Dentist Brookhaven: The Mercury Filling Controversy

Brookhaven Dentist near meWhenever we hear a patient ask about amalgam restorations (usually referred to as mercury fillings), we wonder why this question refuses to go away.  For decades, amalgams have been considered the primary restorative material for posterior teeth (the ones in the back) because of their long time success.  After enormous amounts of study the World Health Organization, the FDI World Dental Federation, and the American Dental Association continue to endorse the use of amalgam to restore teeth.   Yet it continues to be demonized by the public, in particular in urban legends over the internet.

As a result the trend is towards the less and less use of amalgams and the greater use of composite resins to restore posterior teeth.  One of our consultants, Tom Limoli of Limoli and Associates notes that US third-party payment data reflects that 65% of direct posterior restorations last year were resin-based composite, while 35% were amalgam.  So regardless of the empirical evidence to the contrary, the patient pool is demanding composite restorations.

Every dentist will need an alternative material to use in the restoration of posterior teeth as this trend continues.Brookhaven dentist near me  The challenge for the dentist is that composite resins only have a life expectancy of 5 to 8 years.  Given the patient’s desire to be rid of the potential or theoretical health hazards that have been formulated in recent years, amalgam restorations will ultimately be eliminated by the slow and natural death of attrition.  While amalgam has been the material of choice for decades and still remains the primary source of teaching in dental schools today, it may not be in the future.  Given the patient demand for composite restorations and what appears to be the dentist’s propensity to capitulate, we are going to need a better solution to posterior restorations if we want to achieve the same longevity that is achieved through amalgam restorations.

The internet has continued to create an uncertainty on the part of the lay public about amalgams similar to the controversy that surrounds cell phones and brain tumors.  It is interesting to note the dilemma faced by dentists today, when we know that amalgam is the better choice for the restoration, but the popular demand or path of least resistance is a composite restoration.  This disconnect creates some interesting food for thought.[1]

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

and

290 Carpenter Drive, 200A

Sandy Springs, GA 30328

404-256-3620

http://www.rightsmilecenter.com

info@rightsmilecenter.com

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[1]Additional sources of information came from Gordon J. Christensen, DDS, James F. Simon, DDS, and Howard E. Strassler, DMD. Compendium of Continuing Education in Dentistry, July/August, 2011.

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Dentist Brookhaven: Mouthwash and Oral Cancer

Brookhaven dentist near meThere 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

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

http://www.rightsmilecenter.com

info@rightsmilecenter.com

 

Related articles

 


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

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

Dentist Brookhaven: So what exactly are dental veneers?

Veneers are wafer-thin laminates or shells of tooth-colored material (which can be either porcelain, ceramic or composite bonding material).  They are bonded (cemented) to the front surface of teeth to improve their cosmBrookhaven dentist near meetic appearance.   It’s really not that much different from brick on the front of one’s home.  Many dentists use the alternative analogy that dental veneers are for your teeth what false fingernails are for your hands.

What treatments or problems are veneers used for?

There are a wide variety of reasons why patients opt for treatment with dental veneers:

Stained teeth – badly stained or discolored that cannot be improved by teeth whitening or prophyflex treatments can be greatly improved by dental veneers, which function to cover any existing stains on your teeth.

Damaged teeth – teeth that have become badly worn through excessive grinding or by carbonated drinks, as well as those that have been chipped or broken, can benefit from veneers. A small chip on a tooth can quickly be repaired with composite bonding, also known as “composite veneers”.   A single damaged tooth can easily be repaired with a porcelain veneer that has the same characteristics and color as you natural teeth.

Gaps – spaces or gaps (technically termed as a diastimas) between your teeth can easily be closed using dental veneers, giving you a more uniform-looking smile.

Crooked teeth – Veneers are not the ideal treatment for crooked teeth, and from the point of view of preserving your natural teeth structure, orthodontics or Invisalign braces would probably a better solution.   However, this type of treatment can take up to a year or longer and be significantly more in cost to accomplish.   For teeth that are not severely crooked, veneers placed over their front surface will give a straight and perfectly aligned-looking smile.   For this type of treatment, many people refer to veneers as “instant orthodontics”, as you get a similar end result in a fraction of the time.

So which are better: composite veneers or porcelain veneers?

The most popular type of veneer is porcelain, which offers a stronger and more durable alternative to its composite counterpart.  Composite veneers are also more prone to staining and do not last as long as porcelain veneers.   Porcelain veneers also offer a more natural looking, translucent appearance. Composite veneers are much cheaper than porcelain veneers in general, but considering that they do not last as long and need replacing more often, they could end up costing more in both time and money in the long run.  Composite work is ideal for small chips, as this treatment preserves more of your natural tooth structure.

How long do dental veneers last?

Porcelain veneers will typically last between five and ten years, while composite veneers last a year or two at most. The bottom line is that your veneers will eventually need to be replaced. Although veneers are strongly cemented into place, there have been cases where they come loose and fall off. In such situations, it is important that you keep hold of your veneer and contact your dentist immediately. To make your veneers last longer, follow a good oral hygiene program and visit your dentist for check-ups on a regular basis.

 

If you have any questions or would like to schedule a complimentary appointment to see if you’re a candidate for veneers, please contact us.

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

and

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

 

Content provided by www.cosmeticdentistryguide.co.uk

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Top Brookhaven Prosthodontist – Novy Scheinfeld, DDS

Brookhaven dentist near meIf you have seen the show Extreme Makeover or even heard about it – you have probably come to understand that “Cosmetic Dentistry” (or Aesthetic Dentistry) has the power to change people’s lives.  The reality though, is that the term can be confusing because many “cosmetic” dentists are not trained by any program recognized by the American Dental Association (ADA).  Prosthodontics is the only discipline of cosmetic dentistry that is recognized by the ADA. And a Prosthodontist is not just trained in one simple discipline – it is a post graduate degree in dentistry where by a skilled, artistically and technically trained dentist creates an anatomically correct smile- the right smile- that is uniquely crafted to fit each person’s individual attributes. Most dentists are not trained prosthodontic graduates of a dental school – rather they take short continuing education courses in conjunction with trial and error experience to be able to understand how size, shape, color and symmetry all work together to create what a prosthodontist is trained in during their post graduate work. It may appear as simple as a little contouring or as extensive as a full mouth reconstruction using veneers, crowns and implants; it’s the training that makes it appear effortless. The prosthodontist is trained to create the smile that implements the use of veneers, crowns, bridges and dental implants to ensure that the right smile is as perfect a fit both functionally and aesthetically as your individual characteristics will allow.

The program is so rigorous, that of the 170 thousand dentists in the United States, less than 2% are trained prosthodontists.  Dr. Scheinfeld received her prosthodontics degree from Emory University School of Dentistry in 1988.  Her prosthodontics’ instructor Dr. E. Neal Kopp practiced with her for 14 years until his passing in 2008.  In addition, Dr. Sidney Tourial, an adjunct Emory Prosthodontic professor and this year’s GDA President has been in the practice for over 20 years.

Schedule dental visits for you and your family today by calling The Right Smile Center in Sandy Springs at 404-256-3620 or Chamblee at 770-455-6076. Our dental office is conveniently located on Carpenter Drive off Roswell Road in Sandy Springs, and we serve patients from Atlanta, Sandy Springs, Roswell, Chamblee, Johns Creek, Buckhead, Dunwoody, East Cobb and surrounding communities. We welcome new patients and will be happy to answer all of your questions in person. Our dentists and team look forward to making you, and your loved ones, smile!

Novy Scheinfeld, DDS, PC                                       

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

and

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

www.rightsmilecenter.com

info@rightsmilecenter.com

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Dentist Brookhaven: How Much Do Teeth Cleanings Cost?

Brookhaven dentist near meSo you got a mailer coupon with the offer of $49.95 for a regular cleaning & $19.95 for an exam & x-ray.  Is it a cheap gimmick?  A lot of the time it is, it just depends on the practice.  If it’s a mature practice you might want to question why they are giving away services.  Is it a loss leader used to get you in and pressure you into other dental procedures?

On the other hand, 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 $96.[1] Often dental insurance will cover some or all of this cost for a specific number of cleanings per year.  The doctor’s 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. This is where you run into problems with couponing dentists.  But more often than not, if the mouth is in such poor health the dentist will refer the patient to a periodontist.   Most dental insurance includes these procedures.

Again, your 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 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.

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

and

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

http://www.rightsmilecenter.com

info@rightsmilecenter.com

 

Related Articles

 


[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.

Brookhaven Prosthodontist: Considering Dental Implants?

implant dentist near meImportant Facts to Help Make Your Decision

Many people are unaware of the consequences of losing their teeth or the effects of wearing partial or full dentures upon their jaws and bones. When teeth are lost, the surrounding bone immediately begins to shrink [atrophy].  Implant treatment, for tooth replacement therapy, can be the optimal treatment plan. Here are some important facts to take into consideration.

 Wearing dentures [plates] accelerates bone loss, and old dentures become loose because of resulting bone loss. It is possible to watch and wait for bone to disappear to the point where treatment success of any kind is doubtful.

 At the end of a five-year period, only 40% are still wearing the original partial denture made for them. This is not a great testimonial to value and utility. Those lucky enough to have a functioning partial denture after 5 years are still losing valuable supporting bone.

 Of those patients who wear a partial denture, 50% chew better without it.

 One study showed that after 8 years, 40% of the supporting teeth [abutments] that the partial hooks onto were lost through tooth decay or fracture.

 Patients with natural teeth can bite with about 200 pounds of force. Denture wearers can bite with approximately 50 pounds of force. Those wearing dentures for 15 years or more can bite with only about 6 pounds of force, and their diet and eating habits have had to been modified accordingly.

 The average lower full denture shifts from side to side during chewing and is a significant problem that new denture wearers must get use to and accept.

 Denture wearers have decreased nutritional intake, a ten year shorter life span, and 30% of denture wearers can only eat soft foods.

 The single tooth implant success rate is above 98%, and unlike a bridge, the teeth adjacent to the implant are no more at risk than if no teeth were missing.

 Implant-supported bridges or dentures have 95% success rates over 10 years without the severe loss of supporting bone.

For bone maintenance, the health of adjacent teeth, the longevity of the restoration and patient comfort, implant therapy is the treatment of choice. Implants can restore chewing function to the equivalent of someone with natural teeth.

If you have questions or want to know if you are a good candidate for implant tooth replacement therapy, please call our office in Sandy Springs.

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

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Dentist Brookhaven: The Good News About Root Canals

Brookhaven dentist near meRoot Canals are virtually pain-free.  Patients used to worry about root canals, and rightfully so?  Once synonymous with serious pain, today’s root canal procedures are almost pain-free.  Usually the pain associated with root canals is caused by waiting until the infection has become all too tolerable.

Root canals are needed when the dental infection, or tooth decay reaches the pulp chamber of the tooth. The infection destroys the nerves located within the root of the tooth, eventually causing the tooth to die. Years ago, the only option for this type of dental problem was a tooth extraction. Now, thanks to the progress in dental technology, often your infection can be stopped with a topical medicine applied to the tooth. And where this is not successful, the tooth can be saved with a root canal.

If you’re in need of root canal therapy, you may be having trouble eating or sleeping.  A toothache or sensitivity to hot or cold is common for those with infected pulp, and you may even have swelling or tenderness in the gums.

The best course of action is not to self-diagnose and don’t procrastinate.  Only a dentist can properly diagnose the pain and provide you with the appropriate treatment.

If you are experiencing symptoms of an infection in your teeth, don’t ignore them!  Our goal is to save your tooth rather than extract it, and with good reason.  Missing teeth can cause bite problems, shifting teeth and bone loss.  The vast majority of preventative treatment or root canal procedures are effective, and a successful procedure can help you keep that tooth for a long time.

 If we can be of assistance or answer any of your questions, please give us a call or email us.

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

 

Thank you for all your referrals.  We truly appreciate them.

Information included is not dental or medical advice.  For your specific information

 be sure to consult your dentist.

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