Brookhaven Dentist: Teeth Grinding (Bruxism)

Brookhaven dentist near meBruxism, otherwise known as teeth grinding, is when you clench (tightly hold your top and bottom teeth together) or grind (slide your teeth back and forth over each other) your teeth, that may or may not cause harm.  When teeth clenching or grinding occurs on a regular basis the teeth may become damaged and possible other possible oral health issues may develop.

People may clench and grind their teeth without being aware of it during both the day and night.  When it is sleep-related, bruxism is often the bigger problem because of the lack of control.  Because it does occur during sleep most people are unaware of the problem until symptoms begin to arise.  While some of these symptoms are headaches or a sore jaw, they are masked by other factors such as too much stress, inability to relax, misalignment of the teeth, or even ones posture or diet.[1]

The cause of bruxism is not completely agreed upon, but daily stress may be the precipitant in many cases.  The clenching the teeth may be brought on by anxiety, stress or depression.  Other symptoms may include ear aches, insomnia and/or sensitivity in the teeth.[2]  The clenching or grinding puts pressure on the muscles, tissues, and other structures around your jaw. The symptoms may develop into temporomandibular joint problems, commonly referred to as TMJ.

If you suspect you may be grinding your teeth, talk to your dentist.  An examination can rule out other disorders that may cause similar jaw pain or ear pain, including:

  • Dental disorders
  • Ear disorders such as ear infections
  • Problems with the temporomandibular joint (TMJ)

Your dentist can examine your mouth and jaw for signs of bruxism, such as jaw tenderness and abnormalities in your teeth.  If it is diagnosed as night grinding, you can be fitted with a mouth or night guard (a splint) to prevent further damage to your teeth and other issues mentioned above.  The varying types of splints may prevent clenching and create a scenario where your mouth remains relaxed during sleep or during the day.  There are many approaches to retard the clenching behavior, many of which are more successful to daytime clench and grinders verses night clenchers.

Given that grinding and clenching may not fall within any one medical discipline, it may take a combination of approaches to permanently solve the problem.  However, dentist would appear to have the leg up on the other disciplines, given the amount of training and experience dentists have with your oral health.  Regardless, call the health care provider you are comfortable with to seek solutions to this potentially damaging oral health problem.

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

info@rightsmilecenter.com

Related articles

 


[1] ADA and the National Center for Biotechnology Information, U.S. National Library of Medicine, www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002386/, Feb. 22, 2010.

[2]    Ibid.

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Brookhaven Dentist: Is the Right Smile Center right for me?

Brookhaven dentist near meMake the right choice in the right dental practice; choose Novy Scheinfeld, DDS, PC, and her associate daughters ZoAnna Scheinfeld, DMD and Hanna Orland, DMD located in Sandy Springs and Chamblee, GA.   Consider the bottom line to your self-esteem and consider being treated by an Emory trained prosthodontist.  Some people avoid smiling because they are ashamed of their teeth or unsure of how they will be received by the dentist after so many years of procrastination.  Our practice has over 4 generations of patients who are not ashamed of their smile.  Before Dr. Neal Kopp past away in 2008, we had over 5 decades of experience in prosthodontic dentistry.   Cosmetic dentistry by a prosthodontic based practice involves improving the aesthetics and function of your smile with the right smile, to make you look and feel more attractive.

Click www.rightsmilecenter.com and see for yourself.  We have over 400 unedited reviews by patients with real life experiences in our practice.  Don’t believe me, read what others have to say – good, bad or otherwise.  If cosmetic dentistry is right for you, then we are right for you.

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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Dentist Brookhaven: The Difference between Dental and Physician Health Care Costs

Brookhaven dentist near meWhy the cost of your dental care really hasn’t increased that much?  In fact it has either tracked or lagged behind the consumer price index and this is despite all the advances in dental technology.  Compare that observation to your medical care costs.  If you go in to see your dentist and ask for an estimated cost of treatment, 9 times out of 10 you will get a quote.  Try doing that in your physician’s office.   Why?  Because your dental care has been a product of the free market system.  The insurance companies have never yet to invade the purview of your oral health the way they have dominated, if not destroyed your overall health care.

You get your teeth examined, cancer screening, teeth cleaning and x-rays twice a year for less than $300.00.  And that’s about two hours of actual treatment from your dentist and his/her team.  At the physician’s office you go in once a year, see your physician or his PA for about 10 to 16[i] minutes on average and it costs $300 to $900.00, depending on possible immunizations and your blood work (which costs more than twice what an independent lab charges if you have it done outside of your physician’s office).   Physicians are paid by insurance and Medicare submittals based on the procedures they perform and not by the amount of time they spend with you.  So the quicker the visit the more procedures they can bill your insurance.  If they take too long it cost them money, not you.  And all their revenues are based on negotiated fees with your insurance company, not the free market system.  Ah, the key phrase – free market system.  Dentistry never bought into insurance coverage for your treatment and care, and as a result of the free market system there has been a reasonable or to put it better, a withstandable increase to the cost of your oral health care based on the supply and demand curves.

So how much does insurance influence the cost of your health care?  Anecdotally, let me tell you about my daughter’s, but really my experience with health care and why we are the losers in this battle to secure adequate health care treatment at an affordable price.  My daughter had a cyst under her eyelid.  It was not visible to you or me, but it irritated the dickens to her cornea.   I found a specialist and accompanied my daughter to the physician.  It was determined that the treatment required general anesthesia to safely perform the surgery.  When I asked ‘how much’, I received no answer.  I was passed on to the patient coordinator for that physician.  So I asked ‘how much’, and again I received no answer.   They didn’t have a clue what this was going to cost me.  So I immediately said ‘sign me up, I’ll take two’.   Seriously though, they needed my insurance carrier and they would let me know, great.

I get a call from the physician’s office.  It’s going to cost you $800 and change.  Ok, great, and is that my drive out price?  ‘Oh no, that’s just the doctor’s fee.’  Ok, so what else?  I have to call the surgical center.  Ok, how much does that cost?  We [the doctor] don’t know, you just have to call and find out.  So I called.  The gentleman quoted me $1540.00 including 2 hours of facility and the anesthesiologist.  ‘Oh, and you won’t be needing a biopsy, since this is cosmetic.’  No wait, this is not cosmetic, it’s required surgery.  So the gentleman backs up and re-quotes the price.  It will be $4 to 7 thousand for the surgical suite, $1800 & change for the anesthesiologist and X amount of dollars for the biopsy.

Wait, hold on, back up a minute, you just quoted me a price that is almost 7 times what the same procedure would cost if it was elective surgery.  Ah, that key phrase creeps back in to the conversation.  Under a free market system, elective surgery only garners what the market will bear.  But under an insurance based system, physicians don’t know what it costs, so they inflate the costs and hope for some remuneration equal to or in excess of what it really costs under a free market system to treat you.  In other words, it’s a crap-shoot your physician is playing with your health insurance company.   And the loser is you.  So the next time you go to the physician or the dentist, remember why you’re paying what to whom, the physician or your insurance company.  And the next time you discuss health care reform; you’re probably talking about insurance reform.  If we can answer your questions or concerns, please do not hesitate to contact us.

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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[i] About.com, Trisha Torrey, November 14, 2008.

 

 

Dental Sandy Springs- Oral Cancer Awareness

Sandy Springs Dentist near me

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

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com

Dentist Brookhaven – Arthritis got you down?

Brookhaven dentist near meBrushing 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, 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 either arthritis I would suggest the purchase an electric toothbrush.  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.  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. (http://www.johnshopkinshealthalerts.com).

 

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

 

info@rightsmilecenter.com

http://www.rightsmilecenter.com

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8 Windows Dentistry Opens to your Overall Health

Sandy Springs Dentist near meI  read this article the other day by the Mayo Clinic staff and it appears very much worth republishing.  Please read this and adjust your life accordingly.  Its really not that difficult to lead a healthy life style and live longer lives through good oral health.

Oral health: A window to your overall health

Your oral health is more important than you may realize. Get the facts about how the health of your mouth, teeth and gums may affect your general health.

By Mayo Clinic staff

Did you know that your oral health can offer clues about your overall health? Or that problems in your mouth can affect the rest of your body? Understand the intimate connection between oral health and overall health and what you can do to protect yourself.

What’s the connection between oral health and overall health?

Your mouth is teeming with bacteria — most of them harmless. Normally the body’s natural defenses and good oral health care, such as daily brushing and flossing, can keep these bacteria under control. However, harmful bacteria can sometimes grow out of control and cause oral infections, such as tooth decay and gum disease. In addition, dental procedures, medications, or treatments that reduce saliva flow, disrupt the normal balance of bacteria in your mouth or breach the mouth’s normal protective barriers may make it easier for bacteria to enter your bloodstream.

What conditions may be linked to oral health?

Your oral health may affect, be affected by or contribute to various diseases and conditions, including:

  • Endocarditis. Gum disease and dental procedures that cut your gums may allow bacteria to enter your bloodstream. If you have a weak immune system or a damaged heart valve, this can cause infection in other parts of the body — such as an infection of the inner lining of the heart (endocarditis).
  • Cardiovascular disease. Some research suggests that heart disease, clogged arteries and stroke may be linked to oral bacteria, possibly due to chronic inflammation from periodontitis — a severe form of gum disease.
  • Pregnancy and birth. Gum disease has been linked to premature birth and low birth weight.
  • Diabetes. Diabetes reduces the body’s resistance to infection — putting the gums at risk. In addition, people who have inadequate blood sugar control may develop more-frequent and severe infections of the gums and the bone that holds teeth in place, and they may lose more teeth than do people who have good blood sugar control.
  • HIV/AIDS. Oral problems, such as painful mucosal lesions, are common in people who have HIV/AIDS.
  • Osteoporosis. Osteoporosis — which causes bones to become weak and brittle — may be associated with periodontal bone loss and tooth loss.
  • Alzheimer’s disease. Tooth loss before age 35 may be a risk factor for Alzheimer’s disease.
  • Other conditions. Other conditions that may be linked to oral health include Sjogren’s syndrome — an immune system disorder — and eating disorders.

Be sure to tell your dentist if you’re taking any medications or have had any changes in your overall health — especially if you’ve had any recent illnesses or you have a chronic condition.

How can I protect my oral health?

To protect your oral health, resolve to practice good oral hygiene every day. For example:

  • Brush your teeth at least twice a day.
  • Replace your toothbrush every three to four months.
  • Floss daily.
  • Eat a healthy diet and limit between-meal snacks.
  • Schedule regular dental checkups.

Also, watch for signs and symptoms of oral disease and contact your dentist as soon as a problem arises. Remember, taking care of your oral health is an investment in your overall health. Pasted from <http://www.mayoclinic.com/health/dental/DE00001/NSECTIONGROUP=2&gt;

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs) GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com

Preventive Care in Sandy Springs and Chamblee

sandy springs and chamblee dentist near meAt Right Smile Center, a cleaning isn’t just a cleaning. It is a time for you, your hygienist, and our dentist to make sure your smile and teeth are healthy and catch any dental problems while they are small.

Our hygienists have all been with our office for many years and are highly skilled at making sure you are comfortable during your treatment. They will remove not only the unsightly stains but also any buildup below your gum line to ensure your teeth and gums are healthy.

Unlike many of the corporate controlled dental offices, you see only a Registered Dental Hygienist for the entire appointment and are not “up-sold” for more expensive treatment.

And following your teeth cleaning and x-rays, we spend the extra time to answer any questions or concerns. Hopefully, that’s what you want from your oral health care providers.

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

info@rightsmilecenter.com

http://www.rightsmilecenter.com