Dr. Silberg Awarded Top Dentist Pittsburgh 2020

Dr. Mark E. SilbergDr. Mark E. Silberg – a periodontist and Pennsylvania native – has won the coveted Top Dentist Pittsburgh 2020 for the 14th year in a row. Pittsburgh Magazine made the award based on thousands of peer evaluations using a robust methodology to reduce bias.

Dr. Silberg is a different type of dentist. From an early stage of his training, he saw that current methodologies were outdated and ripe for improvement. He wondered why dental schools were still teaching students to grind down teeth to replace crowns and fit dentures. These technologies were more than three hundred years old. Surely, he thought, there must be a better way.

With this in mind, Dr. Silberg became interested in dental implants. Replacing the root of a tooth with a post fused with the bone seemed like a better approach than trying to use ad-hoc or imperfect solutions. However, back in 1974, when he was completing his medical training, attitudes towards implants were overwhelmingly negative. Rumors even circulated that New York dentist Leonard Linkow – a pioneer using implants in his patients – was a “madman.”

Dr. Silberg, however, wasn’t convinced that current practice was the best that it could be. He had gone into dentistry to save teeth, not remove them, so he decided to do something about it.

In the early 1980s, Dr. Silberg discovered that Linkow had perfected his implement technology and could create highly functional false teeth. In 1985, he arranged to get training from Dr. Linkow directly, transforming his dental career. Once trained, he dedicated his energies to fine-tuning the placement process, using implant techniques that accurately reproduced the original teeth’ aesthetic. His goal was (and still is) to make dental implants more predictable and available to patients while reducing discomfort.

This attention to detail and desire to improve patient care forms the basis of Pittsburgh Magazine’s decision to name Dr. Silberg as a Top Dentist for the 14th year in succession. He has courage of his convictions and a willingness to pursue novel treatments if there is a good chance to improve patient outcomes.

Pittsburgh Magazine uses an excerpted list from the 2020 edition of topDENTISTS to determine who the Top Dentist should be. No popularity contest, this survey relies on peer testimony from a pool of dentists listed at the American Dental Association and local societies. It asks dentists to nominate which professionals they would send their patients to if they needed dental care. Respondents are encouraged to put aside their personal or political differences and make assessments based on professional evaluations only.

Once topDENTISTS completes balloting, Pittsburgh Magazine compiles the scores to create an average. All those dentists with scores above the threshold for the Pittsburgh area enter a shortlist for further consideration. The media outlet considers marginal cases as well as how bias might influence voting patterns. It then checks the dentists’ records against state dental board disciplinary action before coming to a final decision.

Dr. Silberg is well-known in professional dental circles for his role as an educator. When he is not practicing, he shares his experience and insights with fellow dentists. He loves teaching and sharing knowledge and is the Discovery Study Club founder, begun in 1994. His mission is to continue educating and training members of the organization so that their patients can benefit from state-of-the-art implant treatments.

Dr. Silberg sees part of his role as providing a forum for like-minded professionals. For him, the most rewarding part of directing a club is that he gets to work with fellow doctors who all share a passion for excellence, integrity, and patient care. He also lectures extensively on dental implants and periodontics, traveling to various dental associations and societies, including The Three Rivers Dental Meeting, Children’s Hospital Pediatric Residents, Allegheny General Hospital Dental Department, and the University of Pittsburgh School of Dental Medicine.

In addition to his speaking work, Dr. Silberg is also the co-author of Valuocity with Dr. Marc Cooper – a practice management book written as a fable. The novel reflects Dr. Silberg’s struggles running a dental practice in the recession-ravaged economy of the 1980s. It follows the fictional story of Dr. Carl Oldquist – a formerly successful practice owner, now facing a 20 percent decline in revenue. The book chronicles how he manages to turn his situation around by attending various educational seminars and modernizing his operations. Eventually, he learns the tools that enable him to thrive in the new economy and turn his practice around.

Patients rate Dr. Silberg and his team very highly. Primarily, they appreciate the friendly yet professional vibe of his practice and the quality of care received. The Silberg team are exceptionally knowledgeable and help patients feel relaxed, even when going for ostensibly unpleasant procedures, such as tooth extractions,

Pittsburgh Magazine collected questionnaire data on more than 360 dentists in the tri-state metropolitan area to determine the winner. Dr. Silberg says that he is deeply honored to have been selected for the Top Dentist award for fourteen years in a row. From the outset as a periodontist, he has promoted the best treatments and encouraged his peers to move away from redundant methods. Now he has gained recognition for the work that he has done to move the dental profession forwards.

For those considering dental implants or periodontics, Dr. Silberg is widely regarded as a leader in his field, as judged by his peers. He not only uses the latest techniques but works hard to educate the remainder of the dental professional community about them. He is always keen to improve patient care and compliance by placing safety at the forefront of everything that he does. Dr. Silberg is currently accepting new patients and takes the time to learn about everyone he takes on board. He receives referrals from other dentists and from existing patients who recommend him to their friends. Contact us to schedule an appointment today!

Gum Disease Prevention

If it isn’t treated correctly, gum disease can lead to issues that include everything from discomfort to an infection. In the worst-case scenarios, you might have to deal with tooth loss. It’s essential to keep periodontitis at bay for the sake of your oral and overall health.

How Does Gum Disease Occur?

The main culprit is plaque. When bacteria builds, it leads to the formation of the colorless, sticky film that coats the teeth and gums. If untreated, plaque causes decay as it eats away at the exposed parts of your teeth at the gumline. Also, it is a factor regarding the inflammation of the gums. Inflammation pulls the gums from the teeth and leaves holes for the plaque to exploit.

What Are The Signs?

Here are the most important symptoms to look out for:

  • Gums that bleed easily
  • Red, swollen, tender gums
  • Gums that have pulled away from the teeth
  • Persistent bad breath or bad taste
  • Permanent teeth that are loose or separating

If you notice any of the above, contact us to schedule an appointment.

Gum Disease Prevention Tips

Brush And Floss Regularly

The first thing to do is brush and use floss regularly. That means brushing for at least two minutes, in the morning and at night, and getting to the hard-to-reach places. Floss is best for the tight spots in between the teeth and gums. Mouthwash is another excellent alternative as it lifts and loosens stubborn plaque.

Change Your Diet

It’s no surprise that you should cut down on your sugar intake. When refined sugars mix with bacteria in your mouth, the amount of plaque created will double. However, other changes aren’t as noticeable. For example, eating crunchy foods is welcomed as it encourages saliva production. Although it doesn’t sound like much, saliva is excellent at fighting the production of bacteria.

Stop Smoking

Smoking cigarettes isn’t pretty, but at least it only stains your teeth and nothing else, right? Wrong! Among the many other reasons to cut down on your nicotine intake, an oral-related one is that it weakens your immune system. Therefore, it’s harder to ward off inflammation and infections if they occur, leaving your mouth vulnerable to attack. Alcohol is also bad for your oral hygiene, especially sugary drinks such as cider and mixers.

Schedule Dental Exams

Last but not least, please don’t forget to schedule a dental appointment. Even if it’s for a simple check-up, it’s essential to maintain good dental health and to catch gum disease early.

The Advantages of Dental Implants

Tooth loss can have a significant impact on your oral health and confidence and may seem like an unusual issue, but it’s not all that uncommon. In fact, millions of Americans are affected by tooth loss. Whether you’ve lost a tooth due to trauma, gum disease or decay, dental implants can provide a permanent solution, restoring health and function to your smile.

What are dental implants?

Dental implants are used to replace missing tooth roots. By fixing the implant to the bone, Dr. Mark E. Silberg can ensure you have a strong and long-lasting foundation that a prosthetic tooth can be fixed to. Once the implant is in place, a custom-made crown is fixed to it. This crown is made to your exact specifications and will match the surrounding teeth. In fact, dental implants are so natural looking that people can rarely tell they’re not your natural teeth.

Although you’ll have the option to have a removable prosthetic tooth fitted to the dental implant, the majority of patients prefer to have a permanent crowd added. As well as giving you increased confidence while speaking, chewing, and smiling, you can care for a permanent crown in the same way as your natural teeth. Furthermore, dental implants that are affixed to a permanent crown suffer less wear and tear, which means they’re less likely to require further treatment.

What are the benefits of dental implants?

Dental implants offer a wide range of benefits. Patients with missing teeth or gaps in their teeth often feel self-conscious, for example, and may be reluctant to smile. Once they have dental implants fitted, however, their confidence is restored and they can smile, laugh and eat without feeling uncomfortable.
As well as boosting your confidence, dental implants can offer a variety of other benefits, such as:

Improved oral health

Alternatives to dental implants, such as dental bridges, typically mean reducing the surrounding teeth to install the prosthetic tooth. This means removing healthy material. With a dental implant, however, none of the surrounding healthy teeth are affected, which reduces the risk of subsequent problems and ensures healthy teeth aren’t affected by the restoration.

Increased comfort

Traditionally, patients wore dentures if they were missing teeth, but these often caused some discomfort. If you lose or gain weight, for example, the shape of your mouth can change, and this may lead to your dentures rubbing on your gums or feeling loose. As dental implants are in a fixed position, they won’t slide out of place or rub on nearby teeth or gums.

Prevents bone deterioration

When you’re missing teeth, the surrounding bone can begin to change shape. In many cases, the bone begins to deteriorate or collapses altogether. By using dental implants to replace the missing tooth or teeth, you can prevent this process and ensure that the surrounding bone remains intact.

If you’re thinking of having dental implants to replace missing teeth, it’s important to talk to an experienced periodontist like Dr. Silberg. By coming in for a consultation, you’ll have the opportunity to discuss a range of treatment options to determine whether dental implants are right for you.

To find out more, contact The Silberg Center for Dental Science today.

The Oral Systemic Connection

While we can all appreciate the benefits of maintaining a healthy smile, your oral health influences far more than your mouth. The mouth is truly the window to your overall health, and the oral-systemic link remains one of the most significant reasons why you should visit us on a regular basis even if your teeth seem to be in great health.

An indicator for over 120 different illnesses

The state of your oral health can tell professionals about far more than the state of your teeth and gums. Symptoms including swollen gums, bone loss, and bleeding can all be signs of other conditions throughout the body. While many cases of gingivitis and other oral health problems are restricted to the mouth, investigating the symptoms can help diagnose and treat other kinds of health issues.

Some of the systemic diseases that can be linked to oral health include osteoporosis, diabetes, heart disease, cancer, and respiratory diseases. In fact, gum disease can increase the likelihood of getting certain cancers by over 50% while stroke rates can increase by up to 300%.

Aside from systemic diseases of a physical nature, it’s possible for gum disease and poor oral health to impact your emotional health too. After all, the status of your smile has a huge impact on the way you are received by others, which consequently influences your self-confidence and chances of suffering from issues like social anxiety.

Essentially, then, it’s not an overstatement to suggest that oral health can alter the quality and quality of your life due to the direct links with systemic diseases. For this reason alone, staying vigilant to your oral health is vital.

Poor oral health can worsen other conditions

Bacteria grows in every mouth. However, it’s when plaque and tartar are allowed to spread to the organs and blood that problems occur. As such, employing a better oral health routine can actively reduce your chances of developing related conditions by preventing bacterial infections.

Several steps can be taken to remove plaque and prevent tartar, which will keep your oral health in the best possible condition. The most significant steps are to:

  • Brush twice daily and use floss and mouthwash at least once per day
  • Ensure that you stay hydrated
  • Avoid foods and drinks that are known to encourage the film of plaque to develop quickly
  • Change your toothbrush or toothbrush heads on a frequent basis
  • Visit the dentist frequently

The final point is as crucial as maintaining a winning daily habit, especially as they can complete the deep clean that you simply cannot do at home. This means getting under the gumline to clear plaque and tartar. Meanwhile, they can treat gingivitis and other gum diseases while also providing advice about any systemic conditions that may have been identified.

For the sake of your immediate and ongoing oral and general health, paying greater attention to these issues is key.

Book your periodontal examination today

If you’re due for a dental examination and professional cleaning please contact us to schedule an appointment today!

The leaves are starting to fall- What about your gums?

Leaves falling off of the trees is seasonal and it is expected. Gums falling off of your teeth, well that is a different story. Your teeth are supposed to be protected by the gums that cover them. When the gum begins to disappear from a tooth the following happens:

    • The gum tissue disintegrates and disappears
    • The supporting bone underneath disappears: Note lower bone means a lower gum level
    • Exposure of the soft root surface known as “long in the tooth!”
    • Root abrasion, root wear/destruction
    • Sensitivity
    • A greater tendency towards decay

You don’t have to live with sensitive exposed roots. In most cases, they can be covered back up. Over the past 50 years, several different methods have been created to reverse the damage that has occurred. Several examples are shown below.

Tips for Finding The Best Periodontist

A periodontist is one of the most valuable medical care experts that anybody will ever encounter. After all, your oral health has a huge influence on your look as well as general well-being. The prevention, diagnosis, and treatment of periodontal disease is hugely important.

Given the significance of the treatments provided, it’s imperative to find a periodontist who will give you the care you deserve to obtain optimal oral health. Here are five simple steps to ensure you make a smart decision.

Consider Their Location

Convenience is an important ingredient in the recipe for success, especially as you may be required to make several visits over the course of a few months. While you won’t want to simply choose the nearest solution, an easily accessed venue should be one of the top items on your agenda. As well as the geographical proximity to your home or workplace, you should consider the car parking facilities and other logistical elements.

Check Their Credentials

If you do not have trust in the periodontist, they are not the right choice. Therefore, it’s imperative that you check their track record to ensure the service provided is up to the desired level. Doctor of Dental Surgery (DDS) or Doctor of Medical Dentistry (DMD) certifications are crucial. Meanwhile, a business that has been operating for several years is preferential to a company launched by inexperienced doctors. Reading customer reviews or seeking recommendations from friends and family can be a very useful tool also.

Analyze Their Treatment Types

Checking that the chosen periodontist is capable of completing the specific task at hand is vital. Likewise, it’s crucial to check the other list of available treatments. Some of the tasks you may need to look for include non-surgical treatments, laser treatments, dental crown lengthening, pocket reduction, etc. Be sure to ask what options are offered, along with how they are completed.

Look For Flexible Payments

Nothing matches the importance of your health or the quality of the treatment received. Still, value for money is important, too. Dental treatments can be expensive, which is why most people require flexible repayment plans. In some cases, Medicaid and other insurance types can provide additional support. A periodontist’s care and treatments are sometimes medically necessary and do sometimes fall under the umbrella of acceptable claims.

Build A Rapport

Finally, you must remember that treatments need to be tailored to you. Therefore, clear communication and transparency with the dental office is essential at all times. When you live in Pittsburgh, Dr. Silberg’s commitment to go the extra mile to put you at ease and ensure that you receive the right type of treatment makes all the difference. The support of all our team members can make the periodontal procedures far less stressful, allowing you to focus on enjoying your restored smile. Contact us to schedule an appointment today!

Signs and Symptoms of Gum Recession

Gum recession is not fun to cope with no matter how old you are, but it is a common dental problem that we see very often. A lot of patients don’t realize that they have gum recession until they spot some of the common signs and symptoms of it. Gum recession is the exposure of the roots of the teeth after a loss of gum tissue.

Most of the time, patients over the age of 40 commonly experience gum recession; however, even teenagers can notice the signs occurring. Recognizing the signs and symptoms of gum recession is essential if you want to reverse it before it develops into periodontal disease.

Signs & Symptoms To Look Out For

Here are some very common signs and symptoms that you should be aware of so that you can recognize gum recession.

Sensitive Teeth

When the gums pull back from the teeth, the root is exposed. The build-up of plaque or tartar causes the gum to pull away from the tooth This can destroy the structural support of the tooth. It becomes difficult to keep clean. Sensitivity arises with root exposure. If you notice added sensitivity, you need to book an appointment with us today. We will conduct an exam and discuss a course of treatment with you.

Sore Gums

In the early stages of gingivitis or gum disease, your gums may bleed when you brush or touch them. Gum disease is one of the causes of recession, and the early stages can be recognized by:

  • Red and swollen gums
  • Bleeding gums
  • Bad breath

Long Teeth

Have you ever heard of the phrase, “looking a little long in the teeth?” It refers mainly to those of advanced age, as this is when the gum recession is common. When the gums recede, your teeth look much longer than normal. It’s something that can negatively affect your oral health, not just your appearance.

Root Exposure

Additional exposure can become very uncomfortable to experience when sensitivity to hot and cold is increased. It can be another sign of gum disease. Of course, discomfort can also happen when you brush and floss. When you brush your teeth, use soft bristles and gentle pressure..

Loose Teeth

If you have noticed your teeth feel loose, you could be dealing with bacteria under the gums and around the teeth. When this happens, the gums move away from the teeth, which diminishes the support around the tooth.

Your gums are as important as any other area of your body, and when it comes to your health, you need to watch your gums first. If you are in any way concerned about the way your gums feel and look, speaking to us will help. Schedule an appointment today, and you could be on your way to healthier gums in no time at all.

What’s all the HYPE about Smile Direct Club?

 

“My teeth are crooked-can I get them straightened at Walgreens or do it myself?Why do I need to go to an orthodontist-they are so expensive.”

Consider this: An orthodontist trains for 11 years to be able to straighten teeth and fix smiles. A periodontist trains for 11 years. A dermatologist trains for 12 years. A cardiologist trains for 14 years. Do you really think that there are short cuts to becoming a board certified specialist?  Let me tell you…there are not. Patients seek the care of a specialist to receive top notch medical care from highly skilled professionals to get the most predictable long term outcomes possible.

“But they are just crooked teeth. My regular dentist says they can straighten them. Or, I see on line there is a company called Smile Direct and both of them say they can straighten my teeth. What is the difference?”

Ok, here is the difference. If you go to a board certified orthodontist you will get a complete examination including a proper analysis that includes models of your mouth and a special x-ray called a ceph to evaluate the bone structure of your face and possibly a CT scan to check your airway, your TMJ and the bone structure around your teeth. Then you will get a diagnosis based your tooth positions, facial bone structure, and the overall health of your foundation. The diagnosis is the basis for a proper treatment plan.

Would you let someone you don’t know, someone whose qualifications you can’t check – pack your parachute, remove a skin cancer, or place your heart stent? Would you buy a “do-it-yourself kit” and mail it in for one of these procedures? If not, why would you ever want a do it yourself home tooth straightening kit? Would you let your dermatologist put in a heart stent? Why not? They both went to medical school.

Now, some Walgreens stores are offering the Smile Direct straightening. Some patients are going there and some are going straight to Smile Direct. What they do is the following: They make an image of your mouth either from a scan of your teeth or from a mold of your mouth that you create at home using their at-home impression kit.

Next, a dentist or possibly an orthodontist will make the clear aligner trays that will move your teeth.This will be done without the benefit of the completed exam and x-rays as described above.

“OK so now I understand that it is not the same but all I really want is straight teeth for the lowest cost and I want it to be convenient. Are there any downside risks with the short cut approach to straightening my teeth?”

Yes, there are. I am glad you asked. Any tooth movement can put you at risk for moving teeth outside of the bone foundation and that will cause your gums to drop and will expose the soft roots to the sugars and the acids that cause decay. Roots are not supposed to be exposed in the mouth. They decay easily and also wear away easily when exposed. When this happens sometimes gum surgery can fix it and sometimes it can’t. Also, if your jaws are not properly aligned and if you move the teeth to try to make the jaws lineup instead of dealing with the jaw issues this can also affect your jaw joints causing painful TMJ issues and help create severe headaches from misaligned bites.

Now, please consider this if you decide to use an at home do it yourself kit:

  • NO one has examined you.
  • NO one has seen x-rays of your teeth and jaws.
  • NO one has determined if you have foundation issues and whether your foundation can withstand teeth being moved safely. If not, you will lose gum and bone and weaken your teeth.
  • NO one has evaluated your TMJ health.
  • NO one has looked at your airway
  • Without a complete and thorough exam and without proper x-rays you may have foundation damage that is worsened by moving the teeth that cannot be corrected afterwards.

If this kind of treatment is predictable and if it is truly in your best long-term interest then I am a one legged parrot. Anyone see me with a crutch and a cracker? I don’t think so!

THERE IS NO SUCH THING AS A FREE LUNCH.

8 things to check out before you MOVE your teeth:

  • Measurements for bone health
  • Gum health measurements including any exposed roots (recession) and any signs of bleeding/inflammation
  • Cephalometric x-ray and evaluation of the facial bones
  • X-rays of the bone foundation around the roots of the teeth
  • Cone beam scan if needed
  • TMJ health
  • Airway evaluation
  • Education and qualifications of the person(s) responsible for moving your teeth

 

BE VERY CAREFUL. THE DECISIONS YOU MAKE TODAY WILL AFFECT YOU FOR THE REST OF YOUR LIFE.

Shhhhh, DON’T TELL ANYONE: YOU DON’T REALLY HAVE TO FLOSS TO KEEP YOUR TEETH FROM FALLING OUT!

“What do you mean I don’t have to floss? I’ve been told that I have to floss every day or my teeth will fall out and I will never be able to get into dental heaven!”

Well, I don’t know if this will be good news or bad news for you. What you’ve been told is only partially true. I’m going to let you in on a dirty little secret. Floss is not a goal. Floss is a tool the way a screwdriver is a tool. The goal is to remove the film of bacterial deposits that we call plaque. Floss has a purpose just like screwdriver has a purpose. And, just like screwdriver is not the only tool in the toolbox …neither is floss. There are other tools that you can use.

“Plaque does not hurt so what’s the big deal if I have a little layer of nasty, filthy disgusting germs on my teeth? I can’t even see them so why worry about it?

You can’t see electricity either, but I’ll bet you won’t stick your tongue in a light socket because it will hurt you. Guess what? So will plaque/biofilm. When it piles up under the gum line and in between teeth it causes inflammation, infection, tooth rot and gum disease. If your gums bleed, then even brushing your teeth introduces the germs and the biofilm into your bloodstream. We have irrefutable scientific evidence that the germs from your mouth travel to your heart, your lungs and to your brain and cause issues like heart disease, low weight pre-term babies, erectile dysfunction and can even contribute to Alzheimer’s disease. If you have diabetes it makes your diabetes worse.

So, if that gets your attention then the next logical question you should ask is this:

“Since I hate to floss and, you say I don’t have to use it if I don’t want to, what else is there?”

Okay, I’ll say it again. Floss is not a goal it’s a tool. This is a tool that gets between the teeth since the toothbrush can’t clean between the teeth (even if you press real hard.)

The following is a list of other tools that can get in between teeth to remove the biofilm germ layer:

  • Stimudents
  • Rotopoints
  • Proxa-brushes
  • Opalpix
  • Gum soft pics
  • Water picks
  • Hydroflossers

Hate to floss? Shhhh. Don’t tell anyone I said, “You don’t have to floss to stay healthy.” You do however still have to clean between your teeth and you must remove the film of nasty little invisible bugs that cause damage and make you sick. You now have my full permission not to floss but you now have no excuse not to use another tool to keep yourself healthy. We will be happy to train you to use another tool and use it properly so that it gets the job done.

 

Remember, the decisions you make today will affect you for the rest of your life so make them carefully.