Corporate Dentistry and Overtreatment

Dentist near meAllegations of overtreatment take many different forms, but the majority of such allegations imply an improper motive on the part of in-network DSO dental practices.  Suggesting or providing treatment which is not necessary, often not justifiable, appears to be linked to corporate dental practices that desire to generate additional fees.  Often we have someone leave our practice due to the failure of their dental insurance, only to come back when the corporate, in-network practice is over prescribing treatment.

Over-prescribing of dental treatment can of course occur in any clinical setting, but when it takes place in ‘private’ corporate practices it often becomes difficult to separate the sometimes subjective clinical judgments as to what is and is not necessary, from the financial motives to generate target income. This introduces an uncomfortable dimension to any clinical considerations.

There is considerable anecdotal evidence to suggest that in-network DSO practices tend to recommend or provide more treatment when seeing a new patient for the first time, than they might do if they encountered an existing patient, with exactly the same oral condition under their care for many years.  The new in-network patient appears to present many ‘golden’ opportunities for the first visit.

Unfortunately, in the oral healthcare setting post 2008 recession, this imbalance has fundamental consequences for the patient’s ability to decide for themselves whether or not to proceed with any particular treatment that has been suggested to them.  It’s like taking your car to the auto mechanic.  The patient lacks the expertise to discern whether he/she is being taken for a ride.

In our Sandy Springs and Chamblee offices we pride ourselves of defining treatment that’s in the best interest despite the pressures on the current insurance system.  And we always present alternatives that might be available.  We been around a long time and has more than a 1000 five star reviews.  Call us for treatment in your best interest.

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

Women and Oral Health

Sandy Springs dentist near meAs a woman, you know that your health needs are unique, including your oral health needs. And because your needs are unique, you need to take extra care of yourself.  The hormonal fluctuations throughout a woman’s life affect many tissues, including gum tissue.  These fluctuations occur when you mature and change, as you do during puberty or menopause, or other times when you have special health needs, particularly during menstruation and pregnancy.

According to the Journal of Periodontology[1] at least 23 percent of women between the ages 30 to 54 have periodontitis.[2]  And, 44 percent of women ages 55 to 90 who still have their teeth have periodontitis.  Yet many women do not realize they have it until it reaches an advanced state, which is why regular hygiene check-ups are so important.

What Should You Do?

See us for cleaning at least twice a year – you need to monitor your oral health.

Keep us informed about any medications you are taking and any changes in your health history.

Brush and floss properly every day.  Review your techniques with a dental professional.

If there any questions that you might have, please call us to discuss them.

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 Rd

Chamblee, GA 30341

770-455-6076

www.rightsmilecenter.com

info@rightsmilecenter.com

Related articles

[1] January 1999 issue of the Journal of Periodontology

[2] Periodontitis is an advanced state of periodontal disease in which there is active destruction of the periodontal supporting tissues.

Dental Implants Change your life!

Dental implant dentist near meI’m in my late-forties and have severe gum disease. Last week I had a tooth extracted. “ 

Dental Implants are permanent, comfortable and most patients forget they have one.  They osseointegrate into your bone structure and allow you to look good and eat like you never lost a tooth.

Our office has the reputation in the dental community you can trust.  We offer free consultation appointments and individualized care beyond comparison.  But don’t take our word for it, read over 1000 reviews at various sites including:

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

If you choose to have this procedure completed by our trained implantologist and prosthodontist, you won’t regret it.  It will improve your lifestyle and you will want to smile and eat with your new teeth.  Drs. Scheinfelds and Orland can correct your problem of missing teeth. For professionals you can count on, visit and contact us at www.rightsmilecenter.com.

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

http://www.rightsmilecenter.com

Related

Multiple Dentistry Disciplines under One Roof: Serving Dunwoody (therightsmile.wordpress.com)

Dentist Roswell: The Right Bite for a Great Smile (therightsmile.wordpress.com)

Sandy Springs: Complete Dentistry without Warm Towels (therightsmile.wordpress.com)

Healthy smile, healthy you! | Sandy Springs Dentist

sandy springs dentist near me
Health smile, healthy you!

Regular dental visits can tell a dentist a lot about your overall health.  Recent research indicates that your oral health is a reflection of your global health.  Meaning, if your mouth is healthy, chances are your overall health is also healthy.  Those with poor oral health, this may be sending signals of other health issues.

Additionally, a healthy smile may actually prevent certain diseases from occurring, such as gum precipitated heart infections.  As of late, a lot of orthopedic surgeons are requesting a blessing from your dentist before they operate.  According to the American Academy of Periodontology, there is a relationship between gum disease and health complications such as a stroke and heart disease.[1]   Women, in particular with gum disease  show higher incidences of pre-term, low birth-weight babies.

Recent studies have shown that there are microbiologic and immunological findings that  support the association.  These studies indicate that periodontal infection can lead to placental-fetal exposure and, when coupled with a fetal inflammatory response, can lead to preterm delivery.[2]

Further research shows that more than 80 percent of all systemic diseases have oral manifestations, including swollen gums, mouth ulcers, dry mouth and/or excessive gum problems. Such systemic diseases include:

  • diabetes
  • leukemia
  • cancer
  • heart disease
  • kidney disease

Since most people have regular oral examinations their dentist may be the first line of defense to diagnose a health problem in its early stages.

Failing to take care of your teeth and can actually lead to other health problems, including:

  • Oral and facial pain. According to the Office of the Surgeon General, this pain may be largely due to infections of the gums that support the teeth and can lead to tooth loss. Gingivitis, an early stage of gum disease, and advanced gum disease affect more than 75 percent of the U.S. population.
  • Problems with the heart and other major organs. Mouth infections can affect major organs. For example, the heart and heart valves can become inflamed by bacterial endocarditis, a condition that affects people with heart disease or anyone with damaged heart tissue.
  • Oral cancer. Poor oral care can contribute to oral cancer, which now takes more lives annually than cervical or skin cancer.
  • Digestion problems. Digestion begins with physical and chemical processes in the mouth, and problems here can lead to intestinal failure, irritable bowel syndrome and other digestion disorders.

Seeing a dentist regularly keeps your mouth healthy and allows your dentist opportunities to examine developments that may point to other health issues.  As always, if you have any questions or concerns, feel free to contact our office in Sandy Springs or Chamblee for a consultation.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DME

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Rd

Chamblee, GA 30341

770-455-6076

info@rightsmilecenter.com

www.rightsmilecenter.com

Related articles

[1]  “Gum Disease Links to Heart Disease and Stroke.” American Academy of Periodontology, May 8, 2008. www.perio.org/consumer/mbc.heart.htm

[2] JADA, 2006, Exploring the relationship between periodontal disease and pregnancy complications

Yiorgos A. Bobetsis, DDS, PhD, Silvana P. Barros, DDS, PhD and Steven Offenbacher, DDS, PhD, MMSc

Older patients have special dental needs

Geriatric Dentist near me Mouths, like other body parts, are affected by years and by genes. Older Americans are fast becoming the largest segment of our population and at the same time suffer disproportionately from oral diseases. The problem particularly acute for individuals in long term care facilities.  We saw a patient yesterday in our Sandy Springs office and had to pull another tooth.  Our dilemma is how to get the facilities to do a better job.  The patient is usually on multiple medications and common side effects of normally reduce salivary flow.[1]   This adversely affects their quality of life, the ability to chew, and leads to significant problems of the teeth and their supporting structures.

Quite honestly, a lot of senior care patients suffer from neglect, which results in terrible oral health.  These elderly patients have difficulty performing routine oral hygiene procedures because of physical limitations, such as Parkinson’s or rheumatoid arthritis or in the worst case, Alzheimer’s.  The further compounding of these issues is neglect.

They shouldn’t have to.  And it pains us to see it happening.

Together, you two can make an unbeatable team!  We can lead the horse to water but the elderly need better care between dental visits.

Specializing in Geriatric Patients, Dr. Scheinfeld was trained in prosthodontics at Emory University School of Dentistry. Dr. Oland and Dr. ZoAnna Scheinfeld devote a considerable amount of time actually traveling to nursing homes to treat the elderly.  If we can be of help to your and parents, please call us.

Novy Scheinfeld, DDS, PC

Hanna Scheinfeld Orland, DMD

ZoAnna Scheinfeld Bock, MS, 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

Related articles

[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 Alpharetta: Your Smile – A Powerful Tool

Cosmetic dentist near meTeeth whitening is the most popular cosmetic dental procedure in the country.  The procedures are very affordable and the results are very quick.  And almost everyone is a candidate for teeth whitening or bleaching.[1]  However, there are some dark teeth that are more resistant to the dental whitening process. Yet, even dark teeth will whiten to some degree with long-term compliance.  Everybody loves a bright white smile, and there are a variety of products and procedures available to help you improve the look of your smile.  Depending on the results you desire, whitening may be the option.  And where it’s not feasible, some form of porcelain bonding of veneers is an excellent option that allows you to choose how white you want your smile to be.

Your smile gets one chance to make a first impression. Make it dazzling with our teeth whitening treatments.  It’s quick and easy, and gives you a jumpstart towards your dream smile, builds confidence, and helps you want to smile more often.  Please call our office for more information or to set an appointment for a complimentary consultation.  At the Right Smile Center, we’re into what suits your lifestyle.   Leave it to our modern treatments to help you get the bright smile you’ve always wanted.

Our dental office is conveniently located on Carpenter Drive in the heart of Sandy Springs, and we serve patients from Sandy Springs, Roswell, Dunwoody, Alpharetta, Johns Creek, Buckhead, Marietta, East Cobb and surrounding communities. We welcome new patients and will be happy to answer all of your questions over the phone or in person. Our dentists and team look forward to making you, and your loved ones, smile!

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

info@rightsmilecenter.com

www.rightsmilecenter.com

Related articles

 


[1] Whitening is exterior and bleaching is interior to the teeth.

Novy Scheinfeld, Prosthodontist serving Alpharetta, GA

Alpharetta Dentist near meOur mission is to create a healthy, functional and naturally beautiful smile that endures. Our multi-specialty office provides a treatment atmosphere that is pleasant and comfortable, conveniently located at the top of the perimeter in the heart of Sandy Springs.  We collaborate with each patient in customizing care and treatment that recognizes each individual is unique.   Creating the right smile is our goal.  We never forget that the cutting edge of technology and procedures are the norm, while our personal care creates the dramatic difference unseen in other practices.

But don’t accept our word, please check out over 450 patient reviews at:

http://www.rateadentist.com/reviews/georgia/sandysprings/novyscheinfeldddspc

We would love to have you as a patient.  If you have an interest in a practice that cares about you and your needs, please contact us.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld Bock, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta, GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA

770-45-6076

info@rightsmilecenter.com

www.rightsmilecenter.com

Related articles

Dentist Alpharetta: Teeth Cleanings and Your Oral Hygiene

Alpharetta Dentist near meWhy good oral hygiene is preeminent in maintaining your overall health?   Because poor oral health has been linked to heart and lung disease, diabetes, stroke, extremely high-birth weight, and premature births.  Often, diseases give their first warning signs in the form of oral problems.

There are four basic steps to maintain good oral health:

  1. Brush at least twice daily.
  2. Floss every day.
  3. Limit your consumption of junk food.
  4. Visit the dentist regularly.

When brushing and flossing, technique is important.  Also, using the right products is equally important.[1] And without consistent care, oral health problems can result.  The risks of gingivitis, cavities, tooth decay, and other gum diseases can lead to oral cancer or tooth loss.[2]

 Here are some simple lifestyle changes that will improve your family’s oral health:

  • Set an example for your children by practicing good oral health care habits.
  • Check your children’s mouth for bleeding gums, swollen gums, and gums receding away from teeth.
  • Check for bad breath.
  • Eat a balanced and nutritional diet.
  • Educate your children about the health risks of tobacco use.[3]

Age-specific recommendations.

Infants:

  • For mothers to be, tetracycline is a no no.[4]
  • Teething usually starts at around 6 months and should be brushed and flossed daily.
  • Avoid baby bottle decay by not allowing your baby to fall asleep with a bottle full of juice or milk.[5]
  • If your water is not fluoridated, ask your doctor about daily fluoride supplements.[6]

Toddlers/Children:

  • Thumb sucking is a natural reflex for toddlers, but the habit may result in permanent bite issues.[7]
  • Make sure to use a pea-size amount of fluoride toothpaste when brushing your child’s teeth.
  • At age two (2) schedule regular dental appointments.

Teenagers:

  • Emphasize the importance of oral hygiene.
  • Again, set a good example by practicing good oral hygiene yourself.
  • Keep junk foods to a minimum for snacking.
  • Discourage oral piercings as they increase the risk for oral infections and can cause injury to their teeth.

Adults:

  • Brush twice daily, maybe more when possible.
  • Floss at least once a day
  • Watch for signs of gum disease such as bleeding, redness, swelling or tenderness.[8]
  • Visit the dentist at least twice each year for regular check-ups.[9]
  • Limit sugary foods and soft drinks.

While practicing good oral hygiene is vital to your health, there is only so much that personal oral maintenance can do, so visiting your dentist for regular checkups is vital to your global health.[10]

The following is a list of reasons why you should visit your dentist frequently:

1) To prevent gum disease[11]

2) To prevent oral cancer[12]

3) To avoid losing your teeth[13]

4) To prevent dental emergencies[14]

5) To help maintain good overall health[15]

We’re conveniently located at Roswell Road and I-285.  If we can be of service or answer any of your concerns, please call our office for a complimentary consult.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld 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

Article Sources:

Colgate World of Care http://www.colgate.com/app/Colgate/US/OC/Information/OralHealthBasics/GoodOralHygiene/OralHygieneBasics/FamilyGuideOralHealth.cvsp

Learn4Good http://www.learn4good.com/health/dental_health.htm

Caucus Educational Corporation http://www.caucusnj.org/caucusnj/special_series/oralhealth/importance.asp

U.S. Surgeon General http://www.perio.org/consumer/children.news.htm

“Top 5 Reasons to Visit the Dentist” by Tammy Davenport http://dentistry.about.com/od/dentalhealth/tp/visit_dentist.htm

The Oral Cancer Foundation http://www.oralcancerfoundation.org/

The American Dental Association http://www.ada.org/

Colgate Family Guide to Oral Care http://www.colgate.com/app/Colgate/US/OC/Information/OralHealthBasics/GoodOralHygiene/OralHygieneBasics/FamilyGuideOralHealth.cvsp

About the ADA seal of acceptance. (2005, March 14). Retrieved February 7, 2009, from American Dental Association Web site: http://www.ada.org/ada/seal/index.asp

American Dental Association News Releases. (2008, February 4). A reminder to parents: Early dental visits essential to children’s health. American Dental Association. Retrieve February 6, 2009, from http://ada.org/public/media/releases/0802_release01.asp

Centers for Disease Control and Prevention. (2006, December). Oral Health for Adults. Centers for Disease Control and Prevention: Division of Oral Health. Retrieved February 6, 2009 from http://www.cdc.gov/oralhealth/publications/factsheets/adult.htm

Oral health in America: Summary of the surgeon general’s report. (2006, April 16). Retrieved February 7, 2009, from Centers for Disease Control and Prevention Web site: http://www.cdc.gov/Oralhealth/publications/factsheets/sgr2000_05.htm


[1] When buying any dental products, look for the American Dental Association Seal of Acceptance. The ADA seal is an important symbol of the dental product’s safety and effectiveness (ADA Seal, 2005).

[2] This “silent epidemic” (U.S. Surgeon General) can be avoided by regular treatment at home and dental visits twice each year.

[3] Smoking is the number one preventable risk factor for gum diseases.

[4] A common antibiotic that causes tooth discoloration to your child and should not be used by nursing mothers or by expectant mothers in the last half of pregnancy.

[5] Try water or a pacifier and make sure to wipe teeth and gums with a gentle cloth or gums after feeding

[6] Fluoride is very important even before teeth start forming.

[7] Buck teeth or overbite.

[8] Contact your dentist if you experience any of these symptoms.

[9] Generally, plaque begins forming to maturity about every 3 months.

[10] “Routine dental exams uncover problems that can be easily treated in the early stages, when damage is minimal” (American Dental Association [ADA], 2008).

[11] Gum disease, specifically gingivitis, is a leading cause of tooth decay and tooth loss. If gum disease is discovered and diagnosed early, it can be treated. However, if left untreated, gum disease can become periodontitis, a more severe and irreversible stage. This may lead to serious damage of the gum tissue and jaw bone, causing your teeth to fall out. This late stage of gum disease can also increase your risk of developing a heart attack or stroke.

[12] According to the Oral Cancer Foundation, a United States citizen will die from this type of cancer every hour of every day. Of similar concern is the fact that out of the 34,000 newly diagnosed Americans every year, only half of these people will be alive in the next five years. However, while attending your regular dental checkup, your dentist and oral hygienist screen you for this specific cancer. If diagnosed early, there is a good chance that oral cancer can be treated successfully.

[13] Without your teeth, normal eating habits can obviously be far more difficult. Also, taking care of your natural teeth now will help you avoid paying for dentures later. As stated previously, gum disease can easily lead to adult tooth loss, but regular visits to your dentist and good oral hygiene can prevent it.

[14] Toothaches, a broken jaw, chipped teeth, and other dental emergencies can be easily avoided with regular dental visits. Early signs or symptoms of these unpleasant conditions can be detected and treated by your dentist. If left untreated, you may have to endure root canals or forced tooth removals- these treatments are significantly more expensive than preventative care such as regular check-ups (Centers for Disease Control and Prevention [CDC], 2006).

[15] Since gum disease is a major risk factor for heart disease, stroke, and certain forms of cancer, regular visits to your dentist can help prevent and treat this disease. By treating conditions early and learning from your dentist how to prevent oral damage, you can achieve better health and ultimately better quality years of life.

Profits Drive Corporate Dentistry | Sandy Springs Dentist OP-ED

Sandy Springs dentist near meWhen PBS’s Frontline turned its focus to corporate dental chain Aspen Dental, it should come as no surprise that they found major potential problems with the way the practices were being run.  One of the major concerns about corporate dentistry is that they recommend unnecessary tooth extractions just because it’s a good way to maximize profits.  We see it in patients who leave for insurance reasons and then come back because they received an enormous amount of treatment planning at an in-network corporate dental practice.

According to one dentist on Frontline, “They spend most of their time trying to talk people out of their teeth.”  Generally, when we are asked for a second opinion we find a lot of unnecessary treatment proposed.

New York Attorney General Eric T. Schneiderman launched an investigation of the chain in 2013 after an investigative report by FRONTLINE. The news report found that Aspen Dental, which targets low-income patients, pressured dentists to increase revenue by using high-pressure sales techniques. Many patients complained of being overcharged or given unnecessary treatments.

The attorney general investigation reached the same conclusions and fined Aspen Dental $450,000.00.  One internal Aspen Dental document released by the attorney general showed the company complaining that hygienists were falling short of their revenue targets and instructing them to sell more products and services to patients.

In our Sandy Springs and Chamblee offices we are proud of our ethics and expertise, and invite you to see us for both your oral and cosmetic health care.

Novy Scheinfeld, DDS, PC

ZoAnna Bock, MS, DMD

Hanna Orland, DMD

Howard Abrahams, DDS

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

Cavities – the mouth is connected to the body

Sandy Springs dentist near meIt is not merely semantics, but rather a paradigm shift in thinking to consider dental caries (cavities) as a ‘complex disease caused by an imbalance in physiologic equilibrium between tooth mineral and biofilm fluid’.[1]  A consequence of dental caries being a complex disease is that on a population basis we may have success with a particular preventive oral program in one select segment of population in our country, but not necessarily in another segment with different cultural and behavioral habits.

Moreover, society and the dental community may need to organize our dental health care very differently in neighboring counties, and apply fluorides, tooth brushing protocols and flossing in very different ways (mouth rinsing, toothpaste, water fluoridation and supervised brushing etc.) to obtain rather similar caries reductions from one locale to another.

Contrary to urban lore, the mouth is connected to the body.  So, whatever directions caries research should take from here it will require a multidisciplinary approach to solving complex problems and should be included in a well-planned healthcare approach. More than ever, well-educated clinical dentists set the stage and should be included in collaboration with colleagues trained in the multitude of new fields in the basic sciences (biophysics, functional genomics, proteomics, chemical biology, nano-technology, etc.) to address clinically relevant questions.

A higher standard of oral healthcare well planned.  Get the facts, ask the Right Smile Center.  If we can be of assistance, please do not hesitate to contact us.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld Bock, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta, GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-404-6076

info@rightsmilecenter.com

www.rightsmilecenter.com

[1] Fejerskov O, Nyvad B: Is dental caries an infectious disease? Diagnostic and treatment consequences for the practitioner; in Schou L (ed): Nordic Dentistry 2003 Yearbook. Copenhagen, Quintessence Publishing, 2003, pp 141– 151.