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

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

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

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

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

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

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

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

Novy Scheinfeld, DDS, PC

ZoAnna Bock, MS, DMD

Hanna Orland, DMD

Howard Abrahams, DDS

290 Carpenter Drive, 200A

Sandy Springs, GA 30328

770-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

info@rightsmilecenter.com

www.rightsmilecenter.com


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

[2] American Academy of Periodontology, 2008

[3] British Dental Journal

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

COVID-19: Dentist in Sandy Springs, GA

Sandy Springs Dentist near meDentists have been treating patients during the COVID-19 viral pandemic in North America for about eight months. As a profession, we take great pride in our skillful infection control, and it has been effective so far. Some of our patients may have already been infected with COVID-19 when they came to our dental offices, although we may not have known it at the time. Despite that, no known cases of transmission of COVID-19 infection have been reported from patient to the dental team or vice versa at any routine dental visit. No clusters of any airborne diseases like COVID-19 have spread in dental offices in the world to date.

SARS-Cov-2, the virus that causes COVID-19, is found mainly in the lungs and nasopharynx. The mouth is at the intersection of these two regions. This has raised concerns that aerosol-generating dental procedures might transmit the virus. Some dental procedures generate aerosols, but air and water from our syringes and handpieces dilute any virus in these aerosols.

We also use high-volume suction to reduce aerosols even more.

The Right Smile Centers have implemented additional safeguards in response to these concerns:

• We pre-screen patients, staff, students, and faculty for COVID-19 symptoms before we permit them to come into our facilities.

• We do not allow any unnecessary visitors.

• Fewer patients are appointed each day, so we can maintain 6-foot distancing between people in our clinics and waiting rooms.

• We installed high plexiglass partitions at the patient payment centers.

• Our dental team wears enhanced PPE including face shields, high-filtration face masks, hair covers, and disposable gowns when necessary.

• Our COVID team meets to discuss the latest scientific developments and any possible changes in our protocols.

At the Right Smile Center, with our current enhanced measures, no known cases of transmission of COVID-19 between patients and our dental care providers have occurred, despite hundreds of patient encounters during aerosol and non-aerosol generating procedures.

Call for your important oral healthcare needs.

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

Sandy Springs Dentist and Covid-19

Dentist near meWe are concerned that patients are putting off routine cleanings, which could compound health issues in the months or years to come.  As if patients need yet another reason to avoid the dentist.

Contrary to popular belief, dentistry is not an elective procedure. Maintaining your dental visits are important to your mouth health, as well as to the health of the rest of your body.

Bill Miller, an epidemiologist and physician at OSU, said it’s important to remember that going to the dentist isn’t the same as going to a barber or hair salon.  We have long been accustomed to dealing with the infectious-disease risk post the 1980’s HIV scare.  We have already been taking precautions because of our proximity to your mouth and its fluids.

Even before you walk through the door to see us, you’ll notice some changes.

Our offices are calling patients in advance of their appointment to ask whether they’re experiencing any common covid-19 symptoms, such as a fever, cough or muscle aches.

It’s pretty much the belief that social distancing is the best way to mitigate the spread of the novel coronavirus until there’s a vaccine. When that’s not possible, we wear face masks. But what happens when we need to visit our office? A lot.

We are adapting how we work in and around a patient’s mouth to account for this complicated reality. Our team is screening patients for symptoms, limiting the number of appointments in a day, implementing stringent sanitation protocols and wearing more protective equipment to guard against the respiratory disease.

The Centers for Disease Control and Prevention and the World Health Organization suggest that respiratory droplets expelled when an infected person coughs, sneezes, talks or breathes are the primary way the virus spreads. But the CDC reports there’s “no data available to assess the risk of SARS-CoV-2 transmission during dental practice”, because there are no reported cases arising from visiting the dentist.

Don’t skip you dental visit. Contact us for your dental cleaning and exam.

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

Sandy Springs Dentists: Patients Need Oral Healthcare In A Covid-19 Environment

Sandy Springs Dentist near meDelayed dental care has a variety of consequences, whether it is due to dental office closures, reluctance to seek care during the pandemic, loss of employer-sponsored dental insurance coverage, or other factors. Routine dental visits are opportunities to provide preventive oral health care and to identify oral manifestations of systemic disease that might otherwise be missed. 

A lack of access to routine dental care can also lead to untreated tooth decay or other infections, leaving you with no viable option other than visiting a hospital emergency department, where treatment is costly and can disrupt more urgent needs, especially during this pandemic. 

In addition, many emergency departments are not staffed or equipped to provide definitive dental treatment and instead only provide patients with temporizing measures such as prescriptions for short-term treatment of pain and/or infection until definitive care can be provided at your dentist’s office.

Up-to-date recommendations for communications, protocols, and physical measures are in place at our Sandy Springs and Chamblee offices to resume safe patient care. For example, interim measures include:

  • Sending patients pre-visit communications;
  • Implementing a pre-appointment screening process via text, telephone, or email to ensure that patients with symptoms consistent with COVID-19 – or recent exposure to infected individuals – do not travel to our dental office;
  • Expanding the in-office registration process to screen out patients with symptoms consistent with COVID-19, or who have been exposed to or recently tested for SARS-CoV-2; to provide and require proper use of a face mask; to check patients’ temperature (<100.4°F) with a thermometer; and to provide wipes or materials to clean pens, clipboards, counters, phones, keyboards, light switches, and other “high touch” surfaces;
  • Extending time between patients, as necessary, to allow for proper cleaning and decontamination of examination rooms;
  • Extensive preparation strategies for the physical office and staff to prepare the environment and familiarize the staff with new policies and procedures to reduce the risk of transmission of SARS-CoV-2;
  • Implementing a chairside checklist to prepare operatories;
  • Staff protection strategies include recommendations for in-office clothing (emphasizing that clinical attire should only be worn in the dental practice, not back to staff members’ homes or other community settings, to prevent cross contamination of SARS-Cov-2), special guidance for staff who are pregnant or have other factors that increase the risk of severe COVID-19 disease, and a COVID-19 daily screening log for dental team members to use before entering the practice;
  • Limiting the number of patients in the office at the same time; as part of physical distancing; and
  • Requiring patients to wait in their cars until they are called for treatment.

Once in the office we have additional patient protocols in place including gargling and hand washing before and after treatment.

If we can be of service please do not hesitate to contact us.

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

Dentistry’s Temporary New Normal

Sandy Springs Dentist near meTo say that this time in the dental industry is unprecedented would be an understatement. Office closures, team furloughs and layoffs, locating PPE and knowing how to use it have confused many, and few offices were prepared for the consequences. Government mandates, employees’ reluctance to return and patients’ fears of possible exposure significantly affected many practices and your lives. The term “new normal” became an over-used phrase to describe the unknown factors that changed our practice, and yours and our lives.

But now what? What have we put in place to help create a better version of our work place? If this is, indeed, a time of “new normal,” then please visit our website to understand the better “norms” that we have put in place to generate exceptional results for you and your family. Don’t miss this opportunity to learn strategies we have implemented to help you maintain your oral health.

Contact us for your semi-annual visits to stay healthy.

Novy Scheinfeld, DDS, PC

ZoAnna Bock, MS, DMD

Hanna Orland, DMD

Howard Abrahams, DDS

295 Johnson Ferry Road

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 Dentists: Bacteria and Covid-19

Teeth cleaning near meOur team believes there may be a connection between SARS- CoV-2 infection and “bacterial load,” but there isn’t enough data as of yet.  A recent study tried to explore if high levels of bacteria or bacterial superinfections and complications of bacterial infections such as pneumonia, sepsis, and respiratory distress syndrome could be associated with poor outcome from COVID-19. This study explored the complications of COVID-19 seen among those with poor oral health and periodontal disease.

The study concludes that 20 percent of the patients with COVID-19 progress to severe illness with high levels of “inflammatory markers (IL-2, IL-6, IL-10), bacteria, and neutrophil-to-lymphocyte count”. As we believe, they noted that the oral microbial environment and COVID-19 could be linked.

And the four essential risk factors for severe COVID-19, diabetes, high blood pressure, heart disease, and obesity, are also risk factors associated with poor oral hygiene. The study recommends “oral hygiene be maintained, if not improved, during a SARS-CoV-2 infection in order to reduce the bacterial load in the mouth and the potential risk of bacterial superinfection.” These precautions are particularly important for those with diabetes, heart disease hypertension.[1]

You need to keep up your at home procedures of brushing and flossing and you need to keep your appointments for your semi-annual teeth cleanings and examinations. Contact us because it’s important to your global health and laser fight against Covid-19.

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


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

Dental Health and Covid-19 in Sandy Springs

Sandy Springs Dentist near meHow healthy your teeth and gums are can play a role at times in how well the Coronavirus is controlled. Cavities and gum disease are due in part to bacterial infection. This infection can spread the bacteria to the lungs.

At this point there hasn’t been enough time to study the relationship between Covid-19 and good oral health.  But it is well known that teeth and gums are reservoirs for germs that can travel down to the lungs and harm them. And this should be deduced as the path that Covid-19 will take.

Bacteria live in dental plaque, a film that forms on your teeth. The bacteria will continue to grow and multiply. You can stop this by removing plaque with thorough daily tooth brushing and flossing. But this is only the first step.  Seeing your dentist for your oral hygiene is the next important step in preventing the spread of bacteria from your mouth to your lungs.

Some bacteria can be inhaled into the lungs on tiny droplets of saliva, which is the main way Covid-19 is transmitted.  Healthy lungs have protective defenses to deal with those bacteria invasions. If your lungs are disease compromised the lungs are not as able to defend themselves, increasing the risk that the bacteria will cause infections or make lung problems worse.

If you do not have a regular source of dental care, make a contact through one of the sources below. 

Novy Scheinfeld, DDS, PC

ZoAnna Bock, MS, DMD

Hanna Orland, DMD

Howard Abrahams, DDS

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

Support Safety at Our Sandy Springs Dental Office

Sandy Springs Dentist near meHow can you support safety at our dental offices?

  • First, understand our dentists and staff may need extra measures and more time to keep the office safe, including requiring patients and family members to wait in cars and not sit in the waiting room.
  • Accompanying visitors should be discouraged unless necessary to get you home safely, escort and calm a young child, or to accommodate a disability.
  • More PPE and cleaning have been necessitated, which can result in the need for more time between patients.
  • Please, for our safety, inform our dental team if you have been sick, been tested for COVID-19, or had recently been quarantined.
  • If you have any COVID-19 symptoms, let us know and contact your physician who may suggest you be tested.
  • Wear a mask, and follow please follow our procedures.  They are in place for your safety and the safety of our team.

If you do not have a regular source of dental care, make a contact through one of the sources below. 

Novy Scheinfeld, DDS, PC

ZoAnna Bock, MS, DMD

Hanna Orland, DMD

Howard Abrahams, DDS

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

Covid-19 and Sandy Springs Dentistry

Sandy Springs Dentist near meYour dental check-up is a good access point to secondary care investigations and treatment for disease. During your appointments, chairside rapport develops and enables us to make an assessment of your general health and wellbeing, presentation of systemic conditions within the oral cavity and surrounding craniofacial tissues, comorbidities and assessment of your medication.

The frequency and periodicity of patient contact has demonstrated that dental care providers are a significant ‘touch point’ for your global health promotion. This puts our dental team in an ideal situation to provide health interventions for conditions such as diabetes and cardiovascular disease. The diagnosis and treatment of hepatitis C is another proposed intervention. These examples exclude the learning objectives related to general dentistry and demonstrate our wide range of medical knowledge taught in dental school and gained in the practical world of oral healthcare delivery.

A large skilled oral healthcare workforce that is agile and responsive is going to be required for the future. Our team of dental providers is an effective contributor in the current pandemic. We have demonstrated excellent shared understandings of clinical care and effective teamwork. We are also exceptional at working in PPE and are mindful of cross infection and disinfection procedures to ensure a safe environment for patients and colleagues long before the current pandemic.

For our community, it is highly advantageous to maintain an effective skilled workforce of dental professionals with additional skills needed during emergencies or times of crises. As mentioned earlier, many prerequisite skills have long been present in dental profession.

Our dental team are valuable members of a wider medical core of professionals during emergencies or national crises, such as the current COVID-19 pandemic. We have a wide range of transferable clinical and non-clinical skills, which are of significant benefit to a system under pressure. Our background in clinical sciences and knowledge of basic human systems makes the Right Smile team ideal candidates for further intensive training courses, allowing us to provide an additional level of care in national emergencies.

We are essential healthcare providers and look forward to serving you.  Feel free to contact one of our two metro-Atlanta area offices.

Novy Scheinfeld, DDS, PC

ZoAnna Bock, MS, DMD

Hanna Orland, DMD

Howard Abrahams, DDS

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

Covid-19 and the Dentist Near Me

Sandy Springs Dentist near meAll of us are going through a lot of changes right now.  COVID-19 has disrupted our lives in many ways. And while there are a lot of things we can’t do, we can still take care of our health.

With a lot of you working from home and adjusting to new routines, it’s easy to put aside your dental health. Don’t

We continue to adjust to the rapidly changing situation with COVID-19.  In the short term, we’re focused on providing emergency dental care and giving people resources that help protect your oral health. As the situation continues to evolve, we’ll adjust to federal and state guidelines to ensure the safety of our patients, staff and community.

Our dental settings balance the need to provide necessary services while minimizing risk to patients and our staff.  Our team remains informed and regularly consult with the state or local health department for region-specific information and recommendations, and we continue to monitor trends in local case counts and deaths, especially for populations at higher risk for severe illness. 

Our Key Points of Focus:

  • Recognize dental settings have unique characteristics that warrant specific infection control considerations.
  • Prioritize the most critical dental services and provide care in a way that minimizes harm to patients from delaying care and harm to personnel and patients from potential exposure to SARS-CoV-2 infection.
  • Proactively communicate to both personnel and patients the need for them to stay at home if sick.
  • Know the steps to take if a patient with COVID-19 symptoms enters our facility.

We are using additional infection prevention and control practices during the COVID-19 pandemic, along with standard practices recommended as a part of routine dental healthcare delivery to all patients. These practices are intended to apply to all patients, not just those with suspected or confirmed SARS-CoV-2 infection.

And if you’re in doubt about your situation, do not hesitate to reach out to our offices for help.

Novy Scheinfeld, DDS, PC

ZoAnna Bock, MS, DMD

Hanna Orland, DMD

Howard Abrahams, DDS

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