Dentist Sandy Springs:Oral Health Guidelines for Pregnant Women

Pregnant2Why is oral health care important during pregnancy? Because mothers with gum disease have a higher instance of preterm birth, a potentially serious pregnancy complication that may cause health concerns for the infant, typically due to low birth weight.

Pregnancy gingivitis is a common form of gum disease known to develop in almost half of all pregnant women likely due to the change in hormones during the pregnancy.   With proper precautions, pregnancy gingivitis generally ends shortly after the birth of the child.  However, it should be monitored by a dentist periodically during pregnancy in order to prevent this form of gingivitis from progressing into more serious periodontitis, an advanced and irreversible form of gum disease that has been linked with preterm birth.

Pregnant mothers with periodontal diseaseare seven times more likely to go into preterm labor. Prostaglandin, a chemical found in oral bacteria, may induce labor.[1]  Also, high levels of prostaglandin have been found in the mouths of women with severe cases of periodontal disease.

The following guidelines were developed by the American Academy of Pediatric Dentistry (AAPD)[2] in response to the growing concern surrounding oral health during pregnancy:

  • Oral Health Education – Counseling and early intervention by healthcare providers such as physicians, nurses, and dentists to provide expectant mothers with the tools and resources necessary to understand the importance of oral health care during pregnancy.
  • Oral Hygiene – Removing the bacterial plaque, which researchers have connected to preterm birth and low birth-weight babies, is essential. Using the correct brushing and flossing methods greatly increase the amount of plaque that is removed from the teeth and gums.
  • Fluoride – The American Dental Association recommends the use of toothpaste with fluoride by persons over the age of six.  Echoing their sentiment, the AAPD oral health guidelines advise the continued use of fluoridated toothpaste during pregnancy, and recommends the use of an over-the-counter alcohol-free fluoride rinse to help reduce the amount of plaque in the mouth.
  • Nutrition – Educating expectant mothers about proper diet and nutrition during pregnancy will limit unnecessary sugar intake and in turn, prevent plaque buildup.
  • Treating Existing Tooth Decay – Expectant mothers are encouraged to have existing tooth decay treated during their pregnancy, which experts believe is a completely safe practice during pregnancy. Restoring decayed teeth will help achieve oral health by removing the bacteria associated with tooth decay.
  • Transmission of Bacteria – Expectant mothers are discouraged from sharing food and utensils in order to prevent the transmission of the bacteria known to cause tooth decay.
  • Use of Xylitol Gum – Expectant mothers are encouraged to chew xylitol gum (four times a day) as research suggests that chewing this gum may decrease the rate of tooth decay in children.

And ALWAYS Talk to Your Dentist!

Women who are thinking about becoming pregnant may want to consider their oral health before becoming pregnant.[3]  If we can be of assistance or answer any of your questions please feel free to contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

Related articles


[1] Synthetic prostaglandins are used to induce childbirth or abortion.  www.En.wikipedia.org/wiki/prostaglandin

[3] Unfortunately,  research suggests, treating existing gum disease in pregnant women does not reduce the instance of preterm birth.  Despite this fact, experts insist that regular oral health care should continue throughout pregnancy.

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Sandy Springs Dental Cleanings – What to Expect

Hygiene examA dental cleaning is a fairly routine procedure that should not be painful. However, the patients who have not had their teeth cleaned in a long time may experience a longer cleaning, with some extra pulling and scraping to remove plaque from teeth.  Patients don’t need pain medication for a dental cleaning.[1]  But there is the exception to the rule and some patients are so nervous about coming to the dentists that they request nitrous oxide.  In some extreme cases of anxiety, some dentists use a method known as sleep dentistry, where a patient is medicated to the point that they sleep through the entire procedure.

Most dental cleanings take between 30 minutes and an hour.  If the cleaning is part of a yearly check-up, the hygienist may take X-rays to check for cavities and any other changes in the bone structure.  The dentist will normally perform the last look, and perhaps perform some difficult plaque removal toward the end of the cleaning, evaluate the gums for gum disease, as well as examine for oral cancers.

During the procedure the hygienists will use several tools, including a scaler and tooth polisher. Tooth polishers buff teeth and eliminate tiny pieces of plaque. Scalers look like metal hooks and are used to remove hard plaque formed around and between teeth. Some people find the use of a scaler uncomfortable, depending on their sensitivity level, pain threshold, the length of time since the last cleaning, and the extent of plaque build-up. Tooth polishers buff teeth and eliminate tiny pieces of plaque. Hygienist may also employ a device that shoots water into the mouth, so the person can rinse out plaque several times during the cleaning.  In addition, hygienists utilize a type of sand blaster to remove stains that have formed on the tooth surface.  Last, the hygienist will periodically record ‘pockets’ adjacent to the tooth to determine at what point along the root the gum tissue is attached.

Dental cleanings often conclude with advice about how to care for teeth at home, and scheduling any appointments needed for more extensive services, like filling cavities. People with busy dentists should schedule their next cleanings well in advance, so as to keep regular six-month cleaning appointments.  Patients should also expect the dentist to inquire about their home brushing and flossing activities. If a patient (thinks he/she) is regularly caring for their teeth at home, and plaque build-up is still significant, the patient may need to have more frequent cleanings.[2]

If we can be of assistance or answer your additional questions please feel free to contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com


[1] Anyone with a heart condition or who has undergone heart surgery should let the dentist know prior to the day of the teeth cleaning. People with heart problems or heart defects are at high risk for developing a condition called bacterial endocarditis, which can seriously affect the heart. The only treatment needed prior to a dental cleaning, unless otherwise instructed, is a dose of antibiotics an hour before the cleaning. If a dentist does not know the proper dosage, then the person should contact his or her physician. Usually dentists will know the dosage, but if in doubt, it’s also possible to find information from the American Heart Association, which lists all guidelines for bacterial endocarditis prevention.

Dentist Sandy Springs: Chew Gum…with Xylitol

And help prevent ear infections.

chewing-gumStudies have shown that chewing gum that contains xylitol can help prevent cavities, but also can help prevent ear infections.[1]  While the natural act of chewing helps with the removal of earwax and clearing the middle-ear, the presence of xylitol in your system helps prevent the growth of bacteria in the Eustachian tubes between your ear and nose.

While regular brushing and flossing are the necessary part of your daily oral health regimen, chewing gum with xylitol may be something you’ll want to add to morning or afternoon commute.  Our goal is to provide you with oral health options and this is definitely one of them.

If we can answer your additional concerns and questions, please feel free to contact us or schedule a complete oral exam.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

Dentist Sandy Springs: Teeth Cleanings, more than meets the eye.

Hygiene examGoing to the dentist is more than just having your teeth cleaned, which is an important part of your oral healthcare.  When you go for your semi-annual or quarterly cleaning, you also are examined for any signs of oral cancer, potential tooth decay and x-rays to see whether or not you’re having any otherwise undetectable issues going on with your teeth and jaws.

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.  People with special conditions – such as pregnancy, diabetes, Alzheimer’s 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.

This is the best opportunity to talk to your oral healthcare provider.  Don’t be afraid to ask your dentist for more information if you don’t understand a diagnosis, treatment or procedure. You should be able to have a free and frank discussion with your dentist about the following types of issues:

  1. What are the treatment options for a particular dental condition?
  2. How do these options differ in cost and in their durability?
  3. Do all the options solve the problem?
  4. What are the benefits and drawbacks of each option?
  5. Of the dental treatments being recommended, which are absolutely necessary, which are less urgent, which are elective, and which are merely cosmetic?
  6. What are the consequences of delaying treatment?

As you can see, a hygiene appoint is more than just having your teeth cleaned. A beautiful smile is more than just great white teeth. It begins with a strong foundation of good oral healthcare[1]. If you have any additional questions or concerns please contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

Related articles

How much do teeth cleanings usually cost? https://therightsmile.wordpress.com/2012/02/27/dentist-sandy-springs-how-much-do-teeth-cleanings-cost/

Check out our patient reviews at: http://www.rateadentist.com/reviews/georgia/sandysprings/novyscheinfeldddspc

Special Needs Patients https://therightsmile.wordpress.com/2013/02/15/sandy-springs-dentist-special-needs-patients/


[1] While we don’t push products, the Right Smile Center offers a comprehensive portfolio of professional home care products that can help you maintain healthy teeth and gums and keep your smile bright, like MI Paste.

Dentist Sandy Springs: Cosmetic Dentistry is not a specialty!

Prosthodontics weekCosmetic dentistry is not an ADA-recognized specialty.  In order to be a recognized specialty a discipline must demonstrate 6 requirements, of which in pertinent part,

[t]he specialty must document scientifically, by valid and reliable statistical evidence/studies, that it: (a) actively contributes to new knowledge in the field; (b) actively contributes to professional education; (c) actively contributes to research needs of the profession; and (d) provides oral health services for the public; all of which are currently not being met by general practitioners or dental specialists.[1]

These requirements as they relate to a post-graduate dental degree are fulfilled by the specialty in prosthodontics.  So the next time you read about a dentist claiming to be a ‘cosmetic dentist’, you need question by ‘who’s’ authority or recognition does he or she make that claim, because it doesn’t exist[2].

Prosthodontists make up less than 2% of all the dentists in the United States.  Dr. Scheinfeld is an Emory University trained prosthodontist and has practiced in metro Atlanta since 1988.  Go with a “PRO”.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com


[1] ADA News November 5, 2012, Pg. 27.

[2] This has been considered unethical with a predominant objective of marketing to patients. The American Dental Association does not recognize cosmetic dentistry as a formal specialty area of dentistry. http://en.wikipedia.org/wiki/Cosmetic_dentistry

Dentist Sandy Springs: Cavities FAQs

mature-female-smilingMost of us have had at least one.  Some of us couldn’t help ourselves and have quite a few. So what makes cavities so persistent? Usually, the answer is simple: not enough brushing your teeth, flossing and visiting the dentist.  Snacking on sweets and slurping sodas doesn’t help either.  Even healthy cran-raisins are a culprit in the cause of cavities[1].  But rather than feel guilty, get informed and do some things to prevent cavities.

Q: What’s the difference between tooth decay and tooth cavity?

A: Good question! Most people think tooth decay and tooth cavity are the same thing. But they’re not. Tooth decay refers to a gradual process during which bacteria in the mouth produce acids that destroy the surfaces of teeth. Over time, tooth decay can erode enamel to the point that a hole, or cavity, forms.

Q: Can I get cavities from kissing?

A: Actually, you can.  But I am not sure if that’s a reason to give up kissing.  You might try brushing more frequently to disrupt the decaying process and keep kissing[2]!

Q: How do I know if I have cavities?

A: Cavities are one of the first things your dentist looks for during a regular dental exam. X-rays allow your dentist to diagnose whether you have dental cavities and how extensive they are.  Other methods of discovery come from the probing in the top surfaces of the tooth[3] for ‘stickiness’.  Sometimes a tooth cavity is visible to the naked eye, but that may mean you haven’t seen your dentist in a while.[4]

Q: How do dentists treat dental cavities?

A: Treatment depends on the size of the cavity and the degree of damage.   Although many dental cavities are treated with fillings, onlays may be necessary to treat large cavities affecting the cusps of teeth, while cavities affecting the areas in between the cusps may be treated with inlays. In some cases, dental crowns are used to protect a tooth from further tooth decay. Dental sealants are often applied to children’s and adult’s teeth as a preventative measure against cavities.

Still have questions about cavities or other dental problems? Your dentist will be happy to answer them during your next checkup or give us a call or email.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

Info@rightsmilecenter.com

www.rightsmilecenter.com


[1] Raisins stick to your tooth, ergo bacteria attachment site.

[2] Kissing has a lot of immune building advantages.  There are costs and benefits to everything.

[3] In between the cusps of the tooth.

[4] If you see black holes in your teeth, those could be signs. Another cavity red flag is a toothache or sensitivity to hot or cold food and drinks.

 

Dentist Sandy Springs: Why do we survey patients?

Because your opinion matters!

mature womanAt the Right Smile Center, our goal is to exceed your service expectations.  That is why we regularly survey our patients to determine what we are doing right…and what could use some improvement.  The results from these surveys are one of our most important patient-satisfaction measurement tools. Being able to read about the quality of our services from the patient’s perspective allows us to make meaningful changes in our clinical and administrative practices.  These surveys help us do our jobs.

By completing our brief email survey, our patients provide us with genuine, anonymous (if preferred) feedback[1], which we use to make improvements throughout the practice and as part of our team evaluation system. This feedback also helps us to measure the success of pilot programs and patient initiatives.

Scheinfelds, Orland and Tourial uses an outside company called RateaDentist.com to survey our patients.  While patients return the surveys directly to RateaDentist.com, the company provides all the timely, specific feedback to the Right Smile Center so that we can accurately track results and act on feedback.[2]

We greatly value our patients’ feedback.

Our patients have allowed us to publish over 450 reviews.

We encourage you to see what our patients say at:

http://www.rateadentist.com/reviews/Georgia/SandySprings/NovyScheinfeldDDSPC

If we can be of service to you, please contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

Thank you for all your referrals.  We truly appreciate them.

Information included is not dental or medical advice.  For your specific information

 be sure to consult your dentist.

 


[1] We get a lot of feedback where the patient does not want their response published.  So the over 450 published responses do not represent the totality of the surveys.  We have thousands of disallowed responses the go into the calculation of our rating, but only the 450 allowed responses.

[2] While it’s a part of the survey company’s policy, the responses that are anonymous make it difficult to access the circumstances surrounding the patient-practice interaction.