My Blog

Posts for: July, 2016

By Dr. Terry Fayad
July 29, 2016
Category: Dental Procedures
Tags: Dentures  

Traditional dentures can sometimes be more of a hassle than they are worth. With the chance of falling out while you eat or speak, traditional dentures could potentially put you in an embarrassing situation. However, this dental restoration is often the only choice for replacing an entire arch of teeth. Thankfully, implant-supported dentures eliminate the risk of the denture moving around or falling out, Dental Implantsallowing you to rest easy in knowing that your teeth will stay in your mouth where they belong. Learn more about implant-supported dentures with help from Dr. N. Terry Fayad in Danvers, MA.

How do implant-supported dentures work? 
Traditional dentures rest on the gums, relying on suction or gravity to hold the denture in place. Implant-supported dentures use dental implant technology to keep the denture in place. The implants, which your dentist surgically places into the jawbone beneath your gum tissue, integrate into the bone during the healing process. This integration allows the implant to become part of the mouth permanently and provides a sturdy foundation for the denture.

Are implant-supported dentures right for me? 
Missing teeth cause the jawbone to break down and erode over time. Implants require enough bone to securely hold the implants in place. In some cases, your dentist may recommend bone grafts to replace the missing bone. Patients with severe cases of bone loss may need a different tooth replacement option. Additionally, good candidates for dental implants should have a strong commitment to their at-home oral care routine.

Implant Supported Dentures in Danvers, MA
There are two main types of implant-supported dentures: bar-retained dentures and ball-retained dentures. Bar-retained dentures use a metal bar which follows your mouth’s shape, held in place with several implants. The denture latches onto the bar using clasps. Ball-retained dentures also use several implants throughout the arch. However, instead of the metal bar used for bar-retained dentures, the implants support a ball-shaped attachment. The implant’s attachments fit inside of the denture’s sockets, snapping the denture into place.

For more information on implant-supported dentures, please contact Dr. Fayad in Danvers, MA. Call (978) 539-8932 to schedule your consultation for implant-supported dentures today!


After several treatment sessions your periodontal (gum) disease is under control. But, while we may have won this battle, the war rages on. To keep an infection from re-occurring we'll have to remain on guard.

Gum disease begins and thrives on a thin film of bacteria and food particles on tooth surfaces called plaque. The infection usually begins as gingivitis, which causes the gums to become red and swollen (inflamed). Untreated it can develop into periodontitis, a more advanced form that progresses deeper into the gum tissues resulting in bone loss.

To treat the disease, we must remove all the plaque and calculus (hardened plaque deposits) we can find no matter how deeply they've penetrated below the gum line. Since the deeper it extends the more likely surgical techniques may be necessary to consider, it's better to catch the disease in its earliest stages when plaque can be removed with hand instruments or ultrasonic equipment.

The appropriate treatment technique can effectively stop and even reverse gum disease's effects — but it won't change your susceptibility. Constant vigilance is the best way to significantly reduce your risk of another episode. In this case, our prevention goal is the same as in treatment: remove plaque.

It begins with you learning and applying effective brushing and flossing techniques, and being consistent with these habits every day. As your dentist, we play a role too: we may need to see you as often as every few weeks or quarter to perform meticulous cleaning above and below the gum line. We may also perform procedures on your gums to make it easier to maintain them and your teeth, including correcting root surface irregularities that can accumulate plaque.

Our aim is to reduce the chances of another infection as much as possible. "Fighting the good fight" calls for attention, diligence and effort — but the reward is continuing good health for your teeth and gums.

If you would like more information on continuing dental care after gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Periodontal Cleanings.”


Cavities can happen even before a baby has his first piece of candy. This was the difficult lesson actor David Ramsey of the TV shows Arrow and Dexter learned when his son DJ’s teeth were first emerging.

“His first teeth came in weak,” Ramsey recalled in a recent interview. “They had brown spots on them and they were brittle.” Those brown spots, he said, quickly turned into cavi­ties. How did this happen?

Ramsey said DJ’s dentist suspected it had to do with the child’s feedings — not what he was being fed but how. DJ was often nursed to sleep, “so there were pools of breast milk that he could go to sleep with in his mouth,” Ramsey explained.

While breastfeeding offers an infant many health benefits, problems can occur when the natural sugars in breast milk are left in contact with teeth for long periods.  Sugar feeds decay-causing oral bacteria, and these bacteria in turn release tooth-eroding acids. The softer teeth of a young child are particularly vulnerable to these acids; the end result can be tooth decay.

This condition, technically known as “early child caries,” is referred to in laymen’s terms as “baby bottle tooth decay.” However, it can result from nighttime feedings by bottle or breast. The best way to prevent this problem is to avoid nursing babies to sleep at night once they reach the teething stage; a bottle-fed baby should not be allowed to fall asleep with anything but water in their bottle or “sippy cup.”

Here are some other basics of infant dental care that every parent should know:

  • Wipe your baby’s newly emerging teeth with a clean, moist washcloth after feedings.
  • Brush teeth that have completely grown in with a soft-bristled, child-size toothbrush and a smear of fluoride toothpaste no bigger than a grain of rice.
  • Start regular dental checkups by the first birthday.

Fortunately, Ramsey reports that his son is doing very well after an extended period of professional dental treatments and parental vigilance.

“It took a number of months, but his teeth are much, much better,” he said. “Right now we’re still helping him and we’re still really on top of the teeth situation.”

If you would like more information on dental care for babies and toddlers, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “The Age One Dental Visit” and “Dentistry & Oral Health for Children.”