Month: November 2011

Dentist Woodstock: Small Steps to a Healthy Mouth.

by Drs. Novy and ZoAnna Bock and Hanna Orland, posted in Cosmetic Dentistry, health, Uncategorized

1. Brush your teeth at least twice each day with fluoride toothpaste.

Aim for first thing in the morning and before going to bed. Once a day, use floss or an interdental cleaner to remove food your toothbrush missed. Make sure you:

 •Drink water that contains added fluoride if you can. Fluoride protects against dental decay. Most public water systems in the United States have added fluoride. Check with your community’s water or health department to find out if there is fluoride in your water. You also may want to use a fluoride mouth rinse, along with brushing and flossing, to help prevent tooth decay.

•Gently brush all sides of your teeth with a soft-bristled brush. Round and short back-and-forth strokes work best.

•Take time to brush along the gum line, and lightly brush your tongue to help remove plaque and food.

•Ask your dentist or dental hygienist to show you the best way to floss your teeth.

•Change your toothbrush every three months, or earlier if the toothbrush looks worn or the bristles spread out. A new toothbrush removes more plaque.

•If you wear dentures, be sure to remove them at night and clean them before putting them back in the next morning.

 

2. Have a healthy lifestyle.

•Eat healthy meals. Cut down on tooth decay by brushing after meals. Avoid snacking on sugary or starchy foods between meals.

•Don’t smoke. It raises your risk of gum disease, oral and throat cancers, and oral fungal infections. It also affects the color of your teeth and the smell of your breath.

•Limit alcohol use to one drink per day for women. Heavy alcohol use raises your risk of oral and throat cancers. Using alcohol and tobacco together raises your risk of oral cancers more than using one alone.

•Limit how much soda you drink. Even diet soda contains acids that can erode tooth enamel.

 

3. Get regular checkups.

•Have an oral exam once or twice a year. Your dentist may recommend more or fewer visits depending on your oral health. At most routine visits, the dentist and a dental hygienist will treat you. During regular checkups, dentists look for signs of diseases, infections, problems, injuries, and oral cancer.

•See your dentist right away if:

 ◦Your gums bleed often

◦You see any red or white patches on the gums, tongue, or floor of the mouth

◦You have mouth or jaw pain that won’t go away

◦You have sores that do not heal within two weeks

◦You have problems swallowing or chewing

 

•Prosthodontists: Dentists trained in restoring and replacing teeth. Other providers include:

◦Dental hygienists: Members of the dental staff who clean gums and teeth and teach patients how to maintain good oral health.

◦Periodontists: Dentists who treat gum disease and place dental implants.

◦Oral surgeons: Dentists who operate on your mouth and supporting tissues.

◦Orthodontists: Dentists who straighten teeth and align jaws.

◦Endodontists: Dentists who perform root canals.

 

 

4. Follow your dentist’s advice.

Your dentist may suggest ways to keep your mouth healthy. He or she can teach you how to properly floss or brush. Follow any recommended steps or treatments to keep your mouth healthy.

 

5. If you have another health problem, think about how it may affect your oral health.

For instance, if you take medicines that give you a dry mouth, ask your doctor or nurse if there are other drugs you can use. Have an oral exam before starting cancer treatment. And if you have diabetes, practice good oral hygiene to prevent gum disease.

Novy Scheinfeld, DDS, PC

5471 Bells Ferry Road, Suite 200

Acworth, GA 30102

770-928-7281

www.rightsmileacworth.com

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

by Drs. Novy and ZoAnna Bock and Hanna Orland, posted in Cosmetic Dentistry, health, Uncategorized

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.

Novy Scheinfeld, DDS, PC

5471 Bells Ferry Road, Suite 200

Acworth, GA 30192

770-928-7281

www.rightsmilecenter.com

receptionist@rightsmilecenter.com

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