The Right Smile Center

Drs. Scheinfelds, Orland and their team provide your family with state of the art, rewarding, comfortable dental care. In our Sandy Springs and Acworth offices, patients come first. ABOUT US IS ABOUT U. Everything we do, from the office design, to our clinical and management training, to the friendly atmosphere we foster in the practice, is for your pleasure and satisfaction. Explore our services and technology, imagine the possibilities, and then give us a call.

Wednesday, September 28, 2011

Dentist Sandy Springs: I'm a new mother. What can I do for my baby's oral health?

You can do a lot! But I don’t necessarily recommend it. Below are some things you need to know about your baby's oral health.

•The same germs that cause tooth decay in your mouth can be passed to your baby. Do not put your baby's items, such as toys, spoons, bottles, or pacifiers in your mouth.

•Wipe your baby's teeth and gums with a clean gauze pad or baby toothbrush after each nursing and feeding. This can help remove sugars found in milk that can cause tooth decay and also get your baby used to having her teeth cleaned on a regular basis.

•If you bottle-feed your baby, try to finish bottle weaning by age 1. Avoid giving your baby bottles or pacifiers at naps and bedtime. Sucking on a bottle when lying down can cause cavities and lead to "baby bottle tooth decay."

•All babies should visit a dentist by age 1. The dentist will screen for problems in your baby's mouth. You will also be shown how to care for your child's teeth and mouth.

•Talk with your doctor about the best water choices for infants. Fluoride is good for teeth. But too much fluoride can harm development of tooth enamel in infants.

As a mother of three, I personally think all of this is too extreme. I didn’t do any of this and my kids turned out perfectly healthy. Call me a heretic, but Mother Nature and your common sense instincts will suit you just fine raising your child. And if you lack the later, then follow the recommendations above. While it is good to know what you can do, the best advice I can give you is don’t worry so much and apply all advice in moderation. They will do fine growing up because they are designed to do fine growing up. If we can be of assistance please do not hesitate to contact our Sandy Springs office.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

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Dentist Sandy Springs: Oral cancer by HPV is on the rise.

HPV (human papilloma virus) is not only on the rise, but it is now the number one cause of oral cancer. This needs to be taken seriously because it is truly a 21st-century pandemic. HPV a sexually transmitted disease and the scary fact is that one out of every two people is at risk of HPV infection.[1] That is 50% of the population. The predominant mode of transmission for the HPV virus that causes the oral cancer is a result of partners engaging in oral sex.[2]

HPV is the same virus that is responsible for the vast majority of cervical cancer in women. Traditionally, oral cancer was predominately caused by smoking and alcohol consumption. But the rise in oral HPV will lead to death in one of four people with oral cancer. This will happen because it was not diagnosed in time. Yet, this type oral cancer is one of the easiest cancers to spot, diagnose and treat.

Dr. Oz says testing for HPV is something everyone needs to do to prevent fatalities from oral cancer. Here are the steps he suggests:

* Demand an oral cancer screening with every dentist visit, but at least one a year.

* Limit alcohol and tobacco use

* Limit exposure to UV radiation. Make sure your lip balm has a high SPF rating

* Practice safe sex.

Dr. Oz says that we need to change the way we had sex in America. Your sex partner must wear a condom throughout your entire sexual partnership or completely abstain from sex orally. The more we continually have transmission of HPV virus into the mouth, the more and more we will have these oral cancers showing up.[3]

Unfortunately, we in the dental field find there is a disconnect in the patient understanding the relationship between their dental exams and their overall health. Most patients do not realize or accept that the dentist is more than a just a tooth mechanic and their mouth houses more than just teeth. Each day we try to educate our patients about the value their dental exams entail.

Early detection is the key to stopping this pandemic before it’s too late. The first line of defense is through your dentist. And when offered a salivary DNA test, realize it’s for your own preventive care. Those who should be tested are:

o Patients with traditional risk factors for oral cancer

o Patients who are sexually active

o Patients with a family history of oral cancer

o Patients with signs and symptoms of oral cancer

o Patients with suspicious oral lesions.

If we can be of help, please feel free to contact us for a Salivary DNA test conducted in our Sandy Springs Office.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

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· Dentist Atlanta: How Often Should I See the Dentist? (therightsmile.wordpress.com)

[1] http://oralcancerfoundation.org/hpv/ (2010)

[2] Dr. Bert W. O’Malley, Jr M.D., Head and Neck Surgeon, on the Dr. Oz Show (2011).

[3] Dr. Oz Show (2011)

Dentist Sandy Springs: What is Dentistry?

Traditionally, dentistry has been the branch of the healing arts and sciences devoted to maintaining the health of the teeth, gums, and other hard and soft tissues of the oral cavity and adjacent structures. Yet, a dentist is a scientist and clinician dedicated to the highest standards of health care through prevention, diagnosis, and treatment of oral diseases and conditions. The notion of dentists as those who merely “tooth mechanics” is completely out of touch with the roll of modern dentists.

Today, dentists are highly sophisticated health professionals who provide a wide range of care that contributes enormously to the quality of their patients’ day-to-day lives as it relates to the patient’s global health care. Yes, dentists work to prevent tooth decay, periodontal disease, malocclusion, and oral-facial anomalies. But a more important aspect of the dentist’s role is diagnosing oral issues that may be affecting your overall health. Dentists are instrumental in early detection of oral cancer and systemic conditions of the body that manifest themselves in the mouth, and they are at the forefront of a range of new developments in cosmetic and aesthetic practices.

While it may be difficult for many to move beyond earlier perceptions, the dental profession includes not only those who provide direct patient care, but those who teach, conduct research, and work in public and international health. All of these individuals are vital links in the health care delivery system, necessary to promote social and economic change as well as individual well-being. Dentists understand the importance of and have made contributions to serving both disadvantaged populations and populations with limited access to dental care.

As the world changes so does the role of the dentist. As always, if you have questions or concerns, feel free to contact us at our office in Sandy Springs. We now offer saliva DNA screening to detect HPV potentials.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

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Dentist: Johns Creek: Bottled Water – Good or Bad?

According to the ADA the majority of bottled water does not contain optimal levels of fluoride to protect your teeth against harmful bacteria. In addition, some types of home water treatment systems also reduce the fluoride levels decreasing the decay-preventive effects of tap water. The absence of fluoride is not to be inferred as some kind of public or private ban on the use of fluoridation, because this is not the case. And with respect to your oral health, when used appropriately, fluoride is both safe and effective and probably your best means of preventing and controlling dental caries. So how do you use fluoride to achieve the maximum protection against dental caries and efficiently reducing the likelihood of enamel fluorosis? There are numerous fluoride modalities that are effective, inexpensive, readily available, and can be used in both private and public health settings. And if left unchecked, the resulting bacteria can penetrate dissolved surfaces, attack the underlying dentin, and reach the soft pulp tissue, causing of course tooth decay. Drinking fluoridated water, brushing with fluoride toothpaste, or using other fluoride dental products can effectively and inexpensively raise the concentration of fluoride in the saliva present in your mouth 100- to 1,000-fold.

Children and adults who are at low risk for dental caries can remain low risk through frequent exposure to small amounts of fluoride by drinking fluoridated water and using fluoride toothpaste. While children and adults at high risk for dental caries should benefit from additional exposure to fluoride by going one step further and utilizing mouth rinse, dietary supplements, and professionally applied products. The ADA reviews fluoride products for caries prevention through its voluntary Seal of Acceptance program and accepted products are listed in the ADA Guide to Dental Therapeutics. At this particular moment in our oral healthcare, fluoride is the only nonprescription toothpaste additive proven to prevent dental caries. As I have recommended in previous articles, brushing is the simplest and number one action you can take to maintain your teeth and oral hygiene. This of course should be followed by regular cleanings and checkups with your dentist.

American Dental Association. ADA guide to dental therapeutics. 1st ed. Chicago, IL: American Dental Association, 1998.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs) GA, 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com

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Dentist Roswell - Myth #1: Root Canal Therapy Is Painful, Wrong!

There are few phrases that invoke as much fear and anxiety as these words from your dentist, “you need a root canal.” Where does this anxiety come from? In his state of the union address, President Obama said of the bail out, “I hated it. You hated it. It was as popular as a root canal.” Clearly, root canals are not very popular. The endodontist, a dentist who has two years of residency training in, among other things, performing root canal therapy, should be the least popular of all dentists. Yet if you have an all-consuming, head splitting toothache, the endodontist is the first person you want to and should see. An endodontist, with their advanced training, can relieve you of your toothache in one appointment. In this way, it would be better to understand endodontists as specialists in treating and preventing toothaches.

Inside of every tooth is tissue, called the dental pulp that helps the tooth grow and develop when the tooth is young. If the pulp comes in contact with bacteria through deep decay, a restoration, or a fracture, it can become damaged. In this way, toothaches are caused by inflammation or infection in the internal tooth, pulp, or surrounding bone. Antibiotics and anti-inflammatory medications will help control the symptoms but cannot resolve the problem. Root canal therapy, so named because the treatment takes place within the tiny roots of the tooth, is a procedure for cleaning and disinfecting the internal tooth structure. Think of it like having a very small filling deep in the tooth, so small that endodontists work with special instruments that are as small as a hair's width in diameter and a microscope to help with vision. Typical treatment time depends on the complexity of the case and the number of roots within the tooth. Your visit can be anywhere from half-hour to two hours with longer treatments often divided into two separate visits for your comfort. In many respects, the experience will be indiscernible from having a filling.

Sometimes root canal therapy is indicated as a means to prevent an infection and toothache, which is why your dentist or endodontist may recommend root canal therapy on a tooth that has never caused any problems before. He or she is only looking out for your best interest, saving you from future discomfort and infection. Any time a tooth can be treated prior to infection, the procedure itself will be more predictable and easier on you, the patient.

Root canal therapy is a comfortable procedure. The treatment itself is performed under local anesthesia and there is no associated feeling. When it is over, you can often return to work or to enjoying your day. When people wince at the thought of a past root canal or describe a past experience, they are either referring to the toothache that caused them to need treatment, or were not under the care of a specialist who has advanced training, tools, and techniques. Sedation is offered in some offices, but it is not needed in the vast majority of cases. Patients, much to their own disbelief, very often fall asleep on their own during the procedure.

If you are referred to an endodontist for root canal therapy, there is nothing to fear. Your endodontist should make every effort to answer your questions and make the process as relaxing and comfortable as possible for you. If you have a toothache and are referred to an endodontist, know that you have already been through the worst part, you are heading to the right place, and treatment will have you feeling better quickly, often as soon as your endodontist numbs the area.

If you need additional information or have questions, this article was contributed to the Right Smile Center by Dr. Justin M. Parente of Alpharetta Endodontics, www.alpharettaendo.com (770-772-3002). Dr. Parente received his DMD and post graduate Endodontic specialty training at Medical College of Georgia and is a member of the American Association of Endodontists.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com

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Dentist Marietta: What you probably don’t know about Cosmetic Dentists

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. Regardless, the fact remains that the majority of dentists are general dentists, but call themselves ‘cosmetic dentists’. They all have undergraduate degrees with either a BA or BS and at least four years of dental school with either a DDS or a DMD as the result. But not one of them has a ‘cosmetic specialty’ in dentistry. Those dentists who choose to make the claim do so by virtue of deciding to focus on cosmetics in their general practices. The American Dental Association (ADA) only has nine recognized post dental degree dental specialties and cosmetic dentistry is not one of them. These specialties range in one to six years of advance training beyond dental school. At the end of their post doctorate degree, these dentists receive additional certifications in their respective specialties, thus becoming what should be considered experts within their fields of dentistry. Some are either board eligible or board certified. These ADA specialties are:

Dental Public Heath, Oral and Maxillofacial Pathology, Radiology and Surgery, Orthodontics, Endodontics, Pediatric Dentistry, Periodontics, and the least known, 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 prosthodontist is 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. 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
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com

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(Prosthodontist = ADA accredited cosmetic dentist)

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. They 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 their 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. Now, while still a complex procedure there are alternatives that with significant preparation allow for teeth to be implanted in a day and utilized by the patient shortly thereafter.

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 quick 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.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Sandy Springs, GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com

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Dentist: Roswell: Healthy smile, healthy you!

Regular dental visits do more than just keep your smile attractive; they can tell a dentist a lot about your overall health, including whether or not you may be developing a disease like diabetes. Recent research suggests that the health of your mouth is a reflection of the condition of your body as a whole. Meaning, if your mouth is healthy, chances are your overall health is also good. It’s kind of like hand in glove. So if you have poor oral health, this may be a sign that you may have other health issues.

There is further indication that a healthy smile may actually prevent certain diseases from occurring, such as gum precipitated heart infections. As of late, a lot of orthopedic surgeons are requiring a blessing from your dentist before they operate. According to the American Academy of Periodontology, there is a relationship between gum (periodontal) disease and health complications such as a stroke and heart disease.[1] Women with gum disease also show higher incidences of pre-term, low birth-weight babies. Recent studies also have shown that there are microbiologic and immunological findings that strongly support the association. The studies indicate that periodontal infection can lead to placental-fetal exposure and, when coupled with a fetal inflammatory response, can lead to preterm delivery.[2]

Further research shows that more than 80 percent of all systemic diseases (involving many organs or the whole body) have oral manifestations, including swollen gums, mouth ulcers, dry mouth and/or excessive gum problems. Such systemic diseases include:

· diabetes

· leukemia

· cancer

· heart disease

· kidney disease

Since most people have regular oral examinations, their dentist may be the first line of defense to diagnose a health problem in its early stages.

Failing to take care of your teeth and can actually lead to other health problems, including:

· Oral and facial pain. According to the Office of the Surgeon General, this pain may be largely due to infections of the gums that support the teeth and can lead to tooth loss. Gingivitis, an early stage of gum disease, and advanced gum disease affect more than 75 percent of the U.S. population.

· Problems with the heart and other major organs. Mouth infections can affect major organs. For example, the heart and heart valves can become inflamed by bacterial endocarditis, a condition that affects people with heart disease or anyone with damaged heart tissue.

· Oral cancer. Poor oral care can contribute to oral cancer, which now takes more lives annually than cervical or skin cancer.

· Digestion problems. Digestion begins with physical and chemical processes in the mouth, and problems here can lead to intestinal failure, irritable bowel syndrome and other digestion disorders.

Seeing a dentist regularly helps to keep your mouth healthy and allows your dentist opportunities to examine developments that may point to other health issues. A dental exam also can detect poor nutrition and hygiene and growth and development problems. As always, if you have any questions or concerns, feel free to contact our office in Sandy Springs for a consultation.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com

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