18Sep

The times are trying enough without having to worry about a visit to the dentist. There is much talk about the transmission of disease in any given medical environment. Well, we’re here to say dentistry in our practice still is a safe and healthful experience. And it’s not just a matter of trust.

It took the AIDS epidemic to bring it to the public eye. But we’ve been guarding against it at our dental office since the day we opened our doors.

I’m talking about communicable disease. AIDS is the one you hear most about, but there are others. A quiet new killer (HCV, hepatitis C virus) currently infects about four million Americans who will never be able to rid themselves of it. Here at the office we’re also aware that hepatitis B, tuberculosis, influenza-even the common cold-are communicable. The good news is that the same strict standards of asepsis (cleanliness) we use against one disease also defend us against all the others.

You may not be aware of all we do to ensure your protection from cross-communicated viruses during your dental care. In fact, it’s a large part of our day, and we’re committed to the task.

We use disposable items wherever we can. Every surface in the operatory is secured against airborne bacteria with physical barriers. Our sterilization procedures are complex, monitored by an outside agency, and, not incidentally, much more than OSHA, the American Dental Association, the Centers for Disease Control, and local agencies require.

Metal instruments are cleansed in an ultrasonic bath before autoclaving in chemical pressurized heat. Handpieces, for instance (you know them as drills), take an hour’s preparation-heat-treated then cooled-for each patient. We disinfect everything in sight.

All this costs, but it’s worth it.

We wouldn’t be here if we didn’t care about you, your health, and your good looks. We want you to feel comfortable, all the time. Please ask about our sterilization program and we’ll be more than happy to show you what we’re doing.

You know we care about open communication in our dental office. This letter is another way we hope to show it.

18Sep

Q. What is endodontics?

A. Endodontics is the area of dentistry that specifically deals with what is called the pulp within a tooth.

Q. What is dental pulp?

A. The dental pulp is a soft tissue comprised of tiny arteries, veins, nerves and lymph vessels for the tooth.

Q. Where does the term root canal come from?

A. The tooth is comprised of three basic components. The first component is the crown/enamel, which is seen by the naked eye.

The next level of the tooth is dentin, which is under the enamel and the “housing” for the dental pulp. The final component is the dental pulp and is the core of the tooth. This bulk of the dental pulp is in the center of the tooth or the pulp chamber, and is connected to the Mandibular Canal through the root canals. The root canals are like veins for the dental pulp.

Q. What does the procedure root canal mean?

A. Root canal has become a term for a procedure involving the dental pulp. When the dental pulp has been exposed and damaged, it must be treated professionally and this process is usually referred to as getting a root canal.

Q. What does a root canal procedure entail?

A. Once the dental pulp has been infected, it must be removed from both the pulp chamber and the root canals. Once it has been removed, the pulp chamber and root canals are thoroughly cleaned and enlarged. Based on the level of infection, the dentists may choose to clean the area more than once. After the area is free of infection, the dentist will fill the root canals and pulp chamber with a filling that will prevent any bacteria from entering the area. Finally, the dentist will place a crown over the tooth to restore it to its original shape.

Q. What causes dental pulp to become damaged or infected?

A. Normally, when a deep cavity occurs, it exposes the dental pulp to the bacteria inside the mouth. When exposed to this bacteria, the dental pulp can become infected and thus cause the inside of the tooth to be infected.

Q. What can happen if infected dental pulp is not treated?

A. Overtime, the infected pulp will die. At the same time, pus from the infection will develop at the base of the tooth and cause an abscess to form. If this occurs, it is not uncommon for the abscess to cause the bone holding the tooth to deteriorate. If this deterioration becomes too severe, the tooth will fall out.

Q. What role does the computer play in the dental care industry?

A. In the future, patient records may be kept on computer disks, including visual images captured on intraoral cameras. A computerized workstation beside the patient’s chair will give the dentist the ability to view the patient’s history from disk.

Also, the dentist might use a voice-recognition system to ask the computer to assist in finding that data, or create a “before and after” image so the patient can preview the result of dental work before it is done.

18Sep

A world of opportunities for dental health awaits us in the new dentistry. Using the old dentistry, dentists did their best to provide a high quality of service given the state of knowledge and technology at that time.

Through advancements in treatment, research, and the desire of the dental profession to do more and do it better, the new dentistry has emerged. It is based on a foundation with specific characteristics that are of great benefit to us as consumers.

  • Efficiency: Your time and your resources are valuable to you, and your dentist recognizes this. New dentistry treatment techniques and methods have considerably reduced the amount of time that the dental care now takes. The return on your investment in dental health is excellent.
  • Comfort: Not only are the dental chairs and the dentistry office environments more comfortable and pleasant, improvements in the use of local anesthetics and new equipment provide more comfort than ever before.
  • Collaboration: The dental relationship is now based on the value that you can derive from your dentistry team and what you want for your dental future rather than just on the techniques and procedures your dentist can do. Through continuing education, your dentist has the skills and knowledge to help you make decisions for your dental health in a positive and informed way.
  • Predictability: New materials and advances in treatment provide you with opportunities to maintain your dental health throughout your life. With the innovative cosmetic and specialized dentistry approaches to reclaiming teeth that formally would be lost, your dentistry professional can help create and maintain teeth and gums. Predictable treatment, effective prevention methods, and the longevity of treatment are now part of any dental plan.
  • Thoroughness: Advances in assessment and diagnosis now enable dentists to make thorough evaluations of your overall dental and oral health. The outcome is a plan for your health that will give you peace of mind, knowing you can have a well-informed dental plan in place.
  • Prevention: This characteristic of the new dentistry has received much publicity in recent years. It has been proven over and over again that there are several measures that you can take as a consumer of dental care to create and maintain your dental health in collaboration with your dental team. It bears repeating again — flossing and brushing combined with regular dental hygiene checks are your greatest allies in maintaining your teeth and a bright smile.
  • Precision: The new dentistry utilizes instruments and technologies that are far advanced from what was available even 15 years ago. Both general dentists and specialists have access to technologies that provide precision in diagnosis and treatment. The value for you is higher quality care.

The dental profession has established a strong foundation for a pleasant smile and a healthy dental future for all of us. Dentistry improvements are continuously being made to this foundation. You can choose to avail yourself of these improvements by asking your dentist, “What can help me to maintain my dental health?” Your dentist has the knowledge and the desire to help you.

By Brian DesRoches, PhD

18Sep

The proverbial way of referring to older people as being “long on the tooth” suggests that it is predetermined that as we get older our teeth get “longer” or “no longer.” This is not true.

Periodontal disease, plaque and loss of teeth is not an inevitable aspect of aging. Loss of attachment or bone support around a tooth is the
result of a bacterial infection. What is true is that as we get older, we have more exposures to these infectious organisms, and more probability of being infected and developing periodontal disease. Half of the people over 55 have periodontal disease.

Risk factors that make older adults more susceptible to periodontal disease include:

Systemic diseases: Certain systemic diseases such as diabetes may decrease the body’s ability to fight infection and can result in more severe periodontal disease. Osteoporosis also can increase the amount and rate of bone loss around teeth. Systemic illnesses will affect periodontal disease if it is a pre-existing condition. To reduce the effects of systemic diseases on the oral cavity, maintain meticulous plaque control and visit your dental care provider routinely for examinations and professional cleanings.

Medications: Heart medications can have a direct effect on the gums by creating an exaggerated response to plaque and resulting in gum overgrowth. Antidepressants may create dry mouth and reduce the saliva’s ability to neutralize plaque.

Immunosuppressants and other disease-fighting medications may reduce the body’s ability to combat infection, increasing the risk for periodontal disease. The dental care provider needs to be aware of any medications you may be taking and you need to maintain meticulous plaque control and visit your dental care provider routinely for examinations and professional cleanings.

Dry mouth: Lack of saliva can result from the use of certain medications or as a result of illness. If there is not enough saliva available to neutralize plaque it can result in more cavities and periodontal disease.

Also, dry mouth, or xerostomia, can make dentures more difficult to wear and may also complicate eating, speaking, or swallowing of food. Oral rinses or artificial saliva can be very helpful with these problems.

Frequent sips of water or eating candy may be helpful as long as it doesn’t contain sugar. Fluoride rinses and gels are helpful in reducing or preventing the cavities that can be caused by having a dry mouth.

Dexterity problems: Physical disabilities can reduce dexterity and the ability to remove plaque on a daily basis. Poor oral hygiene can increase the risk for cavities and periodontal disease.

Electric toothbrushes and floss holders are helpful in improving plaque control. Frequent professional cleanings combined with oral anti-microbial or fluoride rinses also may be helpful in reducing the incidence of cavities and periodontal disease.

Estrogen deficiency: Older women may have some special concerns in relation to periodontal disease. Scientific studies have suggested that the estrogen deficiency that occurs after menopause may increase the risk for severe periodontal disease and tooth loss. Estrogen replacement therapy may reverse these effects.

It is important to keep teeth as we age because every tooth has an important function in chewing and speaking. They affect our appearance and self esteem.

Having dentures or loose or missing teeth can restrict our diets, resulting in poor nutrition and systemic complications. With the advances in modern dentistry and with current prevention and treatment techniques, we must count on keeping our teeth for a lifetime — no matter how “long” that may be!

18Sep

I’m proud to offer you laser dentistry for the treatment of many types of cavities. The laser works by emitting a specialized light that targets and destroys dental decay.

Drills are very powerful, and the vibration and the large hole produced can cause discomfort, making some type of anesthesia almost always necessary. With a laser, the light works to destroy and remove decay with no uncomfortable tooth vibration and resulting discomfort. Because the laser is so precise, the decayed part of the tooth often can be selectively removed, leaving a more healthy part of the tooth. Rather than that loud drilling sound, you hear only a gentle tapping.

More Benefits of Laser Dentistry:

  1. Clinical studies show that 96% of all patients-both adults and children-required no anesthesia when the laser was used to remove dental decay.
  2. No time is spent waiting for Novocaine to take effect or wear off.
  3. Multiple teeth and sections of your mouth can be worked on in ONE sitting instead of having to return multiple times to have a cavity filled.

Laser treatment has proven to be appropriate and safe in over tens of thousands of applications throughout the world, and works well for young children as well as adults. Laser of technology allows us to take the fear out of going to the dentist and gets the patient actively involved in their own dental care.

18Sep

What you eat affects your health destiny. You can dramatically impact your dental health by eating a well-balanced, healthful diet. Research has shown that poor nutrition jeopardizes our oral health, which puts you at risk for a number of serious dental problems.

The Food Factor For Good Oral Health

Our food choices can make a big difference in two of the most common diseases today: tooth decay and gum disease. Certain foods, especially those containing sugar, are directly linked to increased levels of cavity-causing bacteria.

Tooth decay results when acids from the bacteria attack the teeth forming cavities. While diet doesn’t directly cause gum disease, a condition affecting the supporting tissues of the teeth, researchers believe the disease is more rapid and severe when poor nutrition is a factor. Gum disease is a serious problem, since it can lead to tooth loss if untreated.

Diet and Dental Health

The American Dietetic Association and the National Institutes of Health recommend eating a well-balanced diet including plenty of the following:

  • fruits
  • vegetables
  • a good variety of breads and cereals
  • dairy products
  • fish
  • chicken
  • dried beans
  • peas
  • meat

Enjoying a variety of foods is the best way to get all the important nutrients needed for keeping healthy. Beware of fad diets that exclude entire food groups. This can cause nutritional deficiencies.

Snack Smart To Avoid Tooth Decay

Snacking is a favorite pastime, but certain snack choices promote tooth decay such as soft, sweet, sticky foods. Select nutritious snacks better for your teeth and general good health, especially colorful, juicy fresh fruits and crisp, crunchy vegetables. Choose your snacks based on any other dietary concerns, such as low cholesterol, low-fat, or low sodium diets.

If you snack on crackers, cookies, or chips, it’s better if you eat them in combination with other foods, such as cheese with crackers, rather than alone. This is because these foods, when eaten alone, tend to produce more bacteria in the mouth leading to tooth decay.
Remember, each time you snack, oral bacteria is activated. Drink plenty of water to rinse away some of the disease-causing bacteria. If possible, brush your teeth after snacking.

Select from the wide variety of foods for healthful eating — that are good for you and your teeth and be sure to check-in with your dentist.

By Brian J. Gray, DDS, MAGD, FICO