Dental Implants at Confident Dental


Both designed to replace a missing tooth. A dental implant is a titanium screw placed in the bone (replacing the root) that comes with a crown (a false tooth that matches the rest of your teeth in shape and color). A bridge is a false tooth suspended between two crowns that dentist cements onto prepared natural teeth. The pillar teeth need to be grinded in a specific shape in order to insert the bridge.
Dental bridges used to be an absolute modern solution in the previous decades but nowadays implants proved to have more advantages:

  • Esthetic advantage. An implant in the front area of your mouth will look more natural. That is ok to
    have bridges towards the back of the mouth, as it won’t be visible.
  • Jaw bone stimulation. When a tooth falls out, the jaw bone shrinks and over time the face
    appearance and smile change as the gum follows the bone (creating a bone and gum defect).The
    implant is replacing the root , so it has the same function as a root: to stimulate the jaw bone and
    helps preventing the shrinking .
  • Durability: Implants are more durable than bridges, once osseointegrated the titanium implants will
    last a life time. Porcelain on the bridges and implant crowns is getting fatigued with time and needs
    replacement (as long as the pillar teeth are in good condition).
  • Cost involved: Implant may be seen more expensive comparing to bridges, but considering that
    bridges have to be changed after 10-15 years, their cost becomes higher. It is financially convenient
    to have a bridge placed if you are not looking further that 5 to 7 years. Long term perspective,
    implants are more cost effective.
  • Time consuming: Bridges are placed in 2-3 visits to the dentist (done in less than 7 days). Implant
    and implant crown placement takes 2-3 visits ( procedure done in 3 days up to 2 months).
  • Maintenance: Both need regular (every 6 months) cleaning, check up and x-ray.
Dentist for Child


Our parents used to take us to the dentist when our permanent teeth were fully erupted or when we were complaining of a toothache. Preventive dentistry or prophylactic measurements were described in theory but very rarely applied in practice. Today, thanks to different education methods and enormous volume of information that circulates in media and “google “, parents try to avert a dental issue instead of dealing with the real problem later. Baby teeth start coming out at the age of 6-7 months, some
little super heroes get their teeth even at 4 months.

The first dental appointment should be after the eruption of the first baby tooth. First visit is an introduction tour to the dental office. Let your child get familiar with the environment, playing area, dental room. The pediatric dentist can have a look in child’s mouth only if the baby is calm and joyful.
Why parents have to take their kids so early to the dentist? Baby teeth are vulnerable to decay as they don’t brush them twice a day. Milk and
juices can cause bottle caries that at this age evolves very fast, ending with extensive dental treatment and sometimes extraction. Baby teeth keep the space for permanent ones, so it is important to look after them. Another good reason to see a dentist is the bad habits: thumb sucking, tongue thrusting, lip sucking, etc.

What parents can expect from the visit?

First appointment of the toddler is about building trust and feel comfortable in the dental office. Before you arrive, explain to the child what is going to happen and why it is important. If he/she is a bit nervous, do not push it, book another visit with the dentist, until your child is fear free. First visit is about introducing the toothbrush and toothpaste, show the child how to brush in a playful way and why it is necessary to look after the teeth.

How often the child should be taken to the dentist

Regular checkups are the key to decay prevention. Let your dentist decide when it will be the toddler’s next appointment.

The biggest effort to flourish good dental habits is still done at home.

  • Parents should observe how the child is brushing his/her teeth and help if the child is struggling
  • Make sure the toddler does not go to sleep with the bottle without brushing the teeth
  • Limit the intake of sugar sweets
  • Break the bad habits as per dentist instructions

Do you know what is the best toothbrush for you?

It is well known that oral hygiene is the key element to keep the teeth healthy and to maintain the dental treatments safe. So, here is our question – Do you really know which toothbrush is the best and the safest one for you?

As part of her master`s dissertation, Dr. Nicolle has recently published a systematic review that brought out the question of which are the characteristics in a toothbrush to consider it safe to use and effective for dental plaque removal.

The conclusion of Dr. Nicolle`s study was that soft and extra-soft toothbrushes, with both rounded and tapered bristles, are considered to be safe and effective. Medium and hard toothbrushes are not recommended, given that they were linked to adverse oral soft tissue effects, such as gingival abrasion.

ConfiDent Palm Dentists recommend a daily oral hygiene consisting of brushing your teeth at least 2 times per day, floss everyday and use a soft or extra-soft toothbrush to avoid oral soft tissues injuries during toothbrushing.

Reference: Are bristle stiffness and bristle end-shape related to adverse effects on soft tissues during toothbrushing? A systematic review. N. Ranzan, F. Muniz, C. Rosing. 2018.

Dr. Nicolle Ranzan

General Dentist

Dr. Nicolle received her dental degree in Brazil, being given a scholarship to perform part of her studies at The Queen`s University of Belfast, UK. She completed her two post-graduate dentistry degrees at Federal University of Rio Grande do Sul (Brazil), holding a Master of Dental Clinic/Periodontology and Specialization in Periodontology diplomas. Dr. Nicolle recently published articles at international journals and she is continuously updating her knowledge to provide the best treatments in dental care.

What is a periodontal pocket?

Periodontal pocket is the outcome of periodontal disease (also known as gum disease). It is a chronic infection in the gums and jawbone surrounding the teeth. It is proven to be a health risk and lead to dental problems, teeth loss and other potential systemic issues. However because the symptoms can be very subtle, many don’t realize they have gum disease until it starts to take a serious tall. When the bone and gum tissue doesn’t fit snugly around the teeth anymore, we start seeing “pockets” around the teeth. Over time, these pockets become deeper, providing perfect environment for bacteria to live in, resulting in gum and bone loss. Eventually the teeth will need to be extracted.

What is the cause of periodontal pockets?

There are detected local and systemic causes. Localized plaque and tartar hidden under the gums start infecting your gums. This is considered to be the first level of periodontitis, named gingivitis. Following symptoms describe gingivitis: redness and gums swelling, bleeding when flossing and brushing, occasional bad breath, periodontal pockets 2-4mm when the dentist is probing. This stage is complete reversible and it effects only the gums, it does not involve bone loss yet.

The main treatment for gingivitis is to maintain a good oral hygiene, regular check-ups and dental cleaning (every 6 months) with an experienced dental hygienist.

If gingivitis is not treated, the infection protrudes deeper under the gums and goes to the next level of slight periodontitis (2nd stage). It is very similar to gingivitis with deeper pockets 3-5mm. the transition from stage 2 to 3rd stage can happened unnoticed to the patient. Same symptoms can accurre : gum redness and swelling , bleeding while brushing and flossing , halitosis ( bad breath) ,but it involves bone loss . Your dentist detects periodontal pockets 6-7mm. At this point, infections periodontal bacteria enter the blood stream and stress the immune system. Treatment can include deep cleaning (scaling and root planning) in order to remove all the bacteria deposits, more often visits (3-4months or depends on the treatment plan).

And the last stage is advanced periodontitis that involves 50-85% of bone and gum loss, periodontal pockets depth more than 7mm, severe bad breath, gum redness and swelling, advanced teeth mobility. Patient starts to see gups between their teeth, exposed teeth roots due to bone loss.

Usually this stage marks the end of teeth life expectancy, teeth should be extracted and replaced with dental implants or any other restorative replacement.

Periodontal disease is often associated with systemic diseases or they have a bidirectional relationship. That has been described in many studies (references below). The authors link periodontal disease with autoimmune diseases : type 1 diabetes mellitus ( there is compelling evidence showing association between poorly controlled type 1 diabetes , higher HbA1c levels – it is lab test that shows the sugar levels in the last 3 months) ; rheumatoid arthritis , osteoporosis .

Other pathological conditions correlated with periodontitis are cardiovascular disease, cerebrovascular disease, respiratory diseases, peripheral arterial disease and complication during pregnancy. Additionally, genetical predisposition and chronic environmental insults such as exposure to stress; poor diet, alcoholism, smoking, drug abuse could trigger periodontal disease. All the treatment plans should be discussed with the patient’s physician.

In conclusion, periodontal disease can be treated if detected at early stage. If you have any questions about periodontal disease or treatment please do not hesitate to ask your dentist or us.

“Periodontal disease and Its Systemic Associated Diseases “ J.Fernandes-Solari , P.Barrionuevo , C.A.Mastronardi

Dr. Irina Bratu

General Dentist

Dr Irina qualified as a Dentist in Republic of Moldova at State University of Medicine “Nicolae Testemitanu”.

She completed her extensive three years postgraduate program on Dental Therapy & one year advanced educational program on Implantology and Oral Rehabilitation at New York University College of Dentistry (USA). She is a member of Emirates Medical Association EMA, has a passion for the prevention of oral disease, and works to promote a healthy lifestyle for all of her patients.

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