EMA Dental Blog

Amherst, MA – Dr. Vincent Mariano, an Amherst dentist with EMA Dental, and his staff celebrated National Prosthodontics Awareness Week, April 3-9, 2011.
At EMA Dental, Mariano is a board-certified Amherst prosthodontist and Dr. Thomas Vergo is a maxillofacial prosthodontist. They provide specialty services such as bridges, dental implants, crowns, and dentures.

“Many dental patients don’t understand very well what a prosthodontist does,” explains Mariano, an Amherst dental implants provider. “National Prosthodontics Awareness Week is an opportunity for us to explain what prosthodontics are and the kind of specialized care that prosthodontists provide. We make a special push to get the word out to our patients and to the community at large.”Prosthodontists focus on the restoration and replacement of teeth and surrounding dental structures. One of dentistry’s nine specialty fields, prosthodontics requires an additional three years of work following graduation from dental school. “Prosthodontists have received additional training in aesthetics, dental implants, crowns, bridgework, and dentures,” points out Vergo, a Springfield, MA prosthodontist.

The American College of Prosthodontists asks its members to use National Prosthodontics Awareness Week as an opportunity to advocate for the prosthodontists’ valuable role and raising public awareness about the importance of a healthy mouth. The college promotes several key messages during this week:

• Prosthodontics changes lives
• Prosthodontists and technicians create museum quality restorations
• Prosthodontists are serious about access to care (dental school clinics and pro bono services)
• Prosthodontists provide a broad spectrum of services including maxillofacial
• Prosthodontists treat a broad spectrum of patients

The American College of Prosthodontists’ mission is to represent the needs and interests of prosthodontists to the public by stimulating awareness and interest in the field of prosthodontics. It is the only prosthodontic specialty association in which membership is based solely on education credentials. ACP members must be in or have completed an American Dental Association-accredited advanced education program in prosthodontics.

“The college promotes the idea that replacing missing teeth is an essential part of overall health,” explains Mariano, a Northampton, MA prosthodontist. “Prosthodontists are prepared to provide the kind of expert care patients need in considering the best options for replacing missing teeth.”

There are more than 3,000 trained prosthodontists in the U.S., but only about 1,000 of them are board certified. Mariano is the only board-certified prosthodontist in Western Massachusetts and Vergo is the only maxillofacial prosthodontist in Western Massachusetts. Both doctors are affiliated with the Tufts Prosthodontic Specialty Program in Boston and the University of Connecticut’s prosthodontics program.
“EMA Dental offers the only prosthodontic group in Western Massachusetts,” notes Mariano, an Amherst prosthodontics specialist. “We can offer the whole range of services when it comes to prosthodontics care.”

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Northampton, MA – Every Northampton, MA general dentist at EMA Dental can handle a wide variety of cosmetic dentistry and dental hygiene issues. However, some patients require the specialized help of EMA Dental’s trained prosthodontists: Dr. Vincent Mariano and Dr. Thomas Vergo.

“The specialty of prosthodontics isn’t well understood by many patients,” explains Mariano, one of the practice’s Northampton, MA dentists. “Prosthodontists are specialists in the restoration and replacement of teeth and surrounding dental structures.” The doctors at EMA Prosthodontics are specialty-trained in esthetics, crowns, bridgework, dentures and dental implants.

“EMA’s prosthodontists have trained for three additional years following dental school to become specialists in the unique field of prosthodontics, one of the nine specialty fields in dentistry,” observes Vergo, a member of the Northampton, MAcosmetic dentistry practice. Presently there are approximately 3,000 trained prosthodontists in the U.S.; a little more than 1,000 of those are board certified.

“EMA Prosthodontics is the only prosthodontic group in Western Massachusetts,” notes Mariano, a Northampton, MA dental implants specialist. Furthermore, Mariano is the only board certified prosthodontist in Western Massachusetts and Vergo is the only maxillofacial prosthodontist in Western Massachusetts. Marianoand Vergo have affiliations with the Tufts Prosthodontic Specialty Program in Boston and the University of Connecticut Prosthodontic Program.

“Some patients require the sort of specialized treatment that only prosthodontists can give,” says Vergo, whose office also supplies Northampton, MA Invisalign. “It is especially beneficial for EMA’s dental patients that they can receive the prosthodontic care they need within the same office.” The Northampton, MAfamily dentists at EMA Dental are proud to be able to offer the highest level of prosthodontic specialty treatment at their practices in East Longmeadow and Northampton.

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Springfield, MA – Springfield, MA dentist Dr. Thomas Vergo and his colleague Dr. Vincent Mariano at EMA Dental, in East Longmeadow and Northampton, MA, provide their patients who need dentures with a number of different options.

“All dentures are not equal,” explains Northampton, MA dental implants provider Dr. Mariano. Prosthodontists are the only dental specialists who focus on the restoration and replacement of teeth, including dentures, crowns, bridgework and dental implants. There are only 3,000 trained prosthodontists in the United States;Dr. Mariano and Dr. Vergo are the only two in Western Massachusetts with offices in East Longmeadow and Northampton.

“Dentures are dental prostheses/artificial devices/teeth fabricated by dentists, specialty dentists, and prosthodontists to replace missing teeth, soft tissue and many times missing bone. The purpose of dentures is to restore oral functions such as speech, swallowing and chewing. Also, dentures will restore a patient’s smile by providing lip and cheek support – an important factor in our patients’ psychological well-being,” explains Springfield MA dentist Dr. Vergo, an expert in the field.

“The longer it has been since tooth extraction, the more bone and soft tissue loss occurs causing a collapsed facial appearance… restoring normal oral function and natural facial appearance on those patients with significant denture problems due to teeth, bone and soft tissue loss is one of the reasons many of our patients seek us out to make their dentures,” says Dr. Vincent Mariano, dental specialist and Board Certified Prosthodontist in Western MA.

“There are many different denture designs,” explains Springfield MA general dentist specialist Vergo. “Different kinds are used depending on the needs of the patient.”

Conventional Dentures: Conventional dentures are designed for patients who have lost all of the teeth on the upper or lower jaw (or both). They are removable, meaning that patients can remove and reinsert them when required without professional help. They come as a complete set of dentures that are supported by surrounding soft/gum and hard/jaw bone tissues of the oral cavity.

Removable Partial Dentures: These dentures are designed for patients who are missing only some of their teeth and don’t require a complete set of dentures. Removable partial dentures sometimes rely on attaching or clasping onto existing teeth.

Dental Implants: “Dental implants are ‘replacement’ tooth roots, which can provide a strong foundation for removable dentures by providing support and retentive attachments making the denture more functional,” explains Northampton MA denture specialist Vergo.

A lower full denture can be supported by 2-4 implants placed in the lower jaw, giving it greater support and retention than one without implants. Adequate suction and retention are more difficult to achieve with lower complete dentures because the tongue can easily dislodge a lower denture. A denture which uses implants is one of the most cost-effective ways to use dental implants in dentistry, but it’s always preferable to a conventional complete denture.

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Amherst, MA – Dr. Vincent Mariano, a Springfield, MA dentist, was quoted in the November 2010 issue of Healthcare News in an article about dental implants. The article described the advantages of using dental implants over bridges or dentures – and detailed recent technological innovations in implants.

Swedish dentist Dr. Ingvar Branemark discovered that titanium tooth implants would fuse with bone. Looking for an expert opinion, the magazine quoted Mariano, a dental implants specialist: “As a result of Branemark’s findings, the way plans are made for tooth replacement has changed significantly….For the first time, we were able to replace a non-removable tooth in the human body and have it attach to human bone….Implants can be used for a single tooth, for multiple teeth, or to stabilize a denture. We can even replace a full set of teeth that are non-removable using multiple implants.”

Recent developments in dental implants have diminished the total treatment time and reduced the process to as little as 45 minutes. All of these advancements mean that patients heal more quickly. The article quoted Mariano, who also is a Springfield, MA porcelain veneers provider: “The trend in all of this is to accelerate the healing process.”

Although not everyone is a candidate for dental implants, various kinds of patients find them beneficial. “Even people with partial dentures can benefit immensely…Dental implants were first developed for denture patients because they had such a poor quality of life,” said Mariano, whose Springfield, MA general dentistry officeprovides a wide variety of dental and prosthodontic services.
Contact the office to learn more about EMA Dental’s Springfield, MA cosmetic dentistry and general dentistry services.

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Springfield MA – If you have a missing tooth or a situation where both tooth and root are damaged, then you might be a candidate for a dental implant, points out Springfield MA dental implants provider Dr. Vincent Mariano. Implants are artificial tooth roots that anchor replacement teeth directly within the bone, making them more stable and natural feeling than many other tooth replacement options.

Traditionally dental implants are surgically placed in two steps: an initial surgery to place the anchor in the jaw bone, and a second surgery to attach the post and replacement tooth to the anchor.” Not everyone is a candidate for dental implants, however,” notes Dr. Mariano, a Springfield MA porcelain veneers provider. “You must be in good physical condition, have healthy gums, and have enough bone in your jaw.” “One of many new accelerated implant treatment approaches is ‘Teeth in a Day,’ which utilizes a combination implant and post unit, necessitating only one surgical procedure,” explains Dr. Mariano, a Springfield MA dentistry expert. One of the advantages of this option is that the patient does not need to wear a temporary crown for several weeks.

The Springfield MA dentist also offers “Teeth-in-an-Hour,” an innovative method in which the dentist uses a 3-D CAT scan to take detailed measurements of the patient’s jaw. This allows the dental lab to create a very precise implant which will fit the patient’s jaw exactly. While placing the implant, the doctor is guided by a computer. The patient spends less time in the chair and less time recovering. Dr. Mariano completed New England’s first Teeth-in-an-Hour operation in 2006. His Springfield MA general dentistry office, EMA Dental, offers a wide variety of dental services.

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Northampton, MA – “With an uncertain economy, many Americans are paring down their expenses,” notes Northampton dentist Dr. Lisa Emirizian. “But, regular dental visits are something you shouldn’t cut back on. Avoiding routine dental visits may save you money now, but it will not pay off in the long run. If a dentist recognizes a problem at an early stage, it is easier and less expensive to treat than if it’s found later.” Prevention is an important key to lifelong oral health.

“If they’re uncovered early enough, many serious conditions can be avoided,” explains on of the best  Northampton MA dentists, Dr. Vincent Mariano. “Oral cancer, decay, abscesses, gum infections, tooth wear, and enamel erosion are all more successfully treated in the early stages.” If neglected, these problems become more serious, and more costly to fix.

For instance, a small cavity that is untreated can spread to the tooth’s nerve, where it will cause an infection or abscess. Only then does the patient feel pain and recognize that there’s a problem. But now, instead of a simple filling, the dentist needs to treat it with more extensive and expensive procedures. “Don’t wait until something causes pain,” warns Dr. Emirizian, a Northampton cosmetic dentist. “If you’re experiencing discomfort, the issue is probably more serious and difficult to treat.”

The Northampton dental implants provider also note that a healthy mouth is vital to a healthy body. Infections that start in the mouth can spread all over your body. Experts have discovered links between gum disease and other health conditions such as high blood pressure, heart disease, strokes, diabetes, arthritis, premature births, and many more.

Furthermore, a dentist is often the first health professional to recognize changes in the patient’s physical condition. Diabetics, for instance, are far more likely to have diseased gums since their infection-fighting capacity is reduced. “We see this quite often,” notes Dr. Mariano. “For example, a patient comes in for a check-up and has had a serious gum infection in the last six months. Sometimes he or she has experienced unexplained weight loss. So, we advise patients to visit their physicians. More often than not, they have undiagnosed diabetes.”

Dentists can also discover: acid reflux and gastroenterological diseases (patients’ teeth are more likely to decay), some auto-immune disorders (which affect the mouth’s soft tissue and salivary glands), liver diseases (which jaundice the soft tissues) and many more.

“Regular visits can help detect and avoid many health problems,” explains Dr. Emirizian, a Northampton dentistry practitioner. “But we can’t help if the patients don’t come in for routine visits.”

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