the right smile

Educating Patients on their Oral Health Options


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Dentist Sandy Springs – 4 Steps to Promoting Good Oral Health

mature women smiling3Good 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, but the rise in use 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.
  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 problems that could develop into more serious problems 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

Your dental care is an important aspect of your 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.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com


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Dentist Sandy Springs – How much do dental implants cost?

Michelin_ManIf you are trying to figure out the in’s and out’s of  implants verses the older more conventional methods of tooth replacement, the cost of dental implants at 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.  I have written on those issues before here let’s explore the 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 drive adjective ‘low cost’ is 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 oseo-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 implants price for their brand. 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 .  Anything less may be an indicator that you’re getting an inferior product or one not designed for a particular location in your mouth.   Short term it may appear to be fully functional.  But if we look at the cost and cost of other materials for dental implants compared to their operational life, the difference may be likened to the difference between Toyo’s and Micheilin tires.  Here again you may get what you pay for and the initial cost may appear affordable, but in the  long run you are going to get a better result with respect to how it functions and how long it lasts if your provider installs Micheilins.

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 prosthodontist, 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.  If we can be of help please give us a call or email.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com


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Dentist Sandy Springs – Success Rates of Dental Implants

dental-implants2Dental implants are among the most successful procedures in dentistry. However, there are no guarantees that an implant procedure will be successful.  Given the complexity of the procedure,  there are many variables that can play into the success rate.  The studies show a five-year success rate of 95 percent for lower jaw implants and 90 percent for upper jaw implants.  The success rate for upper jaw implants is lower because the upper jaw is less dense than the lower jaw, making the success of implantation and osseointegration slightly more difficult to achieve.  The lower posterior implantation has the highest success rate for all dental implants because of the density of the bone, there’s more to work with.

Other factors that have an impact on success are pre-existing dental or general health conditions or the position of the replaced tooth.  Dental implants may fail for a number of reasons, but the most come reason is the failure of the implant device to properly osseo-integrate.  The actual failure of the implant may be the result of poor positioning or over torqueing in the bone.  Although infrequent, dental implants may break or become infected or crowns may become loose the same way your natural teeth become loose.

If you are a heavy smoker, your dentist may advise you to give up smoking before undergoing the procedure because smokers statistically face a higher risk of implant failure. Given how expensive implants can be, one risks wasting money on dental implants if you can’t give up the habit. Other high risk candidates are patients with diabetes, hemophilia or immune deficiencies and rare instances, patients with chronic bruxism.

As I have noted in other articles the value of implants is significant with respect to bone retention and actual functionality, and they are not susceptible to the formation of cavities.  So as long as one engages in good oral hygiene, i.e. with brushing, flossing, and regular hygiene procedures, the chances of peri-implantitis (characterized by inflammation or swelling of the tissues surrounding the implant) should be avoidable.  This disease is similar to periodontitis around one natural tooth, and thus requires a similar approach to good oral hygiene.

Key factors in minimizing dental implant complications are the selection of an experienced prosthodontist and oral surgeon/periodontist who specialize in implant dentistry, careful pre-operative treatment planning and proper after-care and oral hygiene. If you would like to know whether you are a candidate for implants please feel free to call for a free consultation.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com


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What [5] Questions Do Patients Ask About Dental Implants?

I read this article by Jim Du Molin and thought it might be interesting to readers and my patients.

dental-implants2We (I’m assuming Jim Du Molin) conducted a survey that asked dentists what questions dental patients ask when considering getting implants. It turns out that there’s a real difference between the questions dental implant patients do ask — and which questions they should be asking.

Dentists responded with the following . . .

The top 5 questions dental patients ask –

  1. How much do dental implants cost?
  2. How long do dental implants last?
  3. Are implants painful?
  4. How long will it take to get my new teeth?
  5. Does dental insurance cover implant surgery?

Versus . . .

The top 5 questions dentists want patients to ask –

  1. Am I a good candidate for implants?
  2. What are the potential complications of dental implant therapy?
  3. How much implant experience does the doctor have?
  4. What is the healing time for my implants?
  5. Can implants improve my appearance?

Many dental implant patients seem to have the same questions about dental implant therapy. Unfortunately, these questions aren’t necessarily the ones dentists think they should be asking.

The 2 main questions patients ask are –

  1. How much do dental implants cost?
  2. Will dental implant surgery be painful?

When dentists feel their very first question should be –

  1. Am I a good candidate for dental implants?

There is really a disconnect between the doctor and patient. This really is no surprise, since patients are thinking about how they are going to pay for the implants, and whether the procedure will be painful.

But doctors can’t afford not to address the primary concerns of the patient first: cost and pain.

One dentist wrote, “Long term, when the conditions are favorable, proper bone density, height and width, proper biomechanical considerations, proper occlusal load. A dental implant is more cost effective over a 3 unit bridge. However, when the above conditions are not meet — the 3 unit bridge (with sufficient ferule, impressions taken with custom made tray and properly impressioned, properly articulated, preprosthetic endodontic treatment performed by an endodontist, core-restoration — not in composite) will be more cost effective (for the patient).”

If you would like to learn more about implants and your candidacy please call or email your question.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620


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9 Facts about Dental Implants – Sandy Springs

dental-implants2Many people are unaware of the consequences of losing their teeth or the effects of wearing partial or full dentures on their jaws and bones. When teeth are lost, the surrounding bone immediately begins to shrink [atrophy]. Implant treatment, for tooth replacement therapy, can be the optimal treatment plan. Here are some important facts to take into consideration.

 Wearing unsupported dentures accelerates bone loss, and old dentures become loose due to bone loss. It is possible to watch and wait for bone to disappear to the point where treatment success of any kind is in doubt.

 At the end of a five-year period, only 40% are still wearing the original partial denture made for them. This is not a great testimonial for value and utility. Those lucky enough to have a functioning partial denture after 5 years are still losing valuable supporting bone.

 Of those patients who wear a partial denture, 50% chew better without it.

 One study showed that after 8 years, 40% of the supporting teeth that the partial hooks onto were lost through tooth decay or fracture.

 Patients with natural teeth can bite with about 200 pounds of force. Denture wearers can bite with approximately 50 pounds of force. Those wearing dentures for 15 years or more can bite with only about 6 pounds of force, and their diet and eating habits have had to been modified accordingly.

 The average lower full denture shifts from side to side during chewing and is a significant problem that new denture wearers must get use to and accept, unless you switch to implant-supported dentures.

 Denture wearers have decreased nutritional intake, a ten year shorter life span, and 30% of denture wearers can only eat soft foods.

 The single tooth implant success rate is above 98%, and unlike a bridge, the teeth adjacent to the implant are no more at risk than if no teeth were missing.

 Implant-supported bridges or dentures have 95% success rates over 10 years without the severe loss of supporting bone.

For bone maintenance, the health of adjacent teeth, the longevity of the restoration and patient comfort, implant therapy is the treatment of choice. Implants can restore chewing function to the equivalent of someone with natural teeth. If you have questions or want to know if you are a good candidate for implant tooth replacement therapy, please call our office.

Novy Scheinfeld DDS PC
290 Carpenter Dr, 200A
Atlanta, GA 30328
(404) 256-3620


info@rightsmilecenter.com
http://www.rightsmilecenter.com


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Bottled Water – Good or Bad? Dentist Sandy Springs

Bottled waterAccording to the ADA the majority of bottled water does not contain optimal levels of fluoride to protect your teeth against harmful bacteria.  In addition, some types of home water treatment systems also reduce the fluoride levels decreasing the decay-preventive effects of tap water.  The absence of fluoride is not to be inferred as some kind of public or private ban on the use of fluoridation, because this is not the case.  And with respect to your oral health, when used appropriately, fluoride is both safe and effective and probably your best means of preventing and controlling dental caries.

So how do you use fluoride to achieve the maximum protection against dental caries and efficiently reducing the likelihood of enamel fluorosis?  There are numerous fluoride modalities that are effective, inexpensive, readily available, and can be used in both private and public health settings.  And if left unchecked, the resulting bacteria can penetrate dissolved surfaces, attack the underlying dentin, and reach the soft pulp tissue, causing of course tooth decay.  Drinking fluoridated water, brushing with fluoride toothpaste, or using other fluoride dental products can effectively and inexpensively raise the concentration of fluoride in the saliva present in your mouth 100- to 1,000-fold.

Children and adults who are at low risk for dental caries can remain low risk through frequent exposure to small amounts of fluoride by drinking fluoridated water and using fluoride toothpaste.  While children and adults at high risk for dental caries should benefit from additional exposure to fluoride by going one step further and utilizing mouth rinse, dietary supplements, and professionally applied products.  The ADA reviews fluoride products for caries prevention through its voluntary Seal of Acceptance program and accepted products are listed in the ADA Guide to Dental Therapeutics.   At this particular moment in our oral healthcare, fluoride is the only nonprescription toothpaste additive proven to prevent dental caries.   As I have recommended in previous articles, brushing is the simplest and number one action you can take to maintain your teeth and oral hygiene.  This of course should be followed by regular cleanings and checkups with your dentist.

American Dental Association. ADA guide to dental therapeutics. 1st ed. Chicago, IL: American Dental Association, 1998.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs) GA, 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com


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Mini Dental Implants

X-Ray picture of two cylindrical dental implan...

Image via Wikipedia

Very shortly, I will exploring the implimentation of mini dental implants.  Essentially, these implants are as the name suggests, minature versions of implants.  My understanding is that they are not designed to be load baring in the sense that you cannot support a crown that would be engaged in heavy or significant loading.  But mini implants can be used to support dentures in cases where it is not viable for one reason or another to introduce a full implant. In addition to being diminutive in size, they cost less and have a shorter recovery time period.  So where applicable, mini implants may be a very good alternative restoration procedure.
Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
receptionist@rightsmilecenter.com
http://www.rightsmilecenter.com/