Our Science

Tomorrow’s Technology For Today’s Teeth

Advanced technology is making the permanent teeth implant process more accurate and predictable than ever before. At The Silberg Center For Dental Science, we utilize only the best, and proven, state of the art periodontal treatments and technologies. It is our commitment to ensure that each of our patients not only receives the highest level of personalized care, but also, the most effective and advanced scientific solutions for all of their oral health needs.

Our practice is proud to feature the following science and technologies in our everyday treatment and practice:

Perioscope

The Perioscope is an endoscope (or microscope camera) that is specifically designed for exploration and visualization of the space under the gum (periodontal pocket) of teeth involved with gum disease. From under the gum, the Perioscope produces a computerized image of the diseased tooth's root surface, allowing the clinician to see the contents of the periodontal pocket and analyze the root surface of the tooth for disease causing bacterial accumulations, such as plaque and calculus. The Perioscope guides the clinician during the treatment process and allows the clinician to identify problems that previously required surgery to detect.

We are proud that our practice was one of the very first on the east coast to have this new technology, and one of only a few in the world to be familiar with its operation. More information on Perioscope, and its manufacturer, can be found at: www.aubreygroup.com/clients-dental.htm

Digital X-Ray Technology

Digital x-ray imaging is state of the art when it comes to x-rays. We have been using the world wide leader, the Schick system technology, since 1997. The advantages include 80% less radiation, instant images on the computer screen and image enhancement via the software to see more information on your digital x-ray than on the traditional one inch piece of conventional x-ray film. This means better, safer, faster more effective treatment than ever before with much less radiation exposure. It also means less damage to our environment because we do not have to dispose of toxic chemicals that are used to develop film.

Autologous Platelet Rich Plasma (Platelet Gel)

Autologous Platelet Rich Plasma or Platelet Gel is a new procedure that utilizes the patient’s own platelets to speed up the healing process. In order to increase your natural platelet count, we take a small amount of whole blood just before the procedure, which is then centrifuged to separate the plasma above the red blood cell layer and below the platelet-poor plasma fraction. This platelet concentrate is then used for Platelet Gel, which increases a patient’s level of blood platelets and stimulates many of the tissue growth factors that attract the cells responsible for all phases of healing, and:

Increases growth of new blood vessels in the tissues
Enhances new collagen growth
Increases the rate of outer skin healing
Enhances new bone growth
Reduces post-operative pain
Reduces bleeding and post-operative bruising of the tissues

SimPlant CT

Much in the same way that an airline pilot relies upon proper instrumentation and computer guidance for safe and correct flight operation, periodontists have special software and computerized assistance to provide accurate and comprehensive information about a patient’s oral anatomy and a detailed layout of the implant procedure. Instead of “flying blindly” as we navigate around the jawbone, we can take CAT scan images and import them into a software program to view a full 3-D image simulation that enables us to:

Determine the size and shape of the jawbone
Determine if bone building is needed in advance
Accurately measure the bone density
Optimize the implant process through simulation
Save time and money

More information on SimPlant CT, and its manufacturer (Materialise), can be found at: www.materialise.com/simplant/main1_ENG.html

Voice Recognition Data Collection

Managing and treating periodontal disease requires a significant amount of data collection. At your initial appointment, and every subsequent appointment, we collect and analyze an extraordinary amount of data and information regarding your periodontal health, treatment and condition. Our Voice Recognition software is a state of the art computer program that allows us to record, store and update patient data.

This data allows Dr. Silberg to monitor and analyze your past and current periodontal health and make timely and appropriate treatment recommendations, designed only for you and your needs, to help you keep your teeth, and stay healthy.

AlloDerm

In cases of advanced periodontal disease or damage, oftentimes a gum tissue graft is necessary to rehabilitate and restore the gums to optimal health. In order to avoid a patient graft, AlloDerm can be used to restore the gum tissue needed. AlloDerm is processed from donated human tissue, harvested from organ donors that must pass the same stringent screening criteria as any other tissue or organ (heart, kidney, etc.), and the rigid guidelines of the U.S. Food & Drug Administration. AlloDerm has been safely used in dental and reconstructive surgery for nearly 10 years (450,000 procedures). AlloDerm functions by providing the collagen structure and proteins that help your body’s own tissue grow. As the body’s natural processes take over, your own cells move into the AlloDerm, and transform the AlloDerm into your own healthy gum tissue. The advantages of using this treatment over a patient’s own gum graft include:

No second surgical site, and a more comfortable healing period.
An unlimited source of tissue, allowing extensive grafting (if necessary) to be done in one visit, reducing the overall treatment period and cost.
Proven equivalent or superior esthetic results compared to a patient’s own tissue.

More information on Alloderm, and its manufacturer (LifeCell), can be found at: www.lifecell.com/products/95/

GEM 21S® The First Growth-factor Enhanced matrix

Completely unique and synthetic, GEM 21S® is an innovative combination of a bioactive protein (growth factor, rhPDGF-BB) and a biocompatible completely synthetic bone-like matrix (beta-tricalcium phosphate, ß-TCP)

PDGF is one of the main growth factors found in the body and has a well-established safety and effectiveness record in medicine as a wound healing agent. It works by stimulating existing cells in the body to produce bone. Like Miracle Grow for plants, it works to make what is already there grow better and faster.

GEM 21® has been evaluated in the most extensive, prospective, randomized, controlled, blinded clinical trial conducted for a regenerative product in dentistry. The trial was a large, multi-center study involving 11 clinical sites (4 universities and 7 private practices.)

The results of these scientific studies clearly showed that when used to treat areas of bone damage around teeth in specific types of defects, "one can expect more consistently reliable and quantitatively better results (i.e. greater bone fill) with GEMS 21S® than with a purely bone promotive material or matrix,, i.e. ß-TCP, alone." The addition of the protein PDGF made a significant difference in the performance of the graft in the treatment of damage that occurred as a result of periodontal disease.

More information on Gem 21, and its manufacturer (Osteohealth), can be found at: http://www.osteohealth.com/GEM%2021%20-%20PDGFa.html

Emdogain

Emdogain is a biology-based bioactive gel that is used in surgical procedures to promote the predictable re-growth of gum and bone that was lost to periodontal disease. Over 40 studies and the treatment of nearly 2,000 teeth have proven that Emdogain is highly successful in helping your body repair gum and bone damage. With its extensive scientific documentation, ease of use and the flexibility it allows to manage areas that are difficult to treat, Emdogain is a reliable and effective solution for treatment of periodontal disease and damage.

More information on Emdogain, and its manufacturer (Staumann), can be found at: www.biora.com/com_index/pc_index/pc_ch_regeneration.htm

Bacteriologic Testing

The average case of gum disease responds extremely well to standard treatment regimens. However, some patients experience episodes of recurrent disease activity, despite good preventive efforts, because there is an over production of tissue destroying enzymes under the gum line or the patient has a bacterial infection. In order to determine the cause of these recurring gum disease episodes and provide an effective treatment solution, Dr. Silberg is one of the few periodontists in the area that will:

Collect samples of the patient’s bacteria from under the gum line, using sterile paper strips that are submitted to a special lab at the University of California, where the bacterial DNA is analyzed to determine the most effective course of antibiotic treatment.
Use a low-dose, prescription antibiotic called Periostat, in conjunction with standard scaling and root planning treatment, to treat inhibit the enzymes that destroy gum and bone.

More information on Periostat can be found on the Non-Surgical Care section of our Web site.