Dentist Dunwoody: Women and Your Oral Health

As a woman, you know that your health needs are unique and this includes your oral health needs. And because your needs are unique, you need to take extra care of yourself.  While women tend to take better care of their oral health than men do, womSandy Springs, Brookhaven, Chamblee dentist near meen’s oral health is not significantly better than men’s.  This is because hormonal fluctuations throughout a woman’s life can affect many tissues, including gum tissue.  These fluctuations occur when you mature and change, as you do during puberty or menopause, or other times when you have special health needs, such as menstruation and particularly during pregnancy.

According to the Journal of Periodontology[1] at least 23 percent of women between the ages 30 to 54 have periodontitis.[2]  And, 44 percent of women ages 55 to 90  who still have their teeth have periodontitis.  Yet many women do not realize they have it until it reaches an advanced state, which is why regular hygiene check-ups are so important.

Stages of your life – steps to protect your oral health.

Puberty – an increased level of sex hormones, such as progesterone and possibly estrogen, causes increased blood circulation to the gums. This may cause an increase in the gum’s sensitivity and lead to a greater reaction to any irritation, including food particles and plaque. Signs to look for in your teenage daughter are swollen, red and/or tender gums.[3]

It is particularly important during this time in your daughter’s life to make sure she follows a good at-home oral hygiene regimen, including regular brushing and flossing, and regular dental care. In some cases, our dental professional may recommend periodontal therapy to help prevent damage to the tissues and bone surrounding the teeth.[4]

Menstruation – can result in menstruation gingivitis.  Women with this condition may experience bleeding gums, bright red and swollen gums and sores on the inside of the cheek. Menstruation gingivitis typically occurs right before a woman’s period and clears up once her period has started.  Sometimes it occurs concurrent with stressful situations and menstruation.

Pregnancy – increase gingivitis or pregnancy gingivitis beginning in the second or third month of pregnancy that increases in severity throughout the eighth month. During this time, some women may notice swelling, bleeding, redness or tenderness in the gum tissue.[5] As a result of varying hormone levels, between 50%-70% of women will develop gingivitis sometime during their pregnancy – a condition called pregnancy gingivitis.[6] In some cases, gums swollen by pregnancy gingivitis can react strongly to irritants and form large lumps. These growths, called pregnancy tumors, are not cancerous and generally painless.

Studies have shown a possible relationship between periodontal disease and pre-term, low-birth-weight babies. Any infection, including periodontal infection, is cause for concern during pregnancy. In fact, pregnant women who have periodontal disease may be more likely to have a baby that is born too early and too small!

To prevent pregnancy gingivitis it’s especially important to practice good oral hygiene habits, which include brushing at least twice a day, flossing once a day, and using an antimicrobial mouth rinse. If you are due for a professional cleaning, don’t skip it simply because you are pregnant.  Now more than ever, professional dental cleanings are particularly important.

Oral contraceptives – while women are taking drugs to help treat periodontal disease, such as antibiotics, may lessen the effect of an oral contraceptive.  So be sure and consult our dentist about all the medications you are taking.

Menopause and Post-Menopause – not surprising given all the changes happening within your body, but you may experience changes in your mouth as well.  You may notice discomfort such as dry mouth, pain and burning sensations in the gum tissue and altered taste, particularly to salt and pepper.

In addition, menopausal gingivostomatitis affects a small percentage of women. Gums that look dry or shiny or bleed easily and range from abnormally pale to deep red may indicate this condition. Most women find that estrogen supplements help to relieve these symptoms.[7]

Bone loss is potentially associated with both periodontal disease and osteoporosis. Women considering Hormone Replacement Therapy (HRT) to help fight osteoporosis should note that this may help protect their teeth  and your jawbone as well as other parts of the body.

What Should You Do?

See our dental professional for cleaning at least twice a year – you need to monitor your oral health.

If referred, see a periodontist in your area. Problems may include: Bleeding gums during brushing, red, swollen or tender gums.   Other issues such as persistent bad breath or pus between the teeth and gums.  If you’re a denture wearer a change in the fit of your dentures may occur.

Keep your dentist informed about any medications you are taking and any changes in your health history.

Brush and floss properly every day.  Review your techniques with a dental professional.

If there any questions that you might have, please call us to discuss them.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

www.rightsmilecenter.com

info@rightsmilecenter.com

 


[1]
January 1999 issue of the Journal of Periodontology

[2]
Periodontitis is an advanced state of periodontal disease in which there is
active destruction of the periodontal supporting tissues.

[4]
Ibid.

[5]
Ibid.

[6] WebMd.
Pregnancy Gingivitis and Pregnancy Turmors.

[7]
Women and Gums: American Academy of Periodontology Journal. http://www.perio.org/consumer/women.htm.

 

Advertisements

Dentist Dunwoody: How much do dental fillings cost? and Why?

amalgamDunwoody Dentist near me

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.

Our dentist will advise 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.  Our 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.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com

Related articles

Metro Atlanta Dentist Reviews by NationalDentalReviews.org

Sandy Springs Prosthodontist near meOver 500 unedited reviews of Dr. Novy Scheinfeld and her practice at http://www.rightsmilecenter.com/reviews.html
Dr. Scheinfeld is an Emory University trained prosthodontist treating 4 generations of patients from Vinings, Marietta, East Cobb, Chamblee, Roswell, Alpharetta, Brookhaven, Dunwoody, Sandy Springs, Norcross, Buckhead and Midtown. Her associate, Dr. Sidney Tourial, the current President-Elect of the Georgia Dental Association has been in the practice for almost 19 years.

Related articles
• Top Atlanta Prosthodontist – Novy Scheinfeld, DDS (therightsmile.wordpress.com)
• Dentist Sandy Springs – ADA Accredited Prosthodontist is Your Cosmetic Dentist (therightsmile.wordpress.com)
• Atlanta Dentist: A Beautiful Smile by a Prosthodontist Is Priceless (therightsmile.wordpress.com)

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620
info@rightsmilecenter.com
http://www.rightsmilecenter.com

Dentist Sandy Springs: 8 Windows your overall health sees through dentistry.

Sandy Springs dentist near me
Dr. Novy Scheinfeld giving an oral exam

I  read this article the other day by the Mayo Clinic staff and it appears very much worth republishing.  Please read this and adjust your life accordingly.  Its really not that difficult to lead a healthy life style and live longer lives.

Oral health: A window to your overall health

Your oral health is more important than you may realize. Get the facts about how the health of your mouth, teeth and gums may affect your general health.

By MayoClinic staff

Did you know that your oral health can offer clues about your overall health? Or that problems in your mouth can affect the rest of your body? Understand the intimate connection between oral health and overall health and what you can do
to protect yourself.

What’s the connection between oral health and overall health?

Your mouth is teeming with bacteria — most of them harmless. Normally the body’s natural defenses and good oral health care, such as daily brushing and flossing, can keep these bacteria under control. However, harmful bacteria can sometimes grow out of control and cause oral infections, such as tooth decay
and gum disease. In addition, dental procedures, medications, or treatments that reduce saliva flow, disrupt the normal balance of bacteria in your mouth
or breach the mouth’s normal protective barriers may make it easier for bacteria to enter your bloodstream.

What conditions may be linked to oral health?

Your oral health may affect, be affected by or contribute to various diseases and conditions, including:

  • Endocarditis. Gum disease and dental procedures that cut your gums may allow
    bacteria to enter your bloodstream. If you have a weak immune system or a
    damaged heart valve, this can cause infection in other parts of the body — such
    as an infection of the inner lining of the heart (endocarditis).
  • Cardiovascular disease. Some research suggests that heart disease, clogged arteries and
    stroke may be linked to oral bacteria, possibly due to chronic inflammation
    from periodontitis — a severe form of gum disease.
  • Pregnancy and birth. Gum disease has been linked to premature birth and low birth
    weight.
  • Diabetes. Diabetes reduces the body’s resistance to infection — putting
    the gums at risk. In addition, people who have inadequate blood sugar control
    may develop more-frequent and severe infections of the gums and the bone that
    holds teeth in place, and they may lose more teeth than do people who have good
    blood sugar control.
  • HIV/AIDS. Oral problems, such as painful mucosal lesions, are common in
    people who have HIV/AIDS.
  • Osteoporosis. Osteoporosis — which causes bones to become weak and brittle —
    may be associated with periodontal bone loss and tooth loss.
  • Alzheimer’s disease. Tooth loss before age 35 may be a risk factor for Alzheimer’s
    disease.
  • Other conditions. Other conditions that may be linked to oral health include
    Sjogren’s syndrome — an immune system disorder — and eating disorders.

Be sure to tell your dentist if you’re taking any medications or have had any changes in your overall health — especially if you’ve had any recent illnesses
or you have a chronic condition.

How can I protect my oral health?

To protect your oral health, resolve to practice good oral hygiene every day. For example:

  • Brush your teeth at least twice a day.
  • Replace your toothbrush every three to four months.
  • Floss daily.
  • Eat a healthy diet and limit between-meal snacks.
  • Schedule regular dental checkups.

Also, watch for signs and symptoms of oral disease and contact your dentist as soon as a problem arises. Remember, taking care of your oral health is an investment in your overall health.

Pasted from <http://www.mayoclinic.com/health/dental/DE00001/NSECTIONGROUP=2&gt;

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs) GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com

Dentist Dunwoody – Try a Hand at Exercise or Not

Dunwoody dentist near meBrushing your teeth, buttoning your shirt, or opening a child proof bottle are all routine daily activities that most people take for granted.  But if you have arthritis and it affects your hands, performing these and other basic tasks can be challenging, if not impossible. Theoretically, “exercising” your hands should reduce the pain, improve your range of motion, and, ultimately, enable you to perform more easily the various tasks of daily living.  However, early in the morning use of your hands may aggravate your situation.

Arthritis of the hands manifests differently depending on what kind of arthritis you have.  Osteoarthritis, which is the most common cause of hand arthritis, involves the protective cartilage that covers the ends of your bones and its gradual deteriorates is due to wear and tear or, in some cases, to injury. If your hand pain is caused by osteoarthritis there’s a high probability that flossing and brushing your teeth may be affected.

By contrast, rheumatoid arthritis, sometimes referred to as RA, is an immune system disorder that damages the cells in the tissue that lines and lubricates the joints in your hand.  If rheumatoid arthritis is the cause of your hand pain, the distinction between osteoarthritis – and rheumatoid arthritis -induced hand pain is important for several reasons*:

First, if your pain is caused by rheumatoid, you should not  attempt to alleviate it with exercise alone. So the exercise associated with brushing  your teeth could exacerbate your joint problems.  Second, strengthening exercises can be  harmful if performed aggressively and should be done in moderation by people  with rheumatoid arthritis.  Third, you  should perform any type of exercise with caution while you’re having a flare up  of the joints.

So that your oral health does not suffer due to the deterioration  and pain associated with either arthritis I would suggest the purchase an  electric toothbrush.  My preference is the  Oral-B, but it really  doesn’t matter which one you use, you just need to use one.  Regardless of your condition, my experience  with patients who use the Oral-B regularly has shown results in the positive care  of their oral health.  With respect to  flossing, which is just as important in maintaining your oral hygiene, you may  need to increase the number of visits to the dentist to clean your teeth where  you can’t otherwise preform the task.  If  you discuss this with your dentist, you should be able to make arrangements just to have your  teeth cleaned on alternating appointments and forego unnecessary exam fees. Interestingly  enough, there is a possibility that the prescription by your physician may  afford you insurance coverage for the extra visits.   As a side note, if you utilize a health  savings account, you certainly should be about to cover the costs of all your
visits with pre-tax health dollars.  If  there is anything we can do to assist you, please do not hesitate to contact  us.

*This information is
not intended to substitute for the advice of a physician. Some of this
information was provided by Johns Hopkins website on arthritis. (http://www.johnshopkinshealthalerts.com).

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

and

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com

Related articles

Dentist Sandy Springs: The Mercury Filling Controversy

Sandy Springs dentist near me

Whenever I hear a patient ask about amalgam restorations (usually referred to as mercury fillings), I wonder why this question refuses to go away.  For decades, amalgams have been considered the primary restorative material for posterior teeth (the ones in the back) because of their long time success.  After enormous amounts of study the World Health Organization, the FDI World Dental Federation, and the American Dental Association continue to endorse the use of amalgam to restore teeth.   Yet it continues to be demonized by the public, in particular in urban legends over the internet.

As a result the trend is towards the less and less use ofamalgams and the greater use of composite resins to restore posterior teeth.  One of our consultants, Tom Limoli of Limoli and Associates notes that US third-party payment data reflects that 65% of direct posterior restorations last year were resin-based composite, while 35% were amalgam.  So regardless of the empirical
evidence to the contrary, the patient pool is demanding composite restorations.

Every dentist will need an alternative material to use in the restoration of posterior teeth as this trend continues.  The challenge for the dentist is that composite resins only have a life expectancy of 5 to 8 years.  Given the patient’s desire to be rid of the potential or theoretical health hazards that have been formulated in recent years, amalgam restorations will ultimately be eliminated by the slow and natural death of attrition.  While amalgam has been the material of choice for decades and still remains the primary source of teaching in dental schools today, it may not be in the future.  Given the patient demand for composite restorations and what appears to be the dentist’s propensity to capitulate, we are going to need a better solution to posterior restorations if we want to achieve the same longevity that is achieved through amalgam restorations.

The internet has continued to create an uncertainty on the part of the lay public about amalgams similar to the controversy that surrounds cell phones and brain tumors.  It is interesting to note the dilemma faced by dentists today, when we know that amalgam is the better choice for the restoration, but the popular demand or path of least resistance is a composite restoration.  This disconnect creates some interesting food for thought.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

Additional sources of information came from Gordon J. Christensen, DDS, James F. Simon, DDS, and Howard E. Strassler, DMD.  Compendium of Continuing Education in Dentistry, July/August, 2011.

Dentist Sandy Springs: Wisdom Teeth Removal

Sandy Springs Dentist near me

An oral surgeon or a general dentist can extract a wisdom tooth (third molars).  A large percent  of the time we refer out to one of our participating oral surgeons, particularly when the wisdom teeth are impacted in place.  The procedure can be done in the office and most of the time that is the case.  However, it is possible that you could have the surgery in the hospital, if you are having all your wisdom teeth pulled.  If the latter is the case, you may be at a higher risk for complications.  Depending on  the
oral surgeon’s judgment, the use of a hospital is for precautionary measures.  And patients with infections, their surgery will be delayed in order to avoid other health related complications.

Wisdom teeth are usually the last teeth to erupt in your mouth and can cause crowding or food pockets which lead to undesired gum infections.  About 35% of the population never develop wisdom teeth at all.[1]  For those that do, it is often recommended that people from the ages 17 to 25[2] will need to have this extraction, but we judge each patient on a case by case basis.  If your wisdom teeth are not causing any noticeable problems, then it may be difficult to determine whether to have them removed to prevent future problems.[3]  It is quite possible that you may never have any problems.  But is also possible that
they fail to erupt and cause problems like cysts, crowding, decay or hygiene issues.[4]

As a part of the procedure, the tooth and the surrounding tissue are numbed with a local anesthetic prior to having the extraction.  Some people prefer to use nitrous oxide (otherwise known as “laughing gas”).  In some cases, there is the use of a mild sedation, where the patient is still conscious but truly unaware of the procedure.  It is even possible that you receive general anesthesia.  If you decide to use the nitrous or sedation dentistry then you will need someone drive you home from the procedure.  The recovery time is usually 12 to 24 hours of rest, but usually no more than 48 hours.

One of the more notable post procedure recommendations is not to use a straw to drink.  The sucking through the straw may dislodge the blood clot in the socket area and delay the healing process.

If you feel you are a candidate for wisdom teeth removal, or we can be of service, please feel free to contact us for a complimentary consultation.

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

 


[2] http://www.aaoms.org/wisdom_teeth.php, Wisdom Teeth, American Association of Oral and Maxillofacial Surgeons. Retrieved 2011-26-08. “This generally occurs between the ages of 17 and 25”.

[3] The Right Smile Center doesn’t push to have them extracted, we recommend you read up on the subject at http://www.aaoms.org/wisdom_teeth.php,
to help make the final decision.   Please remember that an oral surgeon is going to have a bias towards removal.

[4] Pediatric Dentistry: Infancy Through Adolescence, 4th Edition.