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James A. DiPerna, DMD
Amber M.S. Foronda, DMD
David C. Hay, DMD, MPH
Kara Dragone, DMD, MPH, MS
Nestor Foronda, DMD
RIDC/Fox Chapel Office

(412) 963-1911 | View Map

Warrendale Office

(724) 262-2333 | View Map

Our Procedures

Common Questions

Common Questions

Questions Relating to Dental Implants

Implants are natural looking replacements for missing teeth. The implant itself is a post that attaches to your jawbone. This post provides an anchor for your general dentist to place crowns, bridges or other restorations.

Evaluation with our doctors will allow for a determination as to whether or not you are a good candidate for dental implant therapy.

For more detailed information, please see the section entitled "Dental Implants."

Dental implants function much better than removable teeth, (e.g. partials or dentures). Patients often comment that dental implants are so natural in appearance and function that it is like having their natural teeth back. Today's advancements make implants function within 90% of the efficiency of natural teeth in terms of both bite and feel.

The cost of implants varies from patient to patient, depending on the complexity of each case. As a general rule, however, the investment is comparable to that of fixed bridgework.

Based on your individual situation, you will be provided dietary instructions by your doctor.

Periodontal infection grows in "bursts of activity."

It is likely that you have been referred to us because your general dentist has noticed an increase in infection activity. This infection eats away at the bone that supports your teeth (leading to tooth loss). If not treated, there can be a number of consequences. Please see the Dental & Medical Consequences section for a list of these.

Questions Relating to Periodontal Disease

Periodontal disease (also known as periodontal infection, gum disease or pyorrhea) is an ongoing infection in the gums around your teeth. The cause of periodontal disease is infectious bacteria that gets deep into your gums and causes tissue inflammation.

This infection starts destroying the bone that supports your teeth. If left untreated, it can lead to tooth loss. For more information, please see the section entitled "Periodontal Disease."

Because periodontal infection grows under your gums, you can have no symptoms at all. Patients with more advanced periodontal disease may experience some of the following symptoms:

  • Red, swollen or tender gums
  • Tooth sensitivity to heat/cold
  • Bad breath
  • Deep pockets around the teeth
  • Spaces between the teeth
  • Loose or shifting teeth
  • Missing teeth
  • Gums receding around the teeth (longer looking teeth)

For more information see the section entitled "Periodontal Disease."

Periodontists have advanced training in the treatment of periodontal disease and the placement of dental implants.Patients with periodontal infection have a lowered resistance to periodontal bacteria. This causes a continuing gum infection that can grow in bursts of activity. Some factors that can cause a dramatic increase in the severity of your periodontal disease are:

  • Poor oral hygiene
  • Dental plaque
  • Smoking
  • Genetic factors
  • Stress
  • Diet
  • Age
  • Illness

Two other important factors are:

  • Lack of regular dental checkups
  • Lack of regular dental cleanings

When your infection has a burst of growth, or when there are signs that this may occur, your dentist may recommend periodontal treatment.

Periodontal disease is an infection in the gums and jawbone. The goal of treatment is to remove this infection and prevent it from coming back. The specific treatment required will vary with each patients' individual needs. After your initial examination, we will completely explain your different treatment options.

For more information see Periodontal Disease Treatment.

One of our primary concerns is that you have a comfortable experience during treatment. Towards this end, we offer an extensive array of the latest techniques to minimize discomfort. Many of our patients are amazed at how little discomfort they experience.

For more information on the patient comfort techniques we use, see our Procedures page.

Periodontal infection grows in "bursts of activity."

It is likely that you have been referred to us because your general dentist has noticed an increase in infection activity. This infection eats away at the bone that supports your teeth (leading to tooth loss). If not treated, there can be a number of consequences. Please see the Dental & Medical Consequences section for a list of these.

These medications are administered intravenously. Dr. DiPerna and Dr. Foronda administer just enough medication to make you relaxed and comfortable. You are carefully monitored, and additional medication can be easily administered throughout the procedure to ensure your sustained comfort.

General Questions

On your first visit to our office, you will receive a periodontal examination. If necessary, x-rays and/or 3D scans will be taken to further evaluate any loss of bone around your teeth.

Afterwards, our findings and your options for treatment will be thoroughly explained. At that time, your periodontist will answer your questions.

Our goal is that you leave with a complete understanding of your condition and the treatment needed to restore you to optimum oral health. In some cases, it may be necessary for your periodontist to consult with your referring dentist to determine your treatment plan.

While periodontal treatment is not as costly as replacing natural teeth due to tooth loss, its cost can vary greatly depending upon your needs.

If you have dental insurance, this may provide full or partial coverage. Although we do not participate with dental insurances, we do file claims as a courtesy to our patients.

We feel that finances should never be an obstacle to treatment. For your convenience, we offer several payment options. We also have payment plans to suit your individual needs. Our financial coordinator will be happy to answer any of your financial or insurance questions.

Chronic periodontal infection, if not treated, has the potential to turn into an acute infection or abscess that can be very painful. This can also allow for the spread of bacteria to other areas of the body via the bloodstream.

Recent research has found that patients with periodontal disease are more than twice as likely to suffer heart disease and stroke.  Please read the section entitled "Dental & Medical Consequences" to see an overview of recent research correlating periodontal disease with serious medical problems.

We keep ourselves up to date regarding equipment and periodontal procedures. Our doctors pursue continuing education courses on a regular basis, well exceeding the minimum requirements each year. You can be certain you will receive state-of-the-art care in our office, from the 3D imaging and ability to virtually plan your treatment, to the latest surgical techniques and instrumentation, we will provide you with the best possible care available.

For more information on the procedures we provide, please see the section entitled "Procedures."

Your general dentist knows your entire dental history and the condition of your teeth. We work closely with him or her to ensure you receive the best possible dental care.

In many cases, your general dentist may do your preliminary periodontal treatment and a portion of your periodontal maintenance.