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By Dr. Vincent A Grosso, II
November 14, 2019
Category: Uncategorized

At the first-ever Players Weekend in August 2017, Major League Baseball players wore jerseys with their nicknames on the back. One player — Cleveland Indians shortstop, Francisco Lindor — picked the perfect moniker to express his cheerful, fun-loving nature: “Mr. Smile.” And Lindor gave fans plenty to smile about when he belted a 2-run homer into the stands while wearing his new jersey!

Lindor has explained that he believes smiling is an important part of connecting with fans and teammates alike: “I’ve never been a fan of the guy that makes a great play and then acts like he’s done it 10,000 times — smile, man! We’ve got to enjoy the game.”

We think Lindor is right: Smiling is a great way to generate good will. And it feels great too… as long as you have a smile that’s healthy, and that looks as good as you want it to. But what if you don’t? Here are some things we can do at the dental office to help you enjoy smiling again:

Routine Professional Cleanings & Exams. This is a great place to start on the road toward a healthy, beautiful smile. Even if you are conscientious about brushing and flossing at home, you won’t be able to remove all of the disease-causing dental plaque that can hide beneath the gum line, especially if it has hardened into tartar, but we can do it easily in the office. Then, after a thorough dental exam, we can identify any problems that may be affecting your ability to smile freely, such as tooth decay, gum disease, or cosmetic dental issues.

Cosmetic Dental Treatments. If your oral health is good but your smile is not as bright as you’d like it to be, we can discuss a number of cosmetic dental treatments that can help. These range from conservative procedures such as professional teeth whitening and bonding to more dramatic procedures like porcelain veneers or crowns.

Tooth Replacement. Many people hide their smiles because they are embarrassed by a gap from a missing tooth. That’s a shame, because there are several excellent tooth-replacement options in a variety of price ranges. These include partial and full dentures, bridgework, and dental implants. So don’t let a missing tooth stop you from being Mr. (or Ms.) Smile!

If you’d like more information about oral health or cosmetic dentistry, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Beautiful Smiles by Design” and “The Impact of a Smile Makeover.”


Dental implants can do more than replace individual teeth — a few well-placed implants can support other restorations like a fixed bridge. The natural integration that occurs between the bone and the implant's titanium post creates a strong, durable hold for both implant and the supported restoration.

But if a bone-implant connection weakens, the implant could be in danger of failing. This can occur because of periodontal (gum) disease caused by dental plaque, a thin film of built-up food particles and bacteria on the teeth. Untreated, the infection can ultimately spread from the gums to the bone and cause it to diminish in volume. If the bone loss occurs around an implant the threaded surface of the post may be exposed, inviting more plaque buildup. This can trigger more bone loss and eventually implant failure.

That's why you must brush and floss daily to remove plaque on and around your fixed bridge just as you do your natural teeth. Brushing around a bridge could be difficult with a traditional brush, so you may want to use an interproximal brush designed for just such situations. Be sure any utensil you use contains only plastic parts — metal creates microscopic scratches in the restoration materials that could harbor plaque.

You should also floss between the bridge and gums as well as between any natural teeth. While this can be difficult with traditional flossing methods, there are some tools to make it easier.

One is a floss threader, a small tool with a loop on one end and a stiff plastic edge on the other. With floss threaded through the loop, you gently guide the edged end between the bridge and gums. Once it passes through, you wrap the two ends of the floss with your fingers as you would normally and work it along each side of the nearest implants.

You can also use pre-cut floss sections with stiffened ends to pass through the gap, or an oral irrigator that loosens and flushes away plaque with a pressurized water stream. Just be sure you flush debris away from the gum and not toward it.

Keeping all surfaces of your implant-supported bridgework clean of plaque is necessary for its longevity. Be sure you also visit your dentist regularly for more thorough cleanings.

If you would like more information on oral hygiene with dental implants, please contact us or schedule an appointment for a consultation.

December 04, 2017
Category: Uncategorized
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When searching dentist Kissimmee, dentist Hunter’s Creek, or even dentist Orlando, it is quite possible that you may be directed to a dental office or clinic that does not follow Florida Law as to what duties a dental assistant or hygienist may perform. Many times high volume practices with multiple assistants are guilty of allowing dental assistants and hygienists to perform tasks that must be performed only by the dentist. The tasks that can be performed by the dental assistant and hygienists are called remediable tasks. In Florida Chapter 64B5-16, the remediable tasks delegable to dental hygienists and dental assistants are clearly listed. The law is written in a way that lists what tasks the assistant or hygienist can do, and does not state what they can’t do.

Under Florida Law, dental assistants are never allowed to use a high speed handpiece in the patient’s mouth. Although they may be allowed to fabricate temporary crowns or bridges, they are not allowed to adjust the bite or occlusion of that temporary device. Dental assistants and hygienists are not permitted to adjust partial dentures or full dentures. Final impressions to fabricate a crown, bridge, partial, or full denture must be done by the dentist. Recording of a patients bite to fabricate a denture, partial, bridge or crown must be done by the dentist. Scanning a tooth preparation and bite using CEREC technology are not remediable and delegable tasks allowed under Florida law. Dental assistants and hygienists may cement a temporary crown or bridge with temporary cement. They are never allowed to cement a permanent crown or bridge with any type of cement. The dental assistant or hygienist is not permitted to fit and adjust a permanent crown bridge or denture. Only the licensed dentist can do that. When it comes to implant dentistry, only the dentist can legally place and remove implant fixtures using wrenches and screwdrivers. The dental assistant or hygienist should not be using any type of implant tools in the patient’s mouth. Several years ago in Winter Park, Florida a dentist lost his license to practice because he allowed his dental assistant to place and remove implant fixtures in the patient’s mouth. If you have received dental treatment in the past, and noticed that the dental assistant or hygienist has performed any of the above described tasks, a red flag should go up, and you should question your dentist why he or she is allowing his employees to practice dentistry without a license.

At the office of Dr. Vincent Grosso you can be sure that the dentistry is being done only by the licensed dentist, and that his dental assistants and hygienists are only performing remediable tasks allowed by Florida law.