My BEST Dentists Journal


Can dental problems cause other health issues?

Your teeth are an essential part of your body, after all, without teeth, you’ll find it very difficult to eat your food. However, what you may not realize is that the state of your teeth actually has a direct link to your overall health.

The reason is surprisingly simple. Your teeth are very close to many blood vessels, any infection in the area of your teeth can easily travel into your bloodstream and around your body, potentially giving you a host of other issues.

Gum Disease

Brushing your teeth every day is essential to helping reduce the likelihood of gum disease. When you get gum disease you basically have an infection in your gums. This can cause the gums to recede and damage the structure under your teeth, weakening your teeth. 

However, the infection can also enter the bloodstream and is through to attack the actual blood vessels between your heart and brain. The result is damaged blood vessels which are more likely to rupture. 

It’s important to note that this happens over an extended period of time, seeing your dentist regularly will help to prevent issues and treat them.

This is why it is important to visit your dentist at least twice a year and follow their advice when they suggest fillings or porcelain bridges. Looking after your teeth can reduce the risk of issues occurring. After all, gum disease doesn’t just potentially weaken your blood vessels, it has also been linked with an increased risk of heart disease, heart attacks, diabetes, strokes, and even rheumatoid arthritis.

Tooth Infection

At some point it is likely that you’ll develop an abscess, this is the result of an infection that has got under your tooth. Without treatment, the infection will spread. The most obvious sign is a swollen cheek near the site of the bad tooth. You’ll probably also have tooth sensitivity, toothache, especially when eating, a bitter taste in your mouth, and possibly a fever.

If this is left untreated the infection can actually spread into your bloodstream. It can quickly develop into something called sepsis. In effect, this is a type of blood poisoning; 

If you’re old, young, or have a weakened immune system you’re particularly susceptible. You will experience a high fever, your breathing is likely to become difficult, and your heart will race. As the infection worsens you can become mentally disorientated and your skin may appear mottled. 

You’ll need anti-biotic treatment as if left untreated sepsis can lead to death.

An abscess can also cause inflammation at the base of your brain. In short, it can cause you to develop meningitis which needs urgent medical treatment or it can also cause death.

Finally, an abscess can also allow the infection to spread to your throat, causing it to swell. If this happens then your airway can become blocked. You’ll find it hard to breathe, difficult to speak, a fever, feeling weak, and confusion. 

The short of it? Look after your teeth and have them checked regularly. Dental issues can lead to serious health problems, but they are all preventable.

by Miosuperhealth

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What to eat when you're having dental issues

You know that what you eat directly impacts your health, and that includes the health of your teeth and gums. But it can work the other way around too. If you have an orthodontic appliance, such as braces, or have had certain dental problems or procedures, the health and comfort of your teeth and gums can directly impact what you eat. Here are some tips for what to eat and how to avoid these common dental issues.

Braces are delicate, and any food that you need to bite into to eat is prime for breaking braces. You can get around this by cutting the food, such as corn off the cob or rib meat off the bone, or slicing apples and chopping carrots into small, bite-size pieces.

Any food that you need to bite into to eat is prime for breaking braces. You can get around this by cutting the food, such as corn off the cob or rib meat off the bone, or slicing apples and chopping carrots into small, bite-size pieces. You may also experience problems eating after your braces are tightened–teeth may feel sore.

The first few days are the worst, so try eating softer foods like those listed below until the soreness passes: Scrambled eggs,oatmeal, soup with soft vegetables or pureed or cream soups, soft cheeses, including cottage cheese, smoothies and milkshakes, pudding and custard, meatloaf, mashed potatoes, sorbet and frozen yogurt, tortillas (soften by microwaving or steaming), yogurt, soft-cooked, shredded chicken and meat, protein shakes, tofu, ripe fruits, such as peaches and nectarines, cut into bite-size pieces, couscous, quinoa, bulgur, soft-cooked rice, pasta and noodles, polenta, baked apples, peanut butter, chicken or tuna salad, refried beans, avocado , applesauce, macaroni and cheese, pancakes, soft bread, saltines and matzoh, mashed bananas, cooked veggies, hummus, canned or cooked fruit.

If you get mouth sores, try these tips to make eating easier and speed healing: Choose cool or room temperature foods, blend and moisten dry or solid foods, drink through a straw to bypass mouth sores, eat high protein, high calorie foods to speed up healing time. For example, add protein powder to milk shakes or powdered dry milk to fortify mashed potatoes and soups.

Your nutrition and dietary needs following oral surgery or getting implants depends on factors including your nutritional status prior to your procedure, the extent of your procedure, how much impact there is on oral function and how long your recovery is expected to last. A liquid or soft foods diet may be required for a few days or longer, until your mouth heals. Opt for nutrient-rich foods such as fruits, vegetables, low-fat dairy foods and lean meats, eggs and beans whenever possible since they provide vitamins, minerals and nutrients needed for healing, including zinc, protein, and vitamins A and C.

Try these foods: Scrambled eggs, oatmeal or cream of wheat (make with milk instead of water to boost nutrition), soup with soft vegetables or pureed or cream soups, soft cheeses, including cottage cheese, smoothies and milkshakes, pudding and custard, meatloaf, mashed potatoes (fortify by mixing in powdered milk to boost nutrition, sorbet and frozen yogurt, tortillas (soften by microwaving or steaming), yogurt, soft-cooked, shredded chicken and meat, protein shakes, tofu,ripe fruits, cut into pieces like peaches and nectarines, peanut butter, saltines and matzoh, mashed bananas, cooked veggies, like carrots, squash, green beans, spinach and other greens, spinach soufflé, hummus, canned or cooked fruit.

Swallowing problems can occasionally happen, but if it persists, talk to your doctor since it could be related to something serious. Causes of swallowing issues vary and treatment depends on what is causing the problem. If you are having trouble swallowing, to prevent choking and aspiration avoid these foods: Alcoholic beverages, extremely hot foods and beverages, caffeine, spicy foods, popcorn, bran cereal, nuts, cottage cheese (unless pureed), skins of fruits, celery, dry, crumbly, or sticky foods (such as bread, cake, peanut butter, banana).

Depending on level of swallowing difficulty, the following foods may be included in the diet. These foods are grouped into four different categories:

Thin liquids that dissolve quickly in the mouth such as frozen yogurt, ice cream, gelatin and broth.

Nectar-like liquids where liquid coats and drips off a spoon such as nectars, milkshakes, cream soup and vegetable juices. 

Honey-like liquids that flow off a spoon in a ribbon like in yogurt, tomato sauce and honey.

Spoon-thick liquids that are thickened to pudding consistency such as pudding, custard or hot cereal.

by ADA

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Dr. Roya Sadrian’s mission is to eliminate any anxiety that children may carry from past experiences

Dr. Roya Sadrian’s gentle demeanor and many years of experience treating children allows her to deliver the highest quality of care to each child.

At ABC Children’s Dentistry, our mission is to eliminate any anxiety that children may carry from past experience or playground rumors by introducing, creating, and delivering dental care in a gentle, non-threatening, child-friendly and fun environment. We want them to have a happy and exciting experience so that they can’t wait to return for a regular check-up. We use state-of-the-art advanced dental equipment, technology, materials, and sterilization techniques following strict OSHA guidelines.

We care for our patients as individuals with individual needs. We study each case and consider all developmental, behavioral, and aesthetic factors before choosing the appropriate method of care and treatment.

Pediatric dentist is not just another medical profession but is vital in the early development of your child’s dental habits. Googling terms such as “Pediatric dentist San Diego” or “Best Pediatric dentist” can throw up thousands of search results. So, how do you choose the best dentist for your child? 

Dr Sadrian received her Doctor of Dental Surgery degree from the University of Washington in Seattle and her specialty degree in Pediatric Dentistry from the University of Maryland. In addition to practicing pediatric dentistry, she has been an assistant professor of pediatrics at the University of Maryland, University of Washington, University of Texas – Houston, University of California San Diego, and Rady Children’s Hospital in San Diego.

Dr. Sadrian is an active member of: American Academy of Pediatric Dentistry, American Academy of Pediatrics, American Dental Association, California Society of Pediatric Dentistry, International Association for Orthodontics, California Dental Association, and San Diego County Dental Society.


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Benefits of saving your natural teeth

The first and foremost reason to maintain and preserve your natural teeth is cost. If you invest time into practicing good oral hygiene and regularly visit your dentist, you will save money later on expensive dental repair and restorative procedures. This also means less time in the dental chair which can help to alleviate dentophobia in patients.

Another benefit of saving your natural teeth is that you will preserve the structure of your jaw and facial shape. Often times a dental bridge or dentures may not completely fill the space where your natural tooth was extracted from, which may cause bone loss or collapse. Eventually, your teeth will shift to try and fill this space as well, causing changes in the overall alignment of your teeth.

As your teeth shift they can become more challenging to clean resulting in tooth decay and gingivitis.

How Can You Save Your Tooth?

One of the best ways to ensure you keep your natural teeth is to practice good oral hygiene. The American Dental Association recommends brushing your teeth with a soft-bristled toothbrush and fluoride toothpaste for two minutes twice a day, flossing between teeth each day, using a mouthwash daily, limiting snacks between meals, and visiting your dentist for checkups as recommended.

Benefits of Keeping Your Smile Real

Self-confidence is one of the most important side effects of a natural smile. Studies show that millennials believe their natural teeth are the most important aspect of their appearance to maintain.

In addition to a desirable natural smile, repair or replacement of the teeth is costly and time-consuming. Investing in preventative oral care, such as regular dental visits and good oral hygiene, is the best way to preserve your natural smile and avoid costly dental repairs later on.

Sobering Statistics on Tooth Loss

According to studies, it is estimated that 40 million Americans are missing all their natural teeth, and 178 million are missing at least one. Tooth loss can lead to systemic diseases such as diabetes. It can also affect psychological well-being and performance at the workplace and can cause avoidance of social events. Because of these statistics and findings, tooth loss is now more frequently than ever being treated as a chronic medical condition.

Tips for Preserving Your Natural Teeth

In addition to brushing and flossing and visiting your dentist regularly, preserving your natural teeth includes care of the enamel and aesthetic. For example, red wine is acidic which means it may deteriorate the tooth enamel, making the teeth more porous. This is why red wine is notorious for staining teeth. Other pigmented foods and beverages like coffee, tea, tomato sauces, and even berries also cause tooth discoloration over time.

While the most effective and safest way to whiten teeth is with a professional teeth whitening procedure in our surgery teeth, there are several simple at-home holistic remedies you can try.

Naturally removing surface stains can be done at home and usually takes less than 20 minutes per day. It is important to check with your dentist before trying at-home remedies.

These methods are gentle and viable options for those who experience tooth sensitivity. Some methods include:

Activated charcoal – activated charcoal is known to purify teeth and eliminate toxins, which can lead to a brighter smile and healthier gums.

Apple cider vinegar – the main ingredient in apple cider vinegar is acetic acid which is an effective antibacterial. It has been used for centuries as a disinfectant and in some cases may whiten teeth.

Hydrogen peroxide – gargling with hydrogen peroxide may help remove stains and bacteria from the mouth and gums. It is important to use a 3% strength or less. Higher concentrations may cause irritation and damage to the enamel.

Baking soda – baking soda has natural whitening properties and may help to remove surface stains. Since baking soda is mildly abrasive, it’s important to check with your dentist before trying this method at home.

by Owens cosmetic and family dentistry

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Which of these dangerous dental health issues do you already have?

According to the American Dental Association, the overwhelming majority of people in the United States – men, women, and children – are living with some kind of dental health issue that they aren’t even aware of.

Sure, most of us visit the dentist regularly (at least for an annual checkup and especially when we’re dealing with an oral health problems that we notice or one that impacts our day-to-day lives), but most of us try to avoid the dentist is much as we can. There’s just something about sitting on that chair with a giant light above us with a man or woman poking around in our mouths that we aren’t all that comfortable with.

Unfortunately, dental health issues and oral health issues can have a transformative impact the rest of your body, which is why you need to address these issues ASAP before they have a chance to really do a number on you. This is why it’s so important to visit your dentist at least once a year for a checkup, and why it is so critical that you follow accepted guidelines for maintaining and improving oral health as closely as humanly possible.

And if you think you may be dealing with some of the dangerous dental health issues that millions and millions of Americans are living with right now, you’re going to want to pay attention to the details we have for you below.

Abscessed tooth

And abscessed tooth is essentially an infection that starts at the “pulp” of your tooth before it settles into the root (usually right up against the jawbone) before it creates a swollen and pus filled pocket on your guns.

Most people that are dealing with abscessed teeth notice it almost immediately, as this is one of the most painful dental health issues you’ll ever come across. It’s going to make chewing really difficult, it can induce pain and fevers, and it can cause a world of bad breath that is almost impossible to kick.

Most of the time, as assessed teeth can be addressed without too much trouble, but those that get more serious are going to need to have the tooth removed, or even a root canal performed.


Probably the most common type of dental health issue that almost everyone has had to deal with once or twice in their lives, cavities affect everyone (young and old) pretty equally.

Essentially pockets of damaged tooth enamel that are formed when acid eats away at the tooth, cavities are dangerous because they are hotbeds for bacteria to grow in. They carry absolutely love these little pockets, and they multiplied like crazy – producing a bunch of acid in the process that works to continue to erode the teeth away even more!

Small and superficial cavities can be filled in with fillings (metal-based or synthetic to match the color of your teeth), but bigger cavities they require a crown to be placed on top of the tooth or (in some extreme cases) the tooth to be removed completely.

Dry sockets

Teeth that have been removed (or teeth that have been knocked out) are usually going to have their position “in-line” grown over with new gum material if they do not have a replacement put in the space in time.

However, sometimes the gums aren’t going to grow over that space because the blood clot that builds up in that socket dissipates or is reabsorbed into the body too quickly. If that happens, a dry socket situation is going to occur, and that’s bad news for sure.

The nerves that run underneath the teeth are going to be exposed, and you’re talking about one of the more painful experiences a person can ever have to go through. Dry sockets are going to need to be addressed ASAP by a professional, and are usually result by a quick cleaning, a local anesthetic and anti-inflammatory/pain pills, and a specially designed bandage that keeps the socket moist and protected from outside interference.


There are some reports that suggest almost 80% of all adults in the United States are dealing with at least a mild case of gingivitis, and honestly the figure could be even higher.

This is a gum disease caused by bacteria that infects the gums and your teeth, and usually causes try mouth sensations, bad breath, guns that book red and swollen, and even a lot of pain. Gum disease is almost always reversible (especially during the early stages), but it needs to be addressed before it has the opportunity to really spiral out of control.

by Puyallup Smiles Dental

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Dr O'Horo and Dr Pinette take the time to know you before determining your needs.

Dr. John O'Horo office is a family and cosmetic oriented dental practice built on developing personal relationships with each of our patients. We listen to you.

Our philosophy centers on treating people in a caring and gentle manner. We work carefully with each patient to develop a personalized treatment plan. We promise to take every step possible to make your dental experience a positive one.

Providing Exceptional Dental Services is our ultimate goal. We provide you with top quality customer service through the best available dental care. You can expect to be greeted personally when you arrive in our office and always be an active participant in your dental care.

Our mission statement: We take the time to know you before determining your needs. This is achieved in a private consultation room, not the dental chair, where we discuss your current concerns as well as your likes and dislikes about your past dental experiences.

Our systems and procedures include the most advanced equipment and training to ensure a lifetime of dental health.

Dr. O'Horo graduated from Tufts University School of Dental Medicine in 1997. He completed a general practice residency in 1998 at Tufts New England Medical Center where he served as chief resident. Prior to moving to North Andover, he practiced in New York City at a prestigious Park Avenue cosmetic dental practice.

Dr. O'Horo is current with all the latest procedures and techniques. He has earned certifications in implant placement, laser dentistry, Invisalign, Clear Correct invisible braces, placing Botox and dermal fillers, and is licensed in oral sedation.

Dr. Pinette grew up in Reading, Massachusetts. She attended Quinnipiac University and graduated cum laude with a Bachelor of Science degree in International Business. She received her Doctorate of Dental Medicine degree from Tufts University School of Dental Medicine. Dr. Pinette has earned certifications in Invisalign, Clear Correct invisible braces, placing Botox and dermal fillers, and is licensed in oral sedation. 


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The most common dental problems caused by crooked teeth

When people think about the impact of crooked teeth, one of the first things that comes to mind is physical appearance of the smile and how it affects self esteem. Most people’s primary motivation to seek treatment for crooked teeth is to improve the appearance of their smile. However, the impact of crooked teeth goes beyond physical appearance. Issues with tooth and jaw alignment are associated with decay and other damaging effects, and can potentially increase the risk of other general health issues.

Crooked Teeth Can Affect your Oral Health

There are several ways that crooked teeth can have an impact on your oral health.  Issues related to crooked teeth include:

Damage to the Teeth and Jaw

Issues with tooth alignment can cause extra wear on protruding teeth. Abrasion on the teeth can damage fillings or wear down the outer layers of the teeth and cause tooth sensitivity. When the bite doesn’t align properly it can lead to bruxism (teeth grinding) and cause pain and strain in the muscles of the jaw and face. Bruxism can also lead to headaches.

Tooth Decay

Crooked teeth can make it harder to reach the entire surface of the teeth when brushing and flossing. When the teeth aren’t properly cleaned on a regular basis it leads to complications such as tooth decay. When plaque and bacteria are not removed effectively, the plaque hardens into tartar that can only be removed by professional scaling.

Gum Disease

Bacteria between the teeth causes inflammation, so if the tight spaces between the teeth can’t be reached with regular flossing it can lead to bleeding and gum disease.

Bad Breath

Although your mouth feels fresh after a quick brush or rinse with mouthwash, a lot of odour-causing bacteria live between your teeth in the areas that are hard to reach when the teeth are not properly aligned.

Higher Risk of Injury

If some teeth are protruding it can make them more likely to be chipped or damaged. Minor cracks can often be repaired using a white filling, but more serious injuries may require a root canal, crown, or dental implant.

Complications of Poor Oral Health

In some cases, issues with oral health can lead to general health complications such as infections or higher risk of certain diseases.

Respiratory and Other Infections: People with ongoing tooth decay or gum disease may be breathing in extra bacteria from the mouth. It is thought that in some cases bacteria in the mouth can contribute to respiratory infections, pneumonia, or other lung and respiratory issues. In addition, when gum disease is present, disruptions to the gum tissue can create an entry point for bacteria to get into the bloodstream.

Diabetes: People with diabetes have a higher risk of gum disease. When gum disease is present, it may affect the management of blood sugar levels. This can contribute to the development and progression of diabetes. People with diabetes are also generally more susceptible to infection.

Dementia: Although the two may seem unrelated, there is research that supports a possible connection between poor oral health and the development of dementia later in life.

To prevent the symptoms and complications associated with poor oral health, it is important to maintain a good oral health routine and visit your dentist regularly. Your family dentist can help find solutions to any issues you are having keeping your teeth and gums healthy. If crooked teeth are affecting your oral health, your family dentist can recommend options for orthodontic treatment to help properly align your teeth and jaw.

by Pier Dental Center

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Essencial questions that you must ask to your dentist about tooth decay and dental care

Tooth decay is one of the most common dental issues that is addressed during dental exams. If you are having troubles with decaying teeth or cavities, you may want to make an appointment with your local dentist. A dentist offering dental X-rays and other procedures serving Hazlet can diagnose and treat any cavities or other forms of decay that may be affecting your smile. To help you gear up for your next trip to the dentist, here are some questions that you can ask your dentist about tooth decay.

What Causes Tooth Decay?

When you visit your dentist, you may want to ask about the most likely causes of tooth decay. In fact, tooth decay is caused by the buildup of acid producing bacteria in your mouth. As these bacteria build up around your teeth and gums, they will start to eat away at the enamel of your teeth. Eating certain foods and neglecting oral hygiene can speed up the formation of decay in your teeth.

What Are Some Signs of Tooth Decay?

In order to prevent an oral health emergency, you may also want to ask your doctor about some of the most common signs of tooth decay. For example, if you have a cavity, you may find that an area of your mouth is very sensitive to hot or cold. Since many cavities form without symptoms, it is also important to schedule routine dental exams.

How Can I Prevent Tooth Decay?

Prevention is key when it comes to avoiding tooth decay issues. In order to prevent tooth decay, you will need to brush your teeth at least twice a day and floss regularly. You can also help prevent tooth decay by making sure to visit your dentist biannually.

Do you ask your dentist any questions? Well you should, because dentists can be a wealth of knowledge and most are more than happy to answer your questions to help you maximize your oral health. Let’s explore some other good questions you may want to ask at the dental office.

How’s my oral hygiene? What type of toothbrush and toothpaste should I use? Am I at risk for any dental problems? Will I need any major dental services in the future? Will you accept my dental plan? Will you balance bill me for charges? Can you spread dental services out to maximize my benefits? 

by Glenwood Premier Dental

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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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Many people ask why should a parent/caretaker consider a board certified children’s dentist says Dr Sidney Gallegos

A board certified pediatric dentist has elected to complete accredited training and successfully completed an examination process to assess a candidate’s knowledge skill and judgment regarding standards of oral health care for infants, children, adolescents and patients with special health care needs. It also reflects a value of lifetime learning and practicing pediatric dentistry with state of the art techniques and materials. This reflects an effort on the part of the practioner to provide the highest standard of health care for patients.

Dr Gallegos welcome you to consider establishing a dental home for your child early on preferably by age one. A dental home refers to an ongoing relationship between our office and your family, inclusive of all aspects of oral health care delivery in a comprehensive, continuous, accessible, coordinated and family-centered way. As your child develops from an infant into an adolescent there can be challenging issues that we can address and help you make informed educated decisions regarding your child’s oral health care.


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What Is That Metallic Taste in Your Mouth?

If you’ve started to notice an unpleasant metallic taste in your mouth, you’re not alone. Many men and women experience this sensation, and it’s usually nothing that a trip to your dentist can’t take care of. A metallic taste can be a sign of a serious disease, but this is very rare and will occur alongside other symptoms.

Dental Causes of Metallic Taste

A metallic taste in the mouth can occur for a variety of reasons having to do with the teeth and gums, such as:  Tooth decay, Gum disease, Broken filling or crown, Dry mouth.

Infection is a common reason for a metallic taste. If you practice poor dental hygiene, you will most likely end up with cavities, inflamed gums, or both. Leaving these untreated can cause infection, which often creates an unpleasant taste.

Another reason for a metallic taste in the mouth is a broken filling or crown. This often occurs after a root canal, as the temporary filling used before your crown is placed is soft and can be easily chipped, broken, or dislodged. If you notice a metallic taste after your root canal, visit your dentist so that they can check on the state of your filling.

Dry mouth can be another culprit when it comes to a metallic taste. This is especially common if you’re taking medicines or vitamins that contain metals such as zinc or iron. Dry mouth can be prevented by drinking plenty of water and chewing gum to stimulate saliva production. Once your mouth is no longer dry, the metallic taste should disappear.

How to Prevent Metallic Taste in Mouth

Since the most common reason for a metallic taste in the mouth is poor oral hygiene, the best way to prevent it is to maintain a great oral health routine. Some of the things you can do to help keep your mouth healthy and free of bad tastes include: Brush twice a day and floss at least once a day, Use a mouthwash, Rinse your mouth with water after eating, especially after eating anything sugary, Avoid eating too many sweets, Avoid hard or sticky foods, Visit your dentist every 4 or 6 months.

Bacteria build up on the teeth after eating and drinking, so rinsing with water is a great way to help remove food particles and bacteria if you can’t brush your teeth right away. Rinsing with water after drinking coffee or eating berries can also help to prevent staining.

If you maintain good oral habits, you’ll have less of a chance of getting an infection which leads to a metallic taste in the mouth.

by Dr. John Schmid, DDS

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Does your mouth hurt? Could be sign of larger dental health issues

Are you looking into common dental issues so you can figure out why your mouth hurts? Experiencing any type of discomfort or pain in the teeth and gums is not pleasant, making it a good idea for you to find out why your mouth is hurting as soon as possible.

If the pain is making it difficult for you to get through the day, then making a dental appointment as soon as possible is recommended.

Types of mouth pain:

There are different types of mouth pain someone can experience, including sudden, sharp pain and persistent, dull pain. The pain can be felt in the teeth, gums, jaw area, neck and even the entire face.

Dental issues that cause dental pain:

The following is a list of dental issues that are common reasons for someone experiencing pain in their mouth.

Dental issue #1 — damaged teeth. When a tooth is cracked or broken, it can expose its inner layers, which will cause various levels of pain in the mouth.

Dental issue #2 — sensitive teeth. When a tooth’s enamel is jeopardized, it is no longer able to fully protect the tooth, which can cause various levels of pain in the mouth.

Dental issue #3 — bruxism. This is also called teeth grinding and clenching, which is known for causing teeth soreness.

Dental issue #4 — wisdom teeth. When these teeth grow in, they can cause various levels of pain or soreness.

Dental issue #5 — cavities. When tooth decay is present, it is only a matter of time before cavities begin to develop.

Dental issue #6 — abscessed tooth. A tooth abscess is caused by a bacterial infection and needs immediate treatment.

Dental issue #7 —– gum disease, a.k.a. receding gums. When gums start pulling away from the teeth, it will cause various levels of sensitivity and pain in the mouth.

Dental issue #8 — TMJ disorders. TMJ is a jaw disorder that affects the jaw joints and surrounding muscles, which tends to cause more discomfort than pain.

The most common dental issues are often preventable with routine exams and cleanings, visiting your dentist regularly.

by James M. Adkins, DDS

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Why professional teeth whitening is the best way to whiten your teeth

Everyone wants a bright smile and there are quite a lot of different ways to whiten teeth. Often, the choices can be confusing, but it may help to know that there are basically only two categories of teeth whitening options to choose from: professional, in-office bleaching or at-home products.

No matter which type of teeth-whitening option you choose, both will contain peroxide-based bleaching agents. At-home products contain between 3 and 20 percent carbamide or hydrogen peroxides while professional, in-office treatment systems contain 15 to 43 percent peroxide.

If you’re considering your options and trying to decide whether to do tooth whitening at home or have it done professionally by a dentist, this article will help you better understand the advantages of professional teeth whitening. While some people are able to get a decent outcome using at-home products, the advantages of professional teeth whitening are numerous and there are some important health risks involved in using at-home teeth whitening products.

As a general rule, if you keep a strong solution of peroxide on your teeth, your teeth will become whiter. Higher percentages of the whitening solution can be applied to the teeth for a shorter period of time to get good results. If you keep the tooth whitening gel on your teeth too long, it will dehydrate the teeth, increasing tooth sensitivity. This can cause pain and other dental problems which is one of the reasons why at-home products may not always be the best option. If a patient leaves the lower percentage solution on the teeth too long, pain and sensitivity in the teeth can lead to pain when you eat certain foods. And it’s much more likely that patients will misuse the at-home whitening systems than that the professional treatment will go awry.

Teeth whitening at the dentist usually works much faster than teeth whitening at-home. In addition to the stronger peroxide solution that’s used in dental offices, heat or light or both can be used to speed up and intensify the whitening effects of professional treatment. Typically, to get teeth from three to eight shades brighter, patients should expect to do several 30 to 60 minute office visits, though some dentists are able to use specialized techniques that take only one single 2 hour visit. Typically the cost of professional teeth whitening is more than the cost of at-home treatment, but the final results demonstrate that in terms of teeth whitening you get what you pay for.

It makes logical sense that teeth whitening that’s done at home is not as safe as teeth whitening done in a clinic by a professional. At-home teeth whitening treatments are essentially DIY and so, as with all DIY projects, it carries risk (because patients rarely understand fully what they’re doing or how the treatment works and therefore can easily do damage to their teeth).

At the dentist, when you get your teeth whitened, you also will have your teeth and gums cleaned so that plaque and tartar are removed and any cavities are filled. So, one of the advantages of professional teeth whitening is that the dentist will check your teeth and make sure they’re healthy and ready for the treatment. And the treatment itself won’t hurt the teeth because a professional knows how to avoid causing damage while still getting results that are dramatic and long-lasting.

Perhaps the biggest advantage of in-office, professional teeth whitening is vigilance and the fact that the dentist is watching to make sure nothing goes wrong or isn’t working during your treatment. Teeth whitening is a treatment that’s been proven to be safe for many years, but despite this gum irritation is a common problem and tooth hypersensitivity can also occur such that extremely cold or extremely hot foods are irritating after the procedure.

Patients who have specific teeth with noticeable stains that they’d like to have removed should carefully consider going to a professional to ensure that these stains are addressed with care and that the final results repair the problem fully. With an at-home kit patients run the risk of making the problem appear worse rather than better. But professional teeth whitening systems are designed to address these types of issues.

And finally, professional teeth whitening leaves all the responsibility in the hands of the dentist which means that, as the patient, you can sit back and relax during the procedure. At the end of your appointment, you’ll leave the office with bright, pearly whites. At-home treatments, on the other hand, could yield results that are less-than-perfect or even worse-than-before-the-treatment. When poor results happen, in-office treatment has to be aimed at fixing two problems instead of just one (stained teeth). So, if you’re not sure whether at-home or in-office treatments are right for you it might be best to err on the safe side and see a dentist for professional treatment to ensure excellent results.

by Greentree Dental

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Dr. Paul Tan provides the highest level of comprehensive and compassionate dental care to each patient

Dr. Paul Tan practice utilizes the latest in dental technology in order to deliver treatment in the most comfortable, gentle, safe, and efficient manner.

After graduating in 1989 with honors from Tufts University School of Dental Medicine in Boston, Massachusetts, Dr. Tan completed a prestigious VA/Stanford hospital residency in Palo Alto where he served as the program’s first chief resident during the second year while treating medically compromised patients.

Dr. Tan started and built his current practice since 1992 and his office has been located in the landmark, Art Deco Shell Building @100 Bush Street in the heart of the San Francisco financial district for the past twenty three years.

In addition to the art of practicing dentistry, Dr. Tan takes great pride as a community leader serving as a former board member for the SF LGBT Center and San Francisco AIDS Foundation. He enjoys cultural events, nature hikes, gardening, and spending time with his two adorable young dogs, Rupert and Dahlia.

Dr. Tan and Nancy holding a photo from 1997 when they first opened the office located at 100 Bush!

Nancy has been working with Dr. Tan for over twenty seven years now and it has been a wonderful experience. Her role as a registered dental assistant allows me to interact with patients on a personal level to ensure they achieve their optimal dental health. Nancy enjoy working with the rest of the amazing team members in providing comprehensive dental care.


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When you should visit a dentist for a routine oral checkup

According to Dr. Jason Favagehi – a reputable dentist in Tysons Corner, your teeth may wear out with the time, because of unhealthy eating habits and aging. Moreover, many dental issues also arise due to negligence of oral care routine or poor nutrition. To keep your oral health in the top condition, you must regularly visit your family dentist for routine dental checkups.

During the routine dental checkups, your family dentist analyzes your overall dental health and identifies any early symptoms of any oral disorders such as gum diseases or tooth decay. According to Dr. Favagehi, here are some reasons why you should visit a dentist for a routine dental checkup:

To Prevent Dental Caries:

Today, a large number of people, over the age of 65, no longer have any natural teeth. Most of these teeth-less individuals lost their teeth because of dental caries (tooth decay or cavities) or gingivitis (periodontal or gum disease). If these individuals want to eat anything other than soft foods for the rest of their lives, they need to buy dentures.

Replacement teeth, especially dentures, are obviously not as efficient as natural teeth. They can cause gum irritation and may look out of place. Further, in the case of dentures, they need to be taken out and cleaned at least once a day.

The good news is that, no matter what your age is, your oral health can be improved greatly. Brush and floss your teeth thoroughly and regularly. Get professional cleanings from your dentist on a regular basis. Following a good oral hygiene routine and visiting your dentist for regular checkups will help you maintain your dental health.

To Prevent Plaque / Tartar Buildup:

In addition to giving you a bright smile, your dentist can remove plaque or tartar, which by the way, are the main causes of gum disease. What are dental plaque and tartar? Well, a plaque is a slimy film deposit that is comprised of food particles, saliva, and bacteria. Dental plaque may cause minor gum irritation in its early stages of buildup. When the plaque hardens, it becomes tartar. Tartar is far insidious that often factors toward tooth decay and gum recession.

When tartar is left untreated, tooth loss is almost certainly possible. Tartar is difficult to remove, and brushing, flossing, and rinsing will not help eliminate tartar deposits. The only way to remove tartar is with a professional dental cleaning by your dentist. A dentist has all the necessary tools to remove the plaque or tartar completely.

To Stop Gum Disease:

Bacteria can be found in the mouth of every human being; when these bacteria are allowed to accumulate along the gum line, they can cause oral issues. These bacteria can cause severe damage to the teeth, their roots, and to the entire jawbone itself. When the bacteria make their way down to the tooth’s root, they may enter the bloodstream. These microorganisms then may cause severe problems for individuals who suffer from diabetes, high blood pressure, or heart disease.

Fortunately, all of these outcomes can be prevented just by visiting your dentist from time to time. A professional can detect and remove plaque and tartar buildup effectively. A dentist can also treat various gum diseases and other oral health complications. Dentists have the right knowledge and tools to eliminate various dental problems.

So, have you been to your dentist lately for a routine checkup?

by smile perfectors

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How to maintain a good dental care routine

As grown-ups, anybody can encounter dental issues. Besides the day by day home dental care routine, you can plan a dental checkup for expert cleanings and sterling orthodontics treatment. As much as we attempt, some way or another we are not ready to altogether clean out magnificent whites. You ought to likewise be cautious with the toothpaste brands that you are utilizing.

Our gums are particularly vulnerable to illness. Gum and periodontal contamination are prevalent in many adults to the point that depleting gums are very typical in various people’s lives. This shouldn’t be the circumstance. These basic tips will empower you to deal with your gums, promising you to have perky, stable gums and might prevent you from orthodontics treatment.

The ideal brush : When picking a toothbrush, dependably pick a brush with head and fibers that are little enough to achieve the fissure of your molars. Food particles may be covered up in these spots. Grown-ups would require a little or medium-sized toothbrush for this. Consult your orthodontists, they will let guide you about the perfect brush according to your dental health.

The brushing strategy: The fast brush isn’t sufficient to clean the remaining nourishment and clean your teeth. Begin with your brush angled at 45 degrees to your gums and utilize short forward and backward strokes on the sides and highest points of your teeth. At that point hold the brush vertically and utilize short strokes while concentrating on the backs of your teeth and the front foremost teeth since this is the place plaque develops. If the problem still exists then go for orthodontics treatment.

Change your toothbrush once in a while: The fibers of your toothbrush will fall apart. Ensure that you change your toothbrush following several months to ensure that you are getting the best clean. You can change your toothbrush 3 to 4 months.

Utilize a tongue scraper: There are new toothbrushes now that accompanies a tongue scrubber on the back of the brush. Keep in mind that regardless of whether your teeth and gums are now clean, there might, in any case, be microscopic organisms that can stall out in your tongue. Ensure that you add this to your everyday schedule. Many pieces of research propose that utilizing a tongue scrubber twice daily can improve your feeling of taste. Your tongue might probably better recognize severe, sweet, salty, and bitter sensations or else you might need an orthodontic treatment.

Floss daily and correctly: There are individuals who skip this part. In any case, this is a standout amongst the most significant pieces of cleaning your mouth besides brushing. Flossing between your teeth won’t just expel the food particles however will likewise achieve the germs that stalled out in there. The floss should rub against the teeth in a forward and in reverse movement.

Mouthwash is an unquestionable requirement: Like flossing, mouthwash is generally skipped. Yet, recollect that the mouthwash can achieve the places of your mouth that you can’t. This will expel the food that can aggravate the gum line which can likewise cause gum disease. Add mouthwash to your daily dental routine even when you are in a hurry.


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Prevent gum problems that lead to tooth loss

Gum disease is a slow and often painless process which can lead to tooth loss. Inflammation of your gums will occur if plaque is not removed regularly from along the gum line. Plaque that is not removed on a daily basis will set hard turning it into tartar also known as calculus and cannot be removed with your toothbrush.

Your gums don’t like the bacteria living in plaque and calculus therefore inflammation occurs. This inflammation of the gums is referred to as gingivitis. Over time if calculus is not removed it builds up and causes your gums to become detached from the tooth. Not only will your gums recede, so does the supporting bone.

As this cycle progresses you will notice your teeth looking longer and they will also become loose. This is now referred to as periodontitis. At this stage, the damage cannot be reversed but it can be controlled.

Symptoms of gum disease include:

Bad Breath that won’t go away

Red or swollen gums

Bleeding or tender gums

Sensitive teeth

Teeth appearing longer from gum recession​

If you notice any of the above symptoms you should see your dentist to catch this disease in the early stages.

Unhealthy gums will bleed until they have healed. To improve the health of your gums you will need to have your teeth cleaned professionally, then maintain a strict oral hygiene routine at home.

Daily oral hygiene home care instructions:

Brushing.- Brush your teeth twice a day using a soft bristled toothbrush and a pea-sized amount toothpaste that contains fluoride

Always brush systematically so you thoroughly clean all surfaces of your teeth

Hold the brush at a 45° angle towards the gum line and use a gentle circular motion to brush the outside and inside surfaces of each tooth.

Use back and forth strokes on the chewing surfaces.

Use the tip of the brush to brush behind your front teeth, both top and bottom using a flicking motion.

Brush your tongue from back to front to remove odour-producing bacteria.

Finish with a spit, not a rinse.

Flossing.- Starting with about 45 cm of floss, wind most of the floss around each middle finger, leaving about 2cm of floss to work with.

Holding the floss tautly between your thumbs and index fingers, insert the floss gently between your teeth using a back and forth motion to avoid traumatising the gums.

Gently curve the floss around the base of each tooth, making sure you go gently beneath the gum line. Move the floss up and down to gently scrap the side surface of each tooth.

To remove the floss, use the same back-and-forth motion to bring the floss up through the contact point of your teeth.

Use clean sections of floss as you move from tooth to tooth.

Remember to clean the back surface on your rear molars.

by Greenland Dental

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Ancient DNA in the calcified dental plaque of Neanderthals shows that they used natural analgesics

Ancient DNA in the calcified dental plaque of Neanderthals—the nearest extinct relative to humans—has provided new insights into their behaviour, diet and evolutionary history. An international team of researchers has analysed 42,000- to 50,000-year-old dental plaque DNA samples from four Neanderthals found at cave sites in Belgium and Spain. The findings revealed the complexity of Neanderthal behaviour, including knowledge of plant-based medication and dietary differences.

According to the researchers, DNA preserved in the dental plaque of Neanderthals is a notable source of information about the behaviour and health of ancient hominin specimens. From analysing the dental plaque DNA samples, the researchers learnt that the Neanderthals from the cave sites of Spy in Belgium consumed woolly rhinoceros, European wild sheep and wild mushrooms. In contrast, those from El Sidrón cave in Spain appeared to have a vegetarian diet, including moss, mushrooms, pine nuts and tree bark, but no evidence of meat was found. These findings demonstrate that these two groups had very different diets.

“Dental plaque traps microorganisms that lived in the mouth and pathogens found in the respiratory and gastrointestinal tract, as well as bits of food stuck in the teeth—preserving the DNA for thousands of years,” said lead author Dr Laura Weyrich, Australian Research Council Discovery Early Career Research Fellow at the Australian Centre for Ancient DNA (ACAD) of the University of Adelaide.

She added, “One of the most surprising finds, however, was in a Neanderthal from El Sidrón, who suffered from a dental abscess visible on the jawbone. The plaque showed that he also had an intestinal parasite that causes acute diarrhoea, so clearly he was quite sick. He was eating poplar, which contains the pain killer salicylic acid (the active ingredient of aspirin), and we could also detect a natural antibiotic mould (Penicillium) not seen in the other specimens.”

Furthermore, dietary differences were associated with a general shift in the oral microbiota, suggesting that meat consumption contributed to substantial variation in this regard. “Not only can we now access direct evidence of what our ancestors were eating, but differences in diet and lifestyle also seem to be reflected in the commensal bacteria that lived in the mouths of both Neanderthals and modern humans,” said co-author Prof. Keith Dobney, from the University of Liverpool. “Major changes in what we eat have, however, significantly altered the balance of these microbial communities over thousands of years, which in turn continue to have fundamental consequences for our own health and well-being.”

The study, titled “Neanderthal behaviour, diet, and disease inferred from ancient DNA in dental calculus”, was published on 20 April in the Nature journal. It was conducted by ACAD in collaboration with the University of Liverpool in the UK.

by Dental Tribune International

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One of Doctor Lin's first patients, a little girl, was so afraid of dental procedures that she tried to escape the office through a window.

Dr. Simon Lin gained her trust and, over time, she allowed him to take care of her teeth. That little girl is now in her mid-twenties, and Dr. Lin is still helping children achieve good oral health.

When he was just starting out as a new dentist, Dr. Lin stepped in for a colleague on a six-month medical leave whose practice focused exclusively on children. Dr. Lin soon recognized his ability to help children feel comfortable at the dentist’s office, and that he truly enjoyed interacting with young patients.

Dr. Simon Lin and his wife Yvonne (last photo) have two daughters and three sons: Skylar, Samual, Sara, Stephen, and Simone. In his free time, Dr. Lin enjoys reading, listening to TED talks, taking photographs, attending his children’s activities, and traveling with his family.

Born and raised in Taiwan, Dr. Lin earned his Doctorate in Dental Surgery from National Yang- Ming University in 1995. After working for four years in a private practice, he decided to pursue his passion as a pediatric dentist.

He was awarded the highly prestigious National Scholarship for Advanced Dental Education from the Ministry of Education, Taiwan.

In 2002, after three years post-doctoral training, he earned his Certification in Pediatric Dentistry and a Master of Science from Tufts University School of Dental Medicine in Boston. After that, he spent another year conducting molecular genetic research at Harvard Medical School. He currently serves as a Clinical Associate Professor in the Department of Pediatric Dentistry at the University of Washington and was the Pre-Doctoral Program Director since 2007-2013.

Dr. Lin is a Diplomate of the American Board of Pediatric Dentistry. He also holds a certificate in Acupuncture, Center of Chinese Traditional Medicine, Veteran General Hospital, Taipei, 1997.


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Drs. Gorgani and Yee are dedicated to creating outstanding smiles for their patients using the latest technology available

Nick Gorgani and Cynthia Yee are accredited pediatric dentists. This means that they are dental specialists who have completed an advanced post-doctoral course, accredited by the American Dental Association, of at least two academic years in their respective fields of specialty. Dr. Yee is also a board certified pediatric dentist by the American Board of Pediatric Dentistry.

Drs. Gorgani and Yee are dedicated to creating outstanding smiles for their patients using the latest technology available. These doctors are experts in the growth and development of the dentition, as well as the techniques involved with the treatment of both primary and permanent teeth. Our doctors are well trained for the unexpected – whether it is an apprehensive patient or a dental trauma.

Our specialists are able to identify developing orthodontic problems such as severe crowding and problems with patients’ bites, issues which could benefit from early intervention by an orthodontist.

Dr. Nick Gorgani received his dental degree (Doctor of Dental Surgery) in 1985 and completed his specialty training in pediatric dentistry at the University of Nebraska Medical Center in 1988. He also received as Master of Science degree in Oral Biology from UNMC College of Dentistry in 1989. Dr. Gorgani started his private practice in 1990 along with teaching pediatric dentistry as an assistant professor from 1990 through 1995 at UOP College of Dentistry in San Francisco. He is an active member of the American Dental Association, American Academy of Pediatric Dentistry, American Academy of Cosmetic Dentistry and California Society of Pediatric Dentistry.

Dr. Gorgani and his wife, Dr. Mahnaz Gorgani, have two children. They enjoy different sports and activities with their children and family friends.

Dr. Cynthia Yee received both her dental degree and pediatric dentistry specialty training from the University of California, San Francisco. During residency, Dr. Yee received numerous awards and scholarships for her published research in children and adolescents’ dental public health. She is board certified by the American Board of Pediatric Dentistry and is fluent in both Mandarin and Cantonese.

Dr. Yee’s goal is to empower children and parents through oral health care education. She is committed to developing long-term relationships built on trust, compassion and attentive listening. Dr. Yee maintains active membership in the California Dental Association, American Dental Association, California Society of Pediatric Dentistry, American Academy of Pediatric Dentistry and the local dental society.

Dr. Yee and her husband have two children. The gift of parenthood has enabled her to develop an acute sensitivity toward meeting children’s ne MO eds and parents’ expectations within a fun, nurturing environment.

During their free time, Dr. Yee and her family love experiencing an assortment of culinary adventures throughout the North and South Bays.


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I love having a job that allows me to connect to my patients and make a difference in their lives says Doctor Phan

My patients are very important to me. I am committed to providing high quality dental care to each and every one of them. I love having a job that allows me to connect to my patients and make a difference in their lives.”

Dr. Patricia Phan brings a personal touch to the care she offers. She believes that open communication between patient and doctor is critical for maintaining lasting relationships and making informed decisions. Along with preventative care and patient education, Dr. Phan believes that good dental habits will ensure a lifetime of excellent oral health. Dr. Phan enjoys creating positive experiences for her patients, and whether she’s helping a patient transform his smile or giving a child her first dental exam, her goal is to make every dental visit pleasant.

Dr. Phan earned her Bachelor of Arts degree in Classical Civilization from the University of California Davis and graduated with the highest honors. She completed her Doctor of Dental Surgery (DDS) degree from the University of California San Francisco School of Dentistry in 2001. After working as an associate dentist for seven years at private practices in the Peninsula and South Bay, she purchased her Los Gatos office in 2008 and transformed it into a family-focused dental practice.

As an established dentist, Dr. Phan is a member of the following organizations:

California Dental Association

Santa Clara County Dental Society

American Dental Association

She is also certified in laser dentistry and Invisalign, and she has completed various continuing education courses in cosmetic dentistry. Staying up to date on the changes within dentistry is an important part of providing patients with comfortable, contemporary care.

When she's not helping patients improve their oral health, Dr. Phan likes to travel, read, sail, and scuba dive. Now she spends most of her time raising two young kids. She also provides volunteer dental work with local charities.


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Preventing dental issues for seniors

Many people associate cavities with children, but your senior loved one can encounter a wide variety of dental concerns as he or she enters the golden years. Fortunately, many dental issues in the elderly can be prevented by taking measures to minimize the effects changing health conditions can have on oral health. Naples senior care experts suggest these preventive care tips.

Address Dry Mouth.- Dry mouth is a side effect of many medications prescribed to seniors, and the lack of saliva can allow cavity-causing bacteria to build up fast. Your loved one should be encouraged to stay hydrated, and he or she may need a special mouthwash designed for dry mouth. It is also important for your loved one to stay away from salty food and beverages such as alcohol and caffeine that could lead to dehydration. 

Screen For Oral Cancer.- Cancer of the lips, cheeks, and tongue is more likely to occur after the age of 62, and it can be hard to spot in its early stages. Seniors who smoke or consume more than a moderate of alcohol will need to quit to minimize their risk. Your loved one’s dentist or another professional should screen him or her twice a year for oral cancer.

Be Alert For Signs Of Hygiene Needs.- Certain health conditions can make it hard for a senior to brush and floss correctly on a regular schedule. For example, severe arthritis or Parkinson’s may pose challenges with reaching into the mouth for flossing or holding the toothbrush properly. A senior with dementia may forget to brush his or her teeth. Reports of high plaque from the dentist or frequent cavities could both be signs your loved one needs assistance with his or her daily routine. A dementia or Parkinson’s caregiver in Naples can help your loved one maintain such a routine.

Replace Missing Teeth.- Dentures, implants, and bridges are not only for making a pretty smile. These tooth replacements serve an important purpose by preventing other teeth from shifting or bearing a larger load during chewing. If your loved one loses a tooth, it is important to talk about restoration options to prevent further damage to his or her smile.

One of the best ways to keep your loved one happy and healthy is preventing any health complications before they have the chance to develop. However, this can be difficult to achieve without the right help. If your loved one needs assistance maintaining regular hygiene routines, consider a Naples live-in home caregiver from Home Care Assistance.

Our caregivers can help with all aspects of grooming and assist with a wide array of other daily tasks such as cooking, cleaning, and exercise. We also offer part-time care for seniors who only need assistance a few hours a day or a few days a week.

by Monica Cordero

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Tips to finding a toothpaste that really works

Your toothpaste choice is important for your dental health. You should definitely look for a few essential things when it comes to your toothpaste; however, it mostly comes down to your personal preference or medical needs. Picking the toothpaste that will get you to brush twice a day and meet your health needs is the most important thing.

Check for fluoride.- It's important that your toothpaste contains fluoride, as it helps strengthen the enamel of your teeth. Your enamel is under constant attack from acids, and fluoride remineralizes the entire structure. Make sure fluoride is an ingredient in any toothpaste you buy. It should be 1,000 parts per million in your toothpaste.

Fluoride is particularly important for diabetics, as it helps remove plaque. Because having infection in the mouth can be dangerous to a diabetic, it's important to keep your mouth, gums, and teeth as healthy as possible. Consider adding a 30-second rinse with an antibacterial mouthwash to ensure oral health.

Look for the seal of approval.- It's best to pick a toothpaste approved by the American Dental Association (ADA), as they make sure each product with their seal meets certain standards. The toothpaste packaging will have the ADA logo on it if it is approved by this organization.

Buy a toothpaste for sensitive teeth if you need it.- If you have sensitive teeth, it can help to purchase a toothpaste designed to help combat that problem. It should say on the label that it is meant for sensitive teeth. You may not notice results right away, so make sure you use it for a little while before you decide it doesn't work.

Ask your doctor about prescription-strength. If you try an over-the-counter toothpaste for sensitive teeth, you may find after a while that it doesn't work for you. If that's the case, your dentist can prescribe you a stronger version. Keep in mind, though, that the prescription variety may be more expensive.

A good toothpaste for sensitive teeth should feel sticky an harder the remove than your usual toothpaste. It helps minerals to stay on your tooth surface for a longer time, delivering an increased remineralizing effect.

Pick whitening toothpastes to remove stains.- Some toothpastes do help to whiten teeth. If your teeth have been stained by what you eat and drink, you may want to try a whitening toothpaste. These toothpastes generally use abrasives to remove stains from the surface of your teeth. Look for one that says "whitens teeth" or "whitening."

However, whitening toothpastes can be damaging when used over long periods of time. In fact, they can contribute to sensitivity and the breaking down of your enamel, especially if you use a lot of pressure when brushing with a hard bristle toothbrush. Ask your dentist about how long it's safe for you to use a whitening toothpaste.

Buy toothpaste to reduce tartar buildup.- Another option when it comes to toothpastes is to buy one that reduces tartar buildup. If that's your goal, pick one that has pyrophosphates as an ingredient. This ingredient is known to help reduce the build up of tartar over time.

Choose organic for more natural ingredients.- On the upside, organic toothpastes stick to more natural ingredients, which can be healthier for your mouth (though not necessarily); however, they also usually don't contain fluoride, which most dentists agree is important for dental health.

Look for one that freshens breath.- If bad breath is a problem for you, pick one that can help freshen your breath. It should be labeled as such on the package. Usually, these toothpastes have ingredients that can make your breath less smelly by covering up bad odors, or they fight the bacteria that cause bad breath.

by Tu Anh Vu, DMD

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Dr. Brian Bergh participates in training and courses to continue his education, averaging over 100 hours each year

Glendale orthodontist Dr. Brian Bergh is a native of California, born just a few miles from Glendale in Van Nuys. Dr. Bergh’s decision to become an orthodontist was greatly affected at age 13 when he began working in his father’s office. When he saw firsthand how an orthodontist can change lives and how much a beautiful smile can affect someone’s self-esteem, he knew he would be choosing orthodontics as a career.

Dr. Bergh attended Loma Linda University School of Dentistry, where he earned his Doctorate of Dental Surgery. Attending the University of Southern California, he received his Master of Science degree in Craniofacial Biology and his Certificate in Orthodontics.

To ensure that he gives his patients the highest quality care as a Glendale orthodontist, Dr. Bergh believes that continuing education is critical. We are in an age of rapid change, and keeping up with the latest developments and innovations allows Dr. Bergh and his team to provide you with the most current braces and orthodontic treatment available. This is why Glendale, CA, orthodontist Dr. Bergh participates in training and courses to continue his education, averaging over 100 hours each year.

Outside the Office… Glendale orthodontist Dr. Brian Bergh and his family live in Shadow Hills, just North of Glendale and Burbank. He and his wife, Tina, have a daughter named Kaigan, a son named Bryley, a Poo-Chon named Maddi, and four Koi fish (they haven’t been named yet). His leisure activities include gardening and and feeding the hummingbirds. He has even written a book about hummingbirds.

Dr. Brian Bergh is the founder of Bergh Orthodontics located in Glendale, CA. Dr. Bergh’s award-winning practice has transformed the lives of over 6,000 people!

"Our mission at Bergh Orthodontics is to provide you with elite service based on trust and convenience while exceeding your customer service expectations," says Dr Bergh.

Using advanced technology, Bergh Orthodontics is committed to careful examination and diagnosis to develop a custom treatment plan to address your specific needs.


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Dr Grant Rosen and Dr Dennis Andresen make a good team in Salinas California

Dr. Grant Rosen knew from an early age that dentistry was his calling. After completing his undergraduate studies at UCLA, he graduated from the University of California, San Francisco, School of Dentistry. His next calling was to settle in Salinas, where the incomparable beauty and relaxed lifestyle of Monterey County proved irresistible. He and his wife, Melanie, raised their two daughters here, as well as various dogs, fish, rodents and amphibians.

If Dr. Andresen is the athletic stud-muffin of the pair, then Dr. Rosen is the musician. He has performed professionally with local symphony orchestras, chamber ensembles, concert bands and theater groups. He has also served on the Board of Directors of Ensemble Monterey Chamber Orchestra, as well as the Monterey Bay Dental Society. Other favorite activities are cycling and hiking, camping and backpacking, ocean kayaking, photography and building fine scale models. Professional memberships include the American Dental Association, California Dental Association, the Monterey Bay Dental Society, and the American Academy of Dental Sleep Medicine. Seems like he’s had a lot of callings since settling down in Salinas, and he couldn’t be happier, or more filled with gratitude.

As our reviews attest, Dr. Rosen shares with Dr. Andresen an unshakeable commitment to the highest possible standard of care, where honesty, excellence, comfort and trust are the pillars upon which our practice stands.

Dr. Dennis Andresen graduated from the University of California, San Francisco School of Dentistry in 1967 and began practicing in Salinas. Raised on a farm in the San Joaquin Valley, the cooler Salinas Valley area was appealing to his rural roots, and the Gabilan and Santa Lucia mountain ranges added visual impact.

During his time at UCSF, he lived in the midst of the Haight-Ashbury at the height of its heyday and saw Janis Joplin, Big Brother and the Holding Company, Grace Slick, Jefferson Airplane, and many others perform live down the street from his classes. Coming from a small farming community to the Haight-Ashbury was a “growing experience” for him. He, however, was obliged to keep his hair short and his rebellions limited to driving around in a lowered ’59 Chevy Impala. He was becoming a dentist, after all.

He is a formidable triathlete, winning the old guys age group mountain bike Wildflower Triathlon three times, and is known for his awesome microwaved pizza. Most important of all, he and wife, Bette, have become grandparents to the cutest kid on the block who keeps Dr. Andresen fit chasing her around. He is very thankful for his great staff, who he credits for helping create a wonderful practice where he still looks forward to coming to work. 


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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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Preparing for the year ahead at UCL Eastman

Professor Albert Leung looks at how UCL Eastman has been preparing for the year ahead in the face of COVID-19.

COVID-19 posed unprecedented challenges by shutting down face-to-face teaching at UCL very abruptly. Fortunately, at UCL Eastman we were already used to delivering comprehensive online teaching. Virtual classes began less than 24 hours after the university lockdown, keeping the momentum going, to the delight of many of our students.

Since then, we have developed a sophisticated range of online teaching and assessment methods, building on our existing distance-learning expertise.

As well as continuing to deliver our degree programmes, we have developed and delivered bespoke CPD webinars on laser dentistry, periodontology, oral health in sport, dental nursing and restorative dentistry.

A suite of guest lectures on advanced aesthetics was hosted. We moved taster days online, so that prospective students could continue to sample our renowned programmes.

Challenging but exciting

In May, oral health experts from across the world joined UCL Eastman Director Professor, Stephen Porter, as well as representatives from Eastman Institutes in Sweden and New York, for the first international webinar on dentistry and COVID-19.

As Head of CPD, part of my role has been to oversee the delivery of the above – it has been challenging but really exciting. If you told me five months ago this is what I would be doing as Professor of Dental Education, I would not have believed you.

But at the same time our online service was already in place and we simply expanded it to meet the new circumstances. .

And online learning in the context of COVID-19 has actually been very effective. This is because the education paradigm has been shifted to practical delivery of programmes in the comfort of the participants’ own home. Learning takes place in a relatively relaxed, congenial and unthreatened environment.

There are of course issues, particularly in clinical dentistry, where practice and the practical application of skills are crucial. We are currently holding flexible, catch-up sessions for all our postgraduates; no student will be left without the vital, hands-on experience they require.

Respond flexibly

Now, as we approach a new term, and a potential second wave of infections, we are COVID-proofing our future plans.

We will continue to deliver most didactic and theoretical training online. There will be face-to-face clinical skills teaching in our new, state-of-the-art facilities wherever possible. The latter will be in small groups, enabling us to be mindful of any social distancing measures in place.

We are working to minimise the number of times students travel to campus each week.

Inevitably, we all need to be prepared to respond flexibly to changes in governmental advice. But we are excited to meet our new postgraduates and begin our journey with them.

Professor Albert Leung is director of CPD and restorative dentistry, and dean of the Faculty of Dentistry of the Royal College of Surgeons in Ireland.

by Albert Leung

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A dentist who braved a solo swim across the English Channel raised almost £7,000 (about $9000US) for a dental charity

Jim Lafferty took on the 21-mile challenge on Sunday, 13th September after receiving a call that weather conditions were right for the swim.

Joined by his support team and boat High Hopes, he set off at 7.30pm – arriving 11 hours and 53 minutes later at a beach near Calais, France.

‘I’d only ever swam for six hours before so I was very nervous before setting off,’ he said.

‘The sea temperature was about 18 degrees which was okay. But in the first hour I faced the roughest seas I’d ever swam in. It was very choppy and I swallowed a lot of salt water.’

 ‘It soon became more of a mental challenge than a physical one. I did consider getting out after three hours but I knew there was nothing wrong with me and I had to keep going.’

Jim – who works as a dentolegal consultant for Dental Protection and at Orgreave Dental Surgery in Sheffield – stopped every 45 minutes to drink water and eat, all while treading water. And about 30 minutes from the finishing line, he was stung on the face by a jellyfish.

‘I was pretty wobbly as I got out,’ he said.

‘I’d been pulled so far by the currents that I missed Cap Gris-Nez. This is the closest point to England. Inded up on a tiny beach where I was greeted by a French couple who’d been tracking my progress.’

The tough swim means Jim is only the 32nd person to complete a solo crossing in 2020 – and the 2143rd person to complete it since records began.

"I am quietly proud. My brother Ben is a proper swimmer – he reached the finals of the Commonwealth Games. Having him on the boat as part of my team really kept me going," he said.  

by Gaby Bissett

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Keeping it in the family. They treat their patients like they are part of their family

We are a family dental office in Danville since 1974. We care about our patients as part of our family. Our goal is to provide the most comprehensive care with with your comfort and trust as our highest priority. We take pride in managing an ethical and trustworthy practice.

Dr. Henry Kitajima graduated from UC Davis in 1968 and the University of California, San Francisco School of Dentistry in 1972. He served in the United States Air Force for 2 years, and started his Danville practice in 1974. Dr.Kitajima is a a member of the California and American Dental Association, Foundation of Advanced Continuing Education, American Academy of Functional Orthodontics, UC Alumni, and was a United States Dental Institute Lecturer. He was a Fellow at the Academy of General Dentistry. He enjoys traveling, drinking fine wine, dining out, golf and maintaining his koi pond.

Dr. Nicholas Kitajima graduated from UC Davis in 2001 and the University of the Pacific School of Dentistry with an Advanced Education in 2005. He is a member of the California and American Dental Association and is a Pacific Alumni. Dr. Nicholas obtained his Fellowship at the Academy of General Dentistry in 2014. He teaches part time at the Pacific dental school and practices four days. His hobbies include soccer, hockey, playing cards, video games, and dining out.

Allison Kitajima has been part of the team since 1981 and has maintained her role as office manager. She warmly welcomes patients and assures that you receive excellent care. Allison will assist you on your dental concerns, finances, and insurance. She spends her time cooking, reading, spending time with friends, and traveling. She graduated from San Francisco State in 1973.

Melissa Kitajima graduated from UC Davis in 2003 and the University of the Pacific Dental Hygiene Program in 2005. She was a dental assistant before entering the hygiene program. Melissa was the vice president of her class and coordinated all the outreach programs at UOP. She works three days a week here and practices at another office. Her hobbies include traveling, soccer, working out, pet sitting, and enjoying time with her friends.


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Why does my tooth still hurt after a filling?

When a person has a cavity in their tooth, a dentist will probably recommend a filling. Fillings are safe and effective, but some people might experience discomfort or tooth sensitivity afterward.

Most of the time, this sensitivity is normal and will resolve within a few days or weeks.

A person should call their dentist right away if they have extreme pain, or if discomfort occurs with other symptoms, such as fever, redness, or swelling.

A filling is a dental procedure that involves a dentist cleaning away any decay from the tooth and then filling the space with a new material.

After injecting a numbing agent around the tooth, the dentist will then clean out the decayed area of the tooth, usually with a dental drill. They will then fill the space with gold, silver amalgam, a composite, or porcelain.

For several hours after having a filling, a person’s face may still feel numb, tingly, itchy, or puffy. They may have difficulty eating, swallowing, talking, or moving their face.

Sometimes, dentists recommend that people avoid eating or drinking for a few hours, as this may result in a person accidentally biting their tongue or cheek.

Once the numbing agent has worn off, these feelings will go away. But, in the following days and weeks, a person may notice some new sensations as they adjust to the new filling.

Sensitivity in the filled tooth or area around it is one of the most common occurrences during this time.

Factors that can trigger tooth sensitivity after a filling include: cold foods or drinks, such as ice cream, popsicles, or beverages with ice, hot drinks, such as coffee or tea, air hitting the tooth, such as when breathing through the mouth, which may be worse with cold air, sugary foods, such as candy, acidic foods and drinks, including fruit, juice, and coffee, biting down when eating.

Short-term tooth sensitivity after a filling usually occurs because the filling procedure has aggravated or caused inflammation in the nerve inside the tooth.

Usually, the tooth’s outer layers — the enamel and cementum — protect the nerve from exposure. But fillings, especially deep ones, can get close to the nerve endings and cause irritation and uncomfortable sensations.

As the nerve heals, the sensitivity will go away. This may take a few days or weeks. Once the nerve has healed fully, a person should feel no difference between the filled tooth and the other teeth.

When a person experiences normal, post-filling sensitivity, a dentist may recommend that they use a desensitizing toothpaste.

These products contain an ingredient called potassium nitrate that helps stop the sensations on the surface of the tooth from reaching the nerve endings inside.

These products do not work immediately, but a person should notice relief within several days if they use the toothpaste twice a day.

A person may also try the following methods at home to help relieve tooth sensitivity: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, topical numbing ointment designed for the mouth, a toothbrush labeled for sensitive teeth, brush with gentle, circular strokes on the teeth and gums, avoid scrubbing back and forth or aggressive pushing of the brush on the teeth, floss once a day, taking care to be gentle on the gums and teeth, take note of which foods or drinks cause sensitivity and avoid them if possible, avoid whitening toothpaste and products, which can make sensitivity worse, rinse the mouth out with water after consuming acidic foods or drinks, such as coffee and fruit, acidic foods and beverages can wear away the tooth enamel, avoid brushing the teeth immediately after eating acidic foods, as it may remove more of the enamel.

Fillings are a safe and effective way to treat dental cavities. Most fillings will last many years. Taking good care of teeth with daily brushing and flossing, as well as regular dental checkups, can help prevent future cavities.

Some sensitivity after getting a filling is normal. But, see a dentist for severe sensitivity or pain or if other problems, such as fever or redness, develop.

by Jennifer Berry

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Treatments for a sore tongue

The tongue is sensitive to pain. Canker sores, injuries, or infections may cause discomfort across part or all of the tongue. Treatments will largely depend on the cause.

A person can treat a sore tongue with some simple home remedies. However, certain health conditions may trigger tongue pain, and these will need medical attention.

There are many ways to treat a sore tongue. Home remedies and other methods include:

Maintaining good oral hygiene:

Keeping the mouth clean could help heal a sore tongue. Brushing teeth and mouth rinsing reduces harmful bacteria, which lowers the risk of infection.

A person should use a soft toothbrush to avoid irritating and scratching the mouth. They should also avoid using strong mouthwash, as this could aggravate sore tongues.

Rinsing the mouth with saltwater:

If a person has a tongue injury, keeping the wound clean could promote healing. The American Dental Association (ADA) suggest a gentle saltwater rinse may reduce the risk of infection.

To create a rinse, add half a teaspoon of salt to a small glass of warm water. Gently swill the saltwater around the mouth a few times, then spit.

Rinsing the mouth with cool chamomile tea:

According to the National Center for Complementary and Integrative Health, chamomile is a herbal remedy that can soothe mouth sores. Although it is generally safe, there is limited evidence for its benefits.

Using sage as a herbal remedy:

Sage is a herbal remedy and could reduce inflammation of the mouth. A person should steep sage leaves in boiling water and allow it to cool before rinsing. This may help alleviate canker sores on the tongue.

Being mindful of foods and drinks:

Spicy, salty, or acidic foods may irritate the tongue and mouth. People should try to cut out spicy curries and meals that contain a lot of citric acid until a sore tongue heals. They should also avoid crunchy foods with sharp edges, such as chips, which could injure the tongue.

Soda can also irritate sore tongues or canker sores, so if a person wants to drink these beverages, they should use a straw.

Avoiding smoking:

Tobacco can slow wound healing and irritate the tongue. People with a sore tongue who smoke regularly may wish to try nicotine patches to help break their habit.

If home remedies are not effective, a person may consider using over-the-counter (OTC) products, such as pain relievers. For infected sores, a doctor may prescribe antibiotics.

Pain medication:

OTC pain medication may reduce the discomfort of a sore tongue. Nonsteroidal anti-inflammatory drugs, such as ibuprofen, could help reduce swelling. For severe canker sores, a doctor may prescribe stronger corticosteroids to treat swelling and pain.

Topical gel:

Topical gels may ease canker sore pain by numbing the area. According to the ADA, they also provide a barrier against further irritation. This medication is available over the counter, but stronger topical gels may need a prescription.

Prescription mouthwash:

A doctor may prescribe a medicated mouthwash to ease painful tongue sores. Therapeutic or medicated mouthwashes contain active ingredients that cosmetic mouthwashes do not.

Vitamin supplements:

A lack of certain vitamins may increase the risk of developing canker sores. People can take supplements to reduce this risk and support their immune system.


If a sore tongue is due to a bacterial infection, a doctor may prescribe antibiotics. Symptoms include pain, inflammation, and the wound not showing any signs of healing.

There are many triggers for a sore tongue, with some more serious than others. These can include:

Canker sores:

Canker sores are small ulcers that are usually white or grey, and can sometimes appear with a red border. They usually heal within 2 weeks.


It is easy to burn or bite the tongue when eating food. Loose wires from a brace or broken dentures may also injure the tongue.

If a person breaks their braces or dentures, they should get them fixed as soon as possible to prevent further damage to the tongue and mouth.


Chemotherapy and some medications may cause sores on the tongue. These sores should heal after the treatment ends. A prescription mouthwash may help. People should seek medical advice when they choose a mouthwash, as there are several options.

Oral thrush:

According to the ADA, some fungal infections affect the tongue. Oral thrush causes red and white patches on the tongue and in the mouth. Other symptoms may include pain, bad breath, and difficulty swallowing.

by Claire Sissons

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Service has always been a priority for Dr. Paula Henao originally from Colombia

Originally from Pereira, Colombia, Dr. Paula A. Henao received her Dental Degree from the Autónoma University of Manizales. After working for one year in Cali, Colombia she moved to North Carolina. Dr Paula completed her Associate Degree in Arts- Pre-Health Education at Guilford Technical Community College and she received her Doctor of Dental Surgery at UNC-Chapel Hilll.

During her year at UNC she participated in several community activities that include health fairs, school dental bus, SHAC clinic and worked with the Orange County Health department and the Hispanic Student Dental Association (HSDA), American Student Dental Association (ASDA) and Student National Dental Association (SNDA).

Service has always been a priority for Dr. Paula, she completed her dental rotation at Nuestros Pequeños Hermanos an orphanage in Honduras, participated in a mission trip to the Dominican Republic and has been involved in several activities in her native Colombia.

After graduation she was the first full time dentist at the Community Care Center in Winston Salem—where she continues doing volunteer work to present. Dr. Paula has participated in different activities with the dental school in Chapel Hill, the Forsyth Community College, and the Forsyth Dental Society among other organizations.

In her free time Dr. Paula enjoys family and friends, traveling, arts and crafts including jewelry making.


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Polymers prevent potentially hazardous mist during dentist visit

Researchers at the University of Illinois at Chicago couldn't stop thinking about the spinning, vibrating tools in a dentist's office that turn water into mist and send it flying into the air. If that mist contains a virus or some other pathogen, it is a health hazard for dentists and patients.

In a paper published this week in Physics of Fluids, by AIP Publishing, Alexander Yarin and his colleagues discovered that the forces of a vibrating tool or dentist's drill are no match for the viscoelastic properties of food-grade polymers, such as polyacrylic acid, which they used as a small admixture to water in dental settings.

Their results were surprising. Not only did a small admixture of polymers completely eliminate aerosolization, but it did so with ease, exhibiting fundamental polymer physics, such as coil-stretch transition, that served the intended purpose beautifully.They tested two FDA-approved polymers. Polyacrylic acid proved more effective than xanthan gum, because in addition to its high elongational viscosity (high elastic stresses in stretching), it revealed a relatively low shear viscosity, which makes pumping it easy.

"What was surprising is that the very first experiment in my lab completely proved the concept," Yarin said. "It was amazing that these materials were capable of so easily and completely suppressing aerosolization by dental tools, with significant inertial forces involved. Nevertheless, the elastic forces generated by small polymer additives were stronger.

"Their study documented the violent explosion of pockets of water supplied to teeth and gums that the dental tool aerosolizes. The spraying mist that accompanies a visit to the dentist is the result of water encountering rapid vibration of a tool or the centrifugal force of a drill, which bursts water into tiny droplets and propels these.

The polymer admixture, when used to irrigate, suppresses bursts; instead, polymer macromolecules that stretch like rubber bands restrict water aerosolization. When the tip of a vibrating tool or dental drill plunges into polymer solution, the solution threads into snakelike strands, which are pulled back toward the tip of the tool, altering the usual dynamics seen with pure water in dentistry.

"When droplets try to detach from a liquid body, the droplet tail is stretched. That's where the significant elastic forces associated with the coil-stretch transition of polymer macromolecules come into play," Yarin said. "They suppress tail elongation and pull the droplet back, completely preventing aerosolization."

by American Institute of Physics

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One in 10 older dental patients inappropriately prescribed opioids

A new study by researchers at the University of Illinois Chicago and the University of Pittsburgh suggests that a significant proportion of older patients receiving opioids at dental visits also use psychotropic medications—a potentially harmful combination. Their findings are published in the journal Pharmacotherapy.

Rates of polypharmacy, or taking multiple medications, are high among older adults who are more likely to be managing more than one health issue at any given time. Psychotropic medications that act on the central nervous system, such as antianxiety or antidepressant medications, are especially dangerous if taken with opioids because they can interact with each other and have negative effects.

"Some of the most concerning negative outcomes of these combinations include overdosing on opioids or falling, which can necessitate a visit to the hospital, which in itself carries greater risk for older adults," said Gregory Calip, associate professor of pharmacy systems, outcomes and policy at the UIC College of Pharmacy and corresponding author on the paper.

The researchers looked at medical, dental and pharmacy claims data from 40,800 older adult dental patients who visited a dentist between 2011 and 2015 and were prescribed opioids. The data was from the IBM Watson MarketScan databases.

The average age of the patients included in the study was 69 years old and 45% were female. Of these patients, 10% were taking medications that are associated with increased risks for harm with opioid prescriptions.

There were a total of 947 hospitalizations or emergency room visits among these patients.

The researchers found that among patients prescribed opioids by their dentist, 1 in 10 were already taking a prescription medication that should not be prescribed with opioids.

They also found that patients inappropriately prescribed an opioid medication combination by their dentist were 23% more likely to be hospitalized or visit an emergency department in the 30 days after the dental visit where they were prescribed an opioid, compared with dental patients who were not prescribed an opioid medication.

"Dentists are among the top prescribers of opioids," said Katie Suda, professor of medicine at the University of Pittsburgh School of Medicine and principal investigator of the study. "It seems that the increased messaging regarding limiting opioid prescriptions has been aimed primarily at medical physicians and not tailored to other specialist providers, including dentists. This can have dire consequences. As we saw in our study, opioid interactions with other medications was likely responsible for the significant rise in emergency room visits and hospitalizations."

"Although the percentage of opioids prescribed by dentists has decreased in the last 20 years, dentists must continue interprofessional collaboration with primary care physicians, pharmacists, and other health care providers to address devastating and preventable drug interactions affecting vulnerable patients who look to them for safe and compassionate care," said Dr. Susan Rowan, executive associate dean and associate dean for clinical affairs at the UIC College of Dentistry.

by University of Illinois at Chicago

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Researchers at Trinity College Dublin have examined the sustainability of different models of the most commonly used oral health product, the toothbrush

Although the toothbrush is a widely recommended healthcare device worldwide, there is currently little quantitative data available for its impact on the planet. The research study, in collaboration with Eastman Dental Institute at University College London, is published in the British Dental Journal today (Tuesday, 15th September 2020). It represents the first time a life-cycle assessment (LCA) has been used to measure environmental consequences of a healthcare product.

Healthcare is a major emitter of environmental pollutants that adversely affect health, but awareness of these effects remains low both in the industry and in the general consumer population. There is currently little evidence or guidance regarding the sustainability of specific healthcare interventions, services or devices.

Researchers considered different manufacturing models of the toothbrush and measured the environmental impact (carbon footprint) and human health impact (DALYS) of the toothbrush. The electric toothbrush, the standard plastic brush, the plastic brush with replaceable head, and the bamboo brush were used. The team found that the electric toothbrush was comparatively harmful for planetary health.

The findings highlight the human health burden of the toothbrush manufacturing process. The electric toothbrush causes 10 hours of disability measured in Disability-Adjusted Life years or DALYS mainly for the people associated with the process of making and producing the devices. This is five times higher than a normal plastic brush.

The team found that the most environmentally sustainable toothbrush was not bamboo, as could perhaps be popularly believed, but a hypothetical continually recycled plastic toothbrush.

This simple comparative LCA showed that a plastic manual replaceable head toothbrush and bamboo manual toothbrush perform better than traditional plastic manual and electric toothbrushes in every environmental impact outcome measure used in this study. These results could be used to inform individual consumer choice, oral health recommendations, procurement of toothbrushes for public health programmes, and toothbrush manufacturers. Using LCA to inform healthcare policies and recommendations will help healthcare providers move towards a more environmentally sustainable system.

Dr Brett Duane, Associate Professor in Public Dental Health at Trinity College and lead researcher said:

" There are billions of toothbrushes used and discarded every year. Our research shows that electric toothbrushes are actually harmful for the planet and to the people involved in the manufacturing process and distribution. There is not a lot of evidence to show they are more effective unless you struggle to clean your teeth with a normal toothbrush. We have also shown bamboo toothbrushes are not the answer. Using them just stops land from being put to better use such as helping biodiversity, or in growing forests to offset carbon emissions.

The ideal toothbrush is one which uses plastic which is recycled in a continuous process. Plastic brushes which can be recycled don't take up a lot of land and they don't need lots of water to grow. The important thing here is to keep the plastic in the recycling chain. We need a system where plastic toothbrushes can be collected like batteries and then recycled into new products. If the plastic escapes the recycling chain, it needs to be able to be easily and naturally broken down into harmless products.

Manufacturers, consumers, health professionals, and health policy makers should consider environmental sustainability as well as money and people's health when recommending products. Governments and industry should consider how they could support recycling programmes. More funding is also required to support sustainability research in this area."

Life cycle assessment (LCA) is used to measure the environmental impact of different services or products. Also referred to as a cradle-to-grave analysis, LCA considers all aspects of a product along its life cycle, including raw materials, manufacture, use, transport, and disposal.

The four types of toothbrush used in this research were:

1. Plastic manual: plastic handle with fixed head.

2. Bamboo manual: bamboo handle with fixed head.

3. Plastic manual replaceable head: reusable plastic handle (made from a bio-plastic) with replaceable heads.

4. Electric: handle and charging unit, with replaceable heads.

by Trinity College Dublin

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Choosing the right toothbrush for kids

Dental hygiene is important at any age, but it’s arguably most important for children. Not only is this when their teeth and gums are growing and developing, but it’s also when lifelong habits are formed. This makes choosing the right toothbrush for your child a very important decision.

It’s Not One Size Fits All:

It can get a little overwhelming when looking for the right toothbrush. However, even the most impressive one may not be right for your kids. For young children, you should make sure that the toothbrush is the right size and shape. It is recommended that you choose a brush that is a half-inch to one-inch long so that it easily fits their mouth and their teeth. Anything more can be too large to fit!

You’ll also want to make sure that you find a brush with an easy-to-hold and comfortable handle. This enables your child to be able to comfortably control the brush and get each and every tooth clean!

Soft Brush, Strong Teeth:

Look for brushes that have soft bristles. This will prevent any damage to enamel and gums, especially if your child is especially excited to be brushing! Even medium bristles can cause enough damage if you’re not careful, so it’s better to be safe than sorry.

Brushing Can Be a Reason to Smile:

Keeping it fun can also be a huge help in developing good brushing habits. Finding your child’s favorite movie or television character on a brush might make them extra excited to come back to brush twice a day.

You may also consider purchasing a quality electric toothbrush. Not only is it fancy and high-tech, but it can also help your child stay on track, especially early-on while creating these habits. They come in several different styles and colors, and many even have the ability to time brushing time with a fun song!

No matter which brush you choose, it’s bound to be a fun time for your child that will build great habits they will carry into their future. In the meantime, schedule an appointment with our pediatric dentist to make sure your child’s smile is as healthy as can be!

by Sala Family Dentistry

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Linda Makuta knew she wanted to be a dentist since the age of Five

Dr. Linda Makuta is passionate about dentistry, health care and wellness of her patients. She has been involved in dentistry since 1985 when she was a dental assistant for a doctor in Tarzana.

Knowing since the age of 5 that she wanted to be a dentist, Dr. Makuta pursued a rigorous academic schedule attending the University of California at Irvine obtaining a degree in Biological Sciences.

She then went on to attend the Dental School at the University of California, San Francisco, graduating in 1998. Dr. Makuta is continually advancing her knowledge in dentistry to benefit her patients. She is an Invisalign and ClearCorrect provider, places and restores dental implants, and is in the process of obtaining her Fellowship with the Academy of General Dentistry.

As a San Fernando Valley native, Dr. Makuta is excited to be helping people maintain and advance their health in her home area. She has two children that keep her very busy. She and her husband love to travel and are big sports fans. Dr. Makuta has been in practice for over 20 years.

At Dr. Linda Makuta’s dental practice, shes know how important it is to make dental care a priority. She also knows just how busy your life can become, and how difficult it can be to schedule the dental care that you need for both you and your family.

Not only does she offer routine cleanings and dental check-ups, but she also specialize in fillings, dental implants, and complete smile makeovers. "Our goal is to offer you and your family complete dental care that you can rely on," Dr Linda Makuta says and stands behind.


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Dr. Shokeen graduated from a top dental school in India and among other things she participated in a 2016 Massachusetts beauty pageant.

Dr. Geetu Shokeen graduated from a top dental school in India and later received her doctorate of dental medicine from Boston University. She has joined Montague Dental Arts with a commitment to excellence for her patients.

As a member of various professional associations, Dr. Shokeen continues to embrace the latest technologies.  She lives in Longmeadow, MA. She loves to spend time with her family, travel, and participate in outdoor activities. Dr. Shokeen has participated in local pageants including a Massachusetts 2016 pageant.

Montague Dental Arts offers dependable dental care services to help you address all of your dental needs. We offer general dentistry, cosmetic dentistry, dental hygiene services, dentures, extractions, Invisalign clear aligners, gum disease treatments, dental implants, and root canal therapy.

Montague Dental Arts is a locally-owned and operated dental practice that has been in business since 1985.

Our team offers smile makeovers, teeth whitening, crowns, bridges, and so much more. We can also work with most insurance plans, accept CareCredit, and we have convenient financing options available!


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Dr. Telthorst believes that part of his job is to educate patients about their dental treatment so they can make informed choices

What does Dr Dean F. Telthorst love about my job?  "Getting to know my patients and showing them how easy it is to stay healthy."

Dean F. Telthorst, DDS, FAGD has been in practice for over 30 years and armed with training from the prestigious Pankey Institute for Advanced Dental Studies, Dr Telthorst strongly believes in taking the time to understand his patients desires and individual situations.

“A dental exam starts with conversation, not with teeth,” he says. “It’s important that I have some understanding of the person that is before me. Only then can I recommend practical and appropriate dental treatment.”

Dr. Telthorst is meticulous and thorough in his work, which includes porcelain crowns, veneers, bonded white fillings, oral surgery, and the treatment of periodontal disease. “Patients hear these dental terms,” he observes, “but frequently don’t understand what it means for them today and the implications for their future.” 

Earned his Doctor of Dental Surgery degree from the University of Missouri in 1983.

Became a Fellow of the Academy of General Dentistry in 1998

Attended the Pankey Institute for Advanced Dental Studies 2001, 2002, 2003, 2004, 2006

Member of the American Dental Association, Missouri Dental Association, Greater St. Louis Dental Society

Is a delegate to the Missouri Dental Association’s annual House of Delegates meeting

Served on the Board of Directors for the Greater St. Louis Dental Society 2006 – 2008

He became a fellow of the Academy of Dentistry International in 2012.

Received the Greater St Louis Dental Society Distinguished Service Award in 2015

President of the Dental Society 2018 

Favorite restaurant: Rigazzi’s

Hobbies: motorcycling, photography


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Is dental deep cleaning necessary?

We sometimes hear the question “is dental deep cleaning necessary?” The answer is, it depends. The decision regarding if you are a candidate for scaling and root planing should come directly from a trusted dentist who knows your dental history. Dental x-rays and pocket depth readings can help determine if a deep cleaning is right for you. It is a more extensive dental cleaning that typically is best suited for patients who have chronic gum disease. You may be wondering what’s the big deal about gum disease? 

If left untreated, gum disease can lead to: 

1. Bone and tissue loss 2. Tooth loss 3. Loose teeth 4. Moving teeth 5. Swelling and/or infection

Chronic periodontal disease is more common than one may think and affects over 47 percent of adults over the age of 30 in the U.S. It’s certainly nothing to be embarrassed about and something that a scaling and root planing treatment can help keep at bay. 

What should I ask my dentist before having a dental deep cleaning? 

Here are some questions we recommend asking your dentist before moving forward with a deep cleaning:

1. Will you provide a local anesthetic?

2. How long will this process take?

3. When will I need to have another deep dental cleaning in the future? 

4. What are the risks for a scaling and root planing dental treatment?

5. What are the benefits to having a deep dental cleaning? 

6. How long will it take my mouth to heal after the deep cleaning? 

7. What changes should I make to my current oral hygiene routine to help prevent further periodontal issues?

8. What should I expect with dental deep cleaning?

A deep dental cleaning will have two parts:

Part one.- Scaling followed by planing. During the scaling portion of the deep dental cleaning, the dentist will remove both plaque and tartar both on top and below your gums.

Part two.- Part of the deep cleaning is scaling. This is when the dentist will have the roots of your teeth reattached to your gums by smoothing out the roots. In short a deep dental cleaning gets into all the nooks and crannies a normal dental cleaning won’t. 

What are some after care tips post-deep dental cleaning? 

It is common to have sore, swollen and tender gums and sensitivity after a deep dental cleaning that may bleed a bit. To help heal and prevent infection, your dentist may provide a prescription. For 48-72 hours post deep cleaning, a soft diet is recommended along with avoiding hot or spicy foods, alcoholic beverages and tobacco products. You want to give your teeth and gums ample time to heal. 

by South Gables Dental

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What is dental scaling?

Dental scaling is a routine procedure that is used to help those with an excessive plaque or gum disease. It is a form of cleaning that goes much deeper than regular cleaning. It can be an uncomfortable procedure, so if your dentist has suggested it for your teeth, read on so you know what to expect.

Scaling and Root Planing

As these two procedures usually go hand-in-hand we will explain both of them.

Dental, or tooth scaling, involves removing plaque buildup from the tooth’s surface and from below the gumline. This can be done in two ways, by hand or using an ultrasonic tool.

If your dentist chooses to work by hand, they will use thin metal tools known as a dental scaler and curette. The scaler is used to remove plaque from the visible surface of the teeth, the curette, which has a different shaped head, is inserted between the gum and tooth and cleans the area just below the gum line.

Mechanical scaling is performed using an ultrasonic instrument with a vibrating metal tip and a water sprayer. The metal tip chips away the plaque which is then flushed out by the water.

Root planing is done in the same way as scaling but goes much deeper below the gumline, cleaning and smoothing the roots of your teeth so the gums can reattach properly.

Why Do I Need Teeth Scaling?

Even with a good oral hygiene regime, everybody experiences some plaque buildup. Normally this is kept in check through brushing and regular dental checkups. If it is not, it can lead to tooth decay and issues such as gingivitis or periodontitis, types of gum disease.

Healthy gums are attached to the teeth from 1 to 3 millimeters below the gumline. They fit closely to the teeth and protect the roots from bacteria carrying plaque that can make the roots decay. Once gum disease starts to take hold, the gums loosen and pull back from the teeth, leaving exposed pockets that will trap even more plaque and bacteria, speeding up the process of decay. If you have developed pockets of more than 4 mm deep, your dentist will probably recommend dental scaling and root planing as the first step in your treatment.

Is Scaling Painful?

As it involves having sharp metal instruments poked between your gums and teeth, it can be quite an uncomfortable procedure. Some form of sedation and, if you have sensitive gums, local anesthetic is usually recommended for those undergoing the procedure.

Scaling is usually done in several visits as it is a very time-consuming operation. Each visit concentrates on a different section of the mouth and the overall number of visits necessary will be determined by the density of the plaque to be removed.

Are There Any After-effects?

Your mouth will feel sore and tender for a few days after the procedure. If the plaque build-up was extensive you might even experience some bleeding. This can be managed with desensitizing toothpaste and/or medicinal mouthwash.

After dental scaling, it is important to brush and floss regularly and follow any other instructions your dentist might give you about oral hygiene. If not, the plaque, and then the gum disease will return and you’ll have to go through the whole procedure again.

Dental scaling can help correct the damage done to your teeth and gums by neglect, and after the procedure, you will enjoy noticeably whiter teeth and fresher breath so if you think you might benefit from this procedure book an appointment today and we will be happy to explain your options to you.

by Doral Sedation & Family Dentistry

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With the summer of 2020 coming to a close, families have had to adapt to the coronavirus pandemic and conform with state and county regulations. Schooling has been one area where hard decisions have been made with new rules to keep others safe. Whether your child is attending classes in school or online, keeping their smile healthy is paramount no matter what else is going on around them.

Healthy Teeth, Healthy Smiles

School pictures are just one of the reasons why a great smile matters. You don’t want your child grimacing in photos because their teeth hurt! Likewise, if they feel good about their teeth, they will feel more confident to show it off.

Social distancing, wearing face masks, and frequent hand washing will likely keep your child focused and busy on top of their usual day-to-day school activities. Participation in sports, chorus or band practice, extracurricular activities, and social distancing with friends will also be a new arrangement for your children.

Keeping your child’s smile healthy will protect them from missing school from toothaches or other oral issues. If they haven’t already seen our dentist for their back-to-school dental cleanings and exams, now’s the time to catch them up. Addressing tooth problems early will lessen their discomfort, minimize treatment measures and cost less to treat.

Establishing a regular dental routine, no matter what their age, is necessary to keep out tooth decay and gum disease that could cause your child to miss school. Older kids will benefit from having a smile toolkit they can keep in their backpack, and younger kids will enjoy having easy rewards like a sticker chart near their toolkit to track and mark off daily. Preschoolers will also enjoy stepped up oral hygiene by singing two-minute songs with you as they brush. These daily dental habits can reward your children with healthier, happier smiles.

Back-To-School Toolkit

Don’t just fill their backpack with the normal school supplies like paper, notebooks, pens, and pencils; equip them with a smile toolkit for their dental health!

Always start with products carrying the American Dental Association (ADA) Seal of Acceptance to ensure the product has been tested and is deemed both safe and effective.

The new school year is a great time to replace their old toothbrush! Keep it gentle on their tooth enamel (and gums!) by making sure it has soft bristles, and the head is compact enough to maneuver in their mouth easily and comfortably. If your child hates brushing their teeth, consider getting an electric toothbrush that makes the job easy and effective.

Make sure they also have a dental flossing tool that they like using to clean those areas that a toothbrush might miss. Dental floss often comes in fun flavors appealing to children’s taste buds, and oral irrigators can help older children enjoy flossing more, especially if they are also wearing braces!

Supplying a fluoride toothpaste helps keep tooth enamel strong, and if your child is cavity-prone or has a hard time cleaning their teeth, adding a mouthwash can help remove some of the bad oral bacteria.

Don’t forget snacks! Replace sugary foods and drinks with more tooth-friendly options. Chopped crisp apples, raw carrots and celery can all help scrub plaque off their teeth. Even sugarless gum and mints can freshen breath while stimulating healthy saliva production.

If your child is active in sports, don’t forget to add a protective mouth guard to their toolkit. A well-fitting, customized sports guard can keep their teeth and gums safe from injury during physical activities.

Your child’s daily oral habits and routine dental cleanings and exams will go a long way to helping their mouth stay healthy and their smile more attractive. School pictures or not, a cavity-free, pain-free smile will keep your child focused on the tasks in front of them, including their schoolwork. Help them have the best school year yet by giving them the oral health tools their smile needs!

by Dr. William D. Steinhauer

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Dr. Steinhauer serves as the Chairman of the Dental Division at the Children’s Hospital of San Antonio

Dr. William D. Steinhauer is a San Antonio native; he grew up and attended school here in the city. He graduated Cum Laude from St. Mary’s University with a Bachelor’s Degree in Biology. Dr. Steinhauer then attended the University of Texas Dental School at the San Antonio Health Science Center, which has been rated the top dental school in the United States for a number of years.

After receiving his dental degree in 1979, Dr. Steinhauer served a tour in the United States Army and was awarded the Army Commendation Metal for meritorious service. After his military tour, Dr. Steinhauer returned to the U.T. Health Science Center where he completed a residency in Pediatric Dentistry and received his certificate in 1986.

Dr. Steinhauer has been in private practice since that time and has managed to hold many positions in organized dentistry, such as President of the Texas Academy of Pediatric Dentistry, while running a busy pediatric practice. Dr. Steinhauer has also served on many committees and functioned as an advisor to the Texas Department of Health, the Texas Nurses Association, and the San Antonio Metropolitan Health District.

Dr. Steinhauer presently serves as the Chairman of the Dental Division at the Children’s Hospital of San Antonio, and as the Chairman of the Committee on Access to Care, Medicaid, and CHIP for the Texas Dental Association. Outside the office Dr. Steinhauer enjoys reading; spending time with family, friends, and neighbors; and is involved in his parish church community.


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Tips to control tartar buildup

Even if you take great care of your teeth at home, you still have bacteria in your mouth. They mix with proteins and food by products to form a sticky film called dental plaque. This gunk coats your teeth, gets under your gum line, and sticks to fillings or other dental work. Plaque carries bacteria that can damage tooth enamel and lead to cavities. But if you remove plaque regularly, you can prevent permanent tooth decay and gum disease.

Bigger problems arise, however, if plaque stays on your teeth and hardens into tartar. 

Tartar, also called calculus, forms below and above the gum line. It is rough and porous and can lead to receding gums and gum disease. It must be removed with special tools in the dentist's office.

How Does Tartar Affect Teeth and Gums:

Tartar can make it harder to brush and floss like you should. This can lead to cavities and tooth decay.

Any tartar that forms above your gum line could be bad for you. That's because the bacteria in it can irritate and damage your gums. Over time, this might lead to progressive gum disease.

The mildest form of gum disease is called gingivitis. It can usually be stopped and reversed if you brush, floss, use an antiseptic mouthwash, and get regular cleanings from your dentist.

If not, it can get worse, to the point where pockets form between the gums and teeth and get infected by bacteria. That's called periodontitis. Your immune system sends chemicals to fight back and they mix with bacteria and the stuff it puts out. The resulting stew can damage the bones and tissues that hold your teeth in place. Also, some studies link the bacteria in gum disease to heart disease and other health problems.

Tips to Help Control Tartar:

Your best bet is not to let tartar form on your teeth. Here's how:

Brush regularly, twice a day for 2 minutes a time. A 30-second scrub twice a day won’t remove plaque or prevent tartar.

Studies have found that electronic, or powered, toothbrushes may get rid of plaque better than manual models. No matter which type you use, be sure it has the American Dental Association (ADA) seal of approval.

Choose tartar-control toothpaste with fluoride. Fluoride will help repair enamel damage.

Floss, floss, floss. No matter how good you are with a toothbrush, dental floss is the only way to remove plaque between your teeth and keep tartar out of these hard-to-reach areas.

Rinse daily. Use an antiseptic mouthwash daily to help kill bacteria that cause plaque.

Watch your diet. The bacteria in your mouth thrive on sugary and starchy foods. When they’re exposed to those foods, they release harmful acids.

Don't smoke. Studies show that people who smoke cigarettes or use other tobacco products are more likely to have tartar.

Once tartar has formed, only a dental professional will be able to remove it from your teeth. So, visit your dentist every 6 months to remove any plaque and tartar that might have formed and to prevent further problems.

by WebMD

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Can chemotherapy cause dental issues?

Chemotherapy, in general, causes a long list of side effects, including hair loss, fatigue, loss of appetite, infection and fever, itchy skin and bowel problems. Your dental health, specifically, can most definitely take a backseat when undergoing chemotherapy. The reason for this, is that chemotherapy's job is to kill cancer cells, but healthy cells are unfortunately also in the line of fire. It's important that you are aware of this, and take necessary precautions BEFORE starting treatment.

What's going on in there?

Inside your mouth is a healthy mix of (mainly) good bacteria. There are also harmful bacteria. Chemotherapy may cause changes in the lining of the mouth and the salivary glands. This, in turn, can upset the healthy balance of bacteria, which can lead to mouth sores, infections and tooth decay. You might find it difficult to eat, chew, swallow or even talk.

You are more likely to get an infection inside your mouth, which can be dangerous when you are receiving cancer treatment.

Here's a list of oral symptoms or side effects caused by cancer or its treatment:

Dry mouth, Thickened saliva, Changes in taste, Mouth sores, Tooth decay, Difficulty swallowing, Difficulty chewing or opening the mouth., Infection, Bone disease, Inflammation or pain in the lining of the mouth and tongue, Higher risk of tooth decay or gum disease.

Stephen T. Sonis, (DMD, DMSc), a professor of oral medicine at the Harvard School of Dental Medicine, reiterates the importance of saliva in oral hygiene of which the production is affected during chemotherapy. Saliva helps keep the bacteria in your mouth off your teeth. If you don't produce enough saliva because of cancer treatment, plaque can build up more easily on your teeth. Plaque can cause tooth decay and gum disease.

In a medical article published by The National Center for Biotechnology Information, three researchers have studied the changes in oral flora during chemotherapy and its effects on the development of infections of the oral cavity. It's been found that gram negative rods (bacteria that cause infections) are present in patients undergoing chemotherapy. The researchers studied two leukemic patients who developed oral ulcers, while taking antibiotics. The Antibiotic treatment didn't seem to be doing its job. Sparing you the academic rumble, this study makes it clear that cancer patients undergoing chemotherapy might develop all sorts of oral health issues.

What you should do:

As with many things in life: Prevention is better than cure. If you've maintained good dental health before undergoing chemotherapy, you'll have lower risk of developing the above mentioned side effects. Visit your dentist at least one month before starting any anti-cancer treatment so that any possible infections or irritations can be treated.

If you wear braces, consider having them removed prior to treatment. These could really irritate your cheeks and tongue in their already fragile states.

Ask your doctor for painkillers if the pain caused by mouth sores, broken teeth or tender gums become unbearable.

If you have dentures, make sure they fit absolutely well and snug, and are not irritating your mouth whatsoever.

Smoking or using any other tobacco products is a no-go.

Drink lots of fluids. This will help with the production of saliva.

Ask your health care team about fluoride rinses and gels. These can strengthen your teeth.

Make sure you have any teeth issues sorted out, like decayed, broken or infected teeth.

Keep the communication with your dentist and oncologist open and honest. It's also important that your dentist should talk with your oncologist to make sure that any dental treatment you receive is safe for you.

Switch out your regular toothbrush with a soft, child-size toothbrush. Soak the toothbrush in warm water to soften the bristles. Be gentle. This counts for flossing, too. If a lot of bleeding occurs when you brush or floss, be sure to tell your doctor. Additionally, it's prudent to:

Watch what you eat and drink. It might be wise to lay off the alcohol during this time, as it may irritate your mouth, along with extremely hot, cold spicy, acidic or crunchy foods. Sugar is the enemy the bacteria in your mouth use sugar to live, and this process makes the acid that causes tooth decay.

Stick to good, old school sunshine and healthy breakfast. Getting enough vitamin D and calcium each day helps your jaw and teeth stay strong and healthy.

Keep a bottle of cold water or sugar free drink nearby at all times. This may help manage a dry mouth. You could also suck on ice chips not only will it keep your mouth moist on the inside, it could also numb the pain temporarily.

Once you've found a good dentist, make sure you build a trusting relationship with him/her. The road to recovery can be a rocky one, and you'll need specialists you can rely one.

by City Dentists

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Dr David Rosenbaum is an active member of the dental community and in his spare time likes to read science fiction and mystery novels

Dr. David Rosenbaum grew up in the Los Angeles area. He attended the University of California at Los Angeles, graduating with a degree in Economics. In 1982, he received his dental degree from Northwestern University.

Dr. Rosenbaum then served two years in the United States Public Health Service in a community clinic near Bakersfield, California. He also directed community outreach programs to underserved children in the area. Following his two years of service, he moved to the San Diego area to start a successful general practice in San Marcos, California.

Dr. Rosenbaum returned to Chicago in 1996 to begin a full-time residency program in Endodontics at Northwestern University, achieving a Masters of Science and a Specialty Certificate in Endodontics in 1998. Additionally, in 2007, Dr. Rosenbaum became a Diplomate in Endodontics, having passed additional examinations administered by the American Board of Endodontics, the certifying board in his field. Dr. Rosenbaum practiced Endodontics in the Chicagoland area for nine years before joining Dr. Richard Felt and establishing North Shore Endodontics in Northbrook, Illinois. Dr. Felt has since retired in May of 2014.

Dr. Rosenbaum is an active member of the dental community holding memberships in: American Dental Association, Illinois State Dental Society, Chicago Dental Society, Edgar D. Coolidge Endodontic Study Club and the American Association of Endodontists. He is also a past President of the Illinois Association of Endodontists. Dr. Rosenbaum has given presentations at the Chicago Dental Society Midwinter Meeting, at the American Association of Endodontists annual session and regular lectures to general dentists about new technologies in Endodontics.

Dr. Rosenbaum is married and the father of 4 children. He enjoys working out and reading science fiction and mystery novels. He is active in his local synagogue and is a member of the Men's Club. He enjoys singing in the Men's Club choir.


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Dental Problems Can Tell You About Your Health

Your mouth says a lot — and we mean that both literally and figuratively. Because while you might think your teeth and gums have little to nothing to do with your lungs or heart, they can actually show early warning signs of serious health conditions across your entire body.

You might have type 2 diabetes:

Severe gum disease, a.k.a periodontitis, can be an early sign of type 2 diabetes, according to a February 2017 study. Researchers looked at over 300 middle-aged adults and found those with severe gum disease — roughly a quarter of participants — were at a higher risk for diabetes because they were more likely to be overweight, with an average BMI of 27 or higher. Nearly one in five of those with periodontitis had previously undiagnosed type 2 diabetes, compared with 10% of those with mild to moderate gum disease and 8.5% with no gum disease. What's the connection? People with diabetes are more susceptible to contracting infections, according to the American Academy of Periodontology.

You might be pregnant:

If you ace oral health but suddenly start noticing that your gums are inflamed and bleeding, it may be a sign you're pregnant. According to the American Pregnancy Association, gingivitis is common during pregnancy because the hormonal changes increase blood flow to the gum tissue, causing your gums to be more sensitive, irritable, and swollen. What's more, these new hormones can thwart your body's ability to fight bacteria, increasing your risk for plaque buildup.

You might be deficient in certain vitamins:

Malnutrition and poor oral health and have interdependent relationship — each one can lead to the other. A January 2013 study analysis found that, without enough vitamins, your mouth has a lower resistance to the microbial biofilm that comes from plaque and a lower ability to heal inflamed gum tissue. A deficiency of vitamin D and A can affect the enamel on your teeth, while a vitamin B deficiency can cause your lips to crack, your cheeks to develop ulcers, your gum lining to become inflamed, and your mouth and tongue to develop a burning sensation.

You might have osteoporosis:

In a December 2012 study analysis of 17 studies, 11 showed a connection between those who have periodontal disease also having osteoporosis. The American Academy of Periodontology explains the link is probably thanks to the fact that osteoporosis exacerbates tooth loss by decreasing the density of the bone that supports the teeth, compromising the foundation on which the teeth live.

You might be at risk for lung cancer:

People with gum disease have an increased risk of developing lung cancer, according to June 2016 research. What's more, if you have periodontal disease and diabetes, the risk for lung cancer jumps even higher. Researchers aren't quite sure why — one of the studies within this analysis speculated oral bacteria might play a role in cancer cells developing in the lungs, while another suggests the treatment for periodontal disease may help reduce lung cancer risk.

You might have an eating disorder:

Yep, your dentist may be the first person to find out you have an eating disorder. Studies show that up to 89% of patients with bulimia show signs of tooth erosion from the bile acid passing by their teeth so often, according to the American Dental Association. Over time, this loss of tooth enamel can cause your teeth to change color, shape, length, sensitivity.

by Rachael Schultz

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ADA Practice Transitions expands nationally in October

When Dr. Shanna L. Gagnon was looking for an associate dentist to join her practice, she considered one factor as the most important in finding a successful hire: practice philosophy.  

“Personality definitely plays a role as well, but if the doctor and the new associate do not have the same philosophy of care, it will not work out,” she said.   To ensure she found an associate with a similar practice philosophy in her search, Dr. Gagnon decided to try a new service offered by the ADA a try.“I took the ADAPT application very seriously and put a lot of thought into it as I filled out my profile,” she said. “I figured that the more complete and honest the profile, the more likely I would be matched with the right candidate.”

In July, Dr. Gagnon officially welcomed Dr. Jessica Sikora to her practice, Gagnon Dental in Farmingdale, Maine. The two were matched by ADA Practice Transitions (ADAPT), a service backed by the ADA focused on helping dentists make the process of joining or leaving a practice predictable and successful. This occurred as Dr. Sikora neared graduation from the University of New England College of Dental Medicine earlier this year.

Come October, dentists nationwide will be able to take advantage of the ADA Practice Transitions like Drs. Gagnon and Sikora.The service announced Sept. 9 it is expanding its services to all 50 states and is encouraging dentists to answer three quick questions at to become an ADAPT Insider and receive early access to create a profile before the October opening. By filling out the form, dentists will also be entered to win a $100 Amazon gift card.

Dr. Gagnon, who serves on the Maine Dental Association board of directors, was impressed by a presentation on ADA Practice Transitions last fall, and began her profile right away, as Maine was an early pilot state for ADA Practice Transitions.

“I could not be happier with my new associate, Dr. Sikora,” she said. “It is very obvious that the ADA has done their homework in attempting to set up a successful matching service.”ADA Practice Transitions piloted the service in Wisconsin, Maine, Indiana, Iowa, Kentucky, Michigan, Minnesota and New Hampshire for dentists seeking to join or purchase a practice in those states who are looking to hire an associate or find someone to purchase their practice.

“ADA members, volunteer leaders and state associations all over the country have expressed interest in what ADA Practice Transitions is doing, and so we are happy to be able to expand nationally,” said Dr. Kirk Norbo, ADA Business Innovation Group board chair. “Part of the value of ADA Practice Transitions is its ability to use the platform to match dentists nationwide for those who are seeking to move to a different state. We anticipate that over time, the ADA Practice Transitions platform and methodology will become the first choice for dentists seeking a transition.”   

Through ADA Practice Transitions, dentists receive:

• Matches with dentists or practices that aligns with their personal and professional goals.

• Step-by-step support from a dedicated ADA advisor.

• Customized resources and help defining the right path.

ADA Practice Transitions helps retiring owners find the right person to continue to care for their patients, and helps owners hire associates who share a similar philosophy of care, ensuring a successful transition and continuity of care for patients.In addition, ADA Practice Transitions helps buyers and associates find the practice that fits their criteria and shares their goals.

ADA Practice Transitions can also help a dentist explore and narrow down their options to provide more confidence in taking their next steps.

by ADA

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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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Dental bonding is an economical way to make your teeth look more uniform, whiter, or even straighter, with a simple, in-office, single-visit procedure

A beautiful smile has the power to send a positive message to those around you, conveying confidence, friendliness, or pure joy. But, if you feel less than confident about your smile, you may be less inclined to share it, and that can have a negative impact on your social and professional life.

Looking good with dental bonding:

The cosmetic dentistry technique of dental bonding is an economical way to make your teeth look more uniform, whiter, or even straighter, with a simple, in-office, single-visit procedure.

Through the use of a special, tooth-colored composite resin material, Dr. Eckford Jr. can sculpt and polish the bonding material directly to a single tooth, or several teeth, to improve the appearance of your smile. Dental bonding is a minimally invasive procedure, and you don’t typically need anesthesia.

Can dental bonding replace a missing tooth?

Dental bonding isn’t meant to replace a missing tooth, but it can repair a chipped or cracked tooth, and close small gaps between your teeth. You can replace a missing tooth with a dental implant — a surgical procedure — but dental bonding is an ideal nonsurgical option for minor cosmetic dentistry issues, including:

Broken teeth, Small cavities or areas of decay, Stained teeth, Root exposure, Small spaces between teeth.

Dr. Eckford Jr. expertly matches the resin material to your teeth, or he bumps up the shade if he’s bonding several teeth in a row, so you can have a brighter smile that very same day.

Dental bonding provides natural-looking results that can be altered if you choose a more permanent restoration down the road.

Minimally damaging tooth emanel:

Surprisingly, dental bonding requires only a minimal amount of preparation of your natural teeth, so damage to your tooth enamel is minimal. While veneers (a permanent cosmetic solution to dental problems) require Dr. Eckford Jr. to remove a significant amount of surface enamel from your teeth to make room for bonding to ceramic or porcelain, this is not the case with composite bonding.

To prepare your teeth for the composite material so it best adheres to your enamel, Dr. Eckford Jr. just slightly etches the surface of your teeth before he applies the bonding material.

How do I take care of mi dentally bonded teeth?

You brush and floss your bonded teeth just like you would your natural teeth. Over time, the resin used in the composite material can stain, just like your natural teeth, so it’s a good idea to avoid smoking, and stay away from large quantities of coffee, tea, red wine, or other dark-colored beverages, too.

If you take good care of your dental bonding, as well as your whole mouth, composite bonding should last up to 10 years or more.

Less money where your mouth is:

Dental bonding usually costs less than other cosmetic dental procedures since it uses resin, rather than more expensive materials like porcelain, which is commonly used for veneers. Additionally, veneers are custom-made in a dental lab, so the process takes more than a single visit. Dental bonding is something Dr. Eckford Jr. can do in one visit to help make your smile instantly more visually stunning.

If you have dental issues like gapped teeth, chipped teeth, or a single misshapen tooth that’s smaller than the ones next to it, and you’re looking for a simple solution that won’t break the bank, dental bonding may be the answer. The material is durable, easily molded and matched to adjacent teeth, and it’s ideal for correcting minor dental issues in a single visit.

by Houston Precise Dental Care

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