expert type icon EXPERT

Dr. Brenda D. Berkal

Dentist

Dr. Brenda Berkal is a Dentist practicing in Derry, New Hampshire. Dr. Berkal specializes in preventing, diagnosing, and treating diseases and conditions associated with the mouth and overall dental health. Dentists are trained to carry out such treatment as professional cleaning, restorative, prosthodontic, and endodontic procedures, and performing examinations, among many others.
Dr. Brenda D. Berkal
  • Derry, New Hampshire
  • Tufts University
  • Accepting new patients

Can implant infection be fixed?

Usually it can. See your dentist or surgeon soon

Will I get a gum graft during implant surgery?

Bone grafts are more common during implant surgery than gum grafts. (I had a gum graft prior to implant surgery.) Ask your surgeon

Can water flosser damage my implant?

If your implant is fully healed and the water flosser is used at an appropriate setting, it should be fine. Ask your dentist. Zygomatic implants should not be flossed

How long does it take a dental implant to integrate?

A typical waiting time for the restoration is 3 months. Depending on the quality of the bone and the type of implant, waiting four or more months may be recommended. Rarely, 2 READ MORE
A typical waiting time for the restoration is 3 months. Depending on the quality of the bone and the type of implant, waiting four or more months may be recommended. Rarely, 2 months is adequate. Ask your surgeon.

How should I prepare for implant surgery?

Have a stash of soft foods at home. If you would hear it when you chew it, you should not bite it over the new implant . When they recommend toothbrushing, am extra soft toothbrush READ MORE
Have a stash of soft foods at home. If you would hear it when you chew it, you should not bite it over the new implant . When they recommend toothbrushing, am extra soft toothbrush is good. Plan to relax the day of the surgery. Going to the gym would be a bad idea for a few days

Are fixed dentures better than removable dentures?

Do you enjoy chewing food? Complete removable dentures are really only good for soft foods. Something fixed allows chewing almost all foods. Removable appliances should be out READ MORE
Do you enjoy chewing food? Complete removable dentures are really only good for soft foods. Something fixed allows chewing almost all foods. Removable appliances should be out of the mouth during sleep. Enough said?

Can you get stains off a crown?

If it is a porcelain or zirconia crown, your dental team should be able to clean it, and hopefully help you find ways to keep it cleaner going forward. If it is a plastic or resin READ MORE
If it is a porcelain or zirconia crown, your dental team should be able to clean it, and hopefully help you find ways to keep it cleaner going forward. If it is a plastic or resin "temporary crown", it may be permanently discolored.

Can partial dentures cause jaw damage?

If well fitted and well maintained, they should not cause damage. They should be removed from the mouth during sleep and cleaned daily. The fit should be checked by your dentist READ MORE
If well fitted and well maintained, they should not cause damage. They should be removed from the mouth during sleep and cleaned daily. The fit should be checked by your dentist at your cleanings, at least twice a year. Over time the jaw bone where teeth are missing melts away. If the partial sinks down, it puts more pressure on the supporting teeth and the bite will be off

How long is gingivitis treatment?

Different people heal at different rates Your home care - brushing & flossing, help determine good healing

How long after implant surgery can I drink alcohol?

I'd recommend asking your surgeon. Avoiding carbonated beverages is recommended for a day. I'm not aware at alcohol avoidance recommendations

Can dental implants cause high fever?

That is not a normal side effect. Call the implant surgeon, then your primary care physician

Can Invisalign straighten front teeth?

Yes, aligners can straighten just front teeth, or front and back teeth

Which toothbrush is best for gingivitis?

A soft toothbrush that can safely clean next to the gum is best. Some electric toothbrushes are very helpful. It is also important to clean Between the teeth - floss

Can you replace all molar teeth with implants?

If there is enough bone, implants can be used to replace molars, or all teeth, or a single tooth. An implant supported bridge could have a "pontic" supported by an implant on either READ MORE
If there is enough bone, implants can be used to replace molars, or all teeth, or a single tooth. An implant supported bridge could have a "pontic" supported by an implant on either side. That would get you 3 chewing teeth supported by only 2 implants

How long after the implant will I get a crown?

The surgeon will judge the quality/density of the bone where the implant will be placed and let you know. Evaluating the healing at 3 months is common, then getting the crown made, READ MORE
The surgeon will judge the quality/density of the bone where the implant will be placed and let you know. Evaluating the healing at 3 months is common, then getting the crown made, which can take up to a month. Occasionally an implant might be restored in 2 months, more frequently it goes longer, rarely as long as 6 months of healing

How do you clean stained dentures?

Dentures can be brushed with a tooth or denture brush. They can also be soaked in denture cleaning tablets and warm water. If the denture needs more serious cleaning, see your READ MORE
Dentures can be brushed with a tooth or denture brush. They can also be soaked in denture cleaning tablets and warm water. If the denture needs more serious cleaning, see your dentist.

How can I clean under implants?

Gently! Ask your dentist what is recommended. If the tissues feel healed and are comfortable, using a soft tooth brush, gently around the healing cap, or top of the implant, should READ MORE
Gently! Ask your dentist what is recommended. If the tissues feel healed and are comfortable, using a soft tooth brush, gently around the healing cap, or top of the implant, should be fine. Keeping it clean is very important.

How long does a zirconia crown last?

That depends. If you brush and floss it daily, do not grind your teeth, or bite into non food items, it should last for many years. Seeing your dentist at the recommended internal READ MORE
That depends. If you brush and floss it daily, do not grind your teeth, or bite into non food items, it should last for many years. Seeing your dentist at the recommended internal helps make sure the gonna around your crown start healthy.

Does corrective jaw surgery leave scars?

Typically, any potential scars are well hidden. They are placed out of sight. Any suturing is done with fine sutures that do not leave visible marks. Ask your surgeon where any READ MORE
Typically, any potential scars are well hidden. They are placed out of sight. Any suturing is done with fine sutures that do not leave visible marks. Ask your surgeon where any incisions will be.

Can dentures cause mouth sores?

Yes! See your dentist. Your jaw will always continue to melt away. As it does, the denture presses harder on your gum. The denture should be adjusted, relined, or remade depending READ MORE
Yes! See your dentist. Your jaw will always continue to melt away. As it does, the denture presses harder on your gum. The denture should be adjusted, relined, or remade depending on how loose it is, and how worn the teeth are.