Dunwoody Dentist: Some Perceptions Never Change

Dunwoody Dentist near me - painlessIt seems like no matter how far we have come in the world of modern dentistry the perception of the dentist has not changed much since the days of the old west where the barber put his foot in your chest and yanked out your tooth.  Research by the British Dental Health Foundation suggests that visiting the dentist makes people more nervous than snakes or spiders.[1]The research echoes a March 2011, Adult Dental Health Survey which revealed half of adults – especially women – were classified as having moderate to extreme dental anxiety.[2]

In a survey of 1004 people, the Foundation found what made them most nervous from a list including heights, flying, injections, doctors, snakes, spiders, going to hospital or visiting the dentist was visiting the dentist.[3] Over one in five people ranked visiting their dentist as the thing that made them most nervous – more than any other category.

Overall, statistically:

 1. Heights topped the poll of biggest fears

2. Closely followed by visiting the dentist

3. Going to the hospital

4. Snakes were rated fourth

5. Spiders came fifth.

In comparison to Physicians, Dentists struggle more. The Foundation discovered that nearly 10 times as many people (22 per cent) were made most nervous by their dentist, as compared to their physician (two per cent). The Adult Dental Health Survey points to two dental treatments in particular as the main cause of these nerves: three out of ten (30 per cent) adults said that having a tooth drilled would make them very or extremely anxious. A similar number (28 per cent) of people reported equivalent levels of anxiety about having a local anesthetic injection.

Dr Nigel Carter, Chief Executive of the British Dental Health Foundation, said: “Everyone in the profession knows that dental anxiety is a major barrier for many people to visit their dentist.”  What may prove concerning is just how poorly the dental profession rates in comparison to doctors. The comparison with snakes and spiders may appear frivolous, but it does suggest dentists still have a lot of work to do to build public confidence.  Unfortunately, in modern dentistry the gap between reality and perception is the Grand Canyon, because there really is no modern reason to fear your dentist.  All of the old procedures are now performed with great comfort and no pain to patient.

 Dr. Novy Scheinfeld is a trained prosthodontist with her post-graduate degrees from Emory University School of Dentistry.  She was recently chosen as one of America’s Top Dentists for 2011.
 

NovyScheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

and

Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

info@rightsmilecenter.com

www.rightsmilecenter.com

 

Related articles


[1]http://www.rdsurgery.co.uk

 [2] Adult Dental Health Survey 2009, the Health and Social Care Information Centre.

Published March 2011.

 [3] British Dental Health Foundation. Sample Size: 1004.

Mouthwash and Oral Cancer

Top Sandy Springs dentist near meThere appears to be controversy over whether mouthwash containing alcohol may be related to oral cancer that arises out the studies that show a link between oral cancer and the consumption of alcohol.  By extension, if drinking alcohol may cause cancer than so should alcohol based mouthwash. The problem is there are no conclusive studies and insufficient evidence to alter the ADA’s approval of mouthwash containing alcohol as an effective method for the prevention and reduction of gingivitis and plaque.

What we know is that none of the criteria for causality have been fulfilled by the published studies so far.  The International Agency for Research on Cancer, an extension of the World Health Organization, now identifies the consumption of ethanol in alcoholic beverages as a carcinogenic risk.[1] Alcohol abuse is associated with cancers of the mouth, pharynx, larynx and esophagus. Ibid.  However, the reason for this association is not fully understood.[2]

Because of the conflicting studies and endorsements we could advise you to keep using alcohol formulated mouth rinses.  But if you are concerned and wish to stay on the safe side of the debate, there are non-alcohol based mouth rinses available that appear to be effective in the prevention of gingivitis and plaque.

Our job is to try and educate you on the contemporary issues we face in addressing your oral health and if there are any questions you would like to pose, please feel free to contact us for a free consultation.

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

info@rightsmilecenter.com

www.rightsmilecenter.com

Related articles

[1] International Agency for Research on Cancer. IARC monographs on the evaluation of carcinogenic risks to humans. Volume 96. Alcoholic beverage consumption and ethyl carbamate (urethane). Lyon, France: 6-13 February 2007.

[2] Lachenmeier DW. Safety evaluation of topical applications of ethanol on the skin and inside the oral cavity. J Occup Med Toxicol 2008;3:26.

Profits Trump Care in Corporate Dentistry

Hygiene examA corporation exists to make money—as much as possible.   A dental practice, however, exists to provide the best evidence-based healthcare services to its patients.  Making as much money as possible should never become the primary goal of a dental practice, as it is for a corporation. As our CEO once said, “Give the best care you can to each and every patient, and the money will take care of itself.” Making money is a tangential benefit—albeit an important one—that keeps food on the table and the doors open.

How, then, does a dental corporation function? Can corporations be entrusted to hire dentists and manage dental practices? How has managed care worked with physicians?  The answer is volume—get as many patients in for as much treatment in as short a time as possible.  Is that what you really want in your healthcare provider?

We believe in-network corporate dentistry provides substandard care.  That would keep us awake at night.  Contact us for your second opinion.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Sandy Springs, GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com

The Mercury Filling Controversy

Sandy Springs dentist near meWhenever I hear a patient in our Sandy Springs office ask about mercury fillings, I wonder why this question refuses to go away.  For decades, mercury fillings have been considered the primary restorative material for 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 diminished use of mercury fillings and the increased 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 that refutes these concerns, the patient pool is demanding composite restorations.

While amalgam has been the material of choice for decades and still remains the primary source of teaching in dental schools today, it appears to be trending away the future.  Given the patient demand for composite restorations, we do a lot more composite fillings than in the past. It creates an interesting dilemma for dentists today, when we know that amalgam is the better choice for the restoration, but the popular demand or the path of least resistance is a composite restoration.  This disconnect creates some interesting food for thought.[1]  Please give us a call if we can help you.

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

info@rightsmilecenter.com

www.rightsmilecenter.com

Related articles

[1] 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.