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Your smile is the signal of your health and happiness says Dr Michelle Torres

No wonder it gets noticed. That’s why the flash, function and feel of your teeth matter, and why perfecting them is the best way we know to brighten your shine.

You’re in charge of how. We’re instinctively conservative in our approach and fastidiously thorough in exams and conversations, because smart choices start with understanding all your options.  

We start each exam by getting the clearest possible view of your bite, using magnification loops (glasses that work like microscopes) to assess your teeth and screen for periodontal disease and oral cancer. We’ll discuss the relationship between your oral and overall health and talk through what your digital radiographs mean. 

Making every visit this comprehensive and complete helps us avoid issues before they arise, plan treatments most effectively, and stay sure of the state of your smile, in the moment and for a lifetime. 

Dr. Cesar Escudero and Dr. Michelle Torres grew up in the SF South Bay and received their doctorates in dental surgery from UCSF School of Dentistry in 1993, having matriculated, respectively, from Cal Poly San Luis Obispo and San Jose State University.

Conscious that knowledge is always advancing, they maintain a commitment to education and membership in the American Dental Association, the California Dental Association and the Santa Clara Dental Association.

The doctors have each earned far-reaching reputations in aesthetic dentistry, with Dr. Escudero choosing implant and reconstructive dentistry as his areas of expertise and Dr. Torres focusing on total family care.

While Dr. Escudero discovered his love for dental artistry as a student, Dr. Torres knew she wanted to care for people and their teeth since age nine. They are fiercely devoted to their patients, having enjoyed their trust and friendship for nearly two decades (and counting). Today, you’ll find Dr. Escudero in Los Gatos and Dr. Torres with our team in San Jose.

The doctors live in Los Gatos with their two children, at whose schools Dr. Torres is an active parent volunteer (when not providing free or low-cost dental services to at-risk kids), and Dr. Escudero coaches wrestling (when not at the Los Gatos Wrestling Club).

Together, these seasoned partners take pride and pleasure in vitalizing oral health for neighbors of every circumstance.

(10/14/2020)

More Information: https://mybestdentists.com/DrMichelleTorresCesarEscuderoDDS


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Dentistry as one of the oldest medical professions

Dentistry is one of the oldest medical professions, dating back to 7000 B.C. with the Indus Valley Civilization.  However, it wasn’t until 5000 B.C. that descriptions related to dentistry and tooth decay were available.  At the time, a Sumerian text described tooth worms as causing dental decay, an idea that wasn’t proven false until the 1700s!

In ancient Greece, Hippocrates and Aristotle wrote about dentistry, specifically about treating decaying teeth, but it wasn’t until 1530 that the first book entirely devoted to dentistry—The Little Medicinal Book for All Kinds of Diseases and Infirmities of the Teeth—was published.

By the 1700s, dentistry had become a more defined profession.  In 1723, Pierre Fauchard, a French surgeon credited as the Father of Modern Dentistry, published his influential book, The Surgeon Dentist, a Treatise on Teeth, which for the first time defined a comprehensive system for caring for and treating teeth.  Additionally, Fauchard first introduced the idea of dental fillings and the use of dental prosthesis, and he identified that acids from sugar led to tooth decay.

In 1840, the first dental college (Baltimore College of Dental Surgery) opened, establishing the need for more oversight.  In the United States, Alabama led the way by enacting the first dental practice act in 1841, and nearly 20 years later, the American Dental Association (ADA) was formed. The first university-affiliated dental institution, the Harvard University Dental School, was founded in 1867.

By 1873, Colgate had mass produced the first toothpaste, and mass-produced toothbrushes followed a few years later.

What may come as a surprise is that the first African American to earn a dental degree dates all the way back to 1869, and the first female dental assistant was employed in New Orleans in 1885. What might be most surprising of all is that most Americans did not adopt good brushing habits until after World War II, when soldiers stationed abroad brought the concept of good oral health back to the United States!

Other Fun Teeth Facts:

-Hesy-Re was an Egyptian scribe who lived around 2600 B.C. and is recognized as the first dental practitioner.

-Paul Revere, famous for warning Colonial troops that the British were coming, was also trained as a dentist by America’s first dentist, John Baker.

-Edward H. Angle, who started the first school of orthodontics in 1901, created a simple classification for crooked teeth in the late 1800s, a system still in use today.

-The first dental X-ray was used in 1896.

(08/03/2020)
by ADEA

More Information: https://www.mybestdentists.com/resources/AmericanDentalEducationAssociati


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ADA and others recommend to establish a Dental Home for your child

The American Academy of Pediatrics (AAP), the American Dental Association (ADA), and the American Academy of Pediatric Dentistry (AAPD), recommend to establish a “Dental Home” for your child by around one year of age. Children who have a dental home at younger ages are more likely to receive appropriate preventive and routine oral health care, as well they are more likely to avoid future dental issues and disease. They also learn early to love the dentist and are less apt to have fear and phobias with coming to see us.

The key…EDUCATION! At our NoPo Dental office we know how hard being a parent can be and that teeth and oral hygiene are not always your top focus in the early years. As a pediatric dentist and a mother of two, Doctor Staci and her team are full of tips and tricks to get you dental savvy and to help your child become more cooperative and compliant for oral hygiene routines. We will review daily recommendations with a strong focus on diet, as well as helpful positioning to brush and floss and clever strategies to make all of it fun while you do it!

Parents are allowed to stay with their child at our NoPo Kids Dentistry office for routine cleanings, check-ups and treatment, and whether it is their very first dental visit, or their twentieth, the team at NoPo Kids Dentistry strive daily to create the most positive, loving, upbeat, and motivating appointment for you and your child. 

(07/17/2020)
by Doctor Staci

More Information: https://www.mybestdentists.com/mbd-newest-approved-dentists/AnastaciaMWhitman


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Invisalign is the Invisible Way to Straighten Teeth

For many years, orthodontic treatment required wearing bulky, uncomfortable metal braces and wires. The shame and embarrassment of sporting these bulky metal braces prevented many people from seeking the beautifully straight smile they desired.

Invisalign was created for the patient that wants straighter teeth without wearing visible, uncomfortable metal braces. Invisalign patients wear a series of clear, plastic aligners that gradually shift teeth into the desired position and alignment. Because of the nature of the aligners, patients can maintain a normal looking smile while simultaneously straightening their teeth.

What Invisalign Can Correct

Invisalign corrects cases of minor tooth misalignment or poor spacing, where the problem is mostly cosmetic. This includes small spaces between the teeth, crowding of the teeth, an overbite (i.e., the upper teeth bite over the lower teeth), and a crossbite (i.e., the upper and lower jaws are misaligned).

Patients that have substantial structural issues with the teeth or problems with the bite are typically better suited for traditional braces or another orthodontic alternative.

Advantages of the Invisalign System

There are many reasons why patients prefer Invisalign to traditional braces, including the following:

Aligners fit comfortably and don’t irritate the inside of the mouth

Aligners don’t disrupt speech

Aligners can be removed to eat so patients can enjoy all of their favorite foods

Aligners are inconspicuous and virtually undetectable in the mouth

Total treatment time is usually shorter than other orthodontic treatments

Treatment Details

Invisalign aligners are custom-fabricated to the exact specifications of the patient. No two treatment plans are precisely alike.

The first step to of Invisalign treatment is to capture information about the teeth’s current position. The dentist takes photographs and digital impressions that are used to create a three-dimensional “map” of the teeth’s planned movement. The map charts the teeth’s original position through Invisalign treatment to their final position. This information is then sent to the dental laboratory that constructs the series of customized aligners.

The patient receives their first set of upper and lower aligners and should wear them for 20 to 22 hours per day (removing them to eat and clean). The aligners put gentle pressure on the teeth to move them into the correct alignment and position. Patients may have a slight adjustment period, getting used to the way the aligners feel, but they usually don’t experience discomfort. They can eat, speak and smile normally while wearing the aligners.

After two to four weeks, that set of aligners is swapped out for the next set in the series. This repeats until the teeth have shifted into the desired position and alignment.

Invisalign patients are supervised by a dentist throughout treatment. The dentist periodically checks the progress of treatment and examines the teeth and bite for any potential problems.

Total treatment time varies by patient, but many Invisalign patients are able to complete treatment in less than a year.

At Dental Health Associates in Sylvania Ohio, our dentists are thoroughly trained and extensively experienced with Invisalign treatment. We enjoy helping our patients transform their smiles easily and comfortably!

(07/28/2020)
by Andrew Marshall Huntzinger

More Information: https://www.mybestdentists.com/AndrewMarshallHuntzinger


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Am I a Good Candidate for Lingual Braces?

Today’s orthodontic treatments are a lot more diverse than you remember from your youth. While metal braces are still very common, there are a lot more options than there used to be. One of those other options is lingual braces, which are braces that are adhered to the back of your teeth (the lingual or tongue side) instead of the front of the teeth making them less visible, practically invisible.

With lingual braces, the brackets, wires and even the elastics are all mounted to the back of your teeth, which is a desirous option if you don’t want people to know you are wearing braces. Whether you are a teenager who worries about peer pressure or an adult who has a career where appearance is an important factor, lingual braces are a way to get the treatment you need to correct your smile without other people having to know about it.

However, despite these positive points and the fact that is very similar in technique to traditional metal braces, lingual braces are not for everybody. You need to ask, am I a good candidate for lingual braces?

Here are a few things you should consider:

Comes Down to Bite

While most bite problems can be fixed just as well with lingual braces as with those that adhere to the outside of the teeth, there may be concerns with using lingual braces with a deep overbite. This is because the overbite might bear too much pressure on the brackets and cause them to fall off easily. After an evaluation, your orthodontist will be better equipped to tell if this is a problem that concerns you.

Drawbacks Vary Person to Person

Like with anything there are always some drawbacks to consider, but they tend to vary and are not always a deal breaker. Here are some issues you may or may not have:

Difficulties with speech. Because the braces are on the inside of your teeth, it will feel a little strange at first and you may experience some speech difficulty like a lisp or a whistling sound until you get used to them. This is because your tongue usually makes contact with the backs of your teeth as you create sounds. Your tongue however will eventually train itself to find a different place in the mouth.

Your best bet is to practice reading out loud and talking out loud until you feel like your speech is back to normal. There is a small percentage of people who will continue to have speech difficulty throughout the treatment period. Talk to your orthodontist about any risk factors you should be aware of.

Sore tongue. Because your tongue will be hitting up against your new braces a lot in the beginning, your tongue may hurt or start to develop sores. Your tongue will eventually toughen up, but in the meantime there are certain things you can do to soothe the pain. You can rinse your mouth in warm saltwater to help it heal or use an over-the counter medicine that has an anesthetic that can temporarily numb your tongue. Other things that can help include putting orthodontic wax over the sharp edges of the brackets or putting silicone pads over the braces.

Limited to what you can eat. Like with metal braces, there are certain foods that your orthodontist will recommend that you avoid while you are wearing lingual braces. Stay away from foods that are hard and very crunchy or those that are very sticky. Food stuck behind your teeth can be extra challenging to reach. Also, to avoid damaging your braces, it is best to always cut up your food into smaller pieces and avoid hard or sticky candy or gum.

Cleaning your teeth properly takes extra effort. Because the braces are on the back of your teeth, it can be harder to get rid of all the food and plaque stuck between your teeth and between your braces. An electric toothbrush can help and so can specialty dental flosses. Ask your orthodontist for a demonstration of the best way to clean your teeth and gums while wearing lingual braces.

Lingual braces can also be more expensive than other techniques depending on your dental insurance coverage. If money is an issue, then you may want to stick to the traditional metal braces which are often less expensive. It doesn’t hurt though to ask about payment options if you really would prefer the lingual braces.

Not everyone is going to have all these issues though. The good news is that the technology used in creating lingual braces is improving every day. The brackets have gotten a lot smaller and also more rounded and smoother to the touch so they will cause less tongue irritation. Also everyone’s experience is very individualized and what may bother one person may not be an issue for you. If you know someone who currently wears lingual braces or wore them in the past, ask them about their experiences with it and would they recommend this type of braces to others.

If keeping your braces invisible is of utmost importance than lingual braces is definitely worth consideration. There are also other less noticeable orthodontic options are available as well. There is Invisalign which are removable, clear plastic aligners as well as ceramic braces that are tooth-colored and so blend in better to your teeth.

Make sure you thoroughly research all options before making any final decisions. Talk to your orthodontist about the pros and cons of each and ask which technique will get the best results for your particular situation.

Also remember that not all orthodontists specialize in lingual braces. Lingual braces require special training so make sure you choose someone who is skilled in the more complex wire bending that is required with this type of braces.

Finally, no matter which type of braces you choose, following good oral hygiene is essential to keep your teeth and gums healthy throughout the treatment process. Floss and brush your teeth, gums and braces twice a day daily.

(10/23/2020)
by Dr. Charles Gemmi

More Information: https://www.orthodonticslimited.com/braces/good-candidate-lingual-braces/


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Dr Bhagwat focuses on modern, compassionate, friendly and ethical dental care

Dr. Gauri Bhagwat has been a resident of Sunnyvale, CA for over 10 years. She received her DDS degree from the UC San Francisco School of Dentistry in 2009. She has been in private practice in the San Francisco Bay Area since 2009. In 2016 she started her own dental practice in West San Jose, conveniently situated at the corner of San Jose, Cupertino, Saratoga and Los Gatos. Dr. Bhagwat practices all phases of dentistry and treats patients of all ages.

Dr. Bhagwat was the recipient of several prestigious awards during her dental education including the Craig Memorial Scholarship, the American Association of Periodontology Award for Outstanding Performance and the UCSF School of Dentistry Alumni Association Award for Professional Development.

In addition she was also elected to the Omicron Kappa Upsilon (OKU) National Dental Honor Society. In recognition of her outstanding achievements Dr. Bhagwat was invited to serve on the faculty of the School of Dentistry at UC San Francisco, where she currently serves as Clinical Associate Professor, actively mentoring and teaching dental students. She is abreast with the latest in the dental field, constantly updates her knowledge and strives for the best outcomes for her patients.

She is a member of the American Dental Association, the California Dental Association and the Santa Clara Dental Society. Dr. Bhagwat is committed to the Bay Area community and actively participates in dental education and awareness camps.

On the personal front, Dr. Bhagwat is an avid reader, enjoys hiking and traveling and spending time with her husband and two children.

(10/13/2020)

More Information: https://mybestdentists.com/GauriABhagwat


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Tips for taking care of your toothbrush

Our mouth is home to millions of germs, including those living in the plaque on our teeth, so it's no surprise that these germs can collect on your toothbrush. 

But bacteria from your toilet can also end up on your bristles. When you flush a toilet, the swirling water that removes waste from the bowl also mixes with small particles of that waste, shooting aerosolized feces — called fecal coliform bacteria — into the air. 

This phenomenon is known as a toilet plume, which can reach as high as 15 feet, says Philip Tierno, a microbiologist at New York University. And studies have shown that it can end up on your toothbrush. 

While it's not believed that the germs on your toothbrush can directly cause health problems, regularly cleaning your toothbrush, storing it properly, and knowing when to replace it is important for maintaining good oral hygiene. 

After all, what's the point of brushing your teeth if your toothbrush isn't clean? Here's how to prevent the spread of germs to and from your toothbrush and the best ways to clean it.  

1. Wash your hands before and after brushing your teeth

First, it's important to wash your handswith soap and water for at least 20 seconds whenever you'll be touching your toothbrush. 

Your hands are the main vehicles of transmission for bacteria and viruses, so washing your hands before and after brushing will help stop the spread of germs to and from your bristles. 

"You can't overemphasize the importance of washing your hands, whether it is flu season or allergy season," says William Martin, President of the Maryland State Dental Association. "People are vulnerable to the germs that end up on their hands and under their fingernail beds." 

2. Rinse and store your toothbrush properly 

You should thoroughly rinse your toothbrush with tap water after every use to remove any remaining food particles, toothpaste, and plaque debris, according to the American Dental Association (ADA). 

After rinsing, store it in an upright position and allow it to air-dry. The bacteria that live on your toothbrush are mostly anaerobic, meaning they die in the presence of oxygen, so air-drying will kill most of the bacteria. 

In addition, germs flourish in moistureand closed containers or cabinets, so it's important to leave it in the open air. But try not to store it close to your toilet — and close your toilet seat before flushing — in order to protect against germs from toilet plumes. 

Lastly, avoid storing multiple brushes, such as those of family members, in the same holder or in a drawer together. It's best if they do not contact each other, as germs can also spread that way. 

3. Disinfect your toothbrush 

If you want to take extra precaution — or, say you drop your toothbrush on the floor, and it's visibly dirty — you may want to disinfect your toothbrush to better kill germs. 

Hydrogen peroxide is an effective disinfectant that can destroy essential components of germ cells and deactivate a wide range of microorganisms. Antiseptic mouthwash contains various active ingredients, such as alcohol, menthol, and eucalyptol, which can all kill bacteria. 

According to this 2011 study, soaking your toothbrush in either a 3% hydrogen peroxide solution or antiseptic mouthwash killed 100% of germs. 

4. Keep your toothbrush safe while traveling

To keep your toothbrush germ-free while traveling, you should unpack it, remove its case, and store it properly everywhere you go. 

Air-drying your toothbrush for as long as possible — and ideally until it is completely dry — before putting it back in its travel case is one of the most important steps you can take to protect yourself from germs. 

You can also clean your travel case by rinsing it in hot water to loosen any dirt, and washing it with soap or soaking in antibacterial mouthwash for 10 to 15 minutes, just as you would with your toothbrush. 

5. Know when to throw your toothbrush away 

Toothbrushes should be replaced approximately every three to four months, or sooner if the bristles become matted or frayed, according to the ADA. 

(07/21/2020)
by Hannah Roberts (Insider)
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How To Remove Brown Stains from the Back of Teeth

How do you remove brown stains from the back of teeth? It’s a common enough problem and a question that is asked often by people who have noticed that even though they may be strict about their dental hygiene, their teeth still becomes a little less pearly white.  We all want a dazzling, bright white smile. Many consider this to be a sign of good health, so if your teeth are a little on the stained side it can dent your confidence and make you feel a bit below par.   

Identifying the triggers for this common issue is key, as is finding out the best way to remove them safely and effectively with a little help from a private Dentist, who will be able to assist and advise you should the problem be a little more persistent.   There are many causes for this, and some might surprise you more than others!  

Causes of Brown Staining on Teeth 

First, identify what the main triggers are for causing brown stains on teeth. Some of these are perhaps more obvious than others and it can be worth looking at your overall lifestyle to see what changes you can make to help you overcome the problem of brown stains between the teeth.  

Food and drink 

Food such as highly coloured fruits and vegetables (think blackcurrants or beetroot) contain stain-causing compounds that will build upon your teeth over time. Likewise, drinks such as tea, coffee and red wine contain tannins, which can turn your teeth a brownish colour if drunk regularly. Sugary soda-based drinks can also have the same effect, which is another reason why Dentists often advise against having these too often or avoiding them completely.   To prevent these stains from occurring, or to minimise the risk, regular, twice-daily brushing with a fluoride toothpaste will help. Drink cold drinks or alcoholic beverages that can cause staining, through a straw.  

Smoking and Tobacco 

Of course, one of the other major causes of brown staining is smoking and tobacco products. The best course of action to prevent staining is to give up, but in the meantime, it could be worth speaking to an Aesthetika Dentist to see how they can help with professional removal of brown stains from the teeth, especially if it is as a result of long-term smoking. 

Tooth decay 

When layers of enamel start to get worn away by the bacteria that is present in the mouth, it can form cavities. The resulting decay can end up turning a brownish colour. These will show up as spots of brown in and around the front and back of the teeth.  

Tartar 

Bacteria causes is a build-up of a sticky substance on your teeth known as plaque. If this isn’t properly removed by adequate brushing and mouth washing twice a day it can harden and turn brown. The only way this can be removed safely and effectively is by getting an appointment with your Dentist or Hygienist.  

Medical conditions 

Certain medical conditions such as coeliac disease can cause brown staining on the teeth, which can in some cases be permanent. It is always best to seek professional advice to treat this both for proper management of your health condition and also for good oral health.  

How To Effectively Remove Brown Stains on Teeth 

There are many different options to remove brown stains from the teeth. Some are over the counter, and some require professional advice. If you’re unsure about what to do, then it is always best to seek advice from a professional Kingston Dentist who can give the proper treatment and help.   Over the counter options for treating this problem include:  

Mouthwashes that contain hydrogen peroxide – often labelled as ‘teeth whitening’ 

Toothpaste that contain sodium hypochlorite – again, often labelled as ‘whitening’ 

Whitening strips that will contain carbamide peroxide 

Whitening systems that use a tray and contain carbamide peroxide bleaching gel 

It is important to only buy these products from a reputable supplier such as a private Dentist, or pharmacy, who will be able to verify their sources and assure you that the products they sell are safe.  Normally, if the brown stains are caused by medical issues or by tartar, it is recommended not to treat them at home and to simply make an appointment with a Dentist for further help and treatment.   The dentist or Dental Hygienists will use special tools to scrape, blast, or rub tartar and plaque away from teeth and they can also undertake minor procedures to help whiten the teeth safely and give you professional follow up advice for home use afterwards.   Sometimes, the brown staining on teeth caused by certain medical conditions like coeliac disease or the effects of years of poor dental hygiene can be permanent. It might be possible to lessen them, but it isn’t always possible to remove them.   Further discolouration can be aided by the use of the following techniques:  

White composite fillings 

Veneers 

Crowns 

Airflow Stain Removal – is the best treatment for stains built up from food/drinks and tobacco. It eliminates most dental stains very effectively. Airflow uses high-pressure water that sprays powder on the teeth and it is relatively painless. 

Sometimes wearing a retainer or night guard may also be recommended.

(11/03/2020)
by Aesthetika Dental Studio

More Information: https://aesthetikadentalstudio.co.uk/how-to-remove-brown-stains-from-the-back-of-teeth/


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4 Unusual dental problems you may not have heard of

While most people are familiar with common issues (such as dental carries or impacted wisdom teeth), there are some issues that are far less common and less known.

ANODONTIA:

Anodontia (also known as Hypodontia) is a condition where some teeth never grow in place. Depending on how many teeth are missing, dentists either treat it with implants, dentures, or simply shifting teeth over to fill in the gap.

TALON CUSPS:

This condition involves a talon-like protrusion that grows at the back of a child’s tooth. It usually occurs behind incisors or canines. These protrusions can cause problems such as a misaligned bite, irritation of the mouth, and even plaque buildup.

Treatment can involve either grinding down the “talon”, or, if the growth contains pulp, a root canal.

GEMINATED TEETH:

When two teeth grow out from the same root, this condition is known as Geminated Teeth. While the teeth share one tooth, they each have their own tooth chamber with pulp.

Based on how this tooth interacts with other teeth, it may be removed or left alone.

SUPERNUMERARY TEETH (HYPERDONTIA):

Just as there’s a condition of not having enough teeth, there’s also a condition of having too many teeth. This is called Hyperdontia. Hyperdontia usually involves only one extra tooth, but it can be more. These teeth rarely erupt and usually develop inside the gums, which can cause all sorts of crowding and misalignment with other teeth.

When a dentist spots one of these, they will usually recommend having it extracted.

(09/27/2020)
by Dr. Sirakian

More Information: https://andovercosmeticdentist.com/blog/4-rare-and-unusual-dental-issues/


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A well-balanced, beautiful smile is more than just straight teeth says Doctor Ricardo Perez

Dr. Ricardo M Perez, DDS offers advanced care for your teeth and skin in one location where cosmetic dentistry and facial esthetics combine to help patients achieve enhanced appearance and confidence. A well-balanced, beautiful smile is more than just straight teeth. The confidence and freedom that come with it allow you to enjoy life spontaneously!

Likewise, our spa treatments for smooth, glowing skin work to empower you from the inside out. Insecurities regarding teeth and skin cause people to quickly close their mouths before getting a picture taken, or stay home when they should be out with family and friends. Who wants to live life like that? Surely, you don’t, and we care deeply that you don’t—that’s why we’re here.

A Gentle Approach to Cosmetic Dentistry

While there are numerous cosmetic dentists in the Pleasant Hill, California area, Dr. Ricardo M Perez, DDS is one of only a few that believes in providing patients with a minimally invasive approach to dental care. Not only do we offer safe, effective cosmetic dentistry using the latest technology, we also understand the importance of promoting and maintaining your overall health and wellness.

The health and appearance of your teeth and gums are connected to the health of the rest of your body, which we care about as well. Our spa services, ranging from facials to fillers and more, can work in conjunction with our cosmetic dentistry services for rejuvenation inside and out, or simply visit our spa on its own when you need a well-deserved boost in body and spirit.

Ricardo M Perez, DDS is a graduate of UCLA and the University of the Pacific School of Dentistry. He is one of less than 5% of dentists who have completed hands-on training courses in cosmetics and jaw relations.

(10/21/2020)

More Information: https://www.mybestdentists.com/RicardoMPerez


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Toothpaste matters: The evidence for stannous fluoride

Amber Auger, MPH, RDH, expounds upon the benefits of stannous fluoride toothpaste and its use in patient home care.

I have never practiced a day without being asked, “What toothpaste should I use?” Patients are constantly overwhelmed by the toothpaste aisle and the products that seem to promise all the same benefits, but with better results than the toothpaste sitting next to it. 

A patient’s goals typically include whiter teeth, a healthier smile, and fresh breath. As dental professionals, we must understand the science behind the active ingredients and the challenges of home care and patient compliance that will lead to better health outcomes. Reducing inflammation and bleeding in the mouth will not only benefit the oral health of the patient but also reduce the inflammatory load. 

The secret weapon against gingivitis

Daily removal of biofilm is essential in the reduction of gingivitis. We know that our patients don’t brush long enough, often miss areas, and struggle to clean interdentally. This leads to inflammation that is directly induced by the microbial biofilm.

We also know that subgingival bacteria thrive in an anaerobic environment and produce bacterial virulence factors (i.e., toxins).1 The byproducts of these toxins trigger an immune inflammatory response that causes further breakdown of periodontal components. 

To prevent the negative systemic effects of chronic inflammation, it is essential to prevent the formation and progression of gingivitis. Interdental aids and proper brushing are foundational in the elimination of these destructive biofilms. For the biomass left behind, a toothpaste intervention should be implemented to help restore symbiosis. 

According to a meta-analysis published in the Journal of Clinical Periodontology, patients who implement a home care regimen that includes a highly bioavailable stannous fluoride demonstrate a 51% reduction in bleeding when combined with mechanical plaque control above using a sodium fluoride or sodium monofluorophosphate product.  Let’s look further into what this means. 

The value of meta-analysis

A meta-analysis is a statistical procedure for combining data from multiple independent studies. The meta-analysis review is a Image courtesy of P&Gquantitative, formal, epidemiological study that is designed to systematically assess previously published studies. Because scientific research is carried out in a variety of settings by different individuals over time, reviewing many studies together provides a better picture of what is actually happening.

Meta-analysis plays an essential role in evidence-based medicine and is conducted to assess the strength of evidence present on diseases and treatments. 

The challenges of home care

I ask each of my patients what they are doing for their home-care regimen. If this is my first time with a patient, they are often surprised by the question. They must think about what product is on their bathroom countertop. I often play detective, asking them about the label and the texture of the paste to determine what it is that they are using. In fact, sometimes I can narrow it down by visual clues their mouths are giving me. Often, in my opinion, if a sensitivity toothpaste is used, there tends to be a greater amount of calculus present. 

Most patients can’t differentiate between toothpaste types and often underestimate the potential efficacy of ingredients. For example, most patients don’t know there are different types of fluorides in toothpaste, such as stannous fluoride, sodium fluoride, and sodium monofluorophosphate. 

One of the easiest things to adapt into the patient’s home-care regimen is a change in toothpaste. One formulation of stannous fluoride has demonstrated the ability to remain active in the reduction of bacteria and their metabolic byproducts (toxins) up to 4 mm below the gumline (Crest Gum Detoxify).

Additionally, the antibacterial gum protection for 12 hours provides all-day protection for our patients.

Conclusion

A meta-analysis is considered the highest level of the scientific studies. The evidence demonstrates unequivocal relevance in the efficacy of the stannous fluoride molecules to enable better oral health outcomes. As clinicians, we should expect more for our patients and help guide them toward products that can produce positive oral health outcomes, such as an electric rechargable toothbrush and well-formulated stannous fluoride toothpaste. There are ample benefits to stannous fluoride that make it a simple solution for our patients.

Stannous fluoride works to protect against cavities and prevent erosive toothwear, gingivitis, plaque, bad breath, and tooth sensitivity.

(07/20/2020)
by Amber Auger, MPH, RDH
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Heading back to the dentist for your cleaning or filling will look a lot different in this COVID-19 era.

"We're at high risk, dental hygienists, the dentists," said dentist Stephen M. Miller of Pittsburgh PA.  "We were put out of business for eight weeks, maybe nine. COVID is a relatively simple virus to kill, if you can find it—it's invisible." 

Dentists and hygienists wear PPE and take extra precautions. According to data from the Department of Labor, compiled by the group "Visual Capitalist," their profession is at high risk for COVID-19 exposure. The virus is spread by respiratory droplets from the mouth or nose.

"There is tremendous research that oral health affects your systemic health," said Dr. Miller. 

With that in mind, Dr. Miller turned to the newest technology available to him to keep his patients and staff safe: a UVC unit. 

What is that, you may ask? Well, it’s a bright light. Actually, it’s ultraviolet light that kills pathogens on surfaces, like E. coli, salmonella, listeria and even COVID-19 in just a matter of minutes.

What is that, you may ask? Well, it’s a bright light. Actually, it’s ultraviolet light that kills pathogens on surfaces, like E. coli, salmonella, listeria and even COVID-19 in just a matter of minutes.

UVC Cleaning Systems Dental Sales Director Jim Gaitan said, "It's just it's impossible to spray everything. So if you want surfaces clean, and you want to make sure that the practice in the air is also clean, this light will broadcast in the room. So whatever remnants of COVID may be passing through the air, this can zap it and help make the environment cleaner."

He says hospitals have been using this type of technology for years and recently, more and more industries from dentists and hotels to day cares are demanding it. 

It takes ten minutes to clean this 10-foot by 10-foot exam room with the device being moved to two different spots. The makers say you can tell it worked by the smell in the air, similar to what you'd smell after using a tanning bed. Or you can look at these UVC dosimeters, which change color from the light. 

The device slowed down the number of patients that can be seen in a day, according to dental hygienist Kathleen Stec. "We have to have 20 minutes in between patients to be able to get this room back to a point where I feel comfortable letting the next person sit down."

But waiting for the room to be thoroughly cleaned helps patients feel at ease.

"I think it's a sensible, safe and scientific way to go about it," said a patient. 

But like most technology, it comes with a price. The UVC unit cost Dr. Miller more than $10,000. But for Dr. Miller, it's worth it. 

“It was a very large investment to do this, but I wanted to know that I could make my operatory rooms in my office as safe as I could make it for my patients, for my staff to come back and feel comfortable and for anyone that comes through,” said Dr. Miller. “Because you know what? COVID is one disease that you don’t want to get.”

(07/30/2020)
by Ashley Bishop

More Information: https://www.mybestdentists.com/area51/preview.php?idx=75138


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The four different types of Sedation used to make many patients more comfortable

Sedation dentistry refers to the use of sedation during dental treatment. Sedation is most commonly used during extensive procedures, for patients with dental phobia or for patients who find it difficult to sit still. Sedation is endorsed by the American Dental Association and is an effective way to make many patients comfortable during their dental visit. 

Before using a sedative or anesthetic, it is important to tell your dentist about any medications or medical treatments you are receiving. Before administering any sedative or anesthetic, your dentist will talk to you about the process of sedation and pre-and post-sedation instructions. 

Types of Sedation 

Oral Conscious Sedation

Through the use of sedatives and pain relievers, oral conscious sedation produces a relaxed state of consciousness to lessen pain and discomfort. Patients who receive oral conscious sedation are still able to speak and respond to questions during treatment, and express any pain or discomfort they may be having, although they may remember very little or nothing about the procedure. Other side effects include headache, nausea and vomiting. 

Nitrous Oxide Sedation

Nitrous oxide, more commonly known as "laughing gas," is often used as a conscious sedative during a dental visit. The gas is administered with a mixture of oxygen and has a calming effect that helps phobic or anxious patients relax during their dental treatment. After treatment, the nitrous is turned off and oxygen is administered for 5-10 minutes to help flush any remaining gas. The effects wear off almost immediately. Nitrous oxide rarely has side effects, although some patients may experience minor nausea and constipation. 

IV Sedation

Intravenous ("IV") sedation is sometimes known as "sleep dentistry" or "twilight dentistry," and involves administering a dose of sedatives directly into the bloodstream via an IV. IV sedation is highly effective for patients who are fearful or anxious about their dental visits, as the sedatives will calm the patient almost immediately. It also acts as an amnesiac, causing them to not remember the dental operation afterwards, even though the patient will remain conscious and responsive during the procedure. 

General Anesthesia

General anesthesia puts a patient completely to sleep during a dental procedure. The anesthesia can be administered in a variety of ways, including injection, gas inhalation or through an IV, depending on the circumstances. Aside from keeping the patient unconscious, the sedation also acts as an amnesiac, causing the patient to forget the events immediately before and after the procedure. General anesthesia is very safe under trained supervision.

(08/04/2020)
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What are common personality traits that many dentists share?

Dentistry is an unusual profession because while dentists are mostly focused on patient care, they also often own and run their own businesses. Many dentists have a diverse set of personality traits that allow them to work both closely with patients and be successful managers of their practices.

A successful dentist is…

Comfortable with close personal interaction.   If you think about it, much of a dentist’s time is spent with his or her face and hands extremely close to patients’ faces. Successful dentists are comfortable with being very close to other people, even if sometimes patients have bad breath.  

Easy to talk to.  Successful dentists try to learn about patients on a more personal level before beginning treatment to make patients feel more comfortable. This puts patients at ease and makes them feel like the dentist truly cares about them as whole healthy people, not just about their mouths.  

Trustworthy.  Since dentists are working with sharp metal objects in the mouth, a very sensitive area of the body, it is really important that they are trustworthy. Patients need to trust that their dentist will try his or her best not to hurt them and will take all precautions necessary to make their experience pain free.   

A detail-oriented person.  The mouth is an extremely small space to work in, so dentists must be detail oriented. The smallest misalignment of something in the mouth can wreak havoc on a patient’s bite and tooth health.   

Artistic.  Dentistry is often referred to as an art. It requires mastery and technique unique to the profession. Dentistry is largely based on maintaining proper oral health, but is also an aesthetically focused practice. A large part of dentistry involves restoring teeth and making a smile beautiful, one that the patient is happy to show to others.   

A leader.  Dentists may own or work as practitioners within a practice, so they often are natural leaders. They must not only lead a team of dental hygienists, technicians and assistants, but must also manage any other employees, such as the receptionist, while also making high-level business decisions for the practice.  

Excited about the profession of dentistry.  Successful dentists enjoy the work they do every day and are fascinated by the mouth and all of the connections it has to the rest of the body.   

Passionate about providing care to those in need.  Dentists often participate in community service, helping those in need with oral care and treatment. Many dentists enjoy helping those with no access to care receive treatments for painful or unattractive parts of their mouths.  

Caring and concerned about how the patient feels during procedures.Because dentists work in a very small and sensitive space of the body, a good dentist communicates with the patient during every step of a procedure, making sure they are okay and not in too much pain. Good dentists go to great lengths to make their patients comfortable and relaxed without pain.   

Good communicator.   A successful dentist has a keen ability to distill complex procedures and processes into simple language so that the patient can understand exactly what is going on in his or her mouth and any procedures that the dentist suggests. 

(07/19/2020)
by ADEA

More Information: https://www.mybestdentists.com/resources/AmericanDentalEducationAssociati


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How Nail Biting Could Prove Harmful and Dangerous to Your Health

Nail biting, also known as onychophagia, is a common habit that many people do without even realizing it. According to the American Academy of Dermatology, nail biting typically begins in childhood and can continue through adulthood.

Unconsciously, people start biting their nails while involved in another activity, such as reading, watching television or talking on the phone. The habit is practiced more in times of stress or excitement, or in times of boredom or inactivity. If you have the habit of nail biting, it is time to stop. The side effects can be more than cosmetic.At times, nail biting can be a symptom of a bigger issue like obsessive-compulsive disorder (OCD) or depression.

Here are the reasons why nail biting is harmful and dangerous to your health.

1. Spreads Germs to Your Mouth: 

Your hands and nails are loaded with bacteria, fungus, yeast and other harmful germs. When you put your unwashed hands and nails in your mouth, you are just increasing the risk of an infection.

Your nails are an ideal location for bacteria like salmonella and E. coli. A 2007 study published in Oral Microbiology and Immunology tested 59 people to see whether nail biting had any real effect on transporting bacteria to the mouth.

The results show that Enterobacteriaceae were more prevalent in the oral cavities of children with nail-biting habits (76%) than in children with no oral habit (26.5%). It can even increase the risk of warts and herpes infection.

2.- Nail Infections:

Nail biting also increases the risk of a nail infection. As you bite your nails, tiny tears or abrasions occur around the skin near your nails. Harmful bacteria, yeast and other microorganisms can enter through these tears or abrasions, thus increasing the risk of infection.

The infection can lead to swelling, redness and pus around your nail, which can be difficult to treat if you do not stop nail biting. According to the American Academy of Dermatology, biting your nails can lead to hangnails and make the skin around your nails bleed.

3.- Dental Problems:

Nail biting is not at all good for your dental health. It can interfere with proper dental occlusion and your teeth may shift from their original position. It can also crack, chip or wear down your front teeth over time. Those who wear braces put their teeth at even greater risk.

Along with affecting your teeth, biting your nails can damage your gum tissue. A 2000 study published in the Journal of Periodontology reports that habitual fingernail biting can cause gingival injury.

Another 2010 study published in the Journal of Contemporary Dental Practice confirms that a fingernail-biting habit can induce a periodontal traumatic injury yielding a more serious complication, such as a gingival abscess.

4. Can Lead to Bruxism:

People who bite their fingernails when stressed could be at greater risk for bruxism, according to the Academy of General Dentistry. Those who have the habit of nail biting can even chew on pencils or clench their teeth during times of stress or anxiety when their hands are occupied in other activities. Clenching their teeth can put a person at a greater risk for bruxism. The unintentional grinding or clenching of teeth may cause facial pain, jaw pain, tense muscles, chronic headaches and sensitive teeth.

Tips to stop nail biting:

Cut your nails regularly and trim them short. You will not be as tempted to bite on short nails.

Get some bitter-tasting nail polish from the market and apply it on your nails. The bitter taste will discourage you from biting your nails.

You can even apply the bitter tasting juice of Indian lilac or bitter gourd to your nails.

Treat yourself to a professional manicure to break the habit of nail biting. You can opt for acrylic nails or add nail décor like jewels, patterns and textures.

When watching television or reading a book, cover your nails with tape or stickers or wear gloves to prevent biting.

When you are stressed or tense, try playing with a stress ball to keep your hands busy and away from your mouth.

Maintain a healthy diet to help your nails repair and grow well.

Consult a doctor and consider behavioral therapy, such as habit reversal training.

(11/04/2020)
by Top10HomeRemedies Team

More Information: https://www.top10homeremedies.com/news-facts/nail-biting-prove-harmful-dangerous-health.html


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What’s the Difference Between a Dentist and an Endodontist?

Most people know, generally, what a dentist does. But what about an endodontist? Less than 3% of dentists go on to become endodontists, so it’s not surprising that many people might not know what they do.

An endodontist is a dentist who specializes in root canal procedures and other treatments involving the pulp and nerves inside teeth. Root canals are needed when tooth decay has advanced beyond a cavity and has attacked the inner parts of a tooth. The word comes from the Greek terms “endo,” meaning “within,” and “odont,” meaning “tooth.”

Schooling for Dentists and Endodontists

The difference between dentists and endodontists starts with their education. All dental students receive training in basic endodontic treatment in dental school. Learning to perform root canal procedures is part of the curriculum.

But endodontists go on to complete an additional two to three years of advanced training focusing only on endodontic procedures. They become specialists in root canals, endodontic retreatment, endodontic surgery, dental implants, and the treatment of traumatic dental injuries.

Who Should Do Your Root Canal?

In many cases, family dentists are fully capable of performing root canal procedures. They have been trained to do them and their offices have all the necessary equipment. There are times, however, when a dentist may recommend an endodontist instead. As root canal specialists, endodontists may be better prepared to handle more serious cases.

So, while an endodontist can treat most cases needing a root canal, their advanced expertise may not be necessary for every case. It is best for a patient to consult with their dentist to see if an endodontist is needed. (If you do not currently have a dentist, use our dentist finder tool to find one in your area.)

Endodontists Are Specialists

A basic root canal includes removing damaged pulp from inside the tooth, cleaning out the empty canal, and filling it in. These are the straightforward type of procedures typically done in the dentist’s office. The complexity of a root canal procedure is usually the deciding factor in whether a dentist will refer a patient to an endodontist.

When a tooth has extensive damage, an endodontist may be better equipped to save the tooth. Serious conditions like pulpitis or dental pulp necrosis need to be addressed and fixed as soon as possible. Endodontists are also called in if a previous root canal has failed to fix the problem.

Molars can pose more of a challenge, as they contain multiple roots that branch out into several canals, whereas incisors and canine teeth only have one root. Dentists may choose to refer these cases to an endodontist.

Advantages of Endodontists for Root Canals

Endodontists are in the business of saving teeth that are at risk. While dentists spend a lot of time in the prevention of dental issues, endodontists focus on repairing damage that is already done.

Focused Experience

Endodontists concentrate all their time on this type of work. They do not fill cavities or do other procedures that general family dentists do. A typical dentist might do a few root canals a month. An endodontist might do 25 in a week.

Diagnostic Skills and Higher Success Rates

Because of their focus on pulp and nerve issues, endodontists develop keen diagnostic skills. They have the training and experience to find the patient’s problem and offer the best options for treatment. Clinical studies conducted by the Journal of Oral Surgery Oral Medicine Oral Pathology Oral Radiology and the Journal of Endodontics point to greater rates of success for endodontists (meaning fewer root canals that need to be redone) than those of general dentists.

Specialized Equipment

Endodontic practices have access to specialized equipment that a general dental practice may not have. They routinely use 3D-Xrays, surgical microscopes, and ultrasonic instruments in their procedures. Without these tools, it can take an endodontist half the time it takes a general dentist to complete a procedure.

Expert Pain Management

Many patients fear root canal procedures because of their reputation for being painful. Endodontists are experienced in anticipating and controlling pain during and after root canal procedures and other surgeries. They may also offer sedation and options to relieve anxiety.

Advantage of Dentists for Root Canals

While there’s nothing wrong with going to an endodontist for even a basic procedure, it is not always necessary. Since not all root canal cases are challenging, a dentist can be the best option.

Lower fees

Because endodontists are specialists, they typically charge more for their services. It may be more cost effective to visit a dental practice instead. Patients should ask for an estimate so they can compare prices. If they have dental insurance, they should check with them about exactly what services are covered.

Familiarity

Many patients will find it comforting to visit a familiar office. If a patient is used to a practice’s staff, scheduling procedures, billing, and insurance policies, they may feel more comfortable with the entire process.

Convenience

When a patient needs a root canal, especially in an emergency, it will be easy to find a dentist just about anywhere. Even if they don’t have a regular dentist, they will most likely be able to find one nearby who will accommodate them. Endodontists, on the other hand, may be harder to find in some areas of the country. And while a regular dentist may be chosen for being nearby, a patient may have to travel farther to visit an endodontist.

Continuity

There is some advantage to having one person doing all of a patient’s dental work. They will know the patient’s history and have access to all relevant files.

(11/10/2020)
by DHS

More Information: https://dentalhealthsociety.com/endodontics/whats-the-difference-between-a-dentist-and-an-endodontist/


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What is a dislodged tooth?

A dislodged tooth, also known as an avulsed, extruded or luxated tooth, is generally caused by trauma to the mouth which has resulted in the tooth being pushed up into or out of its socket usually through some sort of force or trauma like a fall or accident. To avoid the need for a painful and expensive root canal treatment, a lost tooth must be treated in as soon as possible.

What can I do if a permanent tooth gets knocked loose?

A tooth that has been partially or completely knocked out is considered a dental emergency and needs immediate treatment at the dentist. Contact an emergecny dentist and schedule an appointment as soon as possible.

If the tooth is still in its socket, attempt to replace the tooth to its correct position and press onto the crown till it sits level with the adjacent tooth.

If a tooth has been completely dislodged rinse the tooth with water, do not scrub the tooth, and attempt to place it back into its socket.

If a tooth cannot be placed back into the socket, drop it into a cup of milk and head to the dentist immediately.

How does a dentist save a dislodged or loose tooth?

It is possible to save a tooth that has been knocked out of its socket. Properly clean and story the tooth, and head to the dentist.

The dentist begins the process by anesthetizing and cleaning the affected area. If the tooth is visibly intact the dentist will reposition and stabilize your tooth, then perform a series of x-rays to see if the root’s nerves or blood vessels have been fractured or damaged.

The dentist may also recommend additional tests at follow-up appointments as x-rays may not be entirely accurate immediately following a tooth’s injury. Permanent damage to the root, nerve or blood vessels can require a root canal treatment to prevent the tooth’s discoloration or abscess, which is a serious infection.

If a child sustains a dislodged or knocked out tooth, in particular to a primary tooth treatment to save a tooth may not be as complicated or serious since permanent teeth are still developing.  In the case of permanent teeth, it is important to attempt to save and reposition the tooth with the help of the dentist.

Generally there are three main ways to save a loose or knocked out tooth:

Using a composite resin material along a wire and bonding it to the tooth

Bonding an orthodontic bracket to each of the teeth involved and connecting the braces with a wire

Fusing a synthetic cloth or metal mesh to the back of the affected tooth/teeth.

How does a knocked out tooth heal?

Keep in mind that without dental intervention, you risk permanently losing your tooth or causing an infection. Always follow instructions on care and cleaning provided to you.

Once the dentist has replaced a tooth in its socket, it can take a minimum of 7 to 10 days to heal and set within the socket. It is essential that you follow up with your dentist.  If upon further testing, it appears your tooth’s nerve or blood vessels are damaged, further treatment to save the tooth might be required.

(10/19/2020)
by Jefferson Dental Clinics

More Information: https://www.jeffersondentalclinics.com/dental-services/emergency-dislodged-tooth#:~:text=A%20dislodged%20tooth%2C%20also%20known,like%20a%20fall%20or%20accident.


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We think about your child’s body as a whole and not just your child’s teeth and mouth

As a holistic dentist and a member of the Holistic Dental Association, Doctor Staci thinks about your child’s body as a whole and not just your child’s teeth and mouth.  We thoroughly examine and discuss how one part of the human body can affect another part and talk a lot about how we are interconnected system…not just a bunch of separate body parts. 

In using the term biological dentistry, we are not attempting to stake out a new specialty for dentistry but rather to describe a philosophy that can apply to all facets of the dental practice and to health care in general: to always seek the safest, least toxic, and least invasive way to accomplish the mission of treatment and to discover the root cause of the issue to prevent it from happening again. 

We uphold and attain all of the same goals of modern dentistry and try our best to do it while treading as lightly as possible on the patient’s biological terrain. A more biocompatible approach to oral health is the hallmark of biological dentistry. At NoPo Kids Dentistry, we have the following holistic and sustainable offerings at our office:

1. Mercury free

2. BPA/bis-GMA free

3. Non-invasive treatments like ozone and remineralizing options

4. Limit the plastics and waste in our office and emphasize recycling

5. Digital xrays to reduce exposures

6. Electronic charting to reduce paper waste

7. Multipure Water Filtration System for drinking water for all patients and staff and the advanced Ezee Klean by Oasis filtration for during treatment appointments

(07/03/2020)
by Dr Anastacia Whitman

More Information: https://mybestdentists.com/mbd-newest-approved-dentists/AnastaciaMWhitman


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ADA 'respectfully yet strongly disagrees' with WHO guidance recommending delay of dental care

The American Dental Association released a statement Aug. 12 stating it "respectfully yet strongly disagrees" with the World Health Organization's interim guidance recommending that "routine" dental care be delayed in certain situations because of COVID-19."Oral health is integral to overall health.

Dentistry is essential health care," ADA President Chad P. Gehani said. "Dentistry is essential health care because of its role in evaluating, diagnosing, preventing or treating oral diseases, which can affect systemic health."The ADA Board of Trustees adopted an ad interim policy stating dentistry is essential health care during a video call July 27, and the House of Delegates will consider it as a resolution during its virtual meeting in October.

As U.S. COVID-19 cases began to rise in March, the ADA called for dentists to postpone all but urgent and emergency care in order to understand the disease and consider its effect on dental patients, dental professionals and the greater community, Dr. Gehani said.

Both the ADA and Centers for Disease Control and Prevention then issued interim guidance for dental professionals related to COVID-19, calling for the use of the highest level of personal protective equipment available, such as masks, goggles and face shields.

To minimize aerosols, the ADA guidance also recommended dental professionals use rubber dams and high-velocity suction whenever possible and hand scaling instead of ultrasonic scaling when cleaning teeth.

"Millions of patients have safely visited their dentists in the past few months for the full range of dental services," Dr. Gehani said. "With appropriate PPE, dental care should continue to be delivered during global pandemics or other disaster situations."

(08/13/2020)
by Mary Beth Versaci

More Information: https://mybestdentists.com/in-the-news/AmericanDentalAssociation


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Dr Reagan Carroll has developed a unique protocol that aids him in determining an individualized treatment plan

Dr. Reagan Carroll has spent many years developing a unique protocol that aids him in determining an individualized treatment plan for each patient.  

The initial examination appointment may take up to 1-1/2 hours, and may consist not only of a clinical evaluation, but an update of x-rays, initial diagnostic impressions of your teeth, and digital photographs.  It is critical to evaluate a patient's needs based on their periodontal (gum & bone) health, the biomechanical (existing tooth structure and previous dentistry) considerations, function (joint, bite and chewing), and dentofacial (smile) characteristics. 

For the past nineteen years Dr. Reagan L. Carroll has been practicing dentistry in The Woodlands Montgomery County area. He and his family have made The Woodlands their home since 1999. Dr. Carroll is interested in sports, reading, current events and is a member of the local Bible Study Fellowship International men's group.

Dr. Carroll is a member of the American Dental Association, the Texas Dental Association, and the Greater Houston Dental Society. He earned a Bachelor of Science degree from the University of Texas Medical Branch School of Allied health Sciences in 1991, and a Doctorate of Dental Surgery from the University of Texas Dental Branch Houston in 1998.

(10/13/2020)

More Information: https://www.mybestdentists.com/in-the-news/ReaganLonnieCarroll


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Dentist Shannon Barker is on a quest to reach the highest summit on every continent.

Doctor Barker recently completed his second climb, Mount Aconcagua in Argentina.

Shannon Barker started climbing 2 years ago and he's already climbed 2 peaks

When people go on vacation because they need a break, they tend to go somewhere relaxing. When dentist Shannon Barker takes a break, he climbs a mountain.

Not just any mountain, either. Barker specifically seeks out the highest summit on each continent. First, Mount Elbrus in Russia, and most recently Mount Aconcagua in Argentina.

"You've spent so much time being goal-oriented toward this one goal and when you get to the top, there's a huge emotional release," Barker said.

"Most people that summit these mountains tend to cry at the very top."

Barker was born in St. John's Canada but grew up in Labrador City, and he's been seeing dental patients out of a practice in Mount Pearl for almost 20 years.

With two of the world's highest peaks under his belt already, it's hard to believe that he's only been climbing for two years. Barker's passion for climbing took hold quickly after being inspired by friends.

"I met a friend who had done Kilimanjaro and she showed me pictures and looked fantastic and I was very intrigued," Barker said.

"Fast forward two months later, another friend of mine who had also climbed Kilimanjaro said, 'I'd like to climb Mount Elbrus.

'"Barker decided he would too, and he signed himself up for the journey and began training, travelling up and down Signal Hill in St. John's three times a day to begin his physical conditioning. As the peak is covered in snow and ice, climbing it required Barker to familiarize himself with the tools and techniques, such as crampons — spikes you affix to your mountaineering boots — and ice axes.After the success of his first summit, Barker planned and prepared for his trip to Argentina, a trip he returned from only weeks ago. Barker said he found it to be a far more difficult climb.

"Taking on Aconcagua, initially I was excited. Until I got there and learned the gravity of what I'd signed up for," Barker said.

"I felt that a few points in time I've bitten off more than I can chew."

A big struggle was Barker's body trying to acclimate to higher elevations than ever before.

The higher the altitude, the less oxygen in the blood. Bodily functions and physical movement are increasingly impaired based on elevation, with some altitude uninhabitable to humans.

On Barker's first day in South America, the group's guide drove them to the border of Chile and Argentina. That was an altitude of more than 4,000 metres, then they hiked past 4,500 metres over the course of two hours, and had lunch there to help acclimate them to that elevation."That hike was more strenuous and technically challenging than all of Elbrus," Barker said.But Barker rose to the challenge and crossed the second summit off his list. He credits his success and his survival on the instincts and expertise of his guides and climbing partners.

Barker is heading to Alaska next, where he will attempt to summit Denali, the highest mountain peak in North America. 

He hopes the winter conditions and the need to pull your own sled on Denali will prepare him for the ultimate challenge of conquering Mount Everest. 

"That feeling of achieving that goal and the camaraderie with your teammates, you do this together, you each help each other up that mountain," Barker said.

"That feeling I'm chasing … it's a nice feeling."

(07/25/2020)
by Stephen Miller

More Information: https://www.mybestdentists.com/mbd-newest-approved-dentists/FirstStreetDental


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Dr. Garima Talwar helps her community by providing pro bono services to patients in need

Dr. Garima K. Talwar brings not only many years of experience to Esthetique, in Ashburn Virginia but her dedication to cosmetic and full mouth reconstructive dentistry has won her many patients who have experienced life changing results.

Dr. Talwar received her Doctor of Dental Science from Loma Linda University and MS in Prosthodontics from the University of Maryland. She is a Diplomate of American Board of Prosthodontics and a Fellow of The American College of Prosthodontists. Prosthodontics is a Dental specialty which required three years of additional training after one has become a dentist. The specialty focuses on complex cosmetic and reconstructive Dentistry.

She takes extensive continuing education on a regular basis to further her expertise and be conversant with latest in her field and is also a Clinical Assistant Professor at the Post Graduate Program of Prosthodontics at the University Of Maryland School Of Dentistry. At Johns Hopkins, Dr. Talwar is involved in providing prosthodontic services to patients who have suffered from trauma or cancer, and also supervise the dentists enrolled in the general practice residency

The focus of her office is on the ‘age old concept of care’, the basis of all treatment at Esthetique Dentistry. This exceptional care and her dedication to Cosmetic and Reconstructive Dentistry has always been a life changing experience for her patients, and their Testimonials are self evident of that.

Dr. Garima Talwar has been recognized as the country’s top dentist in cosmetic and reconstructive dentistry by Consumers Research Council of America since 2013. Dr. Talwar is a member of American Dental Association.

Dr. Talwar participated in Smiles Across Loudoun event in October 2014 and assisted local community with free dental services including cleanings, fillings and extractions.

(10/10/2020)

More Information: https://www.mybestdentists.com/GarimaTalwar


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Sindecuse Museum is devoted to preserving and exhibiting the history of dentistry

The Sindecuse Museum exhibits and preserves a historical museum collection containing over 25,000 objects focused on the history of dentistry with particular interest on dental practice and technology in the United States and Michigan dating from the 18th century to today. It is dedicated to educating it's audiences about the history of dentistry through museum exhibition, related programs, research, and preservation of the collections.

The museum was established in 1991 with a grant from Dr. Gordon H. Sindecuse, a 1921 graduate of the University of Michigan School of Dentistry. Its first professional part-time curator was hired that year. However, the museum's collections had been forming for several decades before the museum was established, as members of the School of Dentistry faculty, including Dr. Charles Kelsey, Professor Al Richards, and dental librarian Sue Segar, preserved and stored equipment, photos, and documents relating to the history of dentistry and the history of the dental school.

The Museum has a collection of more than 15,000 catalogued items, about 15 percent of which are displayed at one time.

For many years, dentistry in America was regarded as a low trade, a sort of “tooth carpentry” practiced by barbers, blacksmiths, and other multitasking professions.

In the early 1800s, practitioners began working to legitimize the profession and lift it to the ranks of a respected medical science. To make tooth care easier, more comfortable, and less hazardous, dentists developed specialized tools and furniture, refining them over the decades. These innovations eventually led to the modern dentist office. 

The Sindecuse Museum is located in the atrium connecting the Kellogg Building with the School of Dentistry on the UM campus. The best way to access it is through the main entrance of the Kellogg Building located on Fletcher Street just off of North University Ave. The main entrance has stairs, but a handicapped entrance is available on the northern side of the building.

Parking can be hard to find on the busy University of Michigan campus, but parking structures are available in the nearby downtown district of Ann Arbor, Michigan.

(06/10/2020)

More Information: https://www.mybestdentists.com/UniversityofMichigan


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Benefits of early orthodontic treatment

Timing is everything – even when it comes to your child’s orthodontic treatment. “Early” treatment, also called “interceptive” treatment, means treatment that is performed while some baby teeth are still present.

The American Association of Orthodontists (AAO) recommends that your child’s first check-up with an orthodontist be performed when an orthodontic problem is first recognized, but no later than age 7. Why age 7? By then, your child has enough permanent teeth for an orthodontist to evaluate the developing teeth and the jaws, which in turn can provide a wealth of information. AAO orthodontists are trained to spot subtle problems even in young children.

There are generally three outcomes of an initial check-up:

No treatment is expected to be necessary.

Treatment may be needed in the future, so the child will be followed periodically while the face and jaws continue to grow.

There is a problem that lends itself to early treatment.

While there are many orthodontic problems that orthodontists agree are best treated after all permanent teeth have come in, early treatment can be in a patient’s best interests if their problem is one that could become more serious over time if left untreated. The goal of early treatment is to intercept the developing problem, eliminate the cause, guide the growth of facial and jaw bones, and provide adequate space for incoming permanent teeth. A patient may require a second course of treatment after all permanent teeth have come in to move those teeth into their best positions.

The kinds of problems orthodontists may recommend treating while a child still has some baby teeth include:

Underbites – when the lower front teeth are ahead of the upper front teeth

Crossbites – when the jaw shifts to one side

Very crowded teeth

Excessively spaced teeth

Extra or missing teeth

Teeth that meet abnormally, or don’t meet at all

Thumb-, finger-, or pacifier- sucking that is affecting the teeth or jaw growth

Some of these orthodontic problems are inherited, while others may result from accidents, dental disease, or abnormal swallowing.

Early orthodontic treatment can take many forms. The orthodontist could prescribe a fixed or removable “appliance” – a device used to move teeth, change the position of the jaw, or hold teeth in place in order to bring about desirable changes. Sometimes no appliances are necessary. Rather, removal of some baby teeth may help the permanent teeth erupt better. The extractions will be timed to take best advantage of a patient’s growth and development.

Regardless of how treatment goals are reached, the bottom line is that some orthodontic problems may be easier to correct if they are found and treated early. Waiting until all the permanent teeth have come in, or until facial growth is nearly complete, may make correction of some problems more difficult.

To give your child the best opportunity for a healthy, beautiful smile, visit an AAO orthodontist. No referral needed! Most AAO orthodontists provide an initial consultation at no cost and with no obligation. Your orthodontist can alert you to potential problems and recommend treatment when it is most appropriate for your child. Remember, timing is everything.

he American Association of Orthodontists (AAO) is open exclusively to orthodontists – only orthodontists are admitted for membership. The only doctors who can call themselves “orthodontists” have graduated from dental school and then successfully completed the additional two-to-three years of education in an accredited orthodontic residency program.

When you choose an AAO orthodontist for orthodontic treatment, you can be assured that you have selected a specialist orthodontist, an expert in orthodontics and dentofacial orthopedics who possesses the skills and experience to give you your best smile.

(10/09/2020)
by AAO

More Information: https://www.mybestdentists.com/resources/AmericanAssociationofOrthodon


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The American College of Dentists is not about to let COVID-19 stop it from celebrating its 100 years of service

Gaithersburg, Md. — The American College of Dentists knows a thing or two about responding to pandemics.     It was born in 1920 — in the immediate end of the 1918 flu pandemic — with a mission to advance excellence, ethics, professionalism and leadership in dentistry. It’s not about to let COVID-19 stop it from celebrating its 100 years of service.    

The American College of Dentists will commence virtually its 2020 Annual Meeting and Centennial Celebration on Oct. 14-15.    “From early March to the present, we have been in what has been referred to as suspended animation,” said Dr. Theresa S. Gonzales, executive director (photo). 

“Most, if not all, conferences have been canceled for the foreseeable future and this was necessary in the context of risk mitigation and more importantly, life preservation.”    

The virtual meeting and celebration, which replaces the in-person event scheduled Oct. 14-15 in Orlando, Florida, will include two full days of events. These include the Fellows Forum and a keynote address by Dr. Karl Haden, who will discuss the nine virtues of exceptional leaders based on his best-selling book of the same name.    

In addition, Dr. Gonzales will deliver Our First 100 Years — the Narrative History of the American College of Dentists.    “Born in the Roaring Twenties, [the college is] now celebrating a century of service in what may come to be known as the ‘Raging Twenties,” Dr. Gonzales said.    In addition, the virtual event will involve the convocation of new fellows, President-elect Leo E. Rouse’s address, and recognition of the 2020 award recipients, including Drs. David W. Chambers and Jeanne C. Sinkford, this year’s William John Gies Award recipients.    

The college had planned a series of 100th anniversary celebrations this year, culminating with its annual meeting and centennial celebration. In January, the college’s New England Section, in conjunction with the Yankee Dental Conference, hosted a black-tie event at the Copley Plaza Hotel, the site of where the college was founded in 1920.

That celebration was followed by festivities at the Chicago Mid-Winter Meeting and the New York Section meetings.    However, by March, the

COVID-19 pandemic halted the remaining in-person celebratory plans. Founded on Aug. 20, 1920, by the president, president-elect and secretary of the National Dental Association — now the American Dental Association — and other dental leaders, the college is the oldest major honorary organization for dentists.    

During its 100-year history, the college was instrumental in founding the American Association of Dental Editors and Journalists and developing related standards for professional publications. It pushed for the founding of a national dental examining board and initiated a student loan program.    “I have been a proud member of ACD for over 20 years,” said Dr. Kathleen T. O’Loughlin, ADA executive director. “The ACD’s focus on ethics has elevated the profession’s reputation and emphasized as core to the profession of dentistry. Congratulations on this fantastic milestone. Happy anniversary, ACD.”    

In recent years, the college has organized four ethics summits and produced several white papers on ethics, provided over 152,000 online ethics courses, and the college has distributed the Ethics Handbook for Dentists to dental students in the U.S. and Canada.“It is not possible to know what the next one hundred years will bring to our organization and our combined missions but if past is prologue, our future has limitless possibilities as we embark upon our second century of service,” Dr. Gonzales said.

(07/23/2020)
by ADA

More Information: https://www.mybestdentists.com/resources/Americancollegeofdentists


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My interests in dentistry center around helping everyone have, as I like to say, “teeth that last longer than they do” whenever possible

(Dr Wyatt Flower posted this on Facebook and we wanted to share it here.  He was one of our first UjENA Dental supporters.)

I’m a Texan, Born & Bred. My father is a dentist, in fact he was the very first dentist in the Mid-Cities town of Hurst, Texas. He turns 91 this month and saw patients until the age of 86. He’s a REALLY hard act to follow. My parents were actually living in the back two rooms of their first dental office when I was born. Yeah, they got to the hospital in Dallas in time, but for the first 6 months of my life, we actually lived in the dental office. Guess you could say dentistry is in my blood.

I started working for my father at the tender age of 12, doing lab work all through junior high and high school, even a little bit in college. I went to high school in Grapevine, Texas, then college in Denton, graduating from the University of North Texas with a degree in Biology and a minor in Music. (Music is one of my main passions. Come into the office and you’ll be sure to notice.)

I went to dental school in San Antonio, graduating in 1980, starting my first practice in Hurst that same year. In 1995, I decided to move my practice to Flower Mound. I’ve been here, in the same location ever since.

My interests in dentistry center around helping everyone have, as I like to say, “teeth that last longer than they do” whenever possible. When that’s not possible, I love doing implants and implant- supported dentures. One thing that makes this especially gratifying to me is knowing I’m helping improve people’s lives everyday by giving them beautiful smiles and teeth that simply work.

My hobbies include: music, reading, (especially science and history), wood working, a little gardening, and to keep Father Time away as long as possible, power-lifting with a little cycling thrown in there for good measure. I get a kick out of knowing that I’m stronger now than I’ve ever been, and I’d like to keep it that way for as long as possible.

My practice philosophy is to know everyone who comes through the door and I will always keep my “operation” small enough to make that possible. Coming to my office, you’ll know you’re not in a “take a number and have a seat” kind of place.

Any questions, give Mary a call, 972-355-2222. I’d love to meet you.

Dr. Will Wyatt

(08/04/2020)

More Information: https://www.mybestdentists.com/DrWyattFlowerMoundDental


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Avoid these habits that will quickly trash your teeth

Everyone wants a great smile, and Dr. Li can make your smile look wonderful. Healthy teeth not only look good, but they also give you a good bite. Of course, it’s best to avoid damaging dental habits altogether. That way you can have the smile and oral health you deserve. But do you know which of those seemingly innocent habits are wrecking your teeth?

Chewing on Ice – It may be all-natural and sugar-free, but this habit is far from harmless. Chomping on hard, frozen cubes of ice can chip or even crack your teeth. And mindlessly munching while marathoning Netflix can irritate the soft tissue inside teeth leading ice-chewers to have regular toothaches and sensitivity. Hot foods and cold foods may cause a quick, sharp jab of pain. Dr. Li says next time you get the urge for ice, reach for some gum or a sugar-free popsicle instead.

Cough Drops – Cough drops may be found in the medicine aisle, but that doesn’t mean they’re healthy. In fact, most are glorified hard candy and similarly loaded with sugar. So make sure you use a sugar free option such as Fisherman Friends.

Playing Sports Without A Mouth Guard – Playing sports can be a blast, but if you play football, hockey, or some other contact sport, don’t forget your mouth guard. This piece of molded plastic protects your upper teeth from damage. Without it, your teeth may get chipped or worse, knocked out when the game gets rough. A well fitted sportsguard can help prevent concussions and TMJ injuries. Our advice, purchase a self-fitting mouthguard, or come in and have one custom made right here in our Downtown Ottawa dentist office.

Tongue Piercings – Tongue piercings, while stylish, can lead to tooth damage and fracturing. Since it is easy to bite down on the hard metal stud, lip piercings can pose a similar risk. Additionally, if the metal rubs against your gums, it can lead to gum damage and even tooth loss. Mouths are a breeding ground for bacteria, so all oral piercings increase the risk of infections and sores. Our staff would also like to warn those considering tongue piercings of the chance of accidentally piercing a large blood vessel causing severe bleeding. If you are thinking about piercings, be sure to discuss the health risks with your dentist first.

Teeth Grinding – Teeth grinding, also known as bruxism, will wear your teeth down over time. It is most often caused by sleeping habits and stress, which makes it difficult to control. This fixation causes damage similar to that of chewing hard foods, so avoiding these types of snacks during the day can reduce the pain and harm originating from this habit. Also, wearing a mouthguard at night can alleviate pain and minimize the damage caused by grinding while sleeping.

Opening Stuff With Your Teeth – Your teeth need to last a lifetime, so stop using them as a multi-purpose tool! Opening soda bottles, can tabs, or plastic packaging with your teeth may be convenient, but this is one habit that makes dentists cringe. As a cosmetic and general dentist in Ottawa, Dr. Li has seen first hand the destruction this practice can cause and warns her patients that, “using your teeth as tools can cause them to crack or chip. Instead, keep bottle openers or scissors handy.”

Bottom line, your teeth should only be used for eating. You want your beautiful smile to last a lifetime, particularly if you’ve invested in dental improvements such as Invisalign or dental implants. Don’t let what seems like a simple habit wreck your progress.

(09/09/2020)
by Dr. Pamela Li

More Information: https://www.drpamelali.ca/6-common-habits-that-will-quickly-trash-your-teeth/


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The 4 most commonly misdiagnosed dental issues

Dentists and doctors are still human, and sometimes mistakes can occur despite their best efforts. Many dental conditions present with similar symptoms. If a patient has multiple complaints, such as swelling, infection, and pain together, diagnosis of underlying causes becomes difficult. Learning about your diagnosis is key. It never hurts for patients to receive a second opinion.

Temporomandibular Joint Disorder (TMJ):

This joint is hinge-like and attaches your jaw to your skull, and you have one on each side of your head. Causes vary, but arthritis, injury, and genetics can all play a role. TMJ causes many symptoms, including pain in your jaw, the joint itself, pain that radiates from your inner ear, and facial pain. You may have difficulty chewing or have pain while chewing. In some cases, your jaw will lock.

Cutaneous Odontogenic Fistula:

When an infection originates from the mandibular molars, it can travel through the sinus tract and present as a skin lesion. Other doctors and specialists fail to diagnose it as a dental issue, but the condition can be difficult to diagnose, as patients tend to have zero dental symptoms. MRI and dental x-rays generally show the infection.

Sinusitis:

Your maxillary sinus is the largest and in close proximity to your maxillary teeth. It allows infections to spread easily from your teeth (abscess) to your sinus. Symptoms mimic a sinus infection, including sinus headache, nasal discharge, and fever. Your sinuses may show signs of tenderness and pain to touch or swell.

Cracked Tooth Syndrome (CTS):

Dentists often misdiagnose CTS as temporomandibular disorder, headaches, ear pain, sinusitis, or facial pain. The cause, however, are small cracks in the tooth that x-rays miss. Dentists use a multitude of testing, which ranges from x-rays to special bite tests, in their diagnosis. A patient may go through several wrong diagnoses first because the associated pain presents like other conditions. The patient may also have secondary conditions with CTS being its underlying cause. Causes for TSC vary, but previous injury, hard foods such as popcorn kernels, and genetics can play a role.

Misdiagnosis and missed diagnosis aren’t always the dentist’s fault. Often adults and children only see the dentist when a problem or pain starts. If you have an active infection, your dentist will treat it before looking deeper because that is most important. It’s up to patients to keep up with their dental health by getting routine cleanings and dental checkups.

(10/14/2020)
by The Absurd Intellectual

More Information: https://absurdintellectual.com/family/4-commonly-misdiagnosed-dental-issues/


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We came up with the idea of adding a collar for added protection against COVID-19 says Dr Daniel Araldi who ordered 13 dozen after seeing the sample May 14

"I worked with Catherine, head designer for UjENA, to create a gown to help protect our staff and patients from COVID-19," says Dr Daniel Araldi (Dentist in Saratoga, California).  "We came up with the idea of adding a collar for addeded protection.  I got the sample May 14 and I loved it.  I loved the fabric, the blue color and I ordered 13 dozen.  I think I was their first dentist to order.  They are working out great."

At least in California dentists need to change into a new gown for each patient.  "I really like the fact that these gowns are reusable," says Dan. "Much better for the environment.  And even through these cost a little more, in the end it will save me money."

The gown can be washed at least 100 times.

"The biggest challenge we have," says Bob Anderson (CEO and marketing director for PPE by UjENA) "is making these gowns fast enough.  We have our factory working at top speed.  We have sold and shipped out thousands (especially in royal blue) of our Universal Gown since May 14  and we have more coming in daily.  We are adding more production people to keep up with demand."

"We are so excited to offer our gowns to dentists around the country," says Catherine Anderson, designer and production director.  "Our feedback has been very good.  The one issue has been trying to keep up with demand but we are working on that.  This will continue to improve.  We appreciate your understanding at this early stage of our new division.  Be safe.  We have your back."

Here are the product details:  The PPE by UjENA Universal Isolation gowns are made with 100% Microfiber virgin non-woven polyester fabric. Each gown is hand-crafted in our own factories. While cutting, sewing and packaging the gowns, all of our employees are protected and safe.

The Univiversal gown is our most popular style. For added protection this design has a collar. These gowns are washable. They are sold in packges of one dozen units. One size fits all. 

 

(06/22/2020)

More Information: https://www.PPEbyUjENA.com


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How about Dental Sealants?

Dental sealants are thin, plastic coatings that seal over the narrow grooves found on the chewing surfaces of back teeth (molars and premolars).

When placed perfectly on these deep pits, sealants can prevent a significant amount of tooth decay (cavities) by protecting sensitive tooth surfaces from acid that causes cavities.

Sealants are not generally placed on baby teeth but on the tooth enamel of permanent teeth (“adult” teeth).

Dental sealants function much like sealing cracks in a driveway or on the sidewalk. The grooves in the chewing surfaces of back teeth are sealed so that food particles and bacteria will not settle within the fissures, causing cavities.

Application of sealants may be appropriate for some pediatric dental patients to prevent tooth decay in kids. However, they are not a substitute for brushing, flossing, and a healthy diet.

Dental sealants can be placed by your dentist, dental hygienist, or other dental professional. Some states dental boards have laws governing by whom, how, and in what circumstances dental sealants can be placed.

While I will recommend sealants at my office, I do so with very strict criteria, application techniques, and only the cleanest materials. So, are dental sealants worth it for your children’s dental health?

How are sealants applied to teeth?

Sealant placement is a relatively easy process.

First, the teeth are cleaned of plaque or food particles and then thoroughly examined for tooth decay.

Each tooth is dried and surrounded by absorbent material so it remains dry throughout the procedure.

The tooth is cleaned with a mild etchant (acid etch solution) to roughen the tooth surface and encourage bonding of the sealant material.

The etchant is rinsed and the teeth are dried again.

Depending on your material of choice, a thin layer of bonding agent may be used prior to the placement of the very viscous sealant material.

The sealant is painted directly onto the chewing surface of each tooth.

Finally, a curing light may be used to harden the dental sealant.

The teeth must be nicely isolated so no contaminants, such as saliva, affect the bond. Ozone gas can be applied to ensure bacteria on or around the tooth is reduced or eliminated prior to sealing.

If a small cavity is detected, air abrasion or a dental laser or drill can be used to clean out the infection prior to any material placement.

(06/24/2020)
by Staci Whitman DMD

More Information: https://www.mybestdentists.com/AnastaciaMWhitman


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Finding the right dentist can be a difficult decision. How am I going to be treated? Do they have my best interests in mind? I know what I want, are they going to listen to me?

The passion of Dr. Ken Andow and his dental team is immediately evident the minute you walk into their office. It is unlike any other because you're always their number one priority. From a warm greeting, to making you comfortable and listening to your individual concerns, it's obvious you'll be treated just like you were one of their very own family.

Dr. Andow is a family dentist who is dedicated to providing you with the personalized, relaxed dental care you deserve. And the rest of your family...they'll always receive that same kind of care.

Even though Dr. Andow is trained in all the newest state-of-the-art cosmetic, implant and technological advances in dentistry, he is ultimately concerned about your overall health and well-being.

He and his dental team continually strive to provide you with the most conservative optimal oral health procedures through mercury-free and metal-free dentistry. They also provide a gluten-free environment.

Being committed to your healthy, beautiful smile doesn’t tell the whole story. Improving your oral health and appearance and, in turn, your over-all mental and physical health will make a significant difference in your life.

You become more confident and satisfied with yourself. You approach life with a whole new outlook, one of poised, self-assurance.  Dr. Andow and his team look forward to working with you to make a difference in your life.

A continual student, Dr. Andow has participated in advanced education classes concerning the topics of biological dentistry, gum disease, cosmetic dentistry, implants, Invisalign® technology, teeth whitening, safe mercury amalgam removal protocols, restorative dentistry, Lumineers® , CAD/CAM technology, children’s dentistry, complete dental makeovers, oral surgery and root canal therapy.

(10/08/2020)

More Information: https://mybestdentists.com/KennethLAndow


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Did you know? Mark Spitz always wanted to be a dentist from the time he was in high school but then swimming got in the way

Long before there was Michael Phelps, there was Mark Spitz.

A confident competitor with his own signature style, Spitz rocked a ‘70s style mustache even though many athletes believe body hair slows a swimmer down in the water. It didn’t seem to slow Spitz down: In the 1972 Olympic Games in Munich, the U.S. swimming star won seven gold medals and set new world records in each of those events. His achievement remained unmatched for decades… until Phelps won eight gold medals in Beijing 36 years later.

Spitz’ Olympic victory made him a household name and a highly marketable sex symbol. A poster of him wearing nothing but a skimpy Speedo, seven gold medals and, of course, the moustache, sold over 1 million copies. Yet as hard as he worked for Olympic gold, he was working equally hard on something else at the same time: his pre-dental studies at Indiana University.

“I always wanted to be a dentist from the time I was in high school, and I was accepted to dental school in the spring of 1972,” Spitz told Time magazine in 2004. “I was planning to go, but after the Olympics there were other opportunities. I did some television and speaking engagements, and things just went from there.”

Spitz landed endorsement deals with Xerox, Kodak, Bausch & Lomb, General Motors and General Mills, among others. Later, he went into the real-estate business in Beverly Hills and became a motivational speaker.

As for having his medal-winning record broken, Spitz said he bears no ill will toward Phelps:

“What greater thing could I leave to the sport than to inspire somebody to have the desire to do what I did and take it a step further?” he told USA today in 2012. “I had that record for 36 years. That’s an awfully long time.”

(First photo from the Bob Hope Special)

(07/13/2020)
by Dear Doctor

More Information: https://www.deardoctor.com/inside-the-magazine/issue-29/celebrities-who-gave-up-dentistry-for-stardom/page3.php


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Lynn Yamamoto had no idea in 1973 that there were any female dentists

Dr. Lynn Yamamoto is the fifth of six dentists in her extended family, she really came into dentistry on her own. While encouraged to pursue a profession, she was not steered toward dentistry. “I liked going to the dentist (I know–I was odd!),” Lynn says.

She initially planned on becoming a dental hygienist. When she was applying to college, a family friend asked why she didn’t want to be a dentist instead of a hygienist. “Back in 1973, I had no idea that there were any female dentists! That conversation changed my career course.” She worked in a dental laboratory and for her uncle’s dental office in the summers, which was incredibly helpful early in dental school. Lynn had a context for the lab exercises that were assigned and felt it was a great fit for her. “I love helping people, I love fixing things, and I love meticulous work.”

In 2002, she was diagnosed with breast cancer, the first in her family to have breast cancer. She had led a relatively healthy lifestyle, and was eight marathons into reaching her goal of running 10 marathons by her 50th birthday. Following her treatment, a friend asked her to do the Avon Walk for Breast Cancer with her, which is a two-day, 39.3-mile walk to raise funds for education, treatment and research.

The event changed her life, and gave meaning to her having cancer. “I was tired of being a breast cancer patient, and I knew that if I could finish another marathon, I would no longer consider myself a patient. I would take my life back from cancer.” In 2013, Lynn completed her 10th Avon Walk, and will continue walking until a cure is found. “AND!” says Lynn, “I finished 10 marathons before my 50th birthday!“

Dr. Yamamoto returned to her native Sacramento, California to enjoy the long, hot summers, which she loves. When not working, you can often find her dancing hula, knitting or reading. She shares her love of reading by volunteering with the Sacramento Public Libarary Adult Literacy Program. Lynn would one day like to be a docent at the Crocker Art Museum, but until then, she volunteers at the museum in any way she can. You can also find her seeking out and petting other peoples’ dogs, as she waits to adopt another furry companion.

Dr. Lynn Yamamoto graduated from Washington University in St. Louis in 1983.  In 1984, she completed a general practice residency at Southern Illinois University, Alton, Illinois.  She has completed mastery courses at Seattle Institute for Advanced Dental Education. Lynn purchased the practice from Dr. Larry Feist in 1985, and practiced solo until 1995, when Dr. Steven Lee joined.

The two met on the Dental Health Committee for the Sacramento District Dental Society, and had done a Flying Doctors trip to provide dentistry to the village of Bacadehuachi, Mexico. On that trip they found that they had similar philosophies and values.

(06/11/2020)

More Information: https://www.mybestdentists.com/LynnYamamoto


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COVID-19 closure order for California from July 13 does not impact dental practices

Monday Gov. Gavin Newsom took an additional step to slow the transmission of COVID-19 by closing indoor operations for many business sectors throughout much of the state.

At this time, these restrictions do not affect the provision of essential health care services, including dental care.

Dentists are advised to continue to adhere closely to CDPH guidance, including the recommendation to have two weeks of PPE available, and to access CDA’s Back-to-Practice Resource Center for training, checklists and other tools to support dental practice during the pandemic.

(07/14/2020)
by From CDA

More Information: https://www.mybestdentists.com/resources/CaliforniaDentalAssociation


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Simple oral health steps help improve elite athletes' performance

Elite athletes who adopted simple oral health measures, such as using high fluoride toothpaste and cleaning between their teeth, reported significantly reduced negative effects on performance related to poor oral health, finds a study led by UCL.

The new research, published in BMJ Open Sport & Exercise Medicine, is the latest in a series of studies led by the UCL Centre for Oral Health and Performance (COHP), based at UCL Eastman Dental Institute, which have found that elite athletes have substantial rates of oral disease, including tooth decay and gum inflammation, and these symptoms negatively affected their wellbeing and sporting performance.

To help address this, researchers at UCL COHP designed a behavioral change program aimed at better educating elite athletes about oral health and providing some simple interventions to improve their daily oral health routines.

Explaining the study, lead author, Dr. Julie Gallagher (UCL Eastman Dental Institute), said: "Poor oral health of elite athletes is common and is associated with negative performance. However, compared with other health and training pressures, oral health care is not a high priority in elite sport.

"We therefore wanted to develop a program which was aligned with the existing high-performance culture of the athletes and their teams. Underpinning the study was health behavior psychology, which included education, self-motivation, goal setting, and an easy to use toolkit, ensuring the athletes had a readily available opportunity to improve."

In total, 62 athletes from two Great Britain Olympic Teams, rowing and cycling, and one Premiership Rugby Club, Gloucester Rugby, were recruited to the study.

Athletes and support teams were asked to watch a 10-minute presentation which focussed on building motivation to improve oral health, and three 90-second information films, featuring GB rower Zak Lee-Green, which focussed on increasing oral health knowledge and skills to perform optimum oral health behavior.

In addition,each athlete received an oral health screening to check for diseases such as caries (tooth decay) and gingivitis (gum inflammation). They were then given a bespoke follow up report with tailored advice and an oral health toolkit, containing a manual toothbrush, prescription fluoride toothpaste and flosspicks. As a minimum, they were also asked to brush their teeth for two minutes twice a day, to include brushing before training in the morning and before bed in the evening.

In total 89% of athletes completed the four-month study. On completion athletes were asked to fill in an oral health knowledge questionnaire, undergo a follow-up gingival (oral disease) assessment and evaluate the oral health kit.

Dr. Nigel Jones, Head of Medical Services at British Cycling, said: "The topic of oral health amongst athletes is an important one, especially as it can be linked to performance. My role with the Great Britain Cycling Team is to ensure the holistic well-being of our cyclists, and as oral health can have a big impact on immune function as well as being important in its own right, I wanted to support this project. The learnings which the riders took from the study have been invaluable and will be deployed across the whole team as we ramp up our preparations for the Tokyo Olympic and Paralympic Games next year."

Researchers believe the bespoke model they have developed could be used for other health promotion needs in elite sport.

(08/05/2020)
by University College London (UCL)

More Information: https://www.mybestdentists.com/dental-schools/UCLEastmanDentalInstitute


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From the time I entered dental school I was taught to be different.

For the first time ever, I learned to care about the millimeter increment and the position of our mandibular condyle in the resting position.  I was even taught a different language.  Mesial, distal, occlusion, mastication, halitosis and bruxism became my new buzz words.  I was taught to act differently.  I was taught to have compassion yet inflict pain.  I was taught to serve and heal and to drill and fill.   But truthfully, I grew into a professional different from other professionals outside of the dental industry.

The practice of dentistry is both a profession and a handcraft.  It's also one of the most valuable skills and blessings to others in this world.  

After all we keep people smiling by eliminating their pain and fixing their teeth.  We give them confidence and self worth.  I’ve done it, I’ve seen it and I love it.   But this result, this influence, comes about more from the handcraft than from the profession.  Professionals are not characterized as repair men (or women) in the literal sense. Professionals are more about the business side, the operational side and the management side.

I had an EXCELLENT dental education.   But I was barely taught how to enter the business world or what the business world was for that matter.  

Fourth year offered one  limited business class, and in that class instead of learning correct business principles and practices, I learned the dental way of owning and operating a practice.   You know the dental way, have one class your senior year, buy a practice for a lot of money and hire an office manager with a lot of experience to run your office.

As a result I spent a lot of my career not understanding what the rest of the world’s business professionals do to be successful.  And so like most, I determined my success on clinical cases, awesome crown and bridge and margins so clean a blind lab tech could nail it.  But truthfully, on a business level, I wasn't very good at running a practice, leading a team, marketing or anything else.  My clinical skill and personality was the bedrock of my practice success.

So, I tried to learn more about the business of dentistry, but I found that there was still some misalignment with “dental” business and the rest of the business world.  Take for instance our unique understanding of patient attrition.  No, we aren't talking about tooth attrition, but about patients who leave the practice.  In the latter sense, what we may characterize as patient attrition rate is commonly known in the real business world as churn rate.  The general idea that you have people leaving out the back door of your practice.

Small differences like this can make our profession less professional.  To further complicate things sometimes the handcraft or “clinical” side even puts up barriers to joining other professionals in word and action.  Truth be known, true professionals drive business, professionals direct, lead and stand up and focus on business success.  Some frown on these ideas for a dental practice, after all we provide a service in the true sense of the word.

I am not a master in business and I would barely consider myself equivalent to a first year student.  I’ve been around the block only to realize that my experience is just that, only one block.  There’s a whole lot more out there, right now and more to come in the future.

So where do I learn to keep my profession professional and where do I learn about what's on the horizon?  Well it starts with some good business organizations in our space that I’ve come to know like the DEO, ADSO and the ADA.  It comes from good books, facebook groups and great connections with vendors.  But it really comes because I make the choice to educate myself.   A move that Blockbuster wished they had made before Netflix came around and a move that Netflix made when streaming became mainstream.

Our profession is changing, time to head back to school and learn to be different.

(08/09/2020)
by Bryson D LeMone DDS

More Information: https://www.mybestdentists.com/BrysonLemone


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With proper care, even teeth that have had root canal treatment can last a lifetime

But sometimes, a tooth that has been treated doesn't heal properly and can become painful or diseased months or even years after treatment. If your tooth failed to heal or develops new problems, you have a second chance. An additional procedure may be able to support healing and save your tooth. If you have pain or discomfort in a previously treated tooth, talk to an endodontist about retreatment.

Why do I need another endodontic procedure?As occasionally happens with any dental or medical procedure, a tooth may not heal as expected after initial treatment for a variety of reasons:

Narrow or curved canals were not treated during the initial procedure. 

Complicated canal anatomy went undetected in the first procedure.

The placement of the crown or other restoration was delayed following the endodontic treatment.

The restoration did not prevent salivary contamination to the inside of the tooth.

In other cases, a new problem can jeopardize a tooth that was successfully treated. For example:

New decay can expose the root canal filling material to bacteria, causing a new infection in the tooth. 

A loose, cracked or broken crown or filling can expose the tooth to new infection.

A tooth sustains a fracture.

During retreatment, the endodontist will reopen your tooth and remove the filling materials that were placed in the root canals during the first procedure. The endodontist then carefully examines the tooth, looking for additional canals or new infection. The endodontist then removes any infection, cleans and shapes the canals, and places new filling materials. The opening is then sealed with a temporary filling. Once the tooth heals, a new crown or other restoration is placed on the tooth to protect it.

 

(06/23/2020)
by Source AAE.org

More Information: https://www.mybestdentists.com/DavidStanleyRosenbaum


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Brush your teeth daily to protect your heart

Brushing teeth frequently is linked with lower risks of atrial fibrillation and heart failure, according to a study published today in the European Journal of Preventive Cardiology, a journal of the European Society of Cardiology (ESC).

Previous research suggests that poor oral hygiene leads to bacteria in the blood, causing inflammation in the body. Inflammation increases the risks of atrial fibrillation (irregular heartbeat) and heart failure (the heart's ability to pump blood or relax and fill with blood is impaired). This study examined the connection between oral hygiene and occurrence of these two conditions.

The retrospective cohort study enrolled 161,286 participants of the Korean National Health Insurance System aged 40 to 79 with no history of atrial fibrillation or heart failure. Participants underwent a routine medical examination between 2003 and 2004. Information was collected on height, weight, laboratory tests, illnesses, lifestyle, oral health, and oral hygiene behaviours.

During a median follow-up of 10.5 years, 4,911 (3.0%) participants developed atrial fibrillation and 7,971 (4.9%) developed heart failure.

Tooth brushing three or more times a day was associated with a 10% lower risk of atrial fibrillation and a 12% lower risk of heart failure during 10.5-year follow up. The findings were independent of a number of factors including age, sex, socioeconomic status, regular exercise, alcohol consumption, body mass index, and comorbidities such as hypertension.

While the study did not investigate mechanisms, one possibility is that frequent tooth brushing reduces bacteria in the subgingival biofilm (bacteria living in the pocket between the teeth and gums), thereby preventing translocation to the bloodstream.

Senior author Dr. Tae-Jin Song of Ewha Womans University, Seoul, Korea noted that the analysis was limited to one country and as an observational study does not prove causation. But he added: "We studied a large group over a long period, which adds strength to our findings."

An accompanying editorial states: "It is certainly too early to recommend tooth brushing for the prevention of atrial fibrillation and congestive heart failure." It adds: "While the role of inflammation in the occurrence of cardiovascular disease is becoming more and more evident, intervention studies are needed to define strategies of public health importance."

(08/06/2020)
by European Society of Cardiology

More Information: https://www.sciencedaily.com/releases/2019/12/191202081649.htm


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US Top Dental School University of Michigan

The University of Michigan School of Dentistry is one of the nation's leading dental schools engaged in oral health care education, research, patient care and community service. General dental care clinics and specialty clinics providing advanced treatment enable the school to offer dental services and programs to patients throughout Michigan. The dental school of the University of Michigan, located in Ann Arbor, Michigan was established in 1875. It is currently the number one ranked dental school in the U.S. and fifth in the world according to two independent rankings.

Major renovations and expansion started in the fall of 2018. Updates were made to further the school’s state-of-the-art facilities for teaching dental students, serving patients from around Michigan and conducting world-class research that advances the dental profession. House at the University is the Sindecuse Museum of Denistry. One of a few museums of it's type around the world. d within the School of Dentistry, is one of a handful of museums throughout the world devoted to preserving and exhibiting the history of dentistry

(07/03/2020)

More Information: https://www.mybestdentists.com/dental-schools/UniversityofMichigan


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Dental hygienists are in high demand amid COVID-19 pandemic

If you ask Dr. Malcom Waters Jr. of Cleveland Ohio who’s the most valuable player at his dental practice, he will quickly point you in the direction of his Dental Hygienist.

“It’s harder to get a dental hygienist,” said Dr. Walters.

He went on with his appreciation for these brave men and women who put themselves in danger every time they evaluate a new patient.

“The hygienist is the first line of defense. And seeing everybody before I even walk in the room. Like I said, they are worth it. They work every day 4-16 inches from your face every day, and they are very concerned about working, and I respect that.”

That’s because all across America, the expertise that hygienists bring to the table has increased their value as COVID-19 continues to dominate the headlines.

Right now, staffing agencies can’t keep hygienists on their roster, and they are going to the highest bidder.

Cynthia Page is the office manager for Dr. Malcom Waters, and she said you better be prepared to hand over more cash because this job isn’t cheap anymore.

“None are available. If we get one for this week, it might take more than two weeks to get one,” said Page.

Nationwide dentists are adjusting to the safety measures that COVID-19 presents; and for Malcolm Walters, those challenges can be demanding but needed.

“We talk about responsibilities, and I have a responsibility to protect myself because so many people will be affected if I can’t work, but we do our best, and we value the services our hygienist brings us every day,” said Dr. Walters.

(10/30/2020)
by Ronnie Duncan
Views: 227
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