Your Teeth – Health Care’s Stepchild

Here is the biggest lie propagated about healthcare and insurance companies.

“Edentulism[1] is not a risk factor for any other diseases, so it is not a liability to the overall health of a patient.”

This is a lie that has been propagated for decades.  Bad teeth and long-term low-level infections can damage your lungs and heart, lead to increased and/or chronic lung infections and even lead to sepsis; death in extreme cases. In a cross-sectional study, Abed Al-Hadi Hamasha and others found significant differences between edentulous and dentate individuals with respect to rates of atherosclerotic vascular disease, heart failure, ischemic heart disease and joint disease.[2]CIMG1170

Although there are no data to support the contention that the compromised nutrition of edentulous people leads to adverse health conditions, it is known that nutrient deficiencies are associated with a variety of diseases. Therefore, it is possible that edentulous patients with poor nutrition may be at greater risk for a variety of diseases.[3]  As a consequence of a lack of certain nutrition due to altered eating habits, various health problems can occur, from the mild to the extreme. Lack of certain vitamins (A, E and C) and low levels of riboflavin and thiamin can produce a variety of conditions, ranging from constipation, weight loss, arthritis and rheumatism. There are more serious conditions such as heart disease and Parkinson’s disease and even to the extreme, certain types of Cancer.

The absence of teeth can damage your jaw bone’s structure.  In addition, the tongue, which consists of a very dynamic group of muscles, tends to fill the space it is allowed, and in the absence of teeth, will broaden out.  And the most ludicrous thing today that exemplifies the attitude I quoted, above, is that Medicare won’t pay for any dental work, or dentures – yet it will pay for a male erection (Viagra.)  Go figure.

If we can help you, please contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta, GA 30328


[1] Edentulism is the condition of being toothless to at least some degree.

[2] Hutton, Feine, Morais, 2002


Cavities – the mouth is connected to the body

special-needs1It is not merely semantics, but rather a paradigm shift in thinking to consider dental caries (cavities) as a ‘complex disease caused by an imbalance in physiologic equilibrium between tooth mineral and biofilm fluid’.[1]  A consequence of dental caries being a complex disease is that on a population basis we may have success with a particular preventive oral program in one select segment of population in our country, but not necessarily in another segment with different cultural and behavioral habits. Moreover, society and the dental community may need to organize our dental health care very differently in neighboring counties, and apply fluorides, tooth brushing protocols and flossing in very different ways (mouth rinsing, toothpaste, water fluoridation and supervised brushing etc.) to obtain rather similar caries reductions from one locale to another.

Contrary to urban lore, the mouth is connected to the body.  So, whatever directions caries research should take from here it will require a multidisciplinary approach to solving complex problems and should be included in a well-planned healthcare approach. More than ever, well-educated clinical dentists set the stage and should be included in collaboration with colleagues trained in the multitude of new fields in the basic sciences (biophysics, functional genomics, proteomics, chemical biology, nano-technology, etc.) to address clinically relevant questions.

A higher standard of oral healthcare well planned.  Get the facts, ask the Right Smile Center.  If we can be of assistance, please do not hesitate to contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta, GA 30328


[1] Fejerskov O, Nyvad B: Is dental caries an infectious disease? Diagnostic and treatment consequences for the practitioner; in Schou L (ed): Nordic Dentistry 2003 Yearbook. Copenhagen, Quintessence Publishing, 2003, pp 141– 151.

Stop smoking—anything

The evidE-Cigarettesence is indisputable; everyone knows smoking increases your risk of cancer, including oral cancers such as lip and larynx.  We also know that smoking contributes to numerous other health complications.  As a result we have seen the rise of E-cigarettes, also known as vapor cigarettes.  However, E-cigarettes may not be the safe alternative you think. Several studies are finding that E-cigarettes contain certain chemicals and toxins that may contribute to the risk of cancer.  E-cigarettes, as an example, contain  toxic chemicals found in antifreeze and numerous cancer-causing chemicals, such as nitrosamines.[1]

We hope this advice will lead to your decision to cease smoking anything and everything.  If we can be of assistance do not hesitate to call us for a consultation.

Right Smile Center, LLC

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta, GA 30328




Oral healthcare and the cancer patient

Sandy Springs Dentist – A higher standard through healthcare well planned

Oral CancerManagement of a patient being treated for cancer, particularly where the cancer treatment is located near the head and neck should involve your oral healthcare provider, i.e. your dentist.  Unfortunately, there are very few published studies or guidelines on how to manage the cancer patient during therapy.  Accordingly, there is considerable variation across the medical community relative to specific non-medicated approaches to baseline oral care.

Oral-facial complications are common after radiotherapy to the head and neck, and after chemo-therapy for malignant diseases. Oral Mucositis, also called stomatitis is the most frequent and debilitating complication of cancer chemotherapy and radiotherapy, occurring in about 40% of patients. Oral mucositis is inflammation of the mucosa of the mouth which ranges from redness to severe ulceration. Symptoms of mucositis vary from pain and discomfort to an inability to tolerate food or fluids.[1]

All patients at risk should receive a standardized oral care regime as an ongoing component of their cancer therapy.  Additional interventions may include dental brushing with toothpaste, dental flossing, ice chips, and sodium bicarbonate rinses. These regimens typically include dental work to eliminate caries and existing gum disease before beginning cancer treatment, followed by thorough and frequent cleaning of the oral cavity with a variety of products, some form of pain relief, anti-inflammatory treatment as required and aggressive antimicrobial treatment for any new mouth infections.[2] Patient compliance with these agents can be maximized by comprehensive overseeing by the oral healthcare professional.

Get the facts, ask the Right Smile Center.  If we can be of assistance, please do not hesitate to contact us.

Novy Scheinfeld, DDS, PC.

290 Carpenter Drive, 200A

Atlanta, GA 30328



[2] Ibid.

Dentist Atlanta: How much does having a tooth pulled cost?

Dr. Novy Scheinfeld:

Wonderfully informative article. Please read this at your leisure.

Originally posted on the right smile:

The cost of a simple tooth extraction can range anywhere from $95 to $250 depending on whether the procedure is being performed by a dentist or a specialist known as an oral and maxillofacial surgeon.  If the tooth is broken at the gum line, it will be considered a ‘surgical extraction’ and usually costs $150 to $300.  Extracting a wisdom tooth, which is usually done by an oral surgeon, can cost anywhere between $150 and $350, but if it’s a partially or completely impacted wisdom tooth then the cost could climb as high as $650.

The cost of the tooth extraction can be higher; for example, if the tooth disintegrates, it can take the dentist a while to get all of it out and the dentist may charge you extra if that happens.  Each patient and each tooth is unique.  It can be cookie cutter, but…

View original 373 more words

Signature Dentistry – Sandy Springs

mature women smiling3Signature world class dentistry in a relaxing and caring environment. We can provide you with everything from comprehensive family care to complex cosmetic dentistry. We are your partner in your overall healthcare with an emphasis on the importance of routine dental care in preventing common dental problems such as gum disease and tooth decay.

At the Right Smile Center, we have specialized in providing high quality but affordable dental care in a relaxed environment for over 25 years. While we understand the anxiety that goes with visiting a dentist, our team strives to ensure that your visit to our office is stress-free, comfortable and serves your needs.

We strive to provide the best dental care to our patients in a friendly and relaxed atmosphere. We work as a team to ensure that new and existing patients are treated with the utmost respect and receive the very best service.  We have developed a collaborative process between you and our team.

Our services include:

  • Crowns and Teeth whitening
  • Dental implants and Veneers
  • Bonding and Bridges
  • Prosthodontics and Periodontics
  • sleep apnea and Root canals
  • and many other cosmetic dental procedures

Maintaining a healthy smile – the right smile – has proven beneficial for both overall good health and quality of life.  Serving greater Atlanta, Sandy Spring, along with the surrounding Alpharetta, Roswell, Dunwoody, East Cobb, Buckhead, Johns Creek, Brookhaven, and Smyrna GA areas.  Contact us today for your complimentary consult!

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta, GA 30328


Oral Health in America – Dentist Sandy Springs

Oral ExamFor too long, the perception that oral health is in some way less important than and separate from general health has been deeply ingrained in American consciousness.  Most adults show signs of periodontal or gingival diseases.  Severe periodontal disease (measured as 6 millimeters of periodontal attachment loss) affects about 14 percent of adults aged 45-54.

A Report of the Surgeon General[1]:

  • Oral health is more than healthy teeth.
  • Oral diseases and disorders in and of themselves affect health and well-being throughout life.
  • The mouth reflects general health and well-being.
  • Oral diseases and conditions are associated with other health problems.
  • Lifestyle behaviors that affect general health such as tobacco use, excessive alcohol use, and poor dietary choices affect oral and craniofacial health as well.
  • Safe and effective measures exist to prevent the most common dental diseases—dental caries and periodontal diseases.
  • There are profound and consequential oral health disparities within the U.S. population.
  • More information is needed to improve America’s oral health and eliminate health disparities.
  • Scientific research is key to further reduction in the burden of diseases and disorders that affect the face, mouth, and teeth.

Oral diseases are progressive and cumulative and become more complex over time.  They can affect your ability to eat, the foods we choose, how we look, and the way we communicate.  These diseases can affect economic productivity and compromise your ability to work at home, at school, or on the job.  Health disparities exist across population groups at all ages and incomes.

Oral health is essential to general health and well-being and can be achieved.  However, a number of barriers hinder the ability of some Americans from attaining optimal oral health. If we can be of service and eliminate some of these barriers, we’d like to help.  Our goals are to promote oral health, improve the quality of your life and eliminate oral health disparities.  Please contact us.

 Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 290A

Atlanta, GA 30328


[1] Source: U.S. Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health, 2000.

Educating Patients on their Oral Health Options


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