More and more the esthetics of teeth are of great importance to patients, including tooth color. The color of the teeth is influenced by a combination of their natural color and the presence of any external stains that may form on the tooth surface. The type of natural stain and initial tooth color can play a significant role in the ultimate outcome of tooth bleaching. Where oral health care used to be the primary function of a dentist, in the past 10 years the importance of tooth whitening for patients has seen a dramatic rise in the number of tooth whitening products and procedures to come onto the marketplace. The relationship of the doctor and patient has changed. And the demand by the consumer to kind of cookie cutter the results of esthetic dentistry is supplanting the traditional approach to oral health care.
There are a number of approaches to measuring tooth color changes following tooth whitening; each with their own advantages and disadvantages; and given the consumer’s demand for continued esthetic emphasis, tooth whitening will continue to demand further research and perfection. The key factors that affect tooth whitening efficacy by peroxide containing products are a function of peroxide concentration, to a limited degree, light exposure and the allocation of application time. In general, higher concentrations provide results faster than lower concentrations. While lower concentrations approach a similar degree of results as higher concentrations with extended treatment times, what appears to be a demand for immediate gratification by the consumer apparently drives a propensity to develop systems that deliver higher concentrations of peroxide with shorter application time periods.
You can be assured that as a prosthodontist, I understand the functional mechanics as well as the cosmetic artistry needed to evaluate and create the right smile for you. Your goals for achieving the smile you want and the dental health you need are my first priority in our Sandy Springs and Chamblee office.
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. 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.
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. 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. 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. 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.
So 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.
The following are warning signs you might have periodontal disease:
Bad breath or bad taste that won’t go away
Red or swollen gums
Tender or bleeding gums
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.
When considering any extensive dental treatment options, you should think about getting second opinion. If we can be of assistance, please call for a free consultation.
Prosthodontic dentists are with the passage of time gaining popular recognition as patients become more familiar with the advances in dentistry and how they can enhance their everyday lives. We are expert dentists with a post graduate ADA recognized degree centered around a complete knowledge of dentistry, where function and beautification of teeth are combined in the final result.
There are a lot of people in this world who just weren’t born with beautiful smiles or for other circumstances ended up with damaged teeth. Some inherited stains from medicines their parents took prior to child birth, while others developed discolorations through the years that make their appearance unattractive whenever they open to either to talk or smile. These people can be helped by dentists who specialize in the cosmetic restorations that provide methods, procedures and plans which ultimately improve their personality as much as it improves their mouth.
The first advantage of a prosthodontist is time related. As a result of our training and experience with difficult cases modern techniques take much less time in the beautification of the teeth as compared to older ordinary dentistry. Techniques and procedures as common as in house whitening which takes only couple of hours as opposed to otherwise days of the repeated home bleaching have become fairly common place and routine in the restoration of a smile.
Another major change related to teeth are implants. In the past there had been an extensive time period involved in replacing missing teeth. But now, we offer the all inclusive in-house implant placement by my two daughters, Dr. Zoey Scheinfeld and Dr. Hanna Orland.
Finally, technology often comes into play with veneers which are made up of a special material and again while technique sensitive are very easy to incorporate into timely and favorable results. The combination of all of these techniques rest comfortably within the purview of a prosthodontist’s training and expertise. A comprehensive approach by a prosthodontist is the best way to get your inner confidence boosted and your personality improved.
Did you know that the shape, shade, length and spacing of your teeth could significantly affect your smile? And our smiles can greatly affect our self-esteem and confidence. Common conditions that impact negatively on your smile include broken, cracked or worn teeth, discolored teeth, missing teeth, crooked teeth, decayed teeth, gaps between your teeth and/or “gummy smiles.”
The good news is that with modern technology and improved materials, these situations can be dramatically changed to create natural looking and long-lasting beautiful smiles.
Each patient and each specific circumstance must be evaluated on its own merits. Factors such as occlusion [bite], oral habits, available space, health of the gum tissue, severity of the problem and patient expectation should be taken into consideration when planning your cosmetic makeover.
Depending on your individual oral characteristics, there are a variety of choices that all result in excellent aesthetic outcomes. For whiter natural teeth, in-office or at-home bleaching [whitening] techniques are available. Repairing teeth or closing spaces may be accomplished with tooth-colored composite resin bonding, porcelain veneers or porcelain crowns.
These procedures vary in time and cost and have differences in longevity and appearance. If you’re not satisfied with your smile or want to learn if you’re a good candidate for any of these remarkable techniques, call ourAtlanta (Sandy Springs) office for a complimentary cosmetic consultation.
Novy Scheinfeld, DDS, PC
ZoAnna Scheinfeld, MS, DMD
Hanna Orland, DMD
290 Carpenter Drive, 200A
Atlanta, GA 30328
It seems to be prevalent in that most dentists these days are calling themselves cosmetic dentists, but there is no cosmetic specialty in dentistry.
And quite frankly, all dentistry is cosmetic. I don’t know anyone who took the ‘ugly’ teeth class in dental school, because it doesn’t exist.
The American Dental Association (ADA) only has nine recognized post dental degree dental specialties and cosmetic dentisty is not one of them. These specialties range in one to six years of advance training beyond dental school. At the end of my post doctorate degree, I received additional certifications in this specialty, thus becoming what should be considered an expert within the specialty of prosthodontics.
The ADA specialties are:
Dental Public Heath, Oral and Maxillofacial Pathology, Radiology and Surgery, Orthodontics, Endodontics, Pediatric Dentistry, Periodontics, and the rarest according Forbes Magazine, Prosthodontics.
Prosthodontics: (crown, bridge, and implants) A Prosthodontist has a dental specialty license pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of the oral function, comfort, appearance and health of patients with clinical conditions associated with missing or deficient teeth and/or oral and maxillofacial tissues using biocompatible substitutes.
Most dentists are not trained prosthodontic graduates of a dental school – rather they take short continuing education and utilize trial and error experience to be able to understand how size, shape, color and symmetry all work together to create what a prosthodontists is trained in their post graduate work.
On the other hand, the I was trained at a university to create the smile that implements the use of veneers, crowns, bridges and the increasingly more common procedure of dental implants to ensure that the right smile is achieved, both functionally and aesthetically beautiful. And now I am training my two daughters with the same techniques. If anyone has a specialty in cosmetic dentistry, it would be the prosthodontist. So when you are seriously looking for a cosmetic dentist look for a prosthodontist.
Novy Scheinfeld, DDS, PC
ZoAnna Scheinfeld, MS, DMD
Hanna Orland, DMD
290 Carpenter Drive, 200A
Sandy Springs, GA 30328
Most folks have no idea what a Prosthodontist is, but are certified specialists in tooth restoration such as implants, bridges, crowns, dentures and veneers to give you the best smile possible, more important they provide the right smile. We are specialists in aesthetic and cosmetic dentistry.
According to Forbes Magazine, I am the rarest profession in the Unite States, basically because the rigorous requirements of the program. After graduating from dental school with a D.D.S. degree, prosthodontists receive three additional years of rigorous specialty training in a university ADA accredited graduate education program.
So if you are looking for real cosmetic, implant or reconstructive dental work, you should see a prosthodontist, because prosthodontics is the only specialty recognized by the ADA that is involved with aesthetic and cosmetic dental restorations and implant restorations. None of the other specialties are taught both the form and the function of restorative dentistry. Patients should understand that terms like ‘Cosmetic Dentist’ are not designated specialties recognized by the American Dental Association. While terms like this may be very descriptive, they are also terms that attempt to get around ADA designated specialties.
Prosthodontists are experts in the dynamics and aesthetics of a smile, the preservation of a healthy mouth and the science of tooth replacement. With the passage of time prosthodontic dentists are gaining popular recognition with respect to their qualifications to offer state-of-the-art procedures and techniques as patients become more familiar with the advances in modern dentistry. Of the 170 thousand dentists in the country only about two (2%) percent are trained prosthodontists. So, when your dentist refers you to a prosthodontist you should know you are in well trained hands.
Many of those referring specialists think of the prosthodontist as the “conductor” of a dental treatment plan, the professional in the process with the big picture in mind. They usually lead a team of specialists to develop ideal solutions to your dental needs because they are responsible for the final restoration. They provide the highest level of dental care being expertly trained in many different clinical disciplines with the anticipation that a working knowledge of various disciplines is necessary to produce optimal results for the patient.
The combination of all these various disciplines rest comfortably within the purview of a prosthodontist’s training and expertise. A comprehensive approach by a prosthodontist as the conductor is the best way to get your inner confidence boosted, your personality improved and the right smile. If you have any questions or concerns please feel free to contact us.
Dr. Scheinfeld received her prosthodontics degree from Emory University School of Dentistry in 1988.