Frequently Asked Questions

Are implants successful?

Long term studies suggest dental implants are highly successful. Success is recognized in healthy patients who exhibit excellent home care and frequent professional cleanings. Implants can become infected as do natural teeth if neglected. This is called Peri Implantitis. There are treatments for some ailing implants but not all.

What is Periodontal Disease?

Periodontal disease is a quiet disease that begins with little or no symptoms. It is caused by bacteria that surrounds the teeth and enters the gums. The immediate condition is known as “gingivitis”. The gums become irritated, inflamed and often bleed. If not properly treated, the condition worsens. Noticeable symptoms now appear. They include:

  • Bad Breath
  • Gum Recession
  • Tooth Pain
  • Tooth Loss
  • Tenderness or Discomfort

Why are My Teeth Sensitive?

Sensitive teeth often come from the fact that your gums have slightly receded. This recession of the gum line allows the underlying dentin to show through which allows water and food easier access to the sensitive nerve. To manage this, there are number of toothpastes, gels and even some dental procedures that can be applied.

What is a Dental implant?

A Dental Implant is a “man-made” replacement for a missing tooth or tooth root. Made from titanium, this screw-like object is inserted under the gum and directly into the upper or lower jaw bone. There is usually minimal discomfort involved with this procedure. After a period of a few months, the Dental Implant and the bone fuse together. This creates an anchor for the new tooth to be placed onto the Dental Implant.

How Much Does a Dental Implant Cost?

Fees for Dental implants vary from provider to provider. Always schedule an Implant Consultation to discuss the procedure and the fees involved.

Does Your Office Offer Financing for Services provided?

Please contact us to discuss the options we have available.

What Should I Do to Prevent Gum Disease?

Great teeth and gum care starts at home. Brushing and Flossing on a daily basis is the best way to take care of your teeth and gums on a continual basis. By keeping a daily routine you will greatly minimize the risk of gingivitis or tooth decay as you age.

How Did I Get Periodontal Disease?

Periodontal diseases can be accelerated by a number of different factors (diabetes, smoking, or other health conditions); however, it is mainly caused by the bacteria found in dental plaque. If not carefully removed by daily brushing and flossing, plaque hardens into a rough, porous substance known as calculus. Bacteria is plaque produced toxins that irritate the gums, which may cause them to turn red, swell and bleed easily. If this irritation is prolonged, the gums separate from the teeth, causing spaces to form. As periodontal disease progresses, the supporting gum tissue and bone that hold teeth in place deteriorate. Left untreated, this lead to tooth loss.

The best way to prevent gum disease is effective daily brushing and flossing as well as regular professional examinations and cleanings. Unfortunately, even with the most diligent home dental care, people still can develop some form of periodontal disease. Once this disease gets started, professional intervention is necessary to prevent its progress.

What Can I Expect at my First Visit?

During your first visit, your periodontist will review your complete medical and dental history with you. It is extremely important for your periodontist to know if you are taking any medications (both prescription and over-the counter) or if you are being treated for any condition that can affect your periodontal care.

You will then be given a complete oral and periodontal evaluation. Your periodontist will examine your gums, check to see if there is any gumline recession, assess how your teeth fit together when you bite and check your teeth to see if any are loose. After that, your periodontist will take a small measuring instrument and place it between your teeth and gums to determine the depth of those spaces, known as periodontal pockets. This helps your periodontist assess the health of your gums.

Next, radiographs (x-rays) will be used to show the bone levels between your teeth to check for possible bone loss. Following your examination, your periodontist will review all of the findings with you, discuss your conditions and suggest the various treatment options available to you along with the benefits and possible risks of each.

Leo J. Kituskie, DMD

Limestone Periodontics Leo J. Kituskie, DMD

Board-certified periodontist Leo J. Kituskie provides comprehensive periodontal and dental implant treatment to help patients restore and preserve their oral health. He is affiliated with several prestigious organizations, including:

  • The American Academy of Periodontology
  • The American Board of Periodontology, Diplomat (Dually Board Certified; Periodontics and Dental Implant Surgery)
  • The Academy of Osseointegration
  • Chao Pinhole® Academy
  • Spear Study Club, Leader
  • The Delaware State Dental Society
  • American Dental Association

To request a consultation, contact us online or call us at (302) 994-4900.

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Wilmington Office

1941 Limestone Road
Ste 105
Wilmington, DE 19808

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