As we approach the conclusion of Dr. Scheinfeld’s 20th year as owner of the Right Smile Center, our dental family is growing in an incredible way. We are over-joyed by Dr. Scheinfeld’s daughter Hanna joining her older sister Zoey this fall at GRU’s School of Dental Medicine. It is every parent’s dream to have a child follow in their footsteps (let alone two), but when it becomes a reality there are not words to describe the joy and happiness of this occasion.
In addition to this wonderful step forward, Drs. Nanci Lubell and William Zinney are providing our patients with expanded in-house services including Endodontics (root canals), implant placement, extractions and advanced periodontal treatment.
Finally, we are pleased and proud of our associate Dr. Sidney Tourial being installed as the 2012 -13 President of the Georgia Dental Association. It is a great honor to know we are contributing to our patient community and colleagues in so many ways made possible by these efforts.
One of the most rewarding aspects of dentistry is seeing and treating our patients as each generation of their families grows. As we have experienced your joy, we are excited to return the blessing and look forward to our next generation growing with your family…
There appears to be controversy with respect to whether or not mouthwash containing alcohol may be related to oral cancer. This controversy arises out the studies that show a link between oral cancer and those that drink alcohol.Michael Douglas is the most recent case in point.He has been reported to be a heavy smoker and imbibe alcohol on what is rumored to be on frequent occasions.The obvious link in theory is that most mouthwash formulas contain alcohol, so the conclusion is that a link to mouthwash must exist here also.The problem is there are no conclusive studies and at this time there appears to be insufficient evidence to alter the ADA’s approval of mouthwash containing alcohol as an effective method for the prevention and reduction of gingivitis and plaque above the gumline when used as directed.The ADA Council on Scientific Affairs awarded the ADA Seal of Acceptance to these products after a thorough review of data on their safety and effectiveness.
Of all the studies published on this topic, beginning in 1979, four studies reported some positive results while five found no association. (citations omitted) What we know is that none of the criteria for causality have been fulfilled by the studies that have been published so far.The International Agency for Research on Cancer, an extension of the World Health Organization, now identifies the consumption of ethanol in alcoholic beverages as a carcinogenic risk.[1] Alcohol abuse is associated with cancers of the mouth, pharynx, larynx and esophagus. Ibid.However, the reason for this association is not fully understood – it may be due to a direct effect of alcohol on these tissue.[2]Because of the conflicting studies and endorsements I could advise you to keep using alcohol formulated mouth rinses. But if you are concerned and wish to stay on the safe side of the debate, there are non-alcohol based mouth rinses available that appear to be effective in the prevention of gingivitis and plaque.
Our job is to try and educate you on the contemporary issues we face in addressing your oral health and if there are any questions you would like to pose, please feel free to contact us for a free consultation.
[1] International Agency for Research on Cancer. IARC monographs on the evaluation of carcinogenic risks to humans. Volume 96. Alcoholic beverage consumption and ethyl carbamate (urethane). Lyon, France: 6-13 February 2007.
[2] Lachenmeier DW. Safety evaluation of topical applications of ethanol on the skin and inside the oral cavity. J Occup Med Toxicol 2008;3:26.
Why the cost of your dental care really hasn’t increased that much?In fact it has either tracked or lagged behind the consumer price index and this is despite all the advances in dental technology.Compare that observation to your medical care costs.If you go in to see your dentist and ask for an estimated cost of treatment, 9 times out of 10 you will get a quote.Try doing that in your physician’s office.Why?Because your dental care has been a product of the free market system.The insurance companies have never yet to invade the purview of your oral health the way they have dominated, if not destroyed your overall health care.
You get your teeth examined, cancer screening, teeth cleaning and x-rays twice a year for less than $300.00. And that’s about two hours of actual treatment from your dentist and his/her team.At the physician’s office you go in once a year, see your physician or his PA for about 10 to 16[i] minutes on average and it costs $300 to $900.00, depending on possible immunizations and your blood work (which costs more than twice what an independent lab charges if you have it done outside of your physician’s office).Physicians are paid by insurance and Medicare submittals based on the procedures they perform and not by the amount of time they spend with you.So the quicker the visit the more procedures they can bill your insurance.If they take too long it cost them money, not you.And all their revenues are based on negotiated fees with your insurance company, not the free market system.Ah, the key phrase – free market system.Dentistry never bought into insurance coverage for your treatment and care, and as a result of the free market system there has been a reasonable or to put it better, a withstandable increase to the cost of your oral health care based on the supply and demand curves.
So how much does insurance influence the cost of your health care? Anecdotally, let me tell you about my daughter’s, but really my experience with health care and why we are the losers in this battle to secure adequate health care treatment at an affordable price.My daughter had a cyst under her eyelid.It was not visible to you or me, but it irritated the dickens to her cornea.I found a specialist and accompanied my daughter to the physician.It was determined that the treatment required general anesthesia to safely perform the surgery.When I asked ‘how much’, I received no answer.I was passed on to the patient coordinator for that physician.So I asked ‘how much’, and again I received no answer.They didn’t have a clue what this was going to cost me.So I immediately said ‘sign me up, I’ll take two’.Seriously though, they needed my insurance carrier and they would let me know, great.
I get a call from the physician’s office. It’s going to cost you $800 and change.Ok, great, and is that my drive out price?‘Oh no, that’s just the doctor’s fee.’Ok, so what else?I have to call the surgical center.Ok, how much does that cost?We [the doctor] don’t know, you just have to call and find out.So I called.The gentleman quoted me $1540.00 including 2 hours of facility and the anesthesiologist.‘Oh, and you won’t be needing a biopsy, since this is cosmetic.’No wait, this is not cosmetic, it’s required surgery.So the gentleman backs up and re-quotes the price.It will be $4 to 7 thousand for the surgical suite, $1800 & change for the anesthesiologist and X amount of dollars for the biopsy.
Wait, hold on, back up a minute, you just quoted me a price that is almost 7 times what the same procedure would cost if it was elective surgery. Ah, that key phrase creeps back in to the conversation.Under a free market system, elective surgery only garners what the market will bear.But under an insurance based system, physicians don’t know what it costs, so they inflate the costs and hope for some remuneration equal to or in excess of what it really costs under a free market system to treat you.In other words, it’s a crap-shoot your physician is playing with your health insurance company.And the loser is you.So the next time you go to the physician or the dentist, remember why you’re paying what to whom, the physician or your insurance company.And the next time you discuss health care reform; you’re probably talking about insurance reform.If we can answer your questions or concerns, please do not hesitate to contact us.
Good oral hygiene is important for maintaining one’s overall health.If you believe this and you should, then there are 4 essential guidelines of preventative care to maintaining good oral health, all of which are endorsed by the American Dental Association:
1.Floss regularly and floss first- It is recommended that individuals floss on a regular basis after meals and before brushing their teeth. The reason to floss first is to dislodge any food particles trapped in between your teeth, which can be disposed of while brushing.The proper way to floss is to push the floss gently between your teeth to the gum to loosen debris your toothbrush cannot reach. Initially, you may experience some light bleeding but this should disappear once your gums get used to the flossing process.
2.Brushing your teeth- If you don’t have an electric toothbrush, good brushing by hand should take a minimum of 2 minutes and should involve brushing in a circular motion, which the electric toothbrush does for you.You work your way from one side of the mouth to the other, keeping in mind to pay attention to certain neglected areas such as the very back teeth and your tongue. Dentists recommend using soft bristle brushes and toothpaste that contain fluoride. The fluoride is important, because the rise in the consumption of bottled water has led to the population’s decline in fluoride intake.
3.Mouthwash- I am not sure how effective this is, but if you’re not going to brush twice a day, using a mouthwash that contains fluoride at least twice a day is a good preventative measure that kills the bacteria responsible for cavities and gum disease. Given recent research, you might want to choose a non-alcohol based rinse.
4.Your Dental visits- Maintaining your oral health requires regular dental visits at least every six months.You need to do this for early detection of potential global health problems that could develop into more serious issues and the hygienist can clean areas that might have been missed or that were resistant to the 3 steps above.
Finally,Finding a Dentist that is Right for You
Research shows that your dental care is an important aspect of your overall general health care. So you need to make sure you find a dentist that is right for you. This can be a difficult process.Look for someone who’s competent and you feel comfortable with, one you can have a collaborative relationship with. This is important because there are conditions and problems that were not discussed in this article that the dentist will need to pay attention to during your regular checkups. Hopefully after reading this article, you will have a better understanding of the basics for good oral health. I you have questions or concerns feel free to contact or call.
The cost of a filling can vary greatly, depending on who you go to, the type of filling and degree of restoration required.An amalgam (“silver/mercury filling”) is cheaper than a composite (white/resin filling), but will last significantly longer if you are unconcerned about aesthetics and the back and forth debate over whether or not amalgams may be linked to other health issues.The US Food and Drug Administration (FDA) and the American Dental Association (ADA) found there is no danger from an amalgam filling, but some specialists and consumers remain unconvinced by the findings.
One of the ways to find out the actual range of cost is to just call a local dentist from the internet and ask them.You are going to find some hesitancy to quote over the phone because each person presents a different set of restorative circumstances, but you should be able to get a range of costs or a free consultation.
While costs vary from one area to the next and from one office to the next, the cost of typical amalgam filling ranges from approximately $75 to $175 per filling, whereas a composite resin filling ranges from $125 to $300 for a single surface restoration.You should expect about 3 to five years (possibly 7 years) of use from the composite and as many as 20 years or longer from an amalgam restoration.Actually a well-cared-for amalgam filling can last a lifetime, so the expensiveness of the filling really becomes a minor consideration.
Restorative circumstances are going to vary from tooth to tooth and decay may be found in one small spot or throughout a tooth. The restorative fees are based on the number of surfaces needing filling in a single tooth.A silver amalgam filling on one or two surfaces averages $75 to $175, while for three or more surfaces it could go as high as $120 to $300 or more.The same type of logic follows with respect to composite restorations.Since composite resin fillings are more time consuming and require greater skills to completion they are more expensive than amalgam fillings and weigh in on the more expensive side of caries restorations.
Typically dental insurance covers most or all of the costs of a silver amalgam filling, but only 50 to 80 percent of the cost of a composite filling because the higher charge for the tooth-colored material is considered a cosmetic option. One exception is when an old amalgam filling is cracked or broken and is replaced with a composite filling.
Your dentist should be advising you of the type of filling based on the size of the cavity and the location of the tooth in your mouth.Amalgams are more likely to be placed in the back of your mouth while composites are more likely to be used on more-visible front teeth. WebMD.com gives an overview of typical filling procedures and Colgate.com lists pros and cons of different types of fillings.
Amalgam Advantages
Amalgam fillings are strong and can withstand the forces of chewing.
They are relatively inexpensive and last a long time, compared with alternatives.
An amalgam filling is completed in one dental visit.
Amalgam Disadvantages
Amalgam doesn’t match the color of your teeth.
Healthy parts of your tooth often must be removed to make a space large enough to hold an amalgam filling.
Amalgam fillings can corrode or tarnish over time, causing discoloration where the filling meets the tooth.
A traditional amalgam filling does not bond (stick) to your tooth, so the cavity preparation developed by your dentist requires undercuts or ledges to provide retention of the filling. Your dentist may have to remove additional tooth structure to establish good retention for the filling.
Some people may be allergic to mercury or be concerned about its effects, although research shows the amount of mercury exposure from fillings is similar to what people get from other sources in the environment.
Composite Advantages
Your fillings will match the color of your teeth and therefore undetectable.
A filling should be completed in one dental visit.
Composite fillings can bond directly to the tooth, making the tooth stronger than it would be with an amalgam filling.
Less drilling is involved than with amalgam fillings because your dentist does not have to shape the space as much to hold the filling securely. The bonding process holds the composite resin in the tooth.
Indirect composite fillings are heat and light cured increasing their strength.
Composite resin can be used in combination with other materials, such as glass ionomer, to provide the benefits of both materials.
Composite Disadvantages
Although composite resins have become stronger and more resistant to wear, they generally don’t last as long as amalgam fillings under the pressure of chewing.
The composite may shrink when placed; this can lead to more cavities in the future in areas where the filling is not making good contact with your tooth.
This restoration takes more time and skill to place because they are usually placed in layers. The increased time and labor involved also contribute to the higher cost (compared with amalgam fillings).
Indirect fillings and inlays take at least two visits to complete. Your dentist takes impressions at the first visit and places the filling or inlay at the second visit.
In large restorations, composites may not last as long as amalgam fillings.
The trick is to find a qualified, well trained dentist, and that requires you to educate yourself about the dentist you choose and a basic knowledge about dentistry.If we can be of service or answer any questions or concerns please feel free to contact us.
If you are trying to figure out the ins and outs of implants verses the older more conventional methods of tooth replacement, the cost of dental implantsat first blush may appear high, and therefore, unaffordable to most people. But appearances can be deceiving if you examine the beneficial differences and the time involved by your specialist. While I have written on those issues before, let’s explore other aspects of price and how different dental implants may differ very significantly depending on different factors.
The real concern for the patient is ‘where and how’ to find a low cost quality dental implant, and is most likely the driven adjective ‘low cost’ a result of the perception by the patient that teeth are utilitarian to their daily life. That’s really not the case, but to put the cost into perspective, all the while considering that your teeth aren’t really as appreciated as much as they should be, let’s examine what goes into the cost of a dental implant.
4 Factors that Drive the Cost of Dental Implants:
The Material: The traditional materials – prices of cobalt-chromium alloy and titanium are not the same.Implants from cobalt-chromium (CC) alloy rods are cheaper than comparable titanium implants, but when it comes to zirconium dioxide, then cost of a dental implant may appear to be cost prohibitive to the patient.But, depending on where the implant is being placed, you may end up with a less than satisfactory result with the less expensive CC implant.
The Size: This case is a significant factor. The bigger the implant, the more material, the more it costs, but also the more it may do.Also, special coatings applied to the surface of the implant, contribute to better osseo-integration with the bone, will affect the cost of the dental implant.
The Manufacturer: Different manufacturers put different prices on similar rods made from the same material. Some manufacturers include some kind of an extra charge in the dental implant’s price for their brand name. This is a lot more esoteric and therefore harder to explain.It’s like trying to explain the difference between Polo and Hanes T-shirts.
Finally, it may depend on where your dentist gets his implants from.And this factor may be a function of how motivated your provider is in providing you with the best implant material for the least amount of cost to you.Some of that may just end up being economies of scale by your provider.Does your provider have contacts directly with manufactures in China or Israel, where the dental implant cost can be significantly reduced, while the indirect purchase of dental implants from U.S dental suppliers may ratchet up the price?
If the price is too good to be true?
The cost of an dental implant starts from around $1,500 up to $5,000.00 .Anything less may be an indicator that you’re getting an inferior product or one not designed for a particular location in your mouth. (Mini-plants, which I have discussed before, are the exception to the rule.) Short term the implant device may appear to be fully functional.But if we look at the cost and the cost of other materials for dental implants compared to their operational life, the difference may be likened to the difference between Toyo’s and Michelin tires.Here again you may get what you pay for and the initial cost may appear affordable, but in the long term you are going to get a better result with respect to how it functions and how long it lasts if your provider installs Michelins.
A lot of your choice and cost may depend on the choice of your provider.It’s not to say the more you spend the better you will be.Rather, a reputable practitioner, who is truly trained in the placement and restoration (and this may be two providers), may be a significant factor in what you end up with and what it costs.Trust and reputation are the more difficult factors to define for the patient.
Bruxism, otherwise known as teeth grinding, is when you clench (tightly hold your top and bottom teeth together) or grind (slide your teeth back and forth over each other) your teeth, that may or may not cause harm.When teeth clenching or grinding occurs on a regular basis the teeth may become damaged and possible other possible oral health issues may develop.
People may clench and grind their teeth without being aware of it during both the day and night.When it is sleep-related, bruxism is often the bigger problem because of the lack of control.Because it does occur during sleep most people are unaware of the problem until symptoms begin to arise.While some of these symptoms are headaches or a sore jaw, they are masked by other factors such as too much stress, inability to relax, misalignment of the teeth, or even ones posture or diet.[1]
The cause of bruxism is not completely agreed upon, but daily stress may be the precipitant in many cases.The clenching the teeth may be brought on by anxiety, stress or depression.Other symptoms may include ear aches, insomnia and/or sensitivity in the teeth.[2]The clenching or grinding puts pressure on the muscles, tissues, and other structures around your jaw. The symptoms may develop into temporomandibular joint problems, commonly referred to as TMJ.
If you suspect you may be grinding your teeth, talk to your dentist. An examination can rule out other disorders that may cause similar jaw pain or ear pain, including:
·Dental disorders
·Ear disorders such as ear infections
·Problems with the temporomandibular joint (TMJ)
Your dentist can examine your mouth and jaw for signs of bruxism, such as jaw tenderness and abnormalities in your teeth.If it is diagnosed as night grinding, you can be fitted with a mouth or night guard (a splint) to prevent further damage to your teeth and other issues mentioned above.The varying types of splints may prevent clenching and create a scenario where your mouth remains relaxed during sleep or during the day.There are many approaches to retard the clenching behavior, many of which are more successful to daytime clench and grinders verses night clenchers.
Given that grinding and clenching may not fall within any one medical discipline, it may take a combination of approaches to permanently solve the problem.However, dentist would appear to have the leg up on the other disciplines, give the amount of training and experience dentists have with your oral health.Regardless, call the health care provider you are comfortable with to seek solutions to this potentially damaging oral health problem.
Dr. Scheinfeld is an Emory trained prosthodontist specializing in mandibular function.
The problem of bruxism, otherwise known as teeth grinding, is not limited to adults.According WebMD, approximately 15% to 33% of children grind their teeth. Children who grind their teeth tend to do so at two peak times in their lives – (1) when their baby teeth emerge and (2) when their permanent teeth come in.[1]Some of this potential grinding is protected or goes unnoticed because of thumb sucking, which can cause a different set of problems.However, most children who do not suck their thumbs while sleeping lose the teeth grinding habit shortly after these two sets of teeth have come in more fully.
While it is more common for children grinding their teeth to do it during sleep rather than during waking hours, it has not been determined exactly why children grind their teeth.There are several theories which include improperly aligned teeth or irregular contact between upper and lower teeth, illnesses and other medical conditions (such as nutritional deficiencies, pinworm, allergies, endocrine disorders), and psychological factors including anxiety and stress, and all of which appear to be unsubstantiated theory.
The main reason there has been very little study on children grinding their baby teeth is that it rarely results in problems. However, teeth grinding can cause jaw pain, headaches, wear on the teeth, and TMD.[2]Consult your dentist if your child’s teeth look worn or if your child complains of tooth sensitivity or pain.
Should teeth grinding result in a real problem for your child, here are some specific tips to help stop teeth grinding:[3]
1.Where possible, decrease your child’s stress, especially just before bedtime.
2.Try massage and stretching exercises to relax the muscles.
3.Make sure your child’s diet includes plenty of water. There is some thought that dehydration may be linked to teeth grinding.
4.Ask your dentist to monitor your child’s teeth if he or she is a grinder.Possibly consult a pedodontist (children’s dentist) and pediatrician if it becomes apparent that damage is occurring.
No intervention is usually required with preschool-age children. However, older children may need temporary crowns or other methods, such as a night guard, to prevent the grinding in their sleep.
Dr. Scheinfeld is an Emory trained prosthodontist specializing in mandibular form and function.
If you have ever had one, you know a toothache can be very painful. And in some instances a toothache can be considered a dental emergency. But there may be some symptoms of a toothache that cause you to wonder whether or you should see a physician or a dentist. Events like a knocked out tooth or other injury of the mouth can often be resolved quickly if you see an emergency dentist.
What exactly is an emergency dentist? Whether you know it or not, it most likely is your very own family dentist. Many dentists offer emergency hours and on call services for dental emergencies. If not, you may be able to find a clinic that specializes in emergency dentistry. These facilities are open 24 hours a day just for emergencies. Either way, you can be assured that you can find help when you need it.
Most likely, if you visit a physician for your dental emergency, he will give you medication to help you over until you can see a dentist.Obviously, a dentist can prescribe pain medication just like a physician.So it may be faster and timelier as it relates to your issues if you see a dentist in the first place. If you are in pain, you probably don’t want to waste the extra time it would take to see a physician first. Obviously, if you have an injury that is causing your dental emergency, make sure it is not life threatening before you choose between a physician and a dentist.
If you have a toothache, abscess, root canal problems, broken or chipped tooth, knocked out tooth, swollen gums, broken dentures, decayed tooth roots, loose crowns, lost fillings, wisdom teeth problems or pain in the mouth or gums, feel free to contact an emergency dentist.We are more than happy to assist you in evaluating these types of situations.In 2012 we added an endodontic experienced dentist to our practice, i.e. root canals.
The first step towards good dental health is brushing and flossing, which costs all of $3.00 to $5.00 every 3 to 5 months. After that it is about education and knowledge.
It’s pretty obvious that the last few years of this economic crisis may have caused people to make some tough choices with scarce funds. And skipping dental visits may have risen to the top of the list of least likely things to do with your money.But skipping dental visits may be more costly in the long run, and not just to your oral health, but to your overall health.Difficult economic times often find people delaying or avoiding trips to the dentist is something we are seeing more and more these days.
Downsized employees not only have lost medical benefits, but dental coverage as well. And without regular visits people may not be aware of the many subtle changes that may be occurring inside their mouth because they don’t feel them or recognize them.And without seeing these changes patients feel they can delay or skip dental visits, not realizing that it takes a trained dental professional to see small changes that if left untreated may develop into major costly dental or even medical issues.
One of the key roles of a dental hygienist is to educate patients about the etiology of dental diseases and what individuals can do to prevent oral health issues. These issues if left unchecked or untreated could affect a person’s ability to eat properly, compromising one’s ability to maintain proper nutrition, which in turn may negatively impact one’s general health. If left untreated bleeding of the gums or inflammation, which is a slow, relatively painless process, if left untreated, can result in bone degradation and eventual tooth loss.It may also be a sign of other global health issues such as diabetes, heart related issues or even contribute to infertility or some form of birth complication in pregnant women.
Given these possibilities the dental office is the starting point for dental education.Education about oral health allows you to take ownership of your success in taking care of your body.Ask questions.Proper flossing and brushing of teeth on a daily basis, preferably twice daily, is critical to remove bacterial plaque between the teeth that, if not removed, can destroy the fibers that hold the teeth in place.
In addition to brushing and flossing, good nutrition is key to good oral health as well as your global health. It is one integrated process.Certain drinks like red wine, soda, and even healthy fruit juice, can erode the enamel layer of your teeth.Learn to balance the intake of acidic and alkaline foods. Ingesting high acidic foods and drinks as well as improper tooth-brushing technique are the two main reasons for tooth sensitivity. Learn to drink more water as a part of your diet.
In this day and age, easily accessible internet websites, such as the American Dental Association offer information on various dental topics. Read up on subjects that relate to your situation and discuss these topics with your dental professional.That’s what they are there for.
If lack of dental insurance or sudden loss of income prevents proper professional dental care, talk to your dentist to see if some arrangements can be made to accommodate your new found circumstances. There are numerous low cost or free clinics you can go to as a temporary alternative. Don’t make the mistake that your oral health can be put off, because your oral health is linked to your global health.
If we can be of assistance, please do not hesitate to contact us.
As we approach the conclusion of Dr. Scheinfeld’s 20th year as owner of the Right Smile Center, our dental family is growing in an incredible way. We are over-joyed by Dr. Scheinfeld’s daughter Hanna joining her older sister Zoey this fall at GRU’s School of Dental Medicine. It is every parent’s dream to have a child follow in their footsteps (let alone two), but when it becomes a reality there are not words to describe the joy and happiness of this occasion.
