Oral Health Care of Our Aging Population

Geriatic dentist near me
Emerging Oral Health Concerns

Two important oral health care concerns emerging in the United States are disparities in the oral disease burden and the inability of certain segments of the population to access oral healthcare.[1]  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.  Population projections for the United States indicate that the elderly will constitute an increasing percentage of the population as we proceed into the 21st century.

In 2001, the population of the United States was almost 278 million, and 12.6% of the population was 65 years of age or older. By 2015, the population increased to 312 million (3.08 million in 2010) and 14.7% of the population will be aged 65 years or older.  In 2030, which is within the practice lives of students currently enrolled in dental schools, the population will have increased to more than 350 million, and 20% of the population—1 of every 5 members of the US society—will be 65 years of age or older.  This large segment of our population is further compounded by the elderly population continuing to become increasingly diverse in terms of race, ethnicity,financial resources, and living conditions.[2]

The challenges faced by both the dental profession and the nation as a whole regarding provision of oral health care services to older adults are the subject of a recent report prepared by Oral Health America.[3]  All 50 states were surveyed to determine the level of Medicaid coverage for dental services, and the report concludes that financing oral health care services for the elderly will be a major challenge to our future.  Medicare does not provide any coverage for dental services, and only 1 of 5 Americans aged 75 years or older has any type of private dental insurance.  Given our current economic circumstances and resulting problems with Obamacare, it will be highly unlikely that our government resources will be adequate to gear up for the impending problem of oral health in the elderly.

They suffer from chronic disorders that either directly or indirectly affect oral health, including autoimmune disorders such as pemphigus and pemphigoid.[4] They generally require multiple medications, and common side effects of the more than 500 medications used to treat their overall health issues usually reduce salivary flow.[5]  The reduction in saliva adversely affects their quality of life, the ability to chew, and leads to significant problems of the teeth and their supporting structures.

The elderly consistently 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.  In addditon to continued resorbtion of bone, improperly fitted dentures adversely affect chewing, leading to poor nutrition resulting in a shorter life expectancy.  Furthermore, those without teeth remain susceptible to oral cancer, mucosal diseases, and alterations in salivary gland function.

Geriatric Dentist near meSo for the vast majority of seniors residing in a long term care facility, financing of and access to oral health care services will be a formidable challenge. Given that medicare does not provide coverage for routine dental services including exams,and in the absence of private insurance or personal resources, a large portion of this group will not be able to afford any dental services whatsoever, let alone the most appropriate treatments.  Clearly, there must be a response to the increasing oral health concerns of the elderly who present with special needs, especially those who are home bound or living in long term  facilities burdened with other chronic disorders.

While effective preventive measures exist for younger populations (water fluoridation, dental sealants and parents), no preventive measures have been devised to address the expected increase in oral health needs of our aging population.  And the need for a coordinated effort to address their oral healthcare needs suggested by demographic trends and epidemiological data necessitates our planning for what might be considered a crisis or at least a paradigm shift in oral health care delivery for the elderly.

Seniors who have contributed so vitally to our society’s well-being, deserve to be treated with the best oral health care we have to offer.

Dr. Scheinfeld is a prosthodontist specializing in geriatric care. In addition, Dr. ZoAnna Scheinfeld and Dr. Hanna Orland have extensive nursing home experience.

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

www.rightsmilecenter.com

info@rightsmilecenter.com


[1] Oral Health in America: A Report of the Surgeon General. Rockville, Md: National Institute of Dental and Craniofacial Research; 2000.

[2] Wikipedia and 2010 Census.

[3] A State of Decay: The Oral Health of Older Americans. Chicago, Ill: Oral Health America; 2003:1–8.

[4] Stoopler ET, Sollecito TP, De Ross SS. Desquamative gingivitis: early presenting system of mucocutaneous disease. Quintessence Int.2003;34:582–586.

[5] 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.

Sandy Springs: How to Choose the Right ‘Cosmetic’ Dentist

Sandy Springs cosmetic dentist near meOver the past decade there has been a dramatic appearance of ‘cosmetic dentists’ to the degree that almost every dentist is now a cosmetic dentist. Why? Because there is no such thing as a cosmetic dentist and therefore it is unregulated.  Because the term ‘cosmetic’ is unregulated there is no shortage of dentists pressing the envelope of ethics.  So how do choose the right dentist?

  1. Make sure your ‘cosmetic’ dentist is accredited by the American Dental Association and not just a member.  This would be a prosthodontic trained dentist, which is a 3 year post-doctoral dental degree specializing in aesthetic and functional dentistry.
  2. Don’t be fooled by all of the organizations that provide unaccredited certifications.  The only accredited specialties are those approved by the American Dental Association and cosmetic dentistry is not an approved credential.
  3. Select a prosthodontist who performs cosmetic dentistry every day.  Creating the right smile is more of an art than a science.
  4. Look for real reviews and a history of longevity within the field of prosthodontics.
  5. Request a consult and ask to see before and after results.
  6. Finally, trust your instincts.

A prosthodontist will have a significant amount of experience in complex cases.  According to Forbes Magazine the prosthodontist is the rarest dental specialty in the United States, making up less than 2% of the dentists.

So for the right smile make sure you have the right cosmetic dentist, a prosthodontist.

Novy Scheinfeld, DDS, PC

ZoAnna Bock, 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

Sandy Springs Dentist: Breast Cancer and Oral Health Care

Sandy Springs dentist near me
Angelina had a significantly elevated risk of developing breast cancer due to mutation of the BRCA1 gene

Studies show a link between breast cancer and dental health.

After heart disease, breast cancer is the second leading cause of death among women in the United States.  You may be 11 times more likely to develop breast cancer if you have poor oral health or periodontal disease.

The Journal of Breast Cancer Research and Treatment conducted a survey of over 3,000 women and found that individuals with chronic periodontal disease had a higher occurrence of breast cancer.

Given that about 1 in 8 women will develop breast cancer over the course of their lifetime,[1]  many women’s lives could be saved if breast cancer was diagnosed earlier, and early diagnosis could be achieved if there were more and easier opportunities to do so.

The method of early diagnosis is not yet approved by the Food and Drug Administration, but researchers found that the protein levels in saliva have shown the potential to assist in the diagnosis, treatment, and follow-up care of breast cancer.

Salivary testing has some real advantages over blood testing.  The collection of saliva is safe, non-invasive, and collectable without causing a patient any pain or discomfort.  Dentists would be the appropriate health care provider to take periodic saliva samples during regularly scheduled visits.   Properly integrated into the examination process, this would aid patients and physicians before, during, and after diagnosis and treatment of breast cancer.

The use of saliva testing would be an annual adjunct bench mark in women’s annual health care.  Patients would still need to undergo routine breast cancer exams, including mammography and blood tests, but there should be a greater chance of early detection with the use of all of these screening tests.

Given the links, good oral health care is very important to your global health care.  If we can be of service or answer any of your questions feel free to contact us.

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

info@rightsmilecenter.com

www.rightsmilecenter.com

 


[1] In 2011, an estimated 230,480 new cases of invasive breast cancer were expected to be diagnosed in women in the U.S., along with 57,650 new cases of non-invasive breast cancer, with almost 40,000 deaths in 2011 alone.

Breast Cancer – Dentist Sandy Springs

breast cancer awareness

October is National Breast Cancer Month and Oral Hygiene Month.

Bisphosphonates are often used to treat osteoporosis in postmenopausal women.  An examination of data from two randomized clinical trials finds that three to four years of treatment with bisphosphonates to improve bone density is not linked to reduced risk of invasive postmenopausal breast cancer.

http://www.dentistryiq.com/articles/2014/09/breast-cancer-update-some-recent-findings-are-very-interesting.html

Novy Scheinfeld, DDS, PC

ZoAnna Bock, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta, GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

info@rightsmilecenter.com

http://www.rightsmilecenter.com

Dentist Dunwoody: The Importance of Oral Hygiene

Dunwoody Dentist near meGood oral hygiene is important for maintaining your overall health.   It is generally appreciated within the dental and medical community that poor oral health can be linked to heart and lung disease, diabetes, stroke, extremely high-birth weight, premature births and now, Alzheimer’s disease. The presence of oral problems is usually the first warning signs of some of these general health issues.  This consensus among the various healthcare providers has risen to level that the U.S. Surgeon General has issued policy statements on oral health as a strong indicator of overall health and well-being (CDC, 2006).

Brushing and flossing have risen in importance as your key ‘between visits’ maintenance toolsIn addition, using the proper products for home care such as an electric toothbrush and ADA approved toothpastes and washes are equally important.  Without consistent care, several general as well as oral health problems may result or be exacerbated.  For all ages, you should consult with your dental care provider about using supplemental fluoride; especially if your water is not fluoridated or the majority of your water consumption is through bottled water.  In those areas without fluoride in the water, the rate of tooth decay and other health issues is much higher.

While practicing good oral hygiene is vital to your health, there is only so much that brushing and flossing can do.  Your average patient can easily overlook conditions that could greatly complicate or even end one’s life.  Thus, visiting your dentist for regular checkups is a vital part of your overall health care.  “Routine dental exams uncover problems that can be easily treated in the early stages, when damage is minimal” (American Dental Association [ADA], 2008).  Since gum disease is acknowledged as a major risk factor for heart disease, stroke, and certain forms of cancer, regular visits to your dentist can help prevent and treat these potential diseases.  By treating conditions early and learning from your dentist how to prevent oral health issues, you can achieve better overall health and ultimately better the quality of your life.

Your dental care is an important aspect of your general health care.  So you need to make sure you find a dentist that is right for you and your family. This can be a difficult process.  Look for someone who’s competent and you feel comfortable with, one you can have a collaborative relationship with. This is important because there are conditions and problems that were not discussed in this article that the dentist will need to pay attention to during your regular checkups. Hopefully after reading this article, you will have a heightened understanding of the basic need for good oral health.  If you have additional questions or concerns feel free to contact us.

Dr. Scheinfeld is an Emory University School of Dentistry trained prosthodontist treating patients in the Sandy Springs, Chamblee, East Cobb, Dunwoody, Roswell, Alpharetta, Vinings and Buckhead areas of Metro Atlanta.  Of the 170,000 dentists in the U.S., less than 2% are prosthodontist.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld Bock, MS, DMD

Hanna Scheinfeld 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

 

resource information provided by:

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

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

Related articles

Warning signs of Periodontal Disease : Dunwoody Dentists

Chamblee Sandy Springs Dentist near meThe following are warning signs of periodontal disease:

  • Bad breath or bad taste that won’t go away
  • Red or swollen gums
  • Tender or bleeding gums
  • Painful chewing
  • Loose teeth
  • Sensitive teeth
  • Gums that have pulled away from your teeth
  • Any change in the way your teeth fit together when you bite
  • Any change in the fit of partial dentures

When you begin to notice these signs call and see your dentist.  Whether your gum disease is stopped, slowed, or gets worse depends a great deal on how well you care for your teeth and gums every day, from this point forward.

If we can be of assistance, please call for a free consultation.

 

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld Bock, MS, DMD

Hanna Scheinfeld 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

Dentist Sandy Springs: How Much does it cost to get your teeth cleaned?

teeth cleaning near meSo you see an offer of $49.95 for a teeth cleaning, exam & x-ray come through your mailbox or on your Instagram account.  Is it a lost leader?   Is it a loss leader used to get you in and pressure you into other dental procedures?

If it’s a new practice, then providing discounted services is one of the few methods a new practice has to introduce itself to the surrounding community, no different than a new restaurant trying to showcase its menu.  The genuine intent is to build a relationship by showcasing the practice.  If it’s a mature practice, then there is probably going to be pressure to accept other services.

A teeth cleaning is going to range somewhere around $65 to $89.[1] Often dental insurance will cover some or all of the cost of at least two.  The doctor’s oral exam is  $45 to $55 and the 4 basic bite wing x-rays are around $59 to $72.  Depending on your insurance this might be covered anywhere from 60 to 100% after a small deductible is met.   Periodic X-rays ($32 -$135) are needed to see if any problems are developing inside the teeth or around the jaw bone, and are generally required before cleaning the teeth of a new patient (which is why some practices offer coupons to defray the initial cost of a first visit). Usually this is covered by dental insurance.

Your main goal should be to prevent gum disease, which if not examined and treated when necessary will result in greater costs, including tooth loss.  Dental hygiene is imperative, and cleaning your teeth is the first step towards preserving them.

This is where you run into problems with ‘couponing dentists’. Often that coupon patient is pressured into being that scaling and root planing patient.

Your goal and our goal is a healthy mouth which is part of your overall health.  The mouth is connected to the body.  You have to do your part by brushing and flossing daily if you want to keep them.   If you have additional questions, feel free to email or call our office.    Our goal here is to create an informed healthy patient.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, M.S., D.M.D.

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta, GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

www.rightsmilecenter.com

info@rightsmilecenter.com

[1] However, depending on how long it’s been since you have been to the dentist and what extent your oral healthcare has been neglected, it can be more if there’s a need to do a full mouth root scaling.

Dentist Sandy Springs: Teeth Get the Glory

Dentist near meA beautiful smile is not just about healthy looking teeth.

Your gums are equally as important.

One out of every two American adults aged 30 and over has periodontal disease, according to the CDC. A study titled Prevalence of Periodontitis in Adults in the United States: 2009 and 2010 estimates that 47.2 percent, or 64.7 million American adults, have mild, moderate or severe periodontitis, the more advanced form of periodontal disease. In adults 65 and older, prevalence rates increase to 70.1 percent. This study is published in the Journal of Dental Research, the official publication of the International and American Associations for Dental Research. And the recent pandemic has made it even worse.

A beautiful smile usually consists of teeth and gums living in perfect harmony with each other.  But the teeth often steal the credit when it comes to beautiful smiles.

Our periodontal practice has always been on the leading edge of patient care.   We can treat gum your disease.  We have always incorporated the newest technology and technique to our patient care, but with our periodontal services, we can to help patients achieve the best dental health possible in the most comfortable, relaxing environment possible – here in our own office.

With that in mind there are many new procedures we can perform in our office, including root planning and scaling, more comprehensive pocket depth monitoring and reducing the improper brushing techniques they may have gone unsupervised when we sent a patient out to a referring specialist.

If we can be of service please contact us for your complimentary 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

Sandy Springs Dentist Treating our Aging Population

Treating our Aging Population

Geriatric Dentist near meThere are a lot of issues that develop the older we get. Oral health plays a significant role in your global health.  You can’t afford to neglect your oral health thinking you can just maintain your global health.  The two are intertwined.

Limited access to oral health care poses one of the greatest crises for the health and well being of America’s elderly; the result is an embarrassing “D.”

If you have a family member you feel is in need of better oral healthcare, don’t hesitate to call us. We treat most of the surrounding assisted living facilities in and around Sandy Springs.

We promise to take care of your family’s elderly the right way. We have been doing it for decades. So call now for a consultation. The first one is on us.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld Bock, MS, DMD

Hanna Scheinfeld Orland, DMD

290 Carpenter Drive, 200A

Atlanta, GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

info@rightsmilecenter.com

www.rightsmilecenter.com

Alpharetta Dentist: Regular Dental Check-ups

Alpharetta dentist near meOne of the most common reasons people avoid the dentist is they think everything is OK. The logic is simple: no pain means no problems. Unfortunately, most dental conditions including cavities, gum disease and oral cancer give little or no warning, because they may remain painless for months or even many years.  By the time a person is in pain, the dental problem is usually so advanced that the treatment required may be much more involved and costly, and may necessitate more down time after completion.  In addition, those patients who choose not to have regular dental visits have statistically higher global health costs.

Every day, your dentist sees patients with untreated cavities that eventually cause infection to the nerves and blood supply within the tooth. A tooth that may have only needed a simple and inexpensive filling a few months ago may now require a root canal, surgical removal of the tooth and/or a crown, costing thousands instead of hundreds for dollars.

The same is true for patients with gum disease. Gum disease can progress quietly for many years before it becomes advanced and teeth become loose or cause pain. While early gum disease can usually be treated with a deep cleaning under the gum, advanced gum disease may require gum surgery and antibiotics.

Oral cancer is another issue your dentist looks for on every dental examination. Tragically, those who avoid dental care are often the victims of aggressive forms of oral cancer that are difficult to treat. Those who wait for an unusual growth in the mouth to become painful may be taking a gamble. Oral cancer has a 50%, five-year fatality rate.

The moral of the story is very simple: visit your dentist at least twice a year for dental cleanings and check-up examinations.

It’s fairly inexpensive and you will save time and money, as well as significantly improve your oral health by treating all dental problems as soon as they occur. In fact, some research suggests that those in good dental health will actually live longer than people who do not take care of their teeth. It is also important for people without teeth to see their dentist at least once a year. The dentist will need to check the fit of removable dentures and also look for any signs of oral cancer.

We are a multi-specialty practice that has the expertise to diagnose and treat you under one roof.  If we can be of service, please give us a call or contact us for a consult.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld Bock, MS, DMD

Hanna Scheinfeld 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