Dentists Journal

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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.


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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.


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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!

by Andrew Marshall Huntzinger

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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. 

by Doctor Staci

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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.

by Dr. Charles Gemmi

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Should You Worry About Gum Boils or Gum Abscesses?

Gum boils or gum abscesses are major signs that your teeth are suffering from a deep infection. These unsightly boils are filled with pus and painful once touched or bumped. If you have gum abscesses, you will have a difficult time eating your favourite foods.

But don’t worry – gum abscesses are manageable. You just need to know their real nature and how to manage them effectively. It’s also important to listen to your dentist’s advice.

The Types of Gum Boils

Gum boils are divided into two main types – periodontal abscess and periapical abscess. Your dentist can easily figure out what type of gum boil you have. Basically, periodontal abscess forms in the gum tissue, while periapical abscess forms within the tooth itself. A periapical abscess is usually more serious and can be resolved by root canal treatments and other advanced dental procedures.

Here are some of the common symptoms of gum boils:

gum pain and gum tenderness

reddening and swelling gums

abscess bleeding

bad breath

earache, nausea, and fever

Your dentist’s goal is to prevent the spread of the infection caused by abscesses. A root canal treatment is advisable if the gum infection has already affected multiple teeth. The procedure is also useful if there’s deeper tooth damage in your upper or lower jaw.

How to Deal With Gum Boils Properly

There are diverse ways to deal with gum infection and to prevent the appearance of other abscesses. Practically, dentists will advise the use of antibiotics to control bacterial growth and stop the infection. Topical treatments are only used to alleviate the pain and sensitivity caused by the abscesses.

A deep cleaning procedure is another direct solution that deals with plaque removal. This procedure can also promote continuous gum healing and can be boosted by effective oral care. Dental draining is a follow-up procedure meant to drain the pus from the abscesses in your gums.

How to Manage Gum Abscesses At Home

Home care plays a vital factor in terms of pain management. The first thing that you have to improve your brushing and flossing habits. You need to brush and floss at least twice a day to prevent the formation of gum abscesses and reduce plaque buildup. However, if you already have gum abscesses, you need to be extra careful. Be gentle, and avoid bumping the abscesses so they won’t bleed.

Nutrition is crucial to gum boil management. You must avoid sugary drinks (like sodas and fruit juices) and processed foods as much as possible. This is not easy, especially if you’re used to consuming large amounts of sugar. Let go of sodas – they can only make your gum infection worse. Smoking is also a big risk factor. Keep in mind that a stick of cigarette can affect your immune system and decrease the potency of gum treatment medicines.

Mouthwash can help in bacterial control though you shouldn’t rely on it all the time. If you constantly use mouthwash, your gums will be exposed to dryness, inflammation, and irritation. This defeats the purpose of the mouthwash. A safer alternative is a dental saltwater rinse. Just mix a teaspoon of salt and a cup of warm water. Then you can swish it all over your mouth for at least 40 seconds. Repeat the procedure for up to 3 times per day to ensure maximum effectiveness.

Hydrogen peroxide is a popular choice among dentists, but you need to be careful in mixing it. If you do the mixture correctly, hydrogen peroxide can control bacterial growth and reduce most instances of pain and gum tenderness. You should also check out natural dental rinses featured online. Remember, these dental rinses are better than commercial mouthwash and they won’t cause mouth dryness or gum irritation.


Gum boils require immediate attention. Don’t wait for too long because gum boils can lead to long-term teeth damage and other health complications.

by KW Dental Emergency

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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.


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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. 

by Hannah Roberts (Insider)
Views: 711

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.


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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 (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.


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.


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.


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.

by Dr. Sirakian

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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.  


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 



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.

by Aesthetika Dental Studio

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Views: 670

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. 


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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."

by Mary Beth Versaci

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Views: 610

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.


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.

by Amber Auger, MPH, RDH
Views: 572

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.


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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.”

by Ashley Bishop

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Views: 560

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

by Dr Anastacia Whitman

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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.

by Top10HomeRemedies Team

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Dentistry is an essential service says the ADA Board of Trustees

The American Dental Association Board of Trustees has adopted an ad interim policy stating dentistry is essential health care to help guide advocacy for the dental profession during the COVID-19 pandemic.

The Board established the ad interim policy via a video call July 27, and the House of Delegates will consider it as a resolution during its virtual meeting in October.

"This policy was created to recognize that dentistry is an essential service. Whether it's the current pandemic, a future epidemic or a natural disaster in a particular area, this policy recognizes the need for people to be able to continue to access the full range of dental services," ADA President Chad P. Gehani said (photo). 

"Doing so will help people maintain their oral health and contribute to their overall health. Oral health is integral to overall health — staying well often depends on having access to health care, which includes dental treatment.

"From March 16-April 30, the ADA called for dentists to postpone all but urgent and emergency procedures to help mitigate the spread of COVID-19, keep patients out of overburdened hospital emergency departments and conserve personal protective equipment. By the end of May, most state governments had lifted restrictions on dental offices, but as COVID-19 cases continue to rise in many states, the dental community is concerned governors may again limit dental services to urgent and emergency care, which could negatively impact dentists and the oral health of the public, Dr. Gehani said.

The policy states oral health is an integral component of systemic health and dentistry is an essential health care service because of its role in evaluating, diagnosing, preventing and treating oral diseases, which can affect systemic health. 

It advises that the ADA use the term "essential dental care" — defined as any care that prevents and eliminates infection and preserves the structure and function of teeth and orofacial hard and soft tissues — in place of "emergency dental care" and "elective dental care" when communicating with legislators, regulators, policymakers and the media about care that should continue to be delivered during pandemics and other disasters.

"Using the term 'elective dental procedures' implies oral health care is optional and diminishes the evidence validating that oral health is an integral component of overall health," Dr. Gehani said.

The policy also states the ADA will urge state agencies and officials to recognize the oral health workforce when designating its essential workforce during public health emergencies. Government agencies such as the Department of Homeland Security and Federal Emergency Management Agency have already acknowledged dentistry as an essential service.

by Mary Beth Versaci

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Views: 528

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.


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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.

Views: 521

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


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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.

by University College London (UCL)

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HIV/AIDS and Dental Health

If you, or someone you know, is living with HIV/AIDS, the American Dental Association recommends that dental health care be part of all HIV/AIDS treatment plans. That’s because people living with HIV/AIDS are more susceptible to infections including dental infections, which can affect their overall health.  


HIV (human immunodeficiency virus) is a virus that attacks a specific type of T cell known as CD4 cells. T cells are an important part of the body’s immune system which is needed to fight infection. If left untreated, HIV can destroy so many CD4 cells that a person can no longer fight off infections and disease.  AIDS (acquired immunodeficiency syndrome) is the last state of HIV infection where the immune system is so very weak that infection and cancer can take over. 

How Does HIV/AIDS Affect the Mouth?

Your mouth may be the first part of your body to be affected when infected with HIV.  Because infection with HIV will weakened your immune system, this means you will be susceptible to infections and other problems.  In your mouth, this can cause pain and tooth loss.  People with HIV may experience the following mouth issues:

Dry mouth 


White lesions on the sides of the tongue (oral hairy leukoplakia)

Red band gingivitis

Ulcerative periodontitis

Karposi’s Sarcoma

Outbreaks of herpes simplex virus

Canker sores

Mouth ulcers

Dental and mouth problems related to HIV can be painful, which can cause trouble chewing or swallowing. This may prevent you from taking your HIV medication. It can also result in malnutrition, as you may have trouble eating and absorbing enough essential nutrients.  A compromised digestive system may affect the absorption of your HIV drug treatment.

How Can I Cope with Dental and Mouth Issues Related To HIV?

Most mouth health problems related to HIV are treatable. Talk to your dentist about what treatment is best for you. The best ways to prevent these issues are to do the following:

Visit your dentist for regularly scheduled appointments.

Brush and floss your teeth twice daily for two minutes.

Take your HIV medicine on schedule.

Tell your doctor if your HIV medicine is causing dry mouth. Ask what treatment is best for you.

If you do not have a regular dentist, ask your primary care provider or clinic for a referral.

by ADA

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The key to Dr John Krell's growing success has been combining conservative methodology and technological advances

Dr. John Krell is a native Houstonian (Texas) who comes from a family where four members have become dentists. It was only natural that he would pursue a degree in dentistry as well. He received his Bachelor of Science degree from the University of Houston and then went on to dental school at the University of Texas.

After graduating in 1989, Dr. Krell joined his brother, Dr. Bill Krell, at his dental practice. Then, in 1996, Dr. Krell acquired Dr. Charles Goolsbee’s dental practice after he retired. Throughout the years, Dr. Krell has built his practice into an ultra-high-tech, state-of the-art office where he can offer his patients the best possible dental care in a very relaxing atmosphere.

With his ongoing pursuit of continuing education for himself and his team, everyone has the opportunity to stay abreast of the latest advances in dentistry.

Dr. Krell stays very active in the dental community and is also a member of the Greater Southwest Houston Chamber of Commerce. He developed and chaired the healthcare committee, and he was on the Board of Directors for six years. During that time, he received numerous awards, one of which was the Distinguished Director Service Award for his volunteerism to the community and for his long-term work for the Greater Southwest Houston Chamber of Commerce.

Dr. Krell has participated in and sponsored many fundraisers. He and his wife Stephanie are active participates in the Fund for Animals and the SPCA (the Society for the Prevention of Cruelty to Animals). They have also hosted fundraisers for Toys for Tots and have been Mr. And Mrs. Claus for Covenant House. They both enjoy giving back to the community.

He is committed to giving his patients the highest quality of care that dentistry has to offer. Through his participation in professional organizations, education, community, church, and family, his balance of professionalism and ethics stands tall. Dr. Krell is very committed to his profession, but above all, his two children Alexandria and Johnny are the loves of his life.

Even the most dedicated dentist needs hobbies. You might find Dr. Krell, when the winds and tides are just right, wading through the South Texas marshes looking for trout or redfish. Someday, he hopes to catch a tagged redfish or a world-class trout.


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Dr. Zachary Potts goal is to change his patient's outlook by making every experience positive, comfortable and rewarding

Dr Zachary Potts is committed to not only providing the highest quality dental care available but also to erasing the negativity associated with going to the dentist. His goal is to change his patient’s outlook by making every experience at Moorpark Center for Dentistry positive, comfortable, and rewarding.

“They’re happy, they’re smiling, they’re having a good time laughing and opening up. Just seeing that transformation in people after an experience in my unique office is what keeps me loving my career.” – Dr. Potts

Education & Professional Affiliations Loma Linda University School of Dentistry – Graduated first in his class and received the Clinician of the Year award for clinical excellence. American Academy of Cosmetic Dentistry (AACD) American Academy of Implant Dentistry (AAID) Academy of General Dentistry (AGD) American Dental Association (ADA) California Dental Association (CDA) Santa Barbara Ventura County Dental Society Dentistry Development Study Club, president Board-certified in oral conscious sedation

When not providing people in Ventura County with cutting-edge dental care, Dr. Potts enjoys dining, traveling, and spending time with his wife and three children, Jelina, Corbin, and Amelia. He also has two dogs, a cat, and enjoys television, movies, and collecting beer, wine, and fine whiskey. A family man, Dr. Potts prefers spending his time away from work doing things that make his children happy.


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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.

by Staci Whitman DMD

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Digital X-rays don’t require any chemical processing

X-rays are a standard tool in the dental industry that we use to identify issues in the teeth, surrounding tissues, and jaw that would either be hard to see or hidden from a routine visual examination.

Some examples of problems we can spot with X-rays include tooth decay around restorations, deep cavities, jawbone infections, gum disease, abscesses/cysts, developmental abnormalities, and some types of tumors.

Chun Family Dentistry uses digital X-rays, because they have numerous benefits over their conventional counterparts. Digital X-rays don’t require any chemical processing, which means we get images faster and it’s easier on the environment. They also emit much less radiation, keeping you safe in our care!



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Your dentist has referred you to an endodontist because he or she understands that you will benefit from the specialized training and experience that a root canal specialist can offer. An endodontist is a dentist with special training in diagnosing and treating problems associated with the soft tissue inside of the tooth. To become an endodontist a dentist must complete an ADA certified, two-year, full-time program of advanced training in endodontics. We will work with you and your dentist to hold on to your natural dentition.


There is nothing as good as your natural tooth! Your dentist has recommended a root canal because saving your teeth is the natural choice. There are many new ways to replace a missing tooth, but not even the most advanced implants or bridges can in fact replace your natural tooth. Not all teeth can be saved, but whenever possible saving your tooth should be your first choice it’s the natural choice!


Root canal treatment doesn’t cause pain it relieves it! A toothache is most often caused by infection or other damage to the soft tissue inside the tooth. Root canal treatment removes this damaged tissue from the tooth, thereby relieving the pain. Occasionally the healing can be delayed by pre-existing conditions such as infection and inflammation but in most cases conditions start improving after a few days.


Yes! Root canal treatment is a safe and effective procedure. Starting in the 1930s and continuing until today, research has shown that people with root canal fillings are no more likely to be ill than people without them. There is no relationship between the presence of endodontically treated teeth and the presence of illness.


Recently a few very vocal dentists and physicians have been claiming that teeth that have received root canal treatment contribute to the occurrence of illness and disease in the body. This claim is based on the now obsolete studies performed by Dr. Weston Price from 1910-1930. Dr. Price believed that bacteria trapped in the teeth during root canal treatment can cause almost any type of disease, including arthritis, heart disease, kidney disease, and others. Although he and others meant well, their claims resulted in many millions of unnecessary extractions and mutilated mouths. Back then, many people in their 30’s and 40’s had all their teeth extracted for nothing and had to wear dentures for the rest of their lives. Sound like anyone you met?


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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.

by Bryson D LeMone DDS

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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. 



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Dr Godorecci was a four-year Letterman, Running back on his college football team

Dr. Jim Godorecci was born and raised in Media, Pennsylvania. A graduate of Archmere Academy, Dr. Godorecci received his Bachelor's degree from Gettysburg College, where he was a four-year Letterman, Running Back on the football team. In becoming the outstanding dentist he is today, Dr. Godorecci graduated from the University of Pennsylvania School of Dental Medicine and completed an Oral Surgery externship at Parkland Memorial Hospital in Dallas, Texas. 

Dr. Godorecci has developed expert skills and a deep compassion for his patients over 20 years of practicing family, cosmetic and restorative dentistry, in Chester and Delaware Counties. Dr. Godorecci has completed continuing education and training in areas such as dental implants, porcelain veneers, orthodontics and endodontics to ensure his patients receive the most effective and comfortable care possible. 

When Dr. Godorecci is not at a continuing education course, he can be found spending time with his family, biking, cooking and coaching community sports. He and his wife, Kari, live in Paoli with their four children, and two Labrador retrievers. Jim and Kari enjoy being active in their children's activities, school and community events. 

In acquiring Main Line Dental Aesthetics, in 2010, Dr. Godorecci has fulfilled his lifetime career goal of living and practicing in the same community. Dr. Godorecci has established long term relationships with families and now offers quality services in a beautiful, relaxing and home-like atmosphere. 


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We highly recommend your child visit the dentist before his or her 1st birthday

Dr. Chin and Associates strive to make your child’s first visit gratifying and positive by introducing them to the teeth cleaning and dental care in a particular and considerate manner. We have created this visit to create a warm and friendly environment that your child feels comfortable and at home in. We introduce them to dentists and explain all procedures and answer any questions parents or guardians might have.

We suggest refraining from using words around your child that might strike unnecessary fear, such as needle, pull, drill or hurt. Our office staff has been intentionally trained to use words that convey the same message, but are pleasant and non-frightening to the child.


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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.


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.


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.


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.

by DHS

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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)

by Dear Doctor

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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


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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.

by Jefferson Dental Clinics

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Five Dental Issues Most People Will Eventually Have

Many of us are embarrassed by the dental problems we have, but the truth is that just about everyone has some sort of dental malady or another.

It’s not unusual, and therefore is nothing to be embarrassed about – as long as you’re getting it treated, that is! Here are five of the most common:

1) Bad Breath - If you have bad breath, you are not alone. The truth is, there is no larger oral health problem than bad breath, also called halitosis. In 4 out of 5 cases, a dental condition is to blame. This can be dry mouth, having cavities, gum disease, bacteria on your tongue and other factors.

2) Mouth Sores - If you have them, don’t worry. Lots of people do. They come in many varieties, too. Canker sores, cold sores, fever blisters, ulcers, and more among the most common.

Thankfully, they are rarely anything more than a nuisance. They often go away after a few weeks. Once in awhile one of them can point to a bigger problem.

If you have a mouth sore that lasts for more than two weeks, see your dentist!

3) Cavities - The scourge of tooth decay is one of the most common oral health problems in America, and in fact it’s one of the most common medical problems of all.

Cavities hit almost as many Americans as the common cold. If you brush twice a day, however, and remember to floss, watch what you eat , and more, you’ll enjoy the best defense – which is prevention!

4) Gum Disease - Technically this is known as periodontal disease. Gum disease happens when the gums surrounding your pearly whites become infected. This usually begins with gingivitis.

After a while it progresses and may lead to tooth loss. Gum disease is actually the most common reason for tooth loss among adults

5) Oral Cancer - Oral cancer doesn’t get the attention other cancers do, so you might be surprised to learn that there are 300,000 new cases of oral cancer diagnosed each year. At any time, millions of Americans may have oral cancer.

As with any cancer, it can be a deadly problem if left untreated, but thankfully it’s also very treatable, especially if caught early. That’s a good reason to see your dentist regularly!

We’re sure almost everyone reading this has suffered from at least one of these at one time or another. It’s nothing to be ashamed of. Just be sure to see your dentist regularly so small problems don’t become big ones!

by Dr Daniel Araldi

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Maybe you need to get a crown?


If you have extensive tooth decay that’s threatening the health of a tooth, the teeth surrounding it, or your gums, then your tooth may require more than a dental filling. It may be necessary to cover the tooth with a dental crown after removing all of the decay. A dental crown may also be necessary if your tooth has decay in a spot that is difficult to fill effectively.

What Is a Dental Crown?

A dental crown sits on top of a damaged tooth and can help strengthen the tooth with a large filling when there isn’t enough tooth remaining to hold the filling on its own. Crowns can also be used to attach bridges, protect a weak tooth from breaking, or restore one that’s already broken. A crown is a good way to cover teeth that are discolored or badly shaped and is also used to cover a dental implant.


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What is Oral Myiasis?

‘Oral’ means something related to the mouth, and it can be related to teeth, gums, tongue, and maxillary Sinus.

Maxillary Sinus is crucial in dentistry; it is located inside the skin in the facial bone below the eyes and front of the ear, and it’s an air cavity lined by cells.

It transfers infection from teeth and oral cavity towards the brain, nose, and vice versa. Sinuses have close relations with the upper 2nd Molars of each side. 

‘Myiasis’- It has 2 Greek words, ‘Myia’ means fly insects that fly and ‘as is’ means disease. Flies hatch their larvae (their eggs) on the dead tissue. The larva eats the dead tissue and gets it’s nourishment from it and turns into an adult insect and flies away.

So, Oral Myiasis is a rare disease caused by the Larvae of dipterans. It is reported mostly in developing countries. Myiasis can occur in various parts of our body, not only in the oral region. It can be in the skin, nose, ear, eyes.

What Are The Causes Of Oral Myiasis?

It is caused by flies of order Dipterans, as previously said. Sarcophagidae, Calliphoridae, Oestridae, and Muscidae are genera from the order Dipterans. 

Sarcophagidae – Flesh fly

Calliphoridae – Blowfly

Oestridae – Bot fly

Muscidae – Housefly

Those were some examples of genera. Mostly, it is Chrysomya bezziana (Old Screwworm or Screwworm). It is an obligate parasite; it needs some dead tissue for its species survival, propagation, and reproduction. Its female lays eggs in open wounds, ulcers, scratches, or mucous membranes.

Suppose any injury or cut occurs and remains in direct contact with the air and external environment or not banded properly in its treatment. In that case, it serves as an open wound. Ulcers happen when stomach acid damages the lining of the digestive tract. The mucous membrane is the skin and gingival of the mouth.

This disease three modes of infestation:-

Accidental: when larvae ingested along with food.

Semi specific: larvae are laid on necrotic tissue.

Obligatory: larvae affect intact skin.

Treatment Of Oral Myiasis:

We highly recommend you take the patient to a concerned dental surgeon for treatment as soon as you observe symptoms. It will be good if treatment is done early to contain its infection.

However, the treatment is the surgical removal of larvae. And the result of the activities of larvae is treated after its removal. Turpentine solution help in the extraction of maggots.

by Nasir Ahmad Khan

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