I. Stephen Brown, DDS
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Dr. I. Stephen Brown Awarded Philadelphia Magazine Top Dentists 2017 – Periodontics

Wednesday, April 5th, 2017

Philadelphia Magazine Top Dentist Award 2017 - Periodontics

We are proud to announce that Dr. Brown has been recognized as one of Philadelphia Magazine Top Dentists 2017 for Periodontics. To help consumers to find the best dental experts in Philadelphia, the magazine sends letters to every dentist in the city and throughout seven surrounding counties to ask them to nominate their peers. Dr. Brown is particularly honored as this is the 5th consecutive time that Dr. Brown has been selected for this award, a very unique and prestigious recognition for any Philadelphia dentist!

This year, a staggering 5,200 votes were cast by 532 different dentists, and 20 top dentists were chosen in each specialty. This list was then reviewed by an advisory board made up of 10 distinguished dental professionals to determine the winners. Only dental professionals who are unconditionally committed to dental excellence and who have earned the respect of their peers are nominated, which is why Dr. Brown is proud to be recognized with this prestigious award recognizing him as one of the best periodontists in Philadelphia and surrounding region, again this year.

Known internationally for his expertise in periodontics and dental implants, I. Stephen Brown, DDS, FACD, FICD is dedicated to helping patients to restore their smiles in a way that is effective, comfortable and beautiful. As a leader in modern periodontal techniques, Dr. Brown was the first Philadelphia periodontist to offer cutting-edge techniques like Laser Assisted New Attachment Procedure and the Pinhole Surgical Technique, helping patients to recover from the advanced stages of gum disease and to repair gum recession in a minimally invasive manner.

Continuing education and the education of his colleagues is vitally important to Dr. Brown, which is why he is heavily involved with teaching Residents at the University of Pennsylvania, Temple University and Albert Einstein Medical Center in addition to working in his own private practice. He is also in demand as a speaker at dental meetings and dental study clubs here and abroad.

As the director of the Dental Implant Team, he helps other periodontists to learn the science and delicate art of dental implant placement. Dr. Brown was also the first person in the United States to receive combined training in orthodontics and periodontics, giving him a unique perspective that improves patient results.

If you need a periodontist, work with the best of the best. Dr. Stephen Brown is currently accepting periodontal patients, and he would love to get to know you and your family. In addition to offering routine periodontal exams, dental implants, and a variety of laser gum treatments, Dr. Brown also offers sedation dentistry to help you to stay comfortable during complex treatments.

Dr Brown at the 6th Annual Scientific Session

Monday, August 15th, 2016

Stephen Brown, DDS, FACD, FICD, FCPP – The Future of Lasers in Periodontal Therapy: Science, Hype or Snake Oil?

Our very own Dr. Stephen Brown has been asked to speak at the 6th Annual Scientific Session for the American Academy of Oral Systemic Health, an event where only 11 other professionals have been asked to present their research. The focus of this meeting is on the relationship of inflammation and periodontal disease to a host of life-threatening, systemic diseases, evidenced by a huge body of data and documentation. For more on this link, visit the Patient Resources page on www.perio.org, or see this post on the topic. During this conference, attendees will hear from industry leaders discussing sometimes controversial topics, including pro-inflammatory diets, global medicine considerations, and the Future of Lasers in Periodontal Therapy, as presented by Dr. Brown.

Although research has continued to show the powerful benefits of lasers in periodontal therapy, there are some dentists who swear by older tried-and-true methods, or who consider laser therapies dangerous or ineffective. However, Dr. Brown believes, through years of his own research, that lasers offer patients the opportunity to enjoy a more comfortable experience and protect prior restorations such as dental implants.

Dr. Brown will also discuss other benefits of laser therapy, including the regeneration of periodontal tissues, a faster, more targeted approach to treatment, and preserving healthy tissues that should remain unaffected during treatment. Some of the learning objectives discussed during Dr. Brown’s presentation will include:

  • The differences between lasers used in dentistry, and whether or not they are all created equally.
  • How laser gum surgery is different than traditional pocket-elimination surgeries.
  • LANAP and its application in the treatment of advanced periodontal disease. Dr. Brown will also discuss evidence to support this treatment modality.
  • Using lasers to treat ailing/failing dental implants.
  • Whether or not laser dentistry is simply a trend, and how laser therapy could represent the dawn of better periodontal treatments.

Dr. Brown is excited to present his research, and he hopes that his findings will encourage other dentists and periodontists in Philadelphia and elsewhere to learn more about laser dentistry and how it could benefit their practices.

During the conference, Dr. Brown will also be a part of the “Ask the Experts” panel to discuss oral pathogens. Dental professionals will have the opportunity to ask Dr. Brown and other industry-leading experts questions regarding oral pathogen management to better understand their research and modalities for treatment.

To learn more about this event, click here.

OraVerse: Can Numbness Be Reversed?

Monday, February 4th, 2013

Ask your dental professional.


OraVerse®, a local anesthetic reversal agent has become a new staple of dental procedures which employ one of many available local anesthetics such as Novocaine.

If you’ve had a local anesthetic administered to numb your mouth for a routine dental procedure, you know how its numbing effects can sometimes last for hours after the procedure. Numbness can be limiting, affecting your speech, your smile, and your ability to drink. You may even catch yourself drooling. But now, as a result of the latest clinical research, you can get back to feeling normal faster than ever before, following your dental visit.

OraVerse®, is the first product of its kind to rapidly and effectively reverse the effects of local dental anesthetics. Typically, anesthetics can cause numbness for 3-5 hours after a procedure. OraVerse® can cut that time in half! That can potential provide hours more of your day that you can have back, free from the persistent numbness. It is approved for children and adults ages 6 and older.

The injection (administered immediately after the completion of the dental procedure) is pain free because it is given while the anesthetic is still in effect. There are no known side effects to using OraVerse® and can be used by almost anyone after his/her dental procedure.  Ask us if OraVerse®can be used in your next visit!

Dr. Brown Talks about LANAP on The Wellness Hour Show, hosted by Randy Alvarez

Monday, December 17th, 2012

Because so many of you have expressed an interest in learning more about LANAP PROTOCOL and the benefits to patients looking for an alternative to conventional periodontal surgery, I am enclosing a link to an interview I recently completed about this revolutionary procedure for The Wellness Hour Show, hosted by Randy Alvarez.

The presentation covers frequently asked questions about LANAP. In sprite of broad acceptance, questions about treating gum disease with a laser still remain. I am proud to have been the first to bring this technology to Philadelphia. I hope that sharing the show will answer your questions and open your eyes to the amazing possibilities of LANAP.

I encourage you to consider this unique alternative to traditional gum surgery for yourself, a close family member, or patients you know who are undergoing or have been recommended for traditional cut and sew gum surgery. The results have been extraordinary and most importantly, patients tell us they have minimal discomfort, and none of the trauma associated with traditional gum surgery.

Better yet: You can view video testimonials on our website by patients who have experienced this revolutionary approach to treating gum disease. Or, if you would like to speak to a patient, we will be happy to provide you with contact information of patients who are ecstatic with the results of their treatment.

I welcome your feedback, comments, and questions. I hope you’ll share the video with your family, friends and loved ones who might benefit from this treatment.

This therapy is truly a win/win for everyone!

 

Warm Regards,

Dr. Steven Brown

The Lowdown on Implant Supported Dentures

Tuesday, December 11th, 2012

Do you currently wear dentures? Are you tired of the hassle and fuss?  Would you like to eliminate denture adhesives from your life? Maybe you are considering dentures as a tooth replacement option. There is something better new denture design: implant-supported dentures.  Because they are amazingly comfortable and secure, they alleviate most of the issues that make regular dentures unacceptable. This means you spend less time worrying about your smile and more time enjoying life!
What Is It?
Implant-supported dentures are most frequently used in the lower jaw because lower dentures are much less stable. This is because the movement of the tongue displaces the denture. However, implant-supported dentures can be made to secure upper or lower dentures.
The dentures are made to look exactly like the gums of your mouth and the porcelain teeth are very cosmetically pleasing. The best part is that the dentures don’t rub, slip or become displaced when you eat or speak.
The Implant Process
Implants, used to support the denture are gently placed in the jawbone. Jawbone has NO NERVES so there is NO PAIN! The number of implants needed to support the denture varies based on individual factors. Usually two to four implants are sufficient. There is no need for an implant to replace each missing tooth.
The time frame to complete the implant process also depends on many factors.  Depending on a number of factors, the time frame from the implant process to insertion of the denture is approximately 3- 4 months. At no time will you be without teeth!
What Can You Expect From Your Implant-Supported Denture?
Initially you will notice first how much more stable the implant-supported denture is than a regular denture.  You will also have an easier time speaking, with less worrying about the denture coming loose and slipping out of your mouth.  You will immediately be able to eat foods that you could not eat before. Fresh, crisp apples, corn on the cob and other foods you crave will be available to you.
With upper jaw implant-supported dentures, you will also notice a much more natural feel because the denture will no longer need to cover the roof of your mouth. This results in an entirely new and improved taste and feel of your food.

Contact us today to find out more about implant-supported dentures and to schedule a consultation.

Cosmetic Gum Surgery Can Restore a Brilliant Youthful Smile

Thursday, November 29th, 2012

Surgery of any type can cause apprehension. However, cosmetic gum surgery performed by a qualified cosmetic dentistry expert is relatively simple and can greatly improve the appearance of your smile.

Cosmetic surgery is the best solution for two types of problems: The “Long Tooth Look” and the appearance of a “Gummy Smile.” These conditions are usually caused by aging, gum disease or poor oral hygiene. They are likely to become progressively worse with age. Cosmetic gum enhancement can also help people with collapsed gums in the area of a missing tooth, blackened areas between crowns and bridges, and tooth sensitivity caused by receding gums.

The “long tooth” look may be caused by receding gums or a bad bite. As we age, unhealthy gums often shrink and recede. This can leave your teeth overexposed at the gum line.

The “gummy smile” is caused by excess gum tissue, which causes the teeth to appear too short. People with a gummy smile often feel self-conscious about the amount of visible gum tissue when they smile.

How is Cosmetic Gum Surgery Performed?

The two main types of cosmetic gum procedures used to correct the long tooth look and the gummy smile differ. The gummy smile corrective treatment gently reduces the excess gum. The cosmetic dentist may use a laser to perform this type of gum enhancement, or the excess tissues may be “manicured” to achieve the desired result.

The procedure for correcting the long tooth look is an additive procedure in which healthy tissue is added in areas where it is needed. The result is a more natural looking gum line.

Will I Be Awake for This Procedure?

There are two possibilities: You may have these cosmetic procedures done in a series of office visits, or all at once. They are performed with a local anesthetic (Novocaine). There is no pain! For those patients who have fears surrounding dental work, we offer light sedation dentistry (twilight sleep). You will awaken fresh without pain, and NO memory of the procedure.

What should I do first?

Before undergoing any type of cosmetic gum surgery, discuss the procedure thoroughly with us. This procedure may be just one aspect of an overall plan with several components to improve your smile. Cosmetic gum surgery might be complimented with other cosmetic dental procedures to get your smile looking its best.

Oral Health Mirrors Overall Health

Monday, November 26th, 2012

The Health of Your Mouth Mirrors Your Overall Health
Your mouth is a mirror that reflects your overall health and well-being, according to Donna E. Shalala in the Surgeon General’s Report on Oral Health. It’s also a key determinant of your nutritional status and your self-esteem. “Oral health means more than sound teeth. Oral health is integral to overall health,” she said.

The report, which was the first that the U.S. Surgeon General has undertaken to assess the nation’s oral health, is intended to “alert Americans to the full meaning of oral health and its importance to general health and well-being.”

But what is oral health?
First of all, the word “oral” refers to the mouth, which includes not only the teeth and gums and their supportive tissues, but also the roof and the floor of the mouth (the hard and soft palate), the tongue, the lining of the mouth and the throat (called the mucosa), the lips, the salivary glands, the upper and lower jaws, and the chewing muscles. Oral health also involves the branches of the nervous system, the immune system and the vascular system (blood vessels) that serve this part of your body.

So consequently, oral health means more than just being free from cavities and gum disease. Oral health, the report states, means overall health in the tissues that “allow us to speak and smile; sigh and kiss; smell, taste, touch, chew and swallow; cry out in pain; and convey a world of feelings and emotions through facial expressions.”

Oral health and overall health—an intricate interrelationship
The health of the oral tissues is indicative of the health of organs and systems throughout your body. Your dentist and other healthcare providers can gather an enormous amount of information about your overall health simply by examining these tissues.

  • A thorough oral exam can uncover nutritional deficiencies, microbial infections, immune disorders and some forms of cancer.
  • Clues to a disease can be discovered by analyzing saliva under a microscope.
  • Facial nerves have counterparts elsewhere in the body.
  • The jaw bones and jaw joint function like other musculoskeletal regions of the body.

Conversely, research is showing us that disease within the mouth—especially periodontal (gum) disease—is connected to ailments throughout the body. Infections in the mouth are a gateway for disease-causing bacteria to enter the bloodstream and provoke a number of diseases, including:

  • Heart disease and stroke
  • Respiratory infection
  • Diabetes
  • Stomach ulcers
  • Low birth weight or premature births

The answer?
Decay (also called caries or cavities) and periodontal disease are the most common, widespread dental diseases. They’re also the most preventable. Community prevention programs, such as fluoridated drinking water, dental hygiene instruction in schools, nutrition education, and tobacco cessation programs, save billions of dollars per year in public health costs, according to the report. And best of all, they help most people keep their natural teeth for a lifetime.

Source – “Oral Health in America: A Report of the Surgeon General”

 

Taking Advantage Lanap: Non-Surgical Periodontal Disease Treatment

Monday, November 5th, 2012

Lanap

Since the mid 80’s, I anticipated that lasers would play a major role in the non-surgical treatment of periodontal disease. More than 20 years ago, I took my first laser course in San Francisco, with American Dental Lasers.

In addition to promoting the laser’s potential to deliver non-invasive surgery, early lasers were marketed as an effective tool for sterilizing the pocket and killing the bacteria, which invade the soft tissue lining of the pocket.

Lasers were purported to detoxify the cementum of the root as well. It sounded great, but the marketing hype was not supported by my clinical experience. And, what was more troubling was that there were no published papers in refereed journals evidencing credibility for this approach.

I’m writing to tell you that the wait is over, the time is now, and we have at our finger tips, a powerful tool that was unimagined in the past! The “Gold Standard” Periodontists have been looking for since the specialty began is “New Attachment,” which means regeneration of lost Bone, Cementum and Periodontal Ligament.

I feel confident that my professional colleagues would not characterize me as a therapeutic “Cowboy.”  I value my professional and academic reputation too much to embrace controversial technologies or recommend unproven treatment methods to my patients, my colleagues, or my students.

For some years, I have been treating advanced periodontal disease with a laser rather than a scalpel!

We have been using LANAP, an FDA approved, patented laser protocol. The technique features a free running Nd:Yag laser, which has been proven to achieve pocket reduction and true periodontal regeneration. In short LANAP reverses, controls and corrects periodontal disease without a knife!

What is truly amazing is that patients experience virtually none of the postoperative pain and excessive gingival recession associated with traditional pocket elimination surgery.

Laser periodontal treatment is efficient and can be delivered in just a few visits.  Patient acceptance of this revolutionary approach to the management of periodontal disease is near 100%. Many of the patients referred, have either refused traditional surgery, have periodontal disease that has proven resistant to conventional treatment, or have medical issues, which preclude the usual invasive forms of surgical intervention.

But, don’t take my word for it! In 2007, Dr. Raymond Yukna published the results of a human block section study in the prestigious International Journal of Periodontics and Restorative Dentistry. Human block sections represent the highest level of research evidence. In every case, he observed gains of new attachment.

This article represents the quality science supporting the considerable benefits of this FDA approved and patented alternative to traditional periodontal surgery. A trusted friend and mentor, Ray Yukna, the principal investigator of this treatment method, is Professor and Chairman of the Department of Periodontics at the University of Colorado. His credentials as a researcher and educator are unparalleled.  

I am pleased to be the First Dentist in Philadelphia to offer this amazing new treatment modality, which offers the most effective alternative to conventional periodontal surgery to come along since I have been in practice.

 

I. Stephen Brown, DDS, FACD, FICD

Why You Should Get An Early Screening for Oral Cancer

Friday, October 19th, 2012

Oral Cancer

Oral cancer can develop anywhere in or around the mouth and has been identified as a variety of cancers associated with the head, neck, and associated anatomic structures.
Risk Factors for Oral Cancer

Often there is no obvious explanation as to why one person gets oral cancer and others do not. However, dental medicine has identified several factors that are intimately associated with increased risk of oral cancer.

  • Tobacco and Alcohol Use: The majority of cases of oral cancer are related to tobacco and alcohol use. Approximately 90% of people who develop mouth cancer are tobacco users. Smokers are 6 times more likely than nonsmokers to develop cancer of the mouth. Those who drink alcohol are also 6 times more likely to develop oral cancer than those that don’t drink. Individuals who smoke AND drink are 15 times more likely to develop mouth cancer!
  • Sun Exposure: Excessive exposure to the sun can contribute to the development of lip cancer.  Consistent use of sunscreens and hats with a brim are often helpful in prevention. Smoking also substantially increases the probability of lip cancer.
  • History of throat or neck cancer: People who have been diagnosed with another form of throat or neck cancer are more likely to develop a second cancer in the region. A family history of head and neck cancer also statistically increases the probability of a similar diagnosis.
  • HPV (Human Papilloma Virus): The most sexually transmitted virus in the USA is now one of the primary risk factors. It is thought that this may be related to oral-genital contact.

 

Importance of Early Detection

Mouth cancers have a higher percentage of deaths per number of cases than breast cancer, melanoma and cervical cancer. However, overall survival rate is close to 60%. Survival rates with early discovery can be as high as 90%, thus the time line of detection is extremely important.

Since cancer is so prevalent in the mouth, in an effort to protect our patients we provide Vizilite Plus, Oral Cancer Screening. This is a painless, fast, and non-invasive test. An annual ViziLite Plus exam, in combination with a regular visual examination, provides a comprehensive oral screening and prevention procedure for patients at increased risk for oral cancer.

 

Some worthwhile Links you may want to use:

http://www.webmd.com/cancer/oral-cancer

http://oralcancerfoundation.org/

What Causes Bad Breath?

Friday, October 12th, 2012

Bad breath is a condition affecting over 80 million Americans. Temporary malodor, or the more persistent condition known as halitosis, can be caused by certain foods or systemic disease, but more often, it is due to a combination of poor oral hygiene and gum (Periodontal) disease. (previous sentence starting “Temporary malodor should be hyperlinked to: http://badbreathawarenessmonth.org/?page_id=18

The warm, dark, moist environment of the mouth, with many hidden spaces, is populated with more than 500 different types of bacteria. These germs are most often found in gum pockets and on the surface of the tongue. The microorganisms feed on leftover food particles and naturally occurring sulfur containing proteins. Bacteria digest these proteins, which in turn, produce the familiar rotten egg smelling gases known as Volatile Sulfur Compounds (VSCs).

Mouthwashes, Breath Mints, Toothpaste, Chewing Gum and other commonly used “remedies,” represent a billion dollar industry, whose products are largely ineffective in eliminating bad breath. At best, they provide momentary “perfuming” of the breath. Such attempts are doomed to failure, because they represent nothing more than an unsatisfactory attempt to minimize the results, without eliminating cause.

 

How Can This Condition Be Improved?

Bad breath can usually be avoided by proper dental care and prevention of gum disease. Gum Disease is caused by bacteria which result in the build up of plaque. Often called Gingivitis in its early stages, gum disease affects an estimated 80% of adults. Left untreated, periodontal disease may lead to gum recession, tooth loss and other, potentially life-threatening health problems. Gum disease also may be connected to damage elsewhere in the body; recent studies link oral infections with diabetes, heart disease, stroke, and premature, low-weight births. (Hi light or another color and hyperlink to: http://perio.org/consumer/mbc.top2.htm­)

 

Gum Disease, Bad Breath and Other Health Problems

Your teeth and gums can hold important clues to overall health. Studies suggest that people who have gum disease are at a much higher risk from heart attack and other systemic diseases. One of the mechanisms for this problem is bacteria hidden within the infected gums and tongue surface, which can dislodge and attach to plaque in the arteries.1

Of further interest, especially for the elderly, “an association between oral conditions such as periodontal disease and Respiratory Diseases has been noted. Recent evidence has suggested a central role for the oral cavity in respiratory infection. The teeth may serve as a reservoir for respiratory pathogens, and oral bacteria can be aspirated into the lungs to cause pneumonia.”2

 

Effective Methods of Treating Bad Breath

Bad breath can be treated by minimizing or eliminating the bacteria associated with periodontal disease. Effective removal is facilitated by treating active gum disease, thoroughly removing bacteria, and eliminating foreign material and dead tissue from the surface of the tongue. One of the best methods for achieving this result is to make use of the laser as an effective tool in the war against the bacteria known as periodontal pathogens. (Hi Light and hyper link to: http://www.theperiogroup.com/laser-gum-treatment-philadelphia/laser-alternatives-to-gum-surgery.html

An oxidizing agent, such as (Activated Chlorine Dioxide), has the capability of eliminating existing odors (VSC’s) by:

  • Killing the germs that produce the odors
  • Neutralizing sulfur proteins used by the bacteria

Combining this three pronged attack:

  • Treating the gum disease
  • Removing the bacteria from the tongue
  • Neutralizing the gases with an oxidizing agent

The foregoing will provide the most comprehensive and effective means for eliminating chronic bad breath. Routine preventive periodontal maintenance, no less than four times a year, will insure ongoing freedom from breath malodor.

 

 

1. AcademyofGeneralDentistry, Oral Health Resources, March 2007

2.  J. of Periodontology, July 99, vol. 70, No. 7, 793-802