Dentist Atlanta : Older patients have special dental needs

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 Americansare becoming a larger segment of our population and suffer disproportionately from oral diseases, with the problembeing particularly acute for individuals in long term care facilities.  They generally requiremultiple 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 salivacan adversely affect their quality of life, the ability to chew, and lead to significant problems of the teeth andtheir supporting structures.

The elderly may also have difficulty performing routine oralhygiene 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 numberof 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 healthneeds do not decrease.   Our jaws are not static and may continue toresorb over time.  Besides the continued resorption of bone, improperly fitted dentures can adversely affectchewing, leading to poor nutrition.  In addition, those without teeth remainsusceptible to oral cancer, mucosal diseases, and alterationsin 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

290 Carpenter Drive, 200A                                     

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com

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[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 Woodstock: How Much Does a Root Canal Cost?

The cost of having a root canal done depends upon where you live, the type of dentist and whether or not you have dental insurance.  The procedure is usually done by a specialist known as an endodontist, but can be performed by a general dentist.  The procedure can range anywhere from $900 to 1500.00 depending on the tooth location and the number of root canals involved.  The diagnosis will require an initial x-ray, which can be performed by your general dentist and forwarded to the endodontist’s office.  Sometimes there are issues that arise where the endodontist wants to charge for an initial consultation.  This may or may not be necessary depending on the relationship the endodontist has with your referring general practitioner.  If you have insurance it will usually cover about half to eighty percent of the cost.  One of the added costs to a root canal that should be taken into account is either an amalgam (or composite) or crown restoration of the tooth by your general dentist upon completion of the procedure.

The root canal involves opening the tooth and removing the pulp of the tooth, which contains the tooth nerve that’s causing you so much pain.  What necessitates the procedure is the root of the tooth being infected and no known treatment to preserve the nerve from further deterioration.  The two most common causes of infection of the pulp are deep cavities and fractures or broken teeth. As treatment, the pulp tissue is removed, the root is cleaned with files and filled with an inorganic material that keeps bacteria out of the root and tooth.   Generally, a root/nerve involved tooth only gets worse over time without treatment.  And the longer you wait, sometimes results in the loss of the entire tooth.

Prices don’t always reflect the quality of your treatment.  Having a sense of trust in your general dentist will usually result in the referral to an endodontist that’s also worth trusting.  If we can be of service or you have further questions please don’t hesitate to contact us by phone or by email.

Novy Scheinfeld, DDS, PC

5471 Bells Ferry Road

Suite 200

Acworth, GA 30102

770-928-7281

www.rightsmilewoodstock.com

info@rightsmilecenter.com

 

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Dentist Woodstock- Oral Cancer Awareness

According to The Oral Cancer Foundation, there are two distinct causes of oral cancer. One, which I have mentioned in an earlier article is through the use of tobacco (and alcohol), a long time historic environmental cause, and the other is through the exposure to the HPV-16 virus (human papilloma virus version 16), which is a newly identified etiology, and apparently the same one which is responsible for the vast majority of cervical cancers in women.  And a small number (under 5 %) of people acquire oral cancers from no currently identifiable cause, presumably caused by some genetic predisposition similar to other cancer causing agents.

While most think this is a rare form of cancer, mouth cancer (popularly thought to be the result of chewing tobacco) is diagnosed in about 100 individuals each day here in the US alone, and one person dies from oral cancer every hour of every day.  If you add the sub category of laryngeal throat cancers like Michael Douglas was recently treated for (and most likely a result of his smoking and consumption of alcohol), the rates of occurrence accounting for about 10,000 additional new cases per year, then the death rate is significantly higher.   But these statistics can be drastically reduced when found at the early stages of development.  With early diagnosis, oral cancer patients have an 80 to 90 % survival rate.

Unfortunately at this time, the majority of cases are found as late stage cancers, and this accounts for the very high death rate of about 45% at five years from diagnosis.  The reason for these late stage diagnoses is not because these cancers are hard to discover, rather it is because of a lack of public awareness.  The American Dental Association states that only 60% of the US population sees a dentist every year, which leaves 40% to happenstance.    If heightened public awareness were coupled with a national program for screenings, diagnosis of oral cancers would yield early discovery by both medical and dental professionals.

Ironically, it is potentially easier to obtain public compliance to oral cancer screenings, because unlike many other cancer screening procedures, there is no invasive technique required to look for it, no discomfort or pain involved, and it is very inexpensive to have your mouth examined for the early signs of disease.  Realistically, it only costs about $35.00, usually 10 times less than a blood test at your annual physical.

It is important that patients realize that a visit to the dentist is no longer about a filling, a crown, or a postponable cleaning, but actually an exam that is a matter of life and death.  It’s important for patients and dentists to start a dialog today.  Even if talking about cancer is difficult, there are mechanisms around this.  Creating awareness, discovery and diagnosis is the purpose of April being Oral Cancer Awareness Month.  So when it comes to oral cancer and saving lives, these are primary responsibilities of the dental community.  The most important step in reducing the death rate from oral cancer is early discovery.  And no group has a better opportunity to have an impact than members of the dental community.   If our practice can be of help we are offering free cancer screening during the month of April.

 

Some Research and statistics provided by: The Oral Cancer Foundation.  Kuper H, Adami HO, Boffetta P (June 2002). “Tobacco use, cancer causation and public health impact”. Journal of internal medicine 251 (6): 455–66. Seitz HK, Pöschl G, Simanowski UA (1998). “Alcohol and cancer”. Recent developments in alcoholism : an official publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism. “Screening for Oral Cancer”. U.S. Preventive Services Task Force. 2004. http://www.uspreventiveservicestaskforce.org/uspstf/uspsoral.htm.

 

Novy Scheinfeld, DDS, PC                                                                              

5471 Bells Ferry Road, Suite 200

Acworth, GA 30102

www.rightsmilewoodstock.com

info@rightsmilecenter.com

 

How Often Should I See the Dentist? (therightsmile.wordpress.com)

Woodstock, Ga: How much do teeth cleanings cost?

All during the month of April in our Acworth office, X-rays are free with your teeth cleaning. That’s a savings of up to $125.00. So for $79.99, you get your teeth cleaned and x-rayed. Get treated by an Emory trained specialist to ensure the finest care possible. We want an opportunity to show you what quality dental care is truly about. You deserve the best in oral health care. Call today for an appointment: 770-928-7281. Mention promo code April/mas

Novy Scheinfeld, DDS, PC

5471 Bells Ferry Road

Suite 200

Acworth, GA 30102

770-928-7281

www.rightsmilewoodstock.com

info@rightsmilecenter.com

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Dentist Roswell: How Much Do Teeth Cleanings Cost?

So you got a mailer coupon from a dentist that says they only charge $49.95 for a regular cleaning & $19.95 for an exam & x-ray.  Seems kind of a cheap gimmick?  And a lot of the times it might be, it just depends on the practice.  If it’s a mature practice you might want to question why they are giving away services.  Usually, it’s a loss leader, something they use 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.

Dental costs will vary widely, depending on where you go and the quality of the practice you see.  With respect to continuing care (on your next 6 month visit), a teeth cleaning charge is going to range somewhere around $65 to $89, but it can be more if there’s a need to do a full mouth root scaling. Often dental insurance will cover some or all of this cost for a specific number of cleanings per year.  The 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). These are also often covered by dental insurance.

The main goal of professional teeth cleaning is to prevent gum disease, which is the primary cause of tooth loss.  Dental hygiene is imperative, and cleaning your teeth is the first step toward their long term preservation.  In a standard cleaning, a dental hygienist (working under a dentist’s supervision) removes soft plaque and hard tartar (mineralized plaque that builds up on the teeth and can only be removed with professional instruments) from above and below the gum line on all the teeth. The process requires one office visit and usually takes about 30 to 60 minutes.

The more extensive deep cleaning process called scaling and root planing is done by quadrants (upper right, upper left, lower right, lower left) at a cost of about $100 -$400 per quadrant depending on the severity of the problem or $400 -$1,600 for the entire mouth, but more often than not, if the mouth is in such poor health the dentist will refer the patient out to a periodontist.   Most dental insurance includes these procedures.

Again, the goal is a healthy mouth which an integral part of your overall health.  Oh, and by the way, just because you had your teeth cleaned professionally, the jobs not done.  You have to do your part and brush and floss 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 patient.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

http://www.rightsmilecenter.com

info@rightsmilecenter.com

 

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Dentist Woodstock – 4 Steps to Promoting Good Oral Health (therightsmile.wordpress.com)

Dentist Sandy Springs: $19.95 for exam and x-ray? What’s the catch?

We’re an oral health care provider, not a barber shop.  We don’t engage in gimmicks to get you in.  We don’t do high pressure sales techniques once ‘we get you in the chair’.   To us your a patient that we care about, not a dollar sign.  We don’t do coupons.  So if you’re looking for trusted health care, call us.  You don’t have to take our word for it,  read our ratings and reviews by real patients.  Go to www.rateadentist.com and type in our zipcode – 30328 for over 400 unedited reviews.

Novy Scheinfeld, DDS, PC

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com

Dentist Woodstock: How Much do Dental Crowns Cost?

Dental crowns cost anywhere between $900.00 and $1500.00 each depending on the tooth to being restored. In addition, the cost will vary depending on materials, complexity and the dentist’s training and experience and to some degree the location of the practice.  Insurance may pay part of a crown’s cost if it’s obviously needed for medical reasons, but usually crowns are covered only on a limited basis per year.  Depending on the customers’ needs and wishes, partial and full crowns made of various materials may be utilized.  Crowns are made of gold, porcelain, resin or porcelain-fused-to-non-precious-metal.  A tooth-shaped cap (the crown) covers the entire surface of a tooth, adding strength, durability and stability. This usually requires two office visits; first to prepare the tooth, make an impression and install a temporary crown. The impression is sent to a dental laboratory or manufactured in-house with the use of a CAD aided milling machine to create the permanent crown, which is installed during the second appointment.

There’s often an initial office visit ($65-$102) and X-rays ($85-$135).  One must not forget that there are additional costs that contribute to the overall price involved in crowns, aside from the material and type of crown chosen which are beyond the patient’s control.  A large share of undervalued costs goes toward the treatment itself, lab and production costs for the crown, aftercare and the like.

Dental care on a whole is often considered expensive, but with proper care a crown may last 10 or more years.  Depending upon the general wear and tear a crown is exposed to and how well you keep your teeth free of plaque, it could last indefinitely.  With somewhere between 10 and indefinitely, the investment becomes rather modest, if not inexpensive.

If we can be of service or answer any of your questions please do not hesitate to give us a call.

Novy Scheinfeld, DDS, PC

5471 Bells Ferry Road, Suite 200

Acworth, GA 30102

770-928-7281

www.rightsmilewoodstock.com

info@rightsmilecenter.com

Dentist Woodstock: Dental Advice for Moms-To-Be

Expecting a baby is a very exciting time, and you’re already on the right path if you’re staying on top of your dental health. With the proper dental care measures, you’ll increase your chances of having a smoother pregnancy, full-term delivery and healthy baby.

If you’re planning to get pregnant, consider having your teeth cleaned and any restorative dental treatment done first. If you are already pregnant, be sure to tell your dentist before getting any work done. You should also have a dental checkup at least once during the pregnancy. Although dental cleanings aren’t harmful, it’s recommended that expecting mothers get them done during the second trimester to reduce the risk of complications.

According to the American Dental Association (ADA), it’s best to postpone dental work during the first and third trimesters as well, as these are critical periods for the baby’s development. Your dentist will let you know what dental treatments can be performed during the second trimester, but more complicated procedures will probably be postponed, if possible. Unnecessary treatments, such as cosmetic dental work, should be avoided altogether.

If you do have an unexpected dental problem or emergency, make an appointment with your dentist as soon as you can. Your dentist will look for signs of infection and determine the need for treatment. Dental X-rays are usually avoided during pregnancy, but if photos are necessary, your dentist will take extra precautions to protect your baby.

Just as dental health is connected to your overall health, dental care is important to the health of your unborn baby. It’s extremely important to take care of your teeth during pregnancy, as some dental problems can increase the risk of complications.

The best advice is to make sure your dentist is part of your baby’s pre-natal care team from the beginning.  If we can answer any questions or concerns please feel free to contact us.

Novy Scheinfeld, DDS, PC

5471 Bells Ferry Road, Suite 200

Acworth, GA 30102

770-928-7281

www.rightsmileacworth.com

info@rightsmilecenter.com

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Dentist Woodstock: Gum disease linked to infertility

According to research presented at the American Academy of Periodontology conference in 2004, gum disease is linked to women who use infertility treatments.[1] The study said women undergoing infertility treatment for more than three menstrual cycles experience increased inflammation and bleeding of the gums. These women also have increased levels of gingival crevicular fluid, which contains tissue breakdown products that may be markers for the progression of gum disease.[2]

The lead author Dr. Cenk M. Haytac, from Cukurova University in Adana, Turkey, postulates that these effects occur because these agents increase body levels of estrogen and the gums apparently are a target for estrogen since they contain estrogen receptors.  Though not definitive, several studies have shown evidence that gum infections are associated with unsuccessful embryo development or the failure of in-vitro fertilization. Poor oral health is as bad for fertility as obesity – delaying conception by about two months says latest research.[3]

Experts at the annual meeting of the European Society of Human Reproduction and Embryology in Sweden were presented with evidence how women with gum disease took over seven months to conceive, compared to the usual five months. The researchers believe the underlying cause is inflammation. Unchecked, this can set off a chain of reactions capable of damaging the body’s normal workings.

Periodontal disease has already been linked with heart disease, type 2 diabetes and miscarriage, plus poor sperm quality in men.  An Australian study involving over 3,700 women indicated that those with gum disease had raised blood levels of markers for inflammation.[4]   Although speculative, as a precaution researchers suggest that the treatment of gum disorders might influence the outcome of infertility treatment.  According to Dr. Michael P. Rethman, president of the AAP, “[i]t is reasonable to assume that if low levels of plaque are established and maintained during the infertility treatment, gingival inflammation would not affect the success of infertility treatment,”  “[which] would require meticulous oral hygiene and routine professional cleanings, perhaps at the beginning of each menstrual cycle to ensure the presence of healthy gums.”

Professor Roger Hart advises women trying to get pregnant to get a check-up by their dentist along with other measures like stopping smoking and drinking, maintaining a healthy weight and taking folic acid supplements.  UK fertility expert Dr. Allan Pacey said, “It’s common sense advice really to make sure you are in a healthy condition [including good oral health] if you want to try for a baby.” Around 10% of the population is believed to have severe periodontal disease.[5]

So if you are trying to get pregnant and are unsure of your oral health please see your dentist.

Novy Scheinfeld, DDS, PC

5471 Bells Ferry Road, Suite 200

Acworth, GA 30102

770-928-7281

www.rightsmilewoodstock.com

info@rightsmilecenter.com

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[1]Journal of Periodontology, June 2004

[2] Ibid.

[3] Ananya Mandal, MD. Gum Disease Linked to Infertility. (2011)

[4] Professor Roger Hart, of the University of Western Australia.

[5] Gum disease linked to infertility http://www.news-medical.net/news/20110707/Gum-disease-linked-to-infertility.aspx. Screen clipping taken: 8/30/2011 5:09 PM  Posted in: Women’s Health News

Dentist serving Woodstock: Mouthwash and Oral Cancer

There appears to be controversy with respect to whether or not mouthwash containing alcohol may be related to oral cancer.  This controversy arises out the studies that show a link between oral cancer and those that drink alcohol.  Michael Douglas is the most recent case in point.  He has been reported to be a heavy smoker and imbibe alcohol on what is rumored to be on frequent occasions.  The obvious link in theory is that most mouthwash formulas contain alcohol, so the conclusion is that a link to mouthwash must exist here also.  The problem is there are no conclusive studies and at this time there appears to be 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 above the gumline when used as directed.  The ADA Council on Scientific Affairs awarded the ADA Seal of Acceptance to these products after a thorough review of data on their safety and effectiveness.

Of all the studies published on this topic, beginning in 1979, four studies reported some positive results while five found no association. (citations omitted)  What we know is that none of the criteria for causality have been fulfilled by the studies that have been published 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 – it may be due to a direct effect of alcohol on these tissue.[2]  Because of the conflicting studies and endorsements I 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

5471 Bells Ferry Road, Suite 200

Acworth, GA 30102

770-928-7281

www.rightsmilewoodstock.com

info@rightsmilecenter.com

 

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[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.