Wednesday, September 24, 2014

Don’t Take Chances with Chipped Teeth – Dentist Sandy Springs

In the movies, a simple pratfall usually gets a big laugh, and a resulting chipped tooth can have the audience rolling in the aisles.  But in real life, a chipped tooth due to trauma is no laughing matter.  
Besides possible pain and damage, a chipped tooth can cause a lot of embarrassment.

If you have a chipped tooth, you're not alone!  In fact, chipped teeth are the most common dental injury today.  While a chipped tooth can range in terms of size and damage, any type of dental trauma deserves immediate attention.  Although a small chip will most likely not cause pain, you should contact a dentist to make sure there is no other damage to the tooth's structure.  A dentist will be able to rule out accompanying cracks or internal dental problems when examining your chipped tooth.

More significant damage should definitely not be ignored!  A broken tooth may result in an exposed nerve, which can cause a great deal of pain. A completely knocked-out tooth can actually be saved if you act quickly.  Regardless of your dental emergency, contact your dentist right away.

If we can be of service, please do not hesitate to contact our office.  We offer complimentary consultations all our patients, new and old.  We serve Metro Atlanta, including Sandy Springs East Cobb, Buckhead, Roswell, Alpharetta, Johns Creek, Dunwoody, Vinings, Acworth, Woodstock and Smyrna.

Novy Scheinfeld, DDS, PC.
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620


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Monday, September 22, 2014

FDA moves to Deter Smoking – Dentist Sandy Springs

The rate of smoking in America has been cut roughly in half, to about 19 percent, from 42 percent in 1965.  Yet smoking remains the leading cause of preventable death, killing 443,000 Americans a year, according to the CDC located here in Atlanta, GA.  According to the government, an estimated 4,000 youths try their first cigarette every day, and 1,000 a day become regular smokers.

Most likely emboldened by a case the government won last year in a federal court in Kentucky on its overall ability to require larger warning labels with images, Federal health officials released on Tuesday their final selection of nine graphic warning labels to cover the top half of cigarette packages beginning next year, over the opposition of tobacco manufacturers.

The government won and the specific images released Tuesday are likely to stir further legal action.  The Kentucky case is before the United States Court of Appeals for the Sixth Circuit.
Meanwhile back at the ranch, R.J. Reynolds, Lorillard and Commonwealth Brands, the second, third and fourth largest United States cigarette makers, said in a submission to the F.D.A., the “nonfactual and controversial images” were “intended to elicit loathing, disgust and repulsion” about a legal product.

Unfortunately what the tobacco industry fails to understand is this is a critical moment for the United States to move forward in attempting to utilize enhanced efforts in this area according to the F.D.A. commissioner, Dr. Margaret A. Hamburg. As much as seven years ago smoking leveled off at about the 20 percent level of adult and youth in this country and we need to step up our action to eliminate smoking all together.

According to the CDC, approximately 75% of all oral cavity and pharyngeal cancers—mouth, tongue, lips, throat, nose, and larynx— can be attributed to the use of tobacco related products.  Those who choose to use cigarettes, cigars, pipes, chewing tobacco, or snuff, place themselves at a much higher risk of developing oral cancer and other diseases, such as heart disease, emphysema and chronic bronchitis.
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.

Your dental care is an important aspect of your general health care.  So you need to make sure you find a dentist that is right for you and your family. This can be a difficult process.  Look for someone who’s competent and you feel comfortable with, one you can have a collaborative relationship with. This is important because there are conditions and problems that were not discussed in this article that the dentist will need to pay attention to during your regular checkups. Hopefully after reading this article, you will have a heightened understanding of the basic need for good oral health.  If you have additional questions or concerns feel free to contact us.

Dr. Scheinfeld is an Emory University School of Dentistry trained prosthodontist treating patients in the Sandy Springs, East Cobb, Dunwoody, Roswell, Johns Creek, Alpharetta, Vinings and Buckhead areas of Metro Atlanta.  Of the 170,000 dentists in the U.S., less than 2% are prosthodontist.

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620


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Ultra-Low-Calorie/Carb Diet may Reverse Type 2 Diabetes – Dentist Sandy Springs


Research shows there is an increased prevalence of gum disease among those patients with diabetes.  And yet with only 600 calories of non-starchy vegetables per day a patient may rid themselves of a life of chronic health issues.  According to Newcastle University in a groundbreaking British study, patients who consumed only 600 calories a day for two months were able to reverse their Type 2 diabetes.  The research, involving only 11 patients, suggests a very low-calorie diet can remove fat that clogs the pancreas, allowing normal insulin secretion to be restored.  Seven of the 11 patients remained free of diabetes three months after the study.

Type 2 diabetes, also known as adult-onset diabetes, occurs when the pancreas is unable to produce sufficient insulin to regulate fat metabolism and sugars in the blood, or when the body is unable to react to the insulin.[1]  Insulin is needed to move blood sugar (glucose) into cells, where it is stored and later used for energy.  When sugar cannot enter cells, abnormally high levels of sugar build up in the blood. This is called hyperglycemia.[2]

The study that was announced at an American Diabetes Association conference is being published in the journal Diabetologia.  Over eight weeks, researchers monitored the fat content in the liver and the insulin production from the pancreas, comparing the results to a control group of non-diabetics.  After only one week, the diabetics’ pre-breakfast blood sugar levels were normal.  According to NU researchers, MRI scans of the patients’ pancreases revealed that fat levels had dropped, which allowed the organ to produce more insulin.

While the trial sample is very small, the potential discovery is huge.  Generally, diabetic patients require additional oral maintenance.  So if you reverse the diabetes, you can reverse your oral health issues that result from it.  It’s food for thought.

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620


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[1] American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010;33 Suppl 1:S62-S69.
[2] Ari S. Eckman, MD, Division of Endocrinology and Metabolism, Johns Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Thursday, September 18, 2014

Getting The Point About Oral Piercing – Dentist Sandy Springs

Along with tattoos, oral piercing is becoming a trendier popular form of self-expression but not without risk or complication. The tongue is the most common site along with the lips, uvula, cheeks or a combination of these sites being utilized. If you absolutely can’t live without participating in this trend, be sure the procedure is performed by qualified professionals who use disposable gloves, disposable or sterile instruments and sterilized jewelry. For several days after the piercing, you can expect swelling, pain, increased salivary flow and sometimes infection. There may be prolonged bleeding from punctured blood vessels.

The healing period is usually 3-6 weeks before the permanent device (hoops, studs, barbells) can be placed. During the healing stage, avoid spicy foods, alcohol and smoking. Use antiseptic or warm salt water mouth rinses; keep talking to a minimum for the first few days; and refrain from French kissing and oral sex for at least 2 weeks to minimize infection risk. Complications arising from oral piercing include chipped teeth, allergic reactions, change in the way your food tastes from interfering with taste buds and problems with speech, chewing and/or swallowing. After healing and to minimize complications, people should remove their jewelry once a day for cleaning and irrigate the hole with water. For those with tongue piercing, the tongue should be brushed every day. Proper care or removal should be taken during strenuous, contact sports.

The tongue piercing which involves placing a "barbell"-type stud through the tongue puts people at risk for chipped teeth, recessed gums, and nerve damage, according to the Academy of General Dentistry (AGD). However, most people don't realize that getting an oral piercing also places them at risk for developing a fatal infection or, in some cases, a mini-tongue, according to a report in the January/February 2006 issue of General Dentistry, the AGD's clinical, peer-reviewed journal.

Unclean piercing equipment can cause other infections, such as blood-born hepatitis. Also, if a patient is not instructed to avoid touching the piercing, they might spread infections with their own fingers.  Piercings in the mouth have some specific additional risks, according to the American Dental Association.
If you do experience continued discomfort or sense that you are not healing please contact your dentist or physician and get it checked out.  As always, if my office can be of assistance do not hesitate to contact us for an appointment.

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328                                                                        
404-256-3620

www.rightsmilecenter.com

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Wednesday, September 17, 2014

Afraid of the Dentist? Dentist Sandy Springs

Some Perceptions Never Change

It seems that no matter how far we have come in the world of modern dentistry, the perception of the dentist has not changed much since the days of the old west where the barber put his foot in your chest and yanked out your tooth.  Research by the British Dental Health Foundation suggests that visiting the dentist makes people more nervous than snakes or spiders.[1]The research echoes a March 2011, Adult Dental Health Survey which revealed half of adults - especially women - were classified as having moderate to extreme dental anxiety.[2]

In a survey of 1004 people, the Foundation found what made them most nervous from a list including heights, flying, injections, doctors, snakes, spiders, going to hospital or visiting the dentist was visiting the dentist.[3] Over one in five people ranked visiting their dentist as the thing that made them most nervous - more than any other category.

Overall, statistically:

1. Heights topped the poll of biggest fears
2. Closely followed by visiting the dentist
3. Going to the hospital
4. Snakes were rated fourth
5. Spiders came fifth.

In comparison to physicians, dentists also struggled. The Foundation discovered that nearly 10 times as many people (22 per cent) were made most nervous by their dentist, as compared to their physician (two per cent). The Adult Dental Health Survey points to two dental treatments in particular as the main cause of these nerves: three out of ten (30 per cent) adults said that having a tooth drilled would make them very or extremely anxious. A similar number (28 per cent) of people reported equivalent levels of anxiety about having a local anesthetic injection.

Dr. Nigel Carter, Chief Executive of the British Dental Health Foundation, said: "Everyone in the profession knows that dental anxiety is a major barrier for many people to visit their dentist."  What may prove concerning is just how poorly the dental profession rates in comparison to doctors. The comparison with snakes and spiders may appear frivolous, but it does suggest dentists still have a lot of work to do to build public confidence.

Unfortunately, in modern dentistry the gap between reality and perception is the Grand Canyon, because there really is no modern reason to fear your dentist.  All of the old procedures are now performed with great comfort and no pain to the patient.

Dr. Novy Scheinfeld is a trained prosthodontist with her post-graduate degree from Emory University School of Dentistry.  She was recently chosen as one of America's Top Dentists for 2011 and 2012.
 
Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620
info@rightsmilecenter.com

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[2] Adult Dental Health Survey 2009, the Health and Social Care Information Centre.
Published March 2011.

[3] British Dental Health Foundation. Sample Size: 1004.

Tuesday, September 9, 2014

Your Smile Is Priceless – Dentist Sandy Springs

Did you know that the shape, shade, length and spacing of your teeth can significantly affect your smile? And your smiles can greatly affect your 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 dental technology can dramatically change these conditions 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 occlusal bite, oral habits, available space, gum tissue health, 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 esthetic outcomes. For whiter natural teeth, in-office or at-home 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 our Atlanta (Sandy Springs) office for a complimentary cosmetic consultation.

Novy Scheinfeld, DDS, PC                          
290 Carpenter Drive, 200A
Atlanta, GA 30328
(404) 256-3620
info@rightsmilecenter.com
www.rightsmilecenter.com
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Monday, September 8, 2014

What are dental veneers? Dentist Sandy Springs tells all.

Veneers are wafer-thin laminates of tooth-colored material made of either porcelain, ceramic or composite bonding material.   They are bonded with cement to the front surface of teeth to improve their aesthetic appearance.   It’s really not that much different from brick on the front of one’s home.  Many dentists use the alternative analogy that dental veneers are for your teeth are what false fingernails are for your hands.  
What problems are veneers used to treat?
There are a wide variety of reasons why patients opt for treatment with dental veneers:
Stained teeth – badly stained or discolored teeth that cannot be improved by teeth whitening treatments can be significantly improved by dental veneers by covering any existing stains on your teeth.
Damaged teeth - teeth that have become badly worn as well as those that have been chipped, can be repaired by veneers.  A small chip on a tooth can quickly be repaired with composite bonding.   A single damaged tooth can easily be repaired with a porcelain veneer that has the same shade of color to match your natural teeth.
Gaps - spaces between your teeth can easily be closed using dental veneers, providing you a more uniform looking smile.
Crooked teeth -  For teeth that are not severely crooked, veneers placed over their surface can provide the illusion of a perfectly aligned smile.
So which are better: composite veneers or porcelain veneers?
The most popular type of veneer is porcelain, which offers a stronger and more durable alternative to its composite alternative.  Porcelain veneers also offer a more natural looking, translucent appearance. Composite veneers are more prone to staining and do not last as long as porcelain veneers.   Composite veneers are much cheaper than porcelain veneers in general, but considering that they do not last as long and need replacing more often, they could end up costing more in both time and money in the long run.  Composite work is ideal for small chips, as this treatment preserves more of your natural tooth structure.
How long do dental veneers last?
Porcelain veneers will typically last between five and ten years, while composite veneers last a year or two at most. The bottom line is that your veneers will eventually need to be replaced. Although veneers are strongly cemented into place, there have been cases where they come loose and fall off. In such situations, it is important that you keep hold of your veneer and contact your dentist immediately. To make your veneers last longer, follow a good oral hygiene program and visit your dentist for check-ups on a regular basis.
Is it possible to have veneers fitted on the same day?
Usually, porcelain veneers are placed over a minimum of two visits. A few cosmetic dentists have invested in CAM/CAD in-house ceramic studios such as E4D or CEREC, which can custom-produce high-quality ceramic veneers on-site in as little as twenty minutes. This technology enables the dental practice to offer single-visit, same-day ceramic veneers which are fitted within a couple of hours.  But either way the process is very technique sensitive.
If you have any questions or would like to schedule a complimentary appointment to see if you’re a candidate for veneers, please contact us.
Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620

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Thursday, September 4, 2014

Dental Implants are….

Your Natural Choice in Tooth Replacement.

Whenever a tooth is lost, if possible it should be replaced with an implant.  Failure to do so will ultimately contribute to the loss of facial bone structure.  Dental implants are essentially artificial tooth roots, eliminating the need for dentures or bridgework.  The advantages vary from patient to patient and type of restoration, but in addition to retained bone structure there may be improved chewing ability, better speech, a more secure fit of the restoration, greater comfort, and improved self-esteem.

The implant itself is made from Titanium and is surgically implanted in the jawbone to function in a similar way to a natural tooth root.  Depending on the individuals varying biological characteristics, it may be necessary for the implant to heal in the jawbone for a period of 3 to 6 months, allowing your bone to grow onto the implant in a process called Osseo-integration.

Once integrated, the implant is then exposed from the gum tissue, and a restoration consisting of one or more replacement teeth, is fabricated by the prosthodontist to fit on top of the implants.  In other cases it is possible to fit the teeth to the implants soon after implant placement, called immediate loading implants.

The restoration can be attached in several ways:

  • Removable structure, using special bars and clips.

  • Fixed or screw retained, using special screws and cement so that only your dentist can remove it, if necessary.

In the case of dentures, an implant-supported overdenture fits more securely than a conventional denture which rests on the gum tissue and offers no form of mechanical attachment.  The difference is the implants participate integrally in retaining bone structure in the jaw line.

Where a single tooth is lost, adjacent healthy teeth can remain intact and unaffected by an implant-supported restoration.  This is unlike conventional bridgework where healthy teeth are structurally altered to support the bridge.

Implants are usually placed under local anesthesia in the periodontist’s or oral surgeon’s office.  The procedure involved in placing the implants is generally not painful and usually requires minimal recovery time and post-operative medication.

Only your dentist can tell whether you’re a candidate for dental implants.  Certain health conditions (like uncontrolled diabetes) or risk factors (like smoking) may preclude your ability to undergo implant therapy.  In addition, appropriate hygiene must be established prior to implant therapy and must be maintained to ensure the long-term success of the implant.  As part of this growing trend, we are now placing implants in our office.  If we can be of assistance or answer any of your concerns or questions please feel free to contact our office.

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620
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We’ve made a lot of progress – Dentist Sandy Springs

People in ancient times believed that the stabbing pain of a toothache was caused by a toothworm, which either had appeared spontaneously or had bored its way into the tooth. If the pain was severe, it meant that the worm was thrashing about, but if the aching stopped, then the worm was resting. Cultures all over the world, many of whom had no contact with each other, held stubbornly to this myth. The folklore of the toothworm persisted from ancient times to the beginning of the eighteenth century.  As a result many of the rather comical folk cures were developed:

 Bee: Honey, a product of bees, was used to coat an infected tooth in the Middle Ages. People smeared their aching teeth with honey and waited all night with tweezers in hand, ready to pluck out the toothworm.  The bait rarely worked. 

 Donkey: In ancient Greece, donkey’s milk was used as a mouthwash to strengthen the gums and teeth.  It was obvious goats milk did not have the same medicinal attributes.

 Frog: Besides spitting in a frog’s mouth for toothache relief, these web-footed creatures were applied to a person’s cheek or to the head on the side of the ailing tooth.  The worst case scenario is you ended up with a prince or princess.

 Onion: In the Middle Ages a slice of onion was applied to the ear on the side of the aching tooth.  Obviously, they had never heard the old adage that ‘misery loves company’, because no friends wanted to hang around people with smelly onion ears.

If you are having a persisting or intermittent ache in your tooth for a prolonged period of time and none of these remedies are working for you, you mostly likely need to see a dentist.

Portions were Reprinted with permission from "Toothworms and Spider Juice: An Illustrated History of Dentistry" – Loretta Frances Ichord, Millerbrook Press.

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A                                                         
Atlanta (Sandy Springs), GA 30328
404-256-3620
              
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