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Karl Arakelian DMD Blog

Dental Implants

August 15, 2016

Filed under: Uncategorized — drarakelian @ 10:54 pm

Dental Implants have been an integral part of dentistry for decades. I have been restoring them since I graduated the University of Pennsylvania Dental School in 1991.

Dental implants or fixtures are a way to replace a missing tooth or multiple teeth. They are placed by a dental practitioner (i.e. oral surgeon or periodontist) who has trained in the placement of these titanium screws. Dental implants can be placed in areas of the mouth where teeth have been missing for a short period of time. They may even be placed at the time of tooth extraction. Implants can even be placed in areas where teeth have been missing for extended periods, but additional procedures may need to be performed to augment the implant’s foundation.

Once the foundation has been created by the implantologist, we, as the restorative dentist, perform the finish work and place the restoration. The restoration is connected to the implant via an abutment. The abutment (or post) is typically attached to the implant via a screw retained mechanism. The dental crown(s) is (are) either cemented or screwed into the implant body. Esthetics and function are then restored to the patient.

In my next article, I will go into more detail about the processes of implant placement, integration and restoration.

Please visit KarlArakelianDMD.com. Click on Services>Dental Implants for a very short and informative video on Implants.

Digital Dentistry is Here to Stay

May 4, 2016

Filed under: Uncategorized — drarakelian @ 10:45 pm

Our office has been digital since 2002.

We purchased one of the first CAD-CAM machines in the Merrimack Valley that was able to produce same-day crowns. Think of a 3-D printer making a tooth out of porcelain or ceramic material. The process is time consuming, however. It would take almost two hours to complete the ‘same-day” restoration. Our patients realized they didn’t have that kind of time in today’s world.
We have recently upgraded to a digital scanner made by 3M. I didn’t think we could provide better restorative results for our patients, but today’s technology blows away previous iterations of digital dentistry. We have reverted to using outside laboratories, but the precise fit, esthetics, strength and beauty of these crowns, bridges and onlays is unbelievable.

We have also been having our implant components fabricated digitally by the laboratory.

And not to be outdone, we are having our invisible braces/retainers (Invisalign) made via our digital workflow as well.

The time in the dreaded dental chair is diminished significantly with this technology as our clinical protocols have created very predictable results. Crowns are cemented less than 10 days after the digital impression is taken, as the “impression” is immediately uploaded to the laboratory.  The lab begins its work immediately, also in digital form. The restoration/crown is then delivered to us in as few as three (3!) days.

Today, a patient had his crown cemented and was on his way to work in less than 15 minutes!

Please visit KarlArakelianDMD.com or call Dr. Karl Arakelian @ 978.373.0901.

We are located on the Bradford Common near the White Church in Bradford, MA and are accepting new patients.

We have also recently introduced a membership plan for those folks without dental insurance.

 

No Dental Insurance, No Problem! Introducing the Church Street Dental Plan

April 5, 2016

Filed under: Uncategorized — drarakelian @ 1:04 pm

Dental Insurance has been in existence for decades. Some people have dental insurance, others do not. Those that have insurance are aware that basic preventive services (cleanings, examinations, x-rays) are covered at 100%. Fillings and more involved procedures (i.e. crowns, bridges, implants) are covered at a lesser rate or not at all. These involved, but necessary procedures, are costly. Annual premiums are also expensive, but the patient’s insurance benefit rarely exceeds $1500. This benefit has NOT increased since I entered practice with my father in 1991.

In response to an increase in dental insurance premiums and a reduction in benefits, we have introduced a plan to help those patients have affordable access to dental care. We call it the “Church Street Dental Plan”. For an annual fee, we provide two basic dental cleanings, two periodic examinations and oral cancer screenings and any necessary x-rays. Further, we offer a discount on any other procedures that need to be performed such as fillings and crowns. This plan gives patients access to care at a reasonable fee.

Initial response to this opportunity has been phenomenal since we introduced it last month.

We invite you to call our office for more information on the “Church Street Dental Plan”.

Karl Arakelian, DMD

978.373.0901

Dental- Medical Interactions

February 29, 2016

Filed under: Dental-Medical Intreraction,Uncategorized — drarakelian @ 3:11 pm

People think of dentists as just “teeth docs”, but our role in managing the overall health of our patients has increased tremendously in recent years.

From the periodontal (gum) link to diabetes and cardiac disease to concussion prevention with athletic mouthguards, dentistry has a full fledged role in comprehensive medical care.

One aspect that people are becoming more  aware of is the role that we, as dentists, have in recognizing patients that could benefit from further medical evaluation of snoring and sleep disorders.

Last week a patient came to our office complaining of tooth pain. We resolved his dental issue, but as our conversation continued, we recommended a nightguard for  a grinding habit. The patient then said he couldn’t wear an appliance , because he has a C-PAP machine to treat sleep apnea.

CPAP stands for Continuous Positive Airway Pressure. A CPCAP machine is a cumbersome device that patients wear to maintain an open airway during sleeping hours.

Another patient for whom I had made a snoring appliance came in for a regularly scheduled check-up. I asked him how his snoring appliance was working, and he had said his dog had gotten a hold of it. He had not been wearing it, and his wife had reminded him of it every night. We repaired his appliance, and he is now able to wear it comfortably.

We routinely recommend sleep studies for our patients who complain of snoring, sleep disturbances and even grinding habits.

We also tell patients of the risk of cardiovascular disease with untreated obstructive sleep apnea and/or snoring.

In summary the biannual dental check-up is more than just a “teeth cleaning”.

For more information, please call Karl Arakelian, DMD in Haverhill, MA at 978.373.0901 or visit Karl ArakelianDMD.com .

 

 

Things are looking good in Haverhill

February 1, 2016

Filed under: Dental Office,Uncategorized — drarakelian @ 10:00 pm

Fall 09

I was born in Haverhill, MA. My dad grew up in Haverhill and was a Haverhill dentist for 36 years before he passed away suddenly 20 years ago. I have been in the practice since 1991.

Our practice on Church Street, in the “Bradford” section of Haverhill, is two houses from the White Church on the Bradford Common on Route 125 and has been there for five decades. It is in the home in which I grew up.

My family’s roots run deep in Haverhill. And I am very excited for the future of this Massachusetts city. Everywhere you look, there is a construction project. Downtown, outlying rural areas, recreational areas….

But as much as Haverhill is changing, our practice remains a constant. It is a small comfortable environment in which we provide state of the art dental care. Our restorative (fillings and crowns) procedures are digitally and painlessly performed. Our staff is courteous and friendly. We can see patients with little advance notice, including emergencies.

There are many dental offices from which to choose in Haverhill and Bradford, but we invite you to visit us for a complimentary visit.

Please visit us at KarlArakelianDMD.com or at 978.373.0901.

 

 

 

 

 

Mouthguards Part Deux

December 29, 2015

Filed under: Athletic Mouthguards,Oral Health,Uncategorized — Tags: , — drarakelian @ 5:51 pm

During the 2013 World Series, I was sitting at Fenway Park watching Shane Victorino play with his mouthguard between pitches. Sitting 50 feet from him allowed me to see that it was a clear custom-made appliance. Athletic mouthguards are virtually identical to nighttime appliances that patients wear for grinding or snoring conditions.

WS Game#1,2,6

Photo by Karl Arakelian

WS Game#1,2,6

Photo by Karl Arakelian
The possibility of dental trauma is not great in Fenway’s outfield, but it underscores the importance of protecting one’s teeth.
If dental trauma occurs in an athletic setting, then the activity should be discontinued immediately. Obviously, a concussion should be ruled out prior to any dental assessment or treatment.
Dental trauma can range from a banged tooth or a bruised root to a complete avulsion (the tooth comes completely out of the socket). Treatment ranges from ice and pain management to jaw surgery and tooth replacement.
Mouthguards are not mandatory in many states for many sports, and common sense should prevail, but it does not. Athletic guards are a virtually foolproof way to prevent most oral and many head injuries. But athletes, young and old, seem reluctant to sport an appliance due to speech/breathing limitations and hygienic concerns.
The National Federation of High Schools currently mandates the use of mouthguards in football, field hockey, ice hockey, lacrosse and wrestling (for wrestlers wearing braces). (NFHS.org) But more education and enforcement is needed to outfit more athletes with better fitting (either custom or semi-custom) mouthguards.
Please call Dr. Karl Arakelian at 978.373.0901 or visit KarlArakelianDMD.com .

 

Custom Athletic Mouthguards

November 23, 2015

Filed under: Dental Procedures,Uncategorized — drarakelian @ 9:04 pm

Athletes, both young and old, have been participating in sports for generations.

Some sports involve contact (football, lacrosse, hockey). Others do not (soccer, baseball, basketball). But we all know that these “non-contact” sports have moments when there is contact.

The National Youth Sports Foundation estimates that 5 million! teeth will be knocked out this year during sports related events. That number seems extraordinarily high, even incomprehensible, but we see numerous traumatic dental events in our dental office that are sports related. We’ve even seen fractured teeth from kids playing with their dog on the kitchen floor.

Kids wear mouthguards (or sportsguards) when they are mandated, but they are often of the over-the-counter variety. As a youth lacrosse coach, I see these disposable appliances all over the fields, because kids just aren’t wearing them. They are ill-fitting and end up as chew toys dangling from the athlete’s mouth.

Our office recommends custom fitted sports mouthguards manufactured by a dental laboratory. They are more expensive than OTC options, but the cost to repair or replace a tooth is significantly higher than a well fitting appliance. Properly cared for, they can last indefinitely if the child’s teeth are mostly erupted and properly aligned.

Mouthguards also minimize the effects of head injuries in sports as well. But that is another topic altogether.

Please call Dr. Arakelian at 978.373.0901 or visit KarlArakelianDMD.com for more information.

Unused insurance for 2015!

November 10, 2015

Filed under: Cosmetic Dentistry,Dental Procedures,Invisalign,Uncategorized — drarakelian @ 3:54 pm

There are less than two months left in 2015, with the holidays right around the corner.

Dental work is never high on people’s priorities, but annual insurance benefits expire for most policies at the end of the calendar year.

And don’t forget about your Flexible Spending Accounts (FSA) or Health Savings Accounts (HSA).

So use them or lose them.

Whether you were thinking of whitening your teeth,  straightening them with Invisible Braces (Invisalign), or taking care of that crown restoration you have been putting off, now is the time to call our office.

We would be happy to discuss your remaining benefits with you.

KarlArakelianDMD.com

978.373.0901

Check out our new Website!

October 28, 2015

Filed under: Dental Procedures — drarakelian @ 2:15 pm

After several months of design challenges, we are proud to display our new website designed by TNT Dental in Dallas, TX. We love the new format, graphics and free flowing format.

It is filled with basic contact information, patient education videos and a summary of our services.

The mobile  version is also very user friendly for your mobile device, tablet or even your phablet (your phone that looks like a tablet).

When you a free moment, I welcome you to check out KarlArakelianDMD.com .

Dentistry 101

May 19, 2015

Filed under: Cosmetic Dentistry — Tags: , — drarakelian @ 7:54 pm

Dentistry has changed a lot in 24 years since I graduated from the University of Pennsylvania in Philadelphia. My late father is also a Penn graduate (1957). He started our practice in 1960 after serving as a dentist in the US Navy.

Tooth drilling (preparation) was very aggressive, leaving thin, weakened portions of enamel suceptible to fracture.Today, tooth preparation and cavity filling is very conservative, quick, and can often be done without anesthesia (novocaine).

Filling materials are prettier, stronger and easier to place than previous generations of esthetic or tooth-colored materials.

Success and longevity of any dental work is still, however, contingent on the patient’s ability to keep plaque off of the teeth and gums. Proper brushing and flossing (prevention) is the best way to  minimize risk for dental caries (cavities) and gingivitis (red puffy gums).

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