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



3781 Chamblee Dunwoody Road

Chamblee, GA 30341


Dentist Brookhaven: Oral Health, Women and Pregnancy

Brookhaven dentist near meMore than 6 million women in the US become pregnant every year and 40% of them for the first time.  During pregnancy, women are at greater risk of experiencing poor oral health care, which has been linked to adverse pregnancy outcomes.  Pregnant women are susceptible to oral infections, pregnancy gingivitis, periodontitis and oral pyogenic granulomas.  Results of various studies regarding oral health literacy show it is directly related to general health knowledge, and therefore, health outcomes of both the mother and the fetus follow the level of the mother’s health knowledge.  These studies show that the prevalence of low health literacy among pregnant women ranges from about 15 to 38% and is associated with older age women and women of minority status.[1]

Because of the low levels of oral health knowledge among these segments of the population, it is important for physicians and public health workers to be aware that a message should be tailored to direct pregnant women in these at-risk populations to seek out dental professionals[2] who can alleviate potential oral health issues that might be related to complications in their pregnancies and the potential of adverse effects on their babies.

If you have any questions or concerns about your oral health care, please do not hesitate to contact us via email or by phone.

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

3781 Chamblee Dunwoody Road

Chamblee, GA 30341



Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328




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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[1] Jada, September 2012 at 972-979

[2] We have an in-house periodontist should the need arise.

Dentist Woodstock: How Much Do Dental X-rays Cost?

dental x-ray
Old style dental x-ray

A single dental x-ray would cost between $28-38. Four check-up or bitewing x-rays may cost between $60-80, and a full mouth series (18 x-rays) or panoramic x-ray would cost between $100-200. If it’s a new practice or mature one that is trying to build or rebuild its patient base, often the x-rays will bundled with an examination that ends up costing the patient virtually nothing.  Most dental insurance covers x-rays at 100%. It is usually considered a diagnostic or preventive service.

If you are a new patient, in our Sandy Springs office we have to take x-rays as the standard of care to determine the present status of your oral health and to help identify changes that may occur later.  They give your dentist a baseline of your present condition.  A new set of x-rays may be needed to help detect any new cavities, determine the status of your gum health or evaluate the growth and development of your teeth. If a previous dentist has any radiographs of you, your new dentist may ask you for copies of them.

We take four bitewings (which show us in between the back teeth to check for cavities).

Sometimes we take a full series of images (18 images or so…which show us cavities plus also shows us bone levels and nerve health).

A panoramic image is a single image of the entire upper and lower arch. This requires a different machine and can cost $125-175 or more. It shows the entire mouth on one image.

Many diseases of the oral cavity (which includes the teeth and surrounding tissues and bone) cannot be seen when the dentist examines your mouth.

Dental x-rays are used to diagnose or detect tooth decay, impacted teeth, jaw problems, abscessed (infected) teeth, or current filling placement.  An x-ray exam can help your dentist see the small areas of decay between the teeth and fillings; bone damage from a tooth infection or cyst; bone loss due to periodontal (gum) disease; developmental defects; some types of tumors; the effects of trauma; and the position on unerupted teeth in children and adults.  Dental x-rays can also reveal bone loss from periodontal (gum) disease, locate tarter build-up, find foreign bodies within the gum or bone, and see if there is enough bone for the placement of dental implants.

Finding and treating dental problems at an early stage can save time, money and unneeded discomfort and help prevent more serious health problems.  A good dentist will tailor a treatment plan to your finances, altering the ideal treatment as much as possible to help you be able to afford it.  If we can be of help, please do not hesitate to contact us to make an appointment to be seen.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta, GA 30328


Dentistry Sandy Springs – New directions in oral health care

Oral Examination
Dr. Scheinfeld examining a patient.

The hygienist plays an intricate role in the oral health care of the patient.  The role includes periodontal disease evaluation, taking x-rays and a patient’s periodontal probing and charting.  In the old days, they engaged in cleaning and flossing the teeth under the theory that at healthy mouth was primarily necessary for the patient to keep their teeth.  But discoveries in the last decade have uncovered the correlation between periodontal disease and other health related issues such as diabetes, Alzheimer’s, cardiovascular disease, pregnancy related problems that assigns new priorities to the role of the hygienist and your dental visits.  These correlations have caused a new focus on evaluating a dental patient and new signals related to their overall health.   “The American Academy of Periodontology seeks to educate the public about research findings which support what dental professionals have long suspected: Infections in the mouth can play havoc elsewhere in the body. For a long time it was thought that bacteria was the factor that linked periodontal disease to other infections in the body; however, more recent research demonstrates that inflammation may link periodontal disease to other chronic conditions. Research has shown, and experts agree, that there is an association between periodontal diseases and other chronic inflammatory conditions, such as diabetes, cardiovascular disease and Alzheimer’s disease. Therefore, treating inflammation may not only help manage periodontal diseases but may also help with the management of other chronic inflammatory conditions.” (

The U.S. Surgeon General agrees that oral health is a strong indicator of one’s overall health and well-being (CDC, 2006).  Often, diseases give their first warning signs in the form of a patient’s oral problems.  Without consistent care and monitoring, several oral health problems can result.  Immediate risks include gingivitis, cavities, tooth decay, and other gum diseases which can eventually result in various types oral cancer.  There is a “silent epidemic” (U.S. Surgeon General) that can be avoided by regular treatment at home and dental visits at least twice each year.  While practicing good oral hygiene at home is vital to your health, there is only so much that personal oral maintenance can do.  A normal person can easily overlook conditions that could greatly complicate or even end one’s life.  Thus, visiting your dentist for regular checkups is vital to a healthier smile.

“Routine dental exams uncover problems that can be easily treated in the early stages, when damage is minimal” (American Dental Association [ADA], 2008).  Now that it is known that gum disease can be a major risk factor for heart disease, stroke, and certain forms of cancer, regular visits to your dentist can help prevent and treat this disease.  By treating conditions early and learning from your dentist how to prevent oral diseases, you can achieve better health and ultimately better quality years of life.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328


Serving residents in East Cobb, Roswell, Alpharetta, Johns Creek, Dunwoody, Buckhead and surrounding Atlanta communities.

Alpharetta Dentist: Green Tea and Your Oral Health

Green teaDrinking green tea is in style, but guess what, it may also be good for your teeth.  A recent study found that those who regularly drank green tea had better oral health than those who didn’t.[1]  Examining three indicators of gum disease, researchers found that for every cup of green tea consumed per day, a decrease in all three indicators occurred.[2]

In the study, the researchers examined 940 men ages 49 through 59 on the three indicators of gum disease by measuring the pocket depth between the gums and tooth, loss of the bone attachment of the tooth and probing bleeding gums[3]. They found that the men who had regular intake of green tea had healthier gums and teeth than those who drank less green tea. They noted that a cup a day increase in consumption resulted in the shrinking of the above indicators or symptoms.

Unlike black tea, green tea is not fermented, so its active ingredients remain unaltered. Green tea’s protection comes from a powerful antioxidant, a polyphenol called EGCG.[4]

Because our mouths are an oxygen-rich environment closely connected to our blood vessels, they provide an ideal habitat for the growth and rapid proliferation of cancer cells. Scientists have confirmed that green tea not only halts the growth of new oral cancer cells but actually breaks down and kills existing oral cancer cells.  A double-blind study of people with leukoplakia (a precancerous oral condition), showed that those in the green tea group compared to those in the placebo group had significant decreases in the pre-cancerous condition.[5]

This is why we examine your mouth closely at each visit to determine any changes in texture or color that might indicate the presence of oral cancers. This early screening is just one more reason to make sure you don’t miss your regular checkup.

Ingredients in green tea may reduce the risk of getting dental cavities. One study compared two groups. The one that rinsed each night with an alcohol extract of oolong tea leaves had significantly less plaque formation than the group that did not.[6]

Another benefit of green tea is that it stunts the growth of odor causing bacteria, thus helping you maintain a fresh breath.

To fully obtain the benefits, we should have at least four to six cups a day.  Decaffeinated tea is recommended to reduce the side effects associated with caffeine, including anxiety and insomnia.  This seems like an awful lot of tea to ingest, so if you don’t want to drink that much, simply use it as a mouthwash.

If we can be of assistance or answer any of your questions or concerns feel free to contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328


[1] Journal of Periodontology, March 2009, Vol. 80, No. 3, Pages 372-377 , DOI 10.1902/jop.2009.080510

[2] Ibid

[3] These 3 methods of examining gum tissue are the most common methods utilized by your dentist when you have your teeth cleaned.

[4] Graham HN. Green tea consumption, and polyphenol chemistry. Prev Med 1992;21:334-50.

[5] Li N, Sun Z, Han C, Chen J. The chemopreventive effects of tea on human oral precancerous mucosa lesions. Proc Soc Exp Biol Med 1999;220:218-24.

[6] Otake S, Makimura M, Kuroki t, et al. Anticaries effects of polyphenolic compounds from Japanese green tea. Caries Res 1991;25:438-43.

Dentist Sandy Springs: Home Dental Drills $9.99 + shipping and handling

http://dentidrill.Do it yourselfcom/

I am not sure what to say about this.  Do I write something sarcastic about the 7 years of doctorate and post-doctorate work that I didn’t need to go through.  Or do I welcome the competition because I know how much business this will generate in blown out teeth from user error.

According to the facebook page demonstrations and the advertisement, it comes with free lidocane, 2 composite fillings and a DVD video to guide you throught the first 4 years of dental school.  And it only takes 3 easy steps.  I am feeling a little inadequate, given that it takes me more than 3 steps.  What’s wrong with me?

Now you can take control of your own dentistry!!!  Notwithstanding all the damage you could impose on your kid or spouse, how do you diagnose decay?  Do you buy a home x-ray machine?  And let’s not ignore the stamp of approval by the GDA.  No that’s not the Georgia Dental Association.  It’s the Global Dental Association, I think, which is in Illinois, I think.

Well folks, I am closing shop, now that you don’t need us anymore.  But just in case, we are hanging around for a little longer to answer your technical questions.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta, GA 30328



Man arrested for practicing dentistry without a license.

Wife ends up losing tooth do to in home dentistry.

Lawn chair collapsing during dental procedure.

Dentist Alpharetta: Teeth Cleanings and Your Oral Hygiene

mature-female-smilingWhy good oral hygiene is preeminent in maintaining your overall health?   Because poor oral health has been linked to heart and lung disease, diabetes, stroke, extremely high-birth weight, and premature births.  Often, diseases give their first warning signs in the form of oral problems.

There are four basic steps to maintain good oral health:

  1. Brush at least twice daily.
  2. Floss every day.
  3. Limit your consumption of junk food.
  4. Visit the dentist regularly.

When brushing and flossing, technique is important.  Also, using the right products is equally important.[1] And without consistent care, oral health problems can result.  The risks of gingivitis, cavities, tooth decay, and other gum diseases can lead to oral cancer or tooth loss.[2]

 Here are some simple lifestyle changes that will improve your family’s oral health:

  • Set an example for your children by practicing good oral health care habits.
  • Check your children’s mouth for bleeding gums, swollen gums, and gums receding away from teeth.
  • Check for bad breath.
  • Eat a balanced and nutritional diet.
  • Educate your children about the health risks of tobacco use.[3]

Age-specific recommendations.


  • For mothers to be, tetracycline is a no no.[4]
  • Teething usually starts at around 6 months and should be brushed and flossed daily.
  • Avoid baby bottle decay by not allowing your baby to fall asleep with a bottle full of juice or milk.[5]
  • If your water is not fluoridated, ask your doctor about daily fluoride supplements.[6]


  • Thumb sucking is a natural reflex for toddlers, but the habit may result in permanent bite issues.[7]
  • Make sure to use a pea-size amount of fluoride toothpaste when brushing your child’s teeth.
  • At age two (2) schedule regular dental appointments.


  • Emphasize the importance of oral hygiene.
  • Again, set a good example by practicing good oral hygiene yourself.
  • Keep junk foods to a minimum for snacking.
  • Discourage oral piercings as they increase the risk for oral infections and can cause injury to their teeth.


  • Brush twice daily, maybe more when possible.
  • Floss at least once a day
  • Watch for signs of gum disease such as bleeding, redness, swelling or tenderness.[8]
  • Visit the dentist at least twice each year for regular check-ups.[9]
  • Limit sugary foods and soft drinks.

While practicing good oral hygiene is vital to your health, there is only so much that personal oral maintenance can do, so visiting your dentist for regular checkups is vital to your global health.[10]

The following is a list of reasons why you should visit your dentist frequently:

1) To prevent gum disease[11]

2) To prevent oral cancer[12]

3) To avoid losing your teeth[13]

4) To prevent dental emergencies[14]

5) To help maintain good overall health[15]

We’re conveniently located at Roswell Road and I-285.  If we can be of service or answer any of your concerns, please call our office for a complimentary consult.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328


Article Sources:

Colgate World of Care


Caucus Educational Corporation

U.S. Surgeon General

“Top 5 Reasons to Visit the Dentist” by Tammy Davenport

The Oral Cancer Foundation

The American Dental Association

Colgate Family Guide to Oral Care

About the ADA seal of acceptance. (2005, March 14). Retrieved February 7, 2009, from American Dental Association Web site:

American Dental Association News Releases. (2008, February 4). A reminder to parents: Early dental visits essential to children’s health. American Dental Association. Retrieve February 6, 2009, from

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

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:

[1] When buying any dental products, look for the American Dental Association Seal of Acceptance. The ADA seal is an important symbol of the dental product’s safety and effectiveness (ADA Seal, 2005).

[2] This “silent epidemic” (U.S. Surgeon General) can be avoided by regular treatment at home and dental visits twice each year.

[3] Smoking is the number one preventable risk factor for gum diseases.

[4] A common antibiotic that causes tooth discoloration to your child and should not be used by nursing mothers or by expectant mothers in the last half of pregnancy.

[5] Try water or a pacifier and make sure to wipe teeth and gums with a gentle cloth or gums after feeding

[6] Fluoride is very important even before teeth start forming.

[7] Buck teeth or overbite.

[8] Contact your dentist if you experience any of these symptoms.

[9] Generally, plaque begins forming to maturity about every 3 months.

[10] “Routine dental exams uncover problems that can be easily treated in the early stages, when damage is minimal” (American Dental Association [ADA], 2008).

[11] Gum disease, specifically gingivitis, is a leading cause of tooth decay and tooth loss. If gum disease is discovered and diagnosed early, it can be treated. However, if left untreated, gum disease can become periodontitis, a more severe and irreversible stage. This may lead to serious damage of the gum tissue and jaw bone, causing your teeth to fall out. This late stage of gum disease can also increase your risk of developing a heart attack or stroke.

[12] According to the Oral Cancer Foundation, a United States citizen will die from this type of cancer every hour of every day. Of similar concern is the fact that out of the 34,000 newly diagnosed Americans every year, only half of these people will be alive in the next five years. However, while attending your regular dental checkup, your dentist and oral hygienist screen you for this specific cancer. If diagnosed early, there is a good chance that oral cancer can be treated successfully.

[13] Without your teeth, normal eating habits can obviously be far more difficult. Also, taking care of your natural teeth now will help you avoid paying for dentures later. As stated previously, gum disease can easily lead to adult tooth loss, but regular visits to your dentist and good oral hygiene can prevent it.

[14] Toothaches, a broken jaw, chipped teeth, and other dental emergencies can be easily avoided with regular dental visits. Early signs or symptoms of these unpleasant conditions can be detected and treated by your dentist. If left untreated, you may have to endure root canals or forced tooth removals- these treatments are significantly more expensive than preventative care such as regular check-ups (Centers for Disease Control and Prevention [CDC], 2006).

[15] Since gum disease is a major risk factor for heart disease, stroke, and certain forms of cancer, regular visits to your dentist can help prevent and treat this disease. By treating conditions early and learning from your dentist how to prevent oral damage, you can achieve better health and ultimately better quality years of life.

Dentist Sandy Springs: Marketing of Products or Procedures

Dentist near meAt the Right Smile Center, we take a consultative approach to ensuring each patient’s program aligns with their operating culture and unique risk exposures. This means we don’t believe in pushing products. We don’t try and sell you anything. Instead, we work closely with our patients and their needs to develop and deliver the right solution, even if that means not doing any dentistry at all.

The dentists who engage in the marketing or sale of products or procedures to their patients must take care not to exploit the inherent trust in the dentist-patient relationship for their own financial gain.  We take this very seriously.  Dentists should not induce their patients to purchase products or undergo procedures by misrepresenting the product’s value, the necessity of the procedure or the dentist’s professional expertise in recommending the product or procedure.

Particularly in the case of health related products, it is not enough for the dentist to rely on the manufacturer’s or distributor’s representations about the product’s safety and efficacy.  Rather, the dentist has an independent obligation to inquire into the truth and accuracy of such claims and verify that they are founded on accepted scientific knowledge or research.  For instance, we have discussed in earlier writings that there is no scientific evidence of cause and effect as it relates to mercury fillings and your health.  So it would be improper and unethical to recommend the removal of amalgams based on your dentist’s professional expertise.

Dentists should disclose to their patients all relevant information the patient needs to make an informed purchase decision.  From the beginning, Scheinfelds and Orland built its foundation on basic operating principles – integrity, honesty and quality health care. These are not just words to us, rather truths that can be validated by the patient relationships we have held for over 25 years. To us, it’s simple. We base decisions on what we believe to be in the best interests of our patients and our employees. We understand that each puts a great deal of trust in us, and we do not take that trust lightly.  This culture is unlike any in the industry.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland

290 Carpenter Drive, 200A

Atlanta, GA 30328



3781 Chamblee Dunwoody Road

Chamblee, GA 30341


Dentist Sandy Springs: Why Premedicate?

PolypharmacyThere are times where dentists recommend a patient take antibiotics before certain dental procedures.


Essentially, we have bacteria in our mouths that certain procedures might allow or facilitate that bacterium to enter the bloodstream.   For most of us, this isn’t an issue. A healthy immune system prevents these bacteria from causing any harm. Yet, for some people bacteremia can cause an infection elsewhere in the body.


Antibiotics are recommended to be taken in advance of treatment for a small number of people who have specific heart conditions.[1]

According to the American Heart Association guidelines, antibiotic prophylaxis should be considered for people with:

  • Artificial heart valves.
  • A history of an infection of the lining of the heart or heart valves known as infective endocarditis.
  • A heart transplant in which a problem develops with one of the valves inside the heart.
  • Heart conditions that are present from birth, such as:
  1. Unrepaired cyanotic congenital heart disease, including people with palliative shunts and conduit.
  2. Defects repaired with a prosthetic material or device—whether placed by surgery or catheter intervention—during the first six months after repair.
  3. Cases in which a heart defect has been repaired, but a residual defect remains at the site or adjacent to the site of the prosthetic patch or prosthetic device used for the repair.

Antibiotic guidelines have also been developed for people who have orthopedic implants.  In 2012, the ADA and American Association of Orthopedic Surgeons updated the recommendations and no longer recommend antibiotics for everyone with artificial joints.   As such, your provider may rely more on your personal medical history to determine whether or not antibiotics are appropriate for people with orthopedic implants.

In addition, antibiotic premedication might be appropriate for patients who have compromised immune systems due to diabetes, rheumatoid arthritis, cancer, chemotherapy, and chronic steroid use, all of which increase the risk of infection. If you have a heart condition, a compromised immune system or an orthopedic implant, talk with your dentist or physician about whether antibiotic pre-treatment is right for you.  If we can be of assistance, feel free to contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta, GA 30328


[1] The American Heart Association has guidelines identifying people who should take antibiotics prior to dental care.

Buckhead Dentist – Arthritis and Teeth Cleaning

ArthritisBrushing your teeth, buttoning your shirt, or opening a child proof bottle are all routine daily activities that most people take for granted.  But if you have arthritis and it affects your hands, so performing these and other basic tasks can be challenging, if not impossible. Theoretically, “exercising” your hands should reduce the pain, improve your range of motion, and, ultimately, enable you to perform more easily the various tasks of daily living.  However, early in the morning use of your hands may aggravate your situation.                                                      

Arthritis of the hands manifests differently depending on what kind of arthritis you have.  Osteoarthritis, which is the most common cause of hand arthritis, involves the protective cartilage that covers the ends of your bones and its gradual deteriorates is due to wear and tear or, in some cases, to injury. If your hand pain is caused by osteoarthritis there’s a high probability that flossing and brushing your teeth may be affected.

By contrast, rheumatoid arthritis, sometimes referred to as RA, is an immune system disorder that damages the cells in the tissue that lines and lubricates the joints in your hand.  If rheumatoid arthritis is the cause of your hand pain, the distinction between osteoarthritis – and rheumatoid arthritis -induced hand pain is important for several reasons*:


First, if your pain is caused by rheumatoid, you should not attempt to alleviate it with exercise alone. So the exercise associated with brushing your teeth could exacerbate your joint problems.  Second, strengthening exercises can be harmful if performed aggressively and should be done in moderation by people with rheumatoid arthritis.  Third, you should perform any type of exercise with caution while you’re having a flare up of the joints.

So that your oral health does not suffer due to the deterioration and pain associated with arthritis I would suggest the purchase an electric toothbrush.  My preference is the Oral-B, but it really doesn’t matter which one you use, you just need to use one.  Regardless of your condition, my experience with patients who use the Oral-B regularly has shown results in the positive care of their oral health.  With respect to flossing, which is just as important in maintaining your oral hygiene, you may need to increase the number of visits to the dentist to clean your teeth where you can’t otherwise preform the task.  If you discuss this with your dentist, you should be able to make arrangements just to have your teeth cleaned on alternating appointments and forego unnecessary exam fees. Interestingly enough, there is a possibility that the prescription by your physician may afford you insurance coverage for the extra visits.   As a side note, if you utilize a health savings account, you certainly should be about to cover the costs of all your visits with pre-tax health dollars.

Should the need arise we provide in-house periodontal services.  If there is anything we can do to assist you, please do not hesitate to contact us.


*This information is not intended to substitute for the advice of a physician. Some of this information was provided by Johns Hopkins website on arthritis. (

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328



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