Dentist Woodstock – Arthritis got you down?

Brushing 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

5471 Bells Ferry Road

Suite 200

Acworth, GA 30102

770-928-7281

info@rightsmilecenter.com

http://www.rightsmilewoodstock.com

 

 

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Dentist Woodstock: Sinusitis Got You Down?

Winter is getting cranked up and we need to take measures to maintain our health because during the winter months and at other times when the air is very dry, it is important to keep our nasal passages moist. When I was young I used to think my mother’s practice of medicine was just one more of her old wives tales, but practically applied her easy way to moisten your nasal passages is to sniff salt solution into both sides of the nose 2-4 times a day seems to work. To prepare a solution of proper strength, add 1/4 teaspoon of table salt to a cup of warm water, and stir it until all the salt has dissolved. Sniff some from a spoon or other small container into each nostril. Alternatively, you can buy ready-prepared nasal saline products, such as Ocean, Simply Saline or generic equivalents from drug stores. Such solutions can be used to wash away mucus from the membranous lining of the nasal passages. They also help by shrinking any parts of it that are swollen. This may save you a trip to the doctor.  If this is not done, mucus and the swollen membranes around these openings may block openings of the sinuses into the nasal passages. Sinusitis will then occur if nasal bacteria infect the mucus, which can no longer drain from the blocked sinus. Treatment of sinusitis (rather than its prevention) often requires the use of antibiotics.

Some doctors are not enthusiastic about nasal saline irrigation since researchers found that it does not significantly reduce the incidence of colds. Personally, I am a little skeptical about a doctor’s hesitation to try a home remedy rather than popping a few pills. I don’t mean to confuse colds with sinusitis. Viruses cause colds, while sinusitis is a bacterial-induced complication for some colds. Irrigation of the nasal passages with saline cannot kill viruses or bacteria, but according to my favorite ENT patient, it can help to reduce the incidence of sinusitis in people with a tendency to develop this common complication of colds.

Part of the source for this article came from my mom and part from the American Family Physician (70:1685 & 1697, “04) & Wall Street Journal (Dec.7″04, page D6).

Novy Scheinfeld DDS PC 5471 Bells Ferry Road

Suite 200

Acworth, GA 30102

770-928-7281 info@rightsmilecenter.com http://www.rightsmilewoodstock.com

Acworth Dentist: Is the Right Smile Center right for me?

Make the right choice in the right dental practice; choose Novy Scheinfeld, DDS, PC, and her associate Sidney Tourial, DDS, PC, located half between Woodstock and Acworth on Bells Ferry Road.   Consider the bottom line to your self-esteem and consider being treated by an Emory trained prosthodontist.  Some people avoid smiling because they are ashamed of their teeth or unsure of how they will be received by the dentist after so many years of procrastination.  Our practice has over 4 generations of patients who are not ashamed of their smile.  Before Dr. Neal Kopp past away in 2008, we had over 5 decades of experience in prosthodontic dentistry.  All of us either practiced, trained or taught at Emory University’s School of Dentistry.  Cosmetic dentistry by a prosthodontic based practice involves improving the aesthetics and function of your smile with the right smile, to make you look and feel more attractive.

Click www.rightsmilewoodstock.com and see for yourself.  We have over 400 unedited reviews by patients with real life experiences in our practice.  Don’t believe me, read what others have to say – good, bad or otherwise.  If cosmetic dentistry is right for you, then we are right for you.

Novy Scheinfeld, DDS, PC

5471 Bells Ferry Road, Suite 200

Acworth, GA 30102

770-928-7281

www.rightsmilewoodstock.com

info@rightsmilecenter.com

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Dentist Woodstock, GA: 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.

 

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

Versus . . .

The top 5 questions dentists want patients to ask –

  1. 1.      Am I a good candidate for implants?
  2. 2.      What are the potential complications of dental implant therapy?
  3. 3.      How much implant experience does the doctor have?
  4. 4.      What is the healing time for my implants?
  5. 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. 1.      How much do dental implants cost?
  2. 2.      Will dental implant surgery be painful?

When dentists feel their very first question should be –

  1. 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

5471 Bells Ferry Road, 200

Acworth, GA 30102

770-928-7281

info@rightsmilecenter.com

www.rightsmilewoodstock.com

 

 

Pasted from <http://www.thewealthydentist.com/blog/1509/survey-what-questions-do-patients-ask-about-dental-implants/>

 

 

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Woodstock, GA: Dentist: Teeth Grinding (Bruxism)

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, given 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.

Novy Scheinfeld, DDS, PC

5471 Bells Ferry Road, Suite 200

Acworth, GA 30102

info@rightsmilecenter.com

http://www.rightsmilewoodstock.com

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[1] ADA and the National Center for Biotechnology Information, U.S. National Library of Medicine, www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002386/, Feb. 22, 2010.

[2]    Ibid.

Acworth Dentist: I read this on Webmd.com

…. and thought it was a very practical approach to your dental care:

 

Your Oral Health Care Plan

Good oral health involves more than just brushing. To keep your teeth and mouth healthy for a lifetime of use, there are steps that you should follow. Here’s what you should consider:

1. Understand your own oral health needs.

Talk with your dentist, other oral health care specialist, or hygienist about any special conditions in your mouth and any ways in which your medical/health conditions affect your teeth or oral health. For example, cancer treatments, pregnancy, heart diseases, diabetes, dental appliances (dentures, braces) can all impact your oral health and may necessitate a change in the care of your mouth and/or teeth. Be sure to tell your dentist if you have experienced a change in your general health or in any medications you are taking since your last dental visit.

2. Develop, then follow, a daily oral health routine.

Based on discussions with your dentist, other oral health care specialist, and hygienist and considering your unique general health and oral health situations, develop an oral health routine that is easy to follow on a daily basis. For example, people with special conditions – such as pregnancy, diabetes and other underlying diseases, orthodontic appliances – may require additional instruction and perhaps treatments to keep their mouth healthy. Make sure you understand the additional care and/or treatment that is needed, commit to the extra tasks, and work them into your daily health routine.

3. Use fluoride.

Children and adults benefit from fluoride use. Fluoride strengthens developing teeth in children and prevents tooth decay in both children and adults. Toothpastes and mouth rinses contain fluoride. Fluoride levels in tap water may not be high enough without supplementation to prevent tooth decay. Contact your water utility to determine the level for your area. Talk with your dentist about your fluoride needs. Ask if fluoride supplements or a higher strength, prescription-only fluoride product is necessary for you.

4. Brush and floss daily.

Brush your teeth at least twice a day (morning and before bed time) and floss at least once a day. Better still would be to brush after every meal and snack. These activities remove plaque, which if not removed, combines with sugars to form acids that lead to tooth decay. Bacterial plaque also causes gum disease and other periodontal diseases.

5. Eat a balanced diet and limit snacking.

Eat a variety of foods, but eat fewer foods that contain sugars and starches (for example, cookies, cakes, pies, candies, ice cream, dried fruits and raisins, soft drinks, potato chips). These foods produce the most acids in the mouth, which begin the decay process. If you must snack, brush your teeth afterward or chew sugarless gum.

6. If you use tobacco products, quit.

Smoking cigarettes or using smokeless tobacco products increases your risk of oral cancer and cancers of the larynx, pharynx and esophagus; gum disease; as well as causes bad breath, tooth discoloration, and contribute to other oral and general health problems.

7. Examine your mouth regularly.

Become familiar with the appearance of your own mouth and teeth through frequent examination. This way, you will be able to catch any changes at an early stage and have these changes examined by a dentist. Look for the development of any spots, lesions, cuts, swellings, or growths on your gums, tongue, cheeks, inside of your lips, and floor and roof of your mouth. Examine your teeth for any signs of chipping or cracking, discoloration, and looseness. If you experience a change in your bite or develop pain, call your dentist as soon as possible. An oral examination is particularly important to conduct if you are a tobacco user, since you are at an increased risk of developing oral cancer.

8. Visit your dentist regularly.

The standard recommendation is to visit your dentist twice a year for check-ups and cleanings. Talk with your dentist about the frequency that is best for you considering your oral health situation.

9. Develop a partnership with your dentist.

Don’t be afraid to ask your dentist for more information if you don’t understand a treatment or procedure. You should be able to have a free and frank discussion with your dentist about the following types of issues:

  • What are the treatment options for a particular dental condition?
  • How do these options differ in cost and in their durability?
  • Do all the options solve the problem? What are the benefits and drawbacks of each option?
  • Of the dental treatments being recommended, which are absolutely necessary, which are less urgent, which are elective, and which are merely cosmetic?
  • What are the consequences of delaying treatment?
  • How much will the treatment cost?
  • When is payment due?
  • What method of payment does your dentist expect?
  • Do you have a clear understanding of all fees and methods and schedules of payment?

Novy Scheinfeld DDS PC 5471 Bells Ferry Road, Suite 200

Acworth, GA 30102

770-928-7281

www.rightsmileacworth.com

info@rightsmilecenter.comFurther Reading:

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Dentist Woodstock, Ga: The Right Smile (by a prosthodontist)

The right smile, like all good things in life, is a collaborative effort of your input and our expertise.   We’ve found that by truly catering to our patients, your visits become more of a pleasurable experience, rather than just a necessity.

Our Acworth dental office (located half way between Woodstock and Acworth on Bells Ferry Road) is open on Fridays, but on occasion we schedule patients who need additional treatment time on Saturdays.  We see emergency cases immediately and provide our patients with 24/7 access to your dentist via mobile numbers. In addition, your entire family is welcome in our office.   We have as many as four generations in the practice.  We offer comprehensive family care coupled with modern technology, bringing what we consider to be the best of contemporary dentistry to our patients.

 

You’re more than a patient to us; you’re an individual with unique concerns and needs.  And you’re the reason we are here.  My associate or I are dedicated to taking the time to learn about you and your needs, and then and only then develop a practical treatment plan to create the right smile. We’ll discuss options and explain procedures, which may involve multiple of techniques and disciplines.

 

Your smile is the first thing people notice and our goal is to help you smile.  But we want to make sure it’s the right smile, one that’s natural and comfortable for you.  If you have questions, please ask. And if we can do anything to make you more comfortable, let us know. We are here to serve you and we have a history of making oral healthcare easy and convenient for your lifestyle.

 

Novy Scheinfeld, DDS, PC

5471 Bells Ferry Road, Suite 200

Acworth, GA 30102

www.rightsmileacworth.com

info@rightsmilecenter.com

 

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