment. To be sure of choosing the right implant system, you should ask your dentist three important questions.

1. What is the success rate for the implant system?

Man and woman sitting togetherThe success rate indicates the proportion of all the system’s implants that have been integrated into the bone and function without problems. Dental implants from the quality assured companies used by our specialists report a success rate of 98 to 100 percent.  These manufacturers provide dentists with lifetime guarantees for most of their products. They can do this because these implants are developed in accordance with biological and biomechanical principles, and because their unique design gives the implant superior durability.

2. How well will the bone level be maintained?

The quality and quantity of the jawbone is an important factor in determining how well the implant grows into the bone tissue. It is therefore vital to retain as much of the jawbone tissue as possible for long-term functional and esthetic results. One known complication when an implant is inserted is what is known as marginal bone loss, which causes sinking in the area around the implant. Thousands of patients using implants by DENTSPLY Implants were monitored and X-rayed by independent researchers and dentists over a five-year period. Studies demonstrate that implants from DENTSPLY Implants result in three to four times better bone level maintenance than the accepted standard norm.

3. Does any scientific documentation exist?

There are currently over 140 dental implant manufacturers on the international market, and many systems come and go. Several of them have simply disappeared when their implants have turned out to be of inadequate quality, causing serious problems for both the patient and dentist. One of the reasons for this is that the systems were not tested and scientifically documented before being used in a clinical setting. For this reason, we advise all dentists to seek documentation and take a critical view of scientific articles and studies regarding dental implants. Why was the study carried out, and what does it really tell us? How many patients and dental clinics were involved? When did the implant start being monitored? 
Implants being placed by our specialists are among the world’s most well-documented systems. Studies show exceptional results in terms of both function and esthetics, and prove that we can stand up to inspection by researchers, clinics and patients.

Not all implants are created equal. 

Straumann offers you important advantages for your missing teeth, with trusted products built on a foundation of quality, scientific research, and leading-edge technology

Worldwide Confidence, Worldwide Trust

Recognized as one of the leading providers of dental implants, more than 14 million Straumann implants have been sold to clinicians in over 70 countries. Rest assured that no matter where life takes you, care for you and your Straumann dental implants is nearby.

Clinical Excellence
Straumann dental implants are one of the most well documented systems with more than 30 years of extensive scientific and clinical evidence – few implant companies can make that claim.

Swiss Quality and Precision
With Swiss precision engineering roots, Straumann implants and components are manufactured under exacting processes and held to the highest quality standards.

Supported by Science
Straumann dental implants have shown a 98.8% survival rate in long-term clinical studies. This 10-year survival rate (meaning the implant is still secure in a patient’s mouth) is one of the highest observed to date.

Leading implant surface and implant material
Straumann offers some of the most advanced dental implant surfaces and materials available, designed to shorten treatment times and make tooth replacement less intrusive.

  • Straumann SLActive® is an advanced implant surface designed to bond faster with bone, reduce healing time and increase the predictability of implant treatment.
  • Straumann Roxolid® is the first Titanium Zirconium alloy designed for dental implants and provides improved strength2 over Straumann’s Titanium implants, offering a new option for patients with limited bone or narrow spaces between teeth.

Since every surgical procedure carries potential risks, patients should always consult a dental professional to evaluate whether dental implants are the option for them.