Vero Beach, FL Dentist
Raymond A. Della Porta, II DMD
1300 36th Street, Suite F
Vero Beach, FL 32960
(772) 567-1025
Dentist in Vero Beach, FL Call For Financing Options
Vero Beach, FL Dentist
Raymond A. Della Porta, II DMD
1300 36th Street, Suite F
Vero Beach, FL 32960
(772) 567-1025
Dentist in Vero Beach, FL Call For Financing Options

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By Raymond A. Della Porta, II DMD
May 14, 2018
Category: Oral Health
IncreaseYourImplantsSuccessChancesbyKeepingYourGumsHealthy

If you’ve just received a dental implant restoration, congratulations! This proven smile-changer is not only life-like, it’s also durable: more than 95% of implants survive at least 10 years. But beware: periodontal (gum) disease could derail that longevity.

Gum disease is triggered by dental plaque, a thin film of bacteria and food particles that builds up on teeth. Left untreated the infection weakens gum attachment to teeth and causes supporting bone loss, eventually leading to possible tooth loss. Something similar holds true for an implant: although the implant itself can’t be affected by disease, the gums and bone that support it can. And just as a tooth can be lost, so can an implant.

Gum disease affecting an implant is called peri-implantitis (“peri”–around; implant “itis”–inflammation). Usually beginning with the surface tissues, the infection can advance (quite rapidly) below the gum line to eventually weaken the bone in which the implant has become integrated (a process known as osseointegration). As the bone deteriorates, the implant loses the secure hold created through osseointegration and may eventually give way.

As in other cases of gum disease, the sooner we detect peri-implantitis the better our chances of preserving the implant. That’s why at the first signs of a gum infection—swollen, reddened or bleeding gums—you should contact us at once for an appointment.

If you indeed have peri-implantitis, we’ll manually identify and remove all plaque and calculus (tartar) fueling the infection, which might also require surgical access to deeper plaque deposits. We may also need to decontaminate microscopic ridges found on the implant surface. These are typically added by the implant manufacturer to boost osseointegration, but in the face of a gum infection they can become havens for disease-causing bacteria to grow and hide.

Of course, the best way to treat peri-implantitis is to attempt to prevent it through daily brushing and flossing, and at least twice a year (or more, if we recommend it) dental visits for thorough cleanings and checkups. Keeping its supporting tissues disease-free will boost your implant’s chances for a long and useful life.

If you would like more information on caring for your dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gum Disease can Cause Dental Implant Failure.”

By Raymond A. Della Porta, II DMD
May 04, 2018
Category: Oral Health
JamieFoxxChipsaTooth-ThisTimebyAccident

Some people are lucky — they never seem to have a mishap, dental or otherwise. But for the rest of us, accidents just happen sometimes. Take actor Jamie Foxx, for example. A few years ago, he actually had a dentist intentionally chip one of his teeth so he could portray a homeless man more realistically. But recently, he got a chipped tooth in the more conventional way… well, conventional in Hollywood, anyway. It happened while he was shooting the movie Sleepless with co-star Michelle Monaghan.

“Yeah, we were doing a scene and somehow the action cue got thrown off or I wasn't looking,” he told an interviewer. “But boom! She comes down the pike. And I could tell because all this right here [my teeth] are fake. So as soon as that hit, I could taste the little chalkiness, but we kept rolling.” Ouch! So what's the best way to repair a chipped tooth? The answer it: it all depends…

For natural teeth that have only a small chip or minor crack, cosmetic bonding is a quick and relatively easy solution. In this procedure, a tooth-colored composite resin, made of a plastic matrix with inorganic glass fillers, is applied directly to the tooth's surface and then hardened or “cured” by a special light. Bonding offers a good color match, but isn't recommended if a large portion of the tooth structure is missing. It's also less permanent than other types of restoration, but may last up to 10 years.

When more of the tooth is missing, a crown or dental veneer may be a better answer. Veneers are super strong, wafer-thin coverings that are placed over the entire front surface of the tooth. They are made in a lab from a model of your teeth, and applied in a separate procedure that may involve removal of some natural tooth material. They can cover moderate chips or cracks, and even correct problems with tooth color or spacing.

A crown is the next step up: It's a replacement for the entire visible portion of the tooth, and may be needed when there's extensive damage. Like veneers, crowns (or caps) are made from models of your bite, and require more than one office visit to place; sometimes a root canal may also be needed to save the natural tooth. However, crowns are strong, natural looking, and can last many years.

But what about teeth like Jamie's, which have already been restored? That's a little more complicated than repairing a natural tooth. If the chip is small, it may be possible to smooth it off with standard dental tools. Sometimes, bonding material can be applied, but it may not bond as well with a restoration as it will with a natural tooth; plus, the repaired restoration may not last as long as it should. That's why, in many cases, we will advise that the entire restoration be replaced — it's often the most predictable and long-lasting solution.

Oh, and one more piece of advice: Get a custom-made mouthguard — and use it! This relatively inexpensive device, made in our office from a model of your own teeth, can save you from a serious mishap… whether you're doing Hollywood action scenes, playing sports or just riding a bike. It's the best way to protect your smile from whatever's coming at it!

If you have questions about repairing chipped teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Artistic Repair of Chipped Teeth With Composite Resin” and “Porcelain Veneers.”

By Raymond A. Della Porta, II DMD
April 24, 2018
Category: Dental Procedures
Tags: dental care  
KeepYourSmileBeautifulinAprilandBeyond

There are well-known holidays on the calendar this month, but here’s one that might have escaped your notice: “Keep America Beautiful Month,” which is observed throughout April! At this time, people from coast to coast are encouraged to clean and beautify their communities. So why not think of it as an occasion to spiff up your smile? Here are five ways to do exactly that:

Have your teeth professionally cleaned. A routine dental visit, which includes a professional cleaning and exam, is one of the best preventive healthcare values there is. It’s a chance to catch dental problems (including potentially serious ones like oral cancer) before they become more difficult to treat. A dental professional can remove built-up deposits of tartar from your teeth using specialized instruments—something you can’t do at home. Plus, you’ll leave the office with a freshly polished smile that looks and feels great.

Get a professional teeth whitening. Having whiter teeth often makes people look more youthful. And one of the best ways to brighten dull teeth is with professional teeth whitening. You can achieve the fastest, most dramatic results with an in-office treatment—up to ten shades in just one visit! We can also make you a custom take-home kit to achieve similar results over time.

Repair chipped teeth. If you feel self-conscious about a chipped tooth, consider cosmetic bonding. In this relatively inexpensive procedure, which often takes just one office visit, tooth-colored resin material is applied to the chipped area and hardened under a special light. The translucent resin is built up layer by layer, bringing teeth with minor flaws back to a great, natural-looking appearance.

Replace old dental work. Sometimes old dental work can stand out more than we’d like it to. This is especially true of amalgam (silver) fillings—but even white fillings can absorb stain after many years. If you feel old dental work is detracting from your smile, it may be time to replace it with up-to-date dental materials.

Straighten your smile. Did you know that there is no maximum age for successful orthodontic treatment? It’s true: Healthy teeth can be moved at any age. And if you think metal braces wouldn’t fit in with your look or lifestyle, consider one of the less-visible alternatives to traditional orthodontic hardware—such as ceramic braces and clear aligners.

Having the smile you want can make you feel more confident in any month of the year. If you’d like more information on cosmetic dentistry, please contact us or schedule a consultation. You can learn more by reading the Dear Doctor magazine articles “How Your Dentist Can Help You Look Younger” and “Orthodontics for the Older Adult.”

By Raymond A. Della Porta, II DMD
April 23, 2018
Category: Dental Procedures

Do you want those pearly white teeth?teeth whitening

It's understandable that discolored or yellowed teeth aren't attractive, let alone presentable on camera or during interviews. Here is some more information about teeth whitening in Vero Beach, FL.

What kind of teeth need teeth whitening?

Drinking coffee and tea is great, until your teeth are discolored. Here are a few things that lead to stained teeth:

  • Eating food that stain teeth like blueberries and blackberries
  • Indulging in sweets and sodas
  • Smoking and chewing tobacco
  • Certain types of medications

Stained, dull, or discolored teeth are also a result of the darker layer of your teeth, dentin, becoming exposed. This happens as a result of enamel withering away with time and age. Your teeth's enamel starts absorbing products you consume, staining your teeth.

How are teeth whitened?

  • You can go to your Vero Beach dentist's office and get in-office teeth whitening. Your doctor places special retractors in your mouth prevent your lips, cheeks and tongue from touching the whitening gel put on your teeth.
  • Take-home kits are also available. This method takes longer than in-office teeth whitening but is conveniently used at home on your own time.
  • Tooth-whitening toothpastes may also help remove some of the stains and make your teeth a few shades brighter.

Take into consideration that whitening agents used don't work on certain stains and teeth:

  • Brownish or grayish stains
  • Pitted or badly discolored teeth
  • Porcelain dental restorations such as crowns, bridges, bonding and tooth-colored fillings

While there are many options to improve the shade of your teeth, going to your doctor is the safest and longest lasting; teeth whitening lasts up to five years. So consider which option may be best.

If you have any questions or concerns about teeth whitening, don't hesitate to ask For more information on from your Vero Beach, FL, dentist Dr. Raymond Della Porta today!

By Raymond A. Della Porta, II DMD
April 14, 2018
Category: Oral Health
Tags: bone loss  
BoneLossattheRootscanPutYourToothinDangerofLoss

There’s more to teeth than meets the eye. Hidden beneath the visible crown are the tooth’s roots set within the jawbone, secured and protected by the gums from bacteria and infection. But if the gums shrink back (recede), the roots become exposed and susceptible to disease, especially at the points where multiple roots branch from each other, areas called furcations.

It all begins with periodontal (gum) disease caused by built-up bacterial plaque from insufficient brushing and flossing. The infection triggers inflammation that over time weakens gum tissues. They begin to detach from the teeth, which can eventually lead to gum recession and root exposure.

This also causes bone loss, especially at the furcations. We can detect any loss (known as a furcation invasion) and how far along it may be with x-ray imaging or by manually probing with an instrument called a periodontal probe.

There are three general classes measuring furcation invasions. In the earliest, Class I, we can feel the invasion as a slight groove; in Class II, it increases to two or more millimeters across. In Class III the bone loss extends from one side of the root all the way to the other (a “through and through”).

At this stage a patient is in danger of losing the tooth, so we’ll have to act promptly. This means first removing accumulated dental plaque and calculus (tartar) to stop the infection and allow the gums to heal. With severe damage, we may need to assist healing with bone and gum tissue grafting, in which we place donor grafts to serve as scaffolding for the appropriate tissue to grow upon.

You can help prevent this situation by practicing effective daily hygiene and visiting your dentist for thorough cleanings at least twice a year (or more if recommended). And at the first signs of a gum infection—swollen, reddened or bleeding gums—make an appointment as soon as possible to have it checked. The sooner we can detect and treat gum disease, the less likely a furcation invasion or worse will be in your future.

If you would like more information on gum disease diagnosis and treatment, please contact us or schedule an appointment for a consultation.





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