Dentist Sandy Springs: Don’t Take Chances with Chipped Teeth

In the movies, a simple pratfall usually gets a big laugh, and a resulting chipped tooth can have the audience rolling in the aisles. But in real life, a chipped tooth due to trauma is no laughing matter. Besides possible pain and damage, a chipped tooth can cause a lot of embarrassment. Dentist near me

If you have a chipped tooth, you’re not alone! In fact, chipped teeth are the most common dental injury today. While a chipped tooth can range in terms of size and damage, any type of dental trauma deserves immediate attention. Although a small chip will most likely not cause pain, you should contact a dentist to make sure there is no other damage to the tooth’s structure. A dentist will be able to rule out accompanying cracks or internal dental problems when examining your chipped tooth.

More significant damage should definitely not be ignored! A broken tooth may result in an exposed nerve, which can cause a great deal of pain. A completely knocked-out tooth can actually be saved if you act quickly. Regardless of your dental emergency, contact your dentist right away.

If we can be of service, please do not hesitate to contact our office.  Serving Metro Atlanta, including Chamblee, Sandy Springs, East Cobb, Buckhead, Roswell, Alpharetta, Johns Creek, Dunwoody, Vinings and Smyrna.

Novy Scheinfeld, DDS, PC.

ZoAnna Bock, 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

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Dentist Sandy Springs: Sleep Apnea Treatment

Dunwoody Dentist near me

Sleep apnea is a sleep disorder characterized by abnormal pauses in breathing or instances of abnormally low breathing, during sleep. If you’ve been diagnosed with sleep apnea, you know it’s more than your sleep that is affected by your snoring.

Disruptions in sleep can be caused by a variety of issues, from teeth grinding (bruxism) to night terrors. When a person suffers from difficulty in sleeping with no obvious cause, it is referred to as insomnia.[1]  Additional health issues may also include:

  •  Heart problems
  • Strokes
  • High blood pressure
  • Diabetes

While you sleep, your throat relaxes. This relaxation allows the tongue and soft palate to collapse and block your airway. Eventually, your airflow stops. When your oxygen level drops, your brain moves out of deep sleep and signals you to wake up. The airway contracts, opens and the obstruction in your throat clears. Airflow starts again, usually with a loud gasp. You fall back into a deep sleep and the process starts all over again.

It’s the combination of low oxygen levels and interrupted sleep that is the major contributor to most of the problems associated with sleep apnea.  Estimates are if left untreated sleep apnea can shorten the average life span by 5 to 10 years.

Treatments for sleep disorders generally can be grouped into four categories:

  •  behavioral/ psychotherapeutic treatments
  • rehabilitation/management
  • medications
  • other somatic treatments

Many people who suffer from sleep apnea will be told to wear a CPAP (continuing positive airway pressure) machine, designed to create a continuum of positive airway pressure while you sleep. Unfortunately, the CPAP mask is uncomfortable which often results in discontinued use.

SO, WHAT’S THE ALTERNATIVE TREATMENT?

To help those with sleep apnea we recommend a snore appliance (oral appliance therapy). The oral appliance is a custom-made mouthpiece that shifts the lower jaw forward, opening up the airway. OAT is usually successful in patients with mild to moderate obstructive sleep apnea.[2]   Professionally fitted, it prevents the tongue, soft palate and the jaw from blocking your airway while you sleep, thus reducing snoring and the dangerous effects of sleep apnea.

If you or someone you know are having issues with snoring please make an appointment with our dentist for help.

Novy Scheinfeld, DDS, PC

ZoAnna Bock, 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

 


[1] Hirshkowitz, Max (2004). “Chapter 10, Neuropsychiatric Aspects of Sleep and Sleep Disorders (pp 315-340)”. In Stuart C. Yudofsky and Robert E. Hales, editors (Google Books preview includes entire chapter 10). Essentials of neuropsychiatry and clinical neurosciences (4 ed.). Arlington, Virginia, USA: American Psychiatric Publishing. Retrieved 2009-12-06. “…insomnia is a symptom. It is neither a disease nor a specific condition. (from p. 322)”

[2] Machado MA, Juliano L, Taga M, de Carvalho LB, do Prado LB, do Prado GF (December 2007). “Titratable mandibular repositioner appliances for obstructive sleep apnea syndrome: are they an option?”. Sleep & Breathing 11 (4): 225–31.

Roswell Dental: Is the Right Smile Center right for me?

Roswell Dentist near me

Make the right choice in the right dental practice; choose Novy Scheinfeld and her daughters, ZoAnna Bock and Hanna Orland, located in the heart of Sandy Springs, GA and Chamblee, GA.   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.  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.rightsmilecenter.com and see for yourself.  We have over 350 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

ZoAnna Bock, 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

 

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Dentist Dunwoody: Teeth Grinding (Bruxism)

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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 other possible oral health issues may develop.

People 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 think you may be grinding your teeth, talk to our dentists.  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)

Our dentists 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 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, dentists 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 our offices in either Sandy Springs or Chamblee to seek solutions to this potentially damaging oral health problem.

Novy Scheinfeld, DDS, PC

ZoAnna Bock, 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] 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.

Dentist Serving Dunwoody – Older patients have special dental needs

Dunwoody Dentist near me

Mouths, like people, are affected by years as well as by genes. If you’re over 60, your oral chemistry is changing—and thorough examinations of gums and salivary glands can be a lifesaving early detector of oral cancer or other disease.  Older Americans are becoming a larger segment of our population and suffer disproportionately from oral diseases, with the problem being particularly acute for individuals in long term care facilities.  They generally require multiple medications, and common side effects of the more than500 medications used to treat their overall health issues usually reduce salivary flow.[1]   Usually the reduction in saliva can adversely affect their quality of life, the ability to chew, and lead to significant problems of the teeth and their supporting structures.

The elderly may also have difficulty performing routine oral hygiene procedures because of physical limitations, such as Parkinson’s or rheumatoid arthritis.   In addition, oral infection is now recognized as a risk factor for a number of systemic diseases, including cardiovascular diseases, cerebrovascular diseases, diabetes, mellitus, and respiratory disorders.  Also, it is important to note that once people have lost their teeth and are using complete dentures, their oral health needs do not decrease.   Our jaws are not static and may continue to resorb over time.  Besides the continued resorption of bone, improperly fitted dentures can adversely affect chewing, leading to poor nutrition.  In addition, those without teeth remain susceptible to oral cancer, mucosal diseases, and alterations in salivary gland function.

As early as 55 patients are developing twice as many cavities as children do. All these health issues and their medications that create reduced saliva and cause dry mouth have become an open invitation for tooth decay and periodontal disease.  Does the patient have to make a choice between his or her general health verses their oral hygiene?  They shouldn’t have to.

What should you expect from a visit to your dental hygienist?  Along with your dental cleaning you may need professional scaling and root planing to remove harmful plaque and calculus deposits.  Your hygienist should also record the depths of your periodontal pockets (that space between your teeth and gums where decay and periodontal disease flourish).

Keeping track of you is a key part of the hygienist’s job. It includes keeping your dental chart and health history current, making preliminary oral inspections, and creating tooth impressions.

Your hygienist is also an educator—someone who can teach you preventive dentistry skills—brushing and flossing techniques that make for healthy, trouble-free gums and teeth, regardless your age or your onset of other health issues. Together, you two can make an unbeatable team!

Specializing in Geriatric Patients, Dr. Scheinfeld was trained in prosthodontics at Emory University School of Dentistry.

Novy Scheinfeld, DDS, PC

ZoAnna Bock, 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

www.rightsmilecenter.com

info@rightsmilecenter.com


[1] Fox PC, Eversole LR. Diseases of the salivary glands. In: Silverman S, Eversole LR, Truelove EL, eds. Essentials of Oral Medicine. Ontario, Canada: BC Decker; 2002:260–276.

 

Dentist Dunwoody: Brush and Floss if you want to keep ‘em.

Dentist near meOften I am asked questions such as how often I should floss and is flossing really necessary.  I am famous for saying “You should only brush and floss the teeth you want to keep!”  Next to your semi-annual check ups, brushing and flossing your teeth are the two most important patient activities you can do to ensure good oral health.

The goal of brushing and particularly flossing is to reduce or rid your mouth of harmful bacteria that adversely affect both your gums and your teeth. Microscopic bacteria reside in your mouth calling it home for feeding off the food particles left on our teeth.

Bacteria produce acid from their feasting and  this acid eats into your tooth enamel creating cavities. Addition toxins are produced from bacteria in plaque that will inflame and irritate your gum tissue. And finally, without proper care the bacteria can also sulfur compounds that create bad breath.

In the most recent studies, poor oral health can be linked to other related health issues that may stem from oral bacteria entering the bloodstream affecting other internal organs.  Regular brushing and flossing removes the plaque and the bacteria plaque contains. Unfortunately, many people think brushing alone is sufficient to rid the mouth of these bacteria.   But flossing is a key component to your good oral hygiene program.

If you do not floss and allow plaque to remain in between teeth it eventually hardens into a substance known as tartar. Unlike plaque which can be easily removed by brushing, tartar can only be removed by your dentist.

Over time, failing to floss will result in irritated and inflamed gums. This condition is known as gingivitis, which if left untreated can progress to periodontal disease domino’ing into gingival recession, bone loss, loose teeth, and so on until ultimately your teeth are lost.

Timely and regular flossing removes the bacteria that escapes the reach of the toothbrush.  Brushing alone only does part of the job.  So you really need to floss. The American Dental Association recommends that you floss at least once a day, but I would suggest once in the morning and once in the evening as the better protocol. Contact us for your next oral exam and teeth cleaning.

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

Sandy Springs Dentist: Oral Hygiene and Covid-19 in the Elderly

Sandy Springs Dentist near meThe oral cavity has long been considered a potential reservoir for respiratory pathogens. With the Covid-19 pandemic, there has been a renewed interest in the relation between oral flora and respiratory infection among “at-risk” patients such as patients from intensive care units or frail older adults. This has been especially born out in what happened in New York after Governor Cuomo ordered Covid patients to be placed in nursing homes.

The mechanisms of infection, particularly in assisted living and nursing homes could be colonization of the oral biofilm by respiratory pathogens followed by aspiration.[1] More recent hypotheses relate to the presence in saliva of enzymes and cytokines associated with oral pathogens, and that could modulate the colonization of the respiratory tract or promote infection by respiratory pathogens.  New research suggests bacteria from gum disease travel through airways and into the lungs. And this may lead to potentially life-threatening respiratory illnesses such as Covid-19.[2]

British researchers have found a link between poor oral hygiene and severity of COVID-19 disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. One of the major issues for our elderly is there limited access to proper oral healthcare.  The study from researchers Victoria Sampson, from the dental practice 38 Devonshire Street, London, Nawar Kamona from the Centre for Nutrition Education & Lifestyle Management (CNELM), London and Ariane Sampson from Orthodontics, Cambridge University Hospital Trust, United Kingdom collaborated to find the connection between the severity of the infection and poor oral hygiene.[3]

In elderly patients living in chronic care facilities, the colonization of dental plaque by pulmonary pathogens is frequent, if not the norm. This overreaction may explain the association between periodontal disease and chronic obstructive pulmonary disease, the fourth leading cause of death in the United States. While these studies are in their infancy,  good oral hygiene has been recognized as a means to prevent airway infections in patients, especially in those over the age of 70.[4]

These findings underline the necessity for improving oral hygiene among patients who are at risk and those living in long-term care institutions. Maintaining periodontal health may contribute to a healthy respiratory system, according to research published in the Journal of Periodontology.

The best way to prevent excessive harmful bacteria in the mouth of elderly patients being housed in assisted living facilities is to provide patients with the good oral hygiene. Brush twice a day with fluoride toothpaste, floss once a day and follow through with their semiannual dental visit.

This article is intended to promote understanding of and knowledge about general oral health topics in our ‘high risk’ elderly community. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment. If we can be of help, please contact us.

Novy Scheinfeld, DDS, PC

ZoAnna Bock, MS, DMD

Hanna Orland, DMD

Howard Abrahams, DDS

290 Carpenter Drive, 200A

Sandy Springs, GA 30328

770-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

info@rightsmilecenter.com

www.rightsmilecenter.com


[1] Oral Health and Respiratory Infection • Philippe Mojon, DMD, PhD, 2002

[2] American Academy of Periodontology, 2008

[3] British Dental Journal

[4] Sampson, V., Kamona, N. & Sampson, A. Could there be a link between oral hygiene and the severity of SARS-CoV-2 infections?. Br Dent J 228, 971–975 (2020). https://doi.org/10.1038/s41415-020-1747-8https://www.nature.com/articles/s41415-020-1747-8

Metro Atlanta Dentist Reviews by NationalDentalReviews.org

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Over 345 reviews of Dr. Novy Scheinfeld at http://www.rightsmilecenter.com/reviews.html

Dr. Scheinfeld is an Emory trained prosthodontist treating 4 generations of patients from Vinings, Marietta, East Cobb, Smyrna, Roswell, Alpharetta, Johns Creek, Dunwoody, Sandy Springs, Norcross, Buckhead and Midtown.

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Novy Scheinfeld, DDS, PC

ZoAnna Bock, 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

 

Dentist Dunwoody: The Right Smile (by a prosthodontist)

Cosmetic dentist near me

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 Sandy Springs dental office is open four days a week, but on occasion we schedule patients who need additional treatment time on Fridays.  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.  Sidney 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

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Sandy Springs, GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

www.rightsmilecenter.com

info@rightsmilecenter.com

Dentist East Cobb: What you probably don’t know about Cosmetic Dentists

Sandy Springs Dentist near meIt seems to be prevalent in that most dentists these days are calling themselves cosmetic dentists, but there is no cosmetic specialty in dentistry.   And quite frankly, all dentistry is cosmetic.   I don’t know anyone who took the ‘ugly’ teeth class in dental school, because it doesn’t exist.  Regardless, the fact remains that the majority of dentists are general dentists, but call themselves ‘cosmetic dentists’.

They all have undergraduate degrees with either a BA or BS and at least four years of dental school with either a DDS or a DMD as the result.  But not one of them has a ‘cosmetic specialty’ in dentistry.   Those dentists who choose to make the claim do so by virtue of deciding to focus on cosmetics in their general practices.   The American Dental Association (ADA) traditionally has nine recognized post dental degree dental specialties and cosmetic dentistry is not one of them.  These specialties range in one to six years of advance training beyond dental school.  At the end of their post doctorate degree, these dentists receive additional certifications in their respective specialties, thus becoming what should be considered experts within their fields of dentistry.   Some are either board eligible or board certified.  These ADA specialties are:

Dental Public Heath, Oral and Maxillofacial Pathology, Radiology and Surgery, Orthodontics, Endodontics, Pediatric Dentistry, Periodontics, and the least known, Prosthodontics.

Prosthodontics: (crown, bridge, and implants) A Prosthodontist has a dental specialty license pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of the oral function, comfort, appearance and health of patients with clinical conditions associated with missing or deficient teeth and/or oral and maxillofacial tissues using biocompatible substitutes. Most dentists are not trained prosthodontic graduates of a dental school – rather they take short continuing education and utilize trial and error experience to be able to understand how size, shape, color and symmetry all work together to create what a prosthodontists is trained in their post graduate work.   On the other hand, the prosthodontist is trained at a university to create the smile that implements the use of veneers, crowns, bridges and the increasingly more common procedure of dental implants to ensure that the right smile is achieved, both functionally and aesthetically beautiful.  If anyone has a specialty in cosmetic dentistry, it would be the prosthodontist.  So when you are seriously looking for a cosmetic dentist, look for a prosthodontist.

Novy Scheinfeld, DDS, PC

ZoAnna Bock, 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

 

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