Thursday, March 3, 2011

Dental Visits Decrease Chance of Cavities in Baby Teeth

Dental Care for Kids Needs to Begin With Baby Teeth, Study Shows
by Tom Henderson (Subscribe to Tom Henderson's posts)
Mar 2nd 2011 4:30PM0COMMENTS

Filed under: Research Reveals: Toddlers & Preschoolers, Health
Open wide, little one! Credit: Getty It may seem painfully obvious, but a new study shows preventative dental care for kids and regular brushing can reduce the risk of cavities.

What makes this study out of the University of North Carolina "new" is that it looks at dental hygiene among poor kids. Turns out, brushing, flossing and seeing the dentist could really help them reduce cavities.

Reuters news service reports that 11 percent of American 2-year-olds and 44 percent of 5-year-olds have cavities. The majority of these kids come from low-income families who can't afford regular dental care.

And regular dental care helps prevent cavities.

The findings, published in the journal Pediatrics, cite a program called "Into the Mouths of Babes." For the past 11 years, pediatricians and family doctors in North Carolina have given fluoride and dental exams to babies and toddlers covered by Medicaid.

Looking at results from between 2000 and 2006, Reuters reports, researchers estimate children covered by Medicaid who had at least four dental exams were 17 percent less likely to have cavities than kids who had no care at all.

"This speaks to the fact that prevention does work," Dr. Mary J. Hayes, a pediatric dentist in Chicago and spokeswoman for the American Dental Association, tells the news service.

Apparently, this has been the source of some controversy. Hayes tells Reuters some people think kids don't need to see a dentist until they are 3. But tooth decay can begin as soon as there are teeth, she says.

And the sins of the baby teeth are visited upon the permanent ones, she adds.

"Now we know that prevention needs to begin when the first teeth come in," Hayes tells Reuters.

Reuters reports it's a good idea to take children to see a dentist before their first birthdays. Good luck with that. The news service also reports that pediatric dentists are scarce, and few general dentists are trained to treat very young children.

And trying to find any dentist that accepts Medicaid is a toothache. In North Carolina, according to Reuters, only a fourth of dentists accept Medicaid.

Hayes tells Reuters that's why pediatricians and family doctors are important.

"We should involve the medical community," she tells the news service. "It makes sense that pediatricians be trained to look at the teeth.

Thursday, February 10, 2011

What To Do When You Have A Dental Emergency??!!!

What To Do When Dental Emergencies Strike!

"It happens all too often- a dental emergency in the middle of the night or while on vacation or travel. Severe pain, swelling and inconvenience all wrapped into one. What to do next?"
The best advice is prevention and that means keeping current with your dental visits to make sure there aren't hidden problems ( decay/abscesses/cracked fillings or teeth) that can arise at the most inopportune moments such as a special vacation or a critical business meeting. However, even healthy teeth can do some fairly unexpected things.
Here's some sound advice when dental emergencies impact your life:
Knocked Out Tooth From Trauma: The most important thing to remember is to quickly find the tooth and keep it moist. Place the tooth in a small container of milk or in the mouth( careful not to swallow it!). Contact our office ( or nearest dentist when traveling) to have the tooth re implanted and stabilized. The longer you wait to do this- the greater the chance that you will lose the tooth. If you play sports- you can avoid this problem by wearing an appropriate mouth guard. Our office can custom make one for your specific needs. Children who lose baby teeth rarely need to re implant them. Call the office if you have any questions-
Broken Tooth/ Lost Filling: Travel with or have on hand temporary filling material that you can purchase at most pharmacies. Place the material on the affected tooth and schedule
an immediate visit with our office or the nearest dental office if you are away. Sharp edges that scrape the tongue need immediate attention and should not wait. Dental wax can be used to cover the exposed areas. Pain can usually be managed with over the counter medications such as aspirin or ibuprofen.
Pain From Abscessed Teeth/Fractured Teeth: Abscesses are caused when the nerve of a tooth dies due to trauma or under a crown or filling. Typically over the counter medications
have very little effect on the pain and you will most likely need an antibiotic (such as amoxicillin) and a narcotic (codeine) to bring this under control until care can be given. If traveling internationally, I suggest purchasing these medications in advance to have available if you are in a region that doesn't have good or adequate health care facilities. Hospital emergency rooms can provide this basic care until a dental visit is arranged.
Gum Pain/ Canker Sores: If food becomes trapped between the teeth - it can cause gum pain and sometimes swelling. Try to floss the area clean and take aspirin/ ibuprofen for the
pain until you can see our office or a dental office when out of the area. Canker Sores ( apthous ulcers) can be temporarily treated with over the counter medications at drug stores until
you can be seen for definitive diagnosis and a prescription medication given.
You can visit our website for more information including animated videos:www.AmericanDental-Va.com
As always, where ever you are- you can email us for advice to help you in the event that a dental emergency arises: info@americandental-va.com.
Prepare now to have a safe and pain free 2011!

Dr. Steve Pleickhardt

Friday, January 28, 2011

When That Smile Is Too Perfect

When That Smile Is Too Perfect by Neil Gershman,


From the NY Times


IN this age of advanced aesthetic enhancement, subtlety is prized. The discerning get just enough Botox to unfurrow their brows, lest they become expressionless clones. Women dissatisfied with their breast size may get a surgical boost, but few aim to be as conspicuously colossal as Heidi Montag. And now dental patients are pursuing perfectly imperfect teeth.

It used to be the only sought-after veneers - fingernail-thin cosmetic moldings that cover the fronts of teeth - were big, gleaming, flawlessly lined-up white squares. Nicknamed Chiclets, they have become near-ubiquitous in Hollywood.

But these days, there's a growing demand for painstakingly customized, natural-looking veneers created by professional dental ceramists, offering a balance of lifelike translucency and opaque whiteness. The lifelike "flaws" requested by patients include rotating the teeth next to the center pair so they overlap a little; subtly discoloring veneers toward the gumline so it looks between-cleaning realistic; and adding grooves so the porcelain isn't oddly smooth.

"There's a desire for imperfection in veneers," said Dr. Marc Lowenberg, a cosmetic dentist in Manhattan. Last week, Dr. Lowenberg said, a Texan woman told him: "I don't want my teeth to look like somebody else's teeth in my mouth. I want them to look like I've had them all my life."

Of course, patients aren't paying $1,600 to $2,500 per customized veneer (standard-issue ones start at $700) for an actual replica of their time-worn chompers. Rather, they want a subtle forgery that looks inconspicuously better than the real thing.

Alexa Vega, a 22-year-old actress who has starred in the "Spy Kids" movies, visited Vincent Devaud, a ceramist in Pasadena, Calif., whose Web site touts a "couture designer smile," after hearing of his expertise in natural-looking veneers. Using 18 shades of porcelain, he texturized her top-row veneers to resemble her real bottom row. Near the gum is "slightly darker, and at the end of the tooth, less dark," Ms. Vega said approvingly of the results, but with "such a good flow to it."

Mr. Devaud, a guest instructor for the UCLA Center for Esthetic Dentistry, who is given to artistic-sounding pronouncements like "I will not accept mediocrity in a patient's mouth," said he has many other celebrity clients, all of whom get a personalized look. "It's not in my fiber to do a white and perfect-looking smile," he said.

"What makes a person desirable and attractive?" Mr. Devaud added. "It's not the symmetry; it's perfect imperfections."

Couture veneers are partly a response to the mass-marketing of perfect teeth, which includes widely available over-the-counter bleaching strips. Nearly 600,000 people had veneers in 2006, an increase of 15 percent over 2004, according to the latest statistics available from the American Academy of Cosmetic Dentistry. Many of these, in their generic perfection, were obviously fake. "The owners of the Chiclets are walking around as proud as peacocks," said Dr. Lowenberg, the Manhattan dentist, "and their family and friends are walking around behind their back saying, 'What did she do to her teeth?


"The white standard got too white," he added. "The perfection standard got too perfect."

To be sure, plenty of people still want polished piano-key teeth that scream, "I paid for these!" Others settle for such a look because they can't afford to pay more for customization, or don't know that it's an option.

But for those with the means and awareness, the discreet look is in. Lawyers, doctors and other professionals "are not interested in people noticing their smile," said Dr. Thomas Connelly, another cosmetic dentist in Manhattan. "They just want to have a nice smile. They don't want to be known for their smile."

Especially men. "Guys all say, 'They have to look real, bud, or I'm not doing it,' " said Dr. Connelly, who works with ceramists like Mr. Devaud to "rough up" the porcelain on certain veneers. "Human enamel is not perfectly smooth," he said. "We put texture - actual little grooves - to scatter reflecting light."

Patients ask for "white and natural," said Jason J. Kim, a ceramist in Manhattan who crafts veneers that have a realistic translucency instead of being what he calls "toilet-bowl opaque." Mr. Kim, who self-published a book, "The Master Ceramist," to showcase his work, carefully matches clients' veneers to their natural teeth, so the forgeries don't stand out among the van Goghs.

"A lot of people who did white teeth, they are all coming back," said Mr. Kim, whose mentor was Willi Geller, a Zurich-based ceramist who is known for his natural-looking veneers. "It's very noticeable, and that's not good."

Robert Saporiti, an actor in Fort Lauderdale, Fla., has four veneers composed of layers of JKBlend, Mr. Kim's signature porcelain mix, customized to match Mr. Saporiti's real teeth. His front-four veneers are so lifelike, he said, that they fooled his girlfriend of more than two years. "She didn't know I had veneers on my teeth till I told her," he said proudly.

As with hair color, communication is key during the creation of couture teeth, since the idea of "natural" varies widely.

Pinhas Adar, an Atlanta ceramist who tends to both subtlety seekers and perfection seekers, said that the latter don't realize that the brightness and whiteness of their idols' teeth are enhanced by the flashbulbs of the paparazzi. "They think they want to look like that," said Mr. Adar, who like Mr. Kim, is a disciple of Mr. Geller's, "but once it's in the mouth, it looks horrible, and they say, 'Oh my God.' "

To avoid such mishaps, he and others create a few trial veneers - some translucent, some opaque - so the patient can decide. "I don't tell them what I did," he said, "I ask, 'Do you see any difference?' "

The trend may have started with European dentists and ceramists, who long eschewed too-perfect teeth. "If you were 50 years old, they put a veneer on the tooth" with a "brown stain on it," said Dr. Brian LeSage, a cosmetic dentist in Beverly Hills, Calif., and part of the faculty at the UCLA Center for Esthetic Dentistry. "Really ugly," he called the look.

But Dr. LeSage, who recently spoke at the international meeting for the American Academy of Cosmetic Dentistry in London, reported that his European colleagues are now showing more interest in noticeably gorgeous, white teeth, just as some Americans are disdaining them. There's been, he said, "a meeting in the middle."


Friday, January 14, 2011

Dental Emergency During Pregnancy

Dental x-ray during pregnancy?

I am 36 weeks pregnant and started to have a horrible toothache. I tried to make a dental appointment but they said that they will have to do x-rays to determine what's wrong. I read mixed facts about x-rays during pregnancy, so i'm not sure. I called my OB to ask her if I can have a dental x-ray but she's not in until later this afternoon. I guess I rather go for a month with a toothache than harming my baby, but at the same time, I want this tooth taken care of asap. Does anyone have any experience with this?
--------------------
I had to have a tooth extracted when I was pregnant and they done an x-ray first but they put a lead cover over my belly to protect the baby from the rays so I think you should be ok, I was in my early weeks of pregnancy and they told me that the lead would stop any of the rays hurting my baby. I was in real agony and I was so nervous when I was getting the tooth out because I was pregnant but my baby boy was born absolutely perfect and healthy. I'm sure that it will be ok to get the tooth seen to. Good Luck :0)
Source

1 comments:

American Dental said...
At 36 weeks you are usually safe to have an X-ray taken ( make sure the office you go to does digital x-rays which emit lower levels of radiation). However,my office always gets the approval of the OBGYN plus we double shield the baby with 2 lead aprons. The tooth infection is more of a risk for the baby than the actual dental procedures rendered. Your dentist should inquire about anesthetic to be used in addition to a follow-up antibiotic and pain medication preference. Contact your dentist ASAP to treat your dental problem. Hope you feel better soon! Dr. Steve Pleickhardt, Gainesville,Virginia

Tuesday, November 16, 2010

Life Changing Dentistry- Snap On Smile

Our office is pleased to announce our participation in the exciting dental makeover program from DENMAT called "SNAP ON SMILE"- Patients with discolored or badly positioned/ missing teeth can get a "Hollywood Smile" in about an hour! Impressions are taken in our office and processed by DENMAT in California. Special plastic veneers are fabricated at a fraction of the cost of major dental restorations. Patients will have the opportunity to see first hand what cosmetic dentistry can do for  them-
Contact our office for a free consultation: 703-753-6695
Or visit: http://www.snaponsmile.com

Friday, June 4, 2010

Bisphenol A and Dental Sealants- CNN's Misguided Warning from their upcoming show "Toxic America"

CNN is planning to run a special report called: "Toxic America" where Dr. Sanjay Gupta reports that dental sealants contain Bisphenol A and suggests this may harm the health of dental patients ( particularly children who receive the bulk of dental sealant care).
The ADA Council of Science Affairs posted back in 2008 a position statement: "According to the CDC, dental caries remains the most common chronic disease of children aged 5 to 17 years-5 times more common than asthma (59% versus 11%).4 Untreated cavities can cause pain, dysfunction, absence from school, and poor appearance-problems that can greatly affect a child's quality of life. The utility of composite resin materials for both restoring dental health and preventing caries is well established, while any health risks from their use are not. The ADA fully supports continued research into the safety of BPA; but, based on current evidence, the ADA does not believe there is a basis for health concerns relative to BPA exposure from any dental material."

See the link: http://www.ada.org/1766.aspx

Patients should not be deterred from engaging this disease prevention procedure and should discuss their concerns with their dentist.... Dr. Steve Pleickhardt

Thursday, May 6, 2010

Flossing May Add Years To Your Life!

It is hard to believe it, but by flossing your teeth nightly- you can add about six years to your life expectancy! Recent research has linked the microbes that lurk in the deep pockets of your gums to heart attacks, strokes, diabetes and even premature births. Keeping your teeth clean and your gums in tip top shape is the secret to a healthy mouth and body. And of course, visiting the dentist and the hygienist ensures that your mouth will be trouble free for years to come-
See: http://longevity.about.com/od/liveto100/ss/life-expectancy_4.htm

Dr. Pleickhardt, Owner
American Dental Associates,  Gainesville, VA