Wednesday, April 6, 2011

Top 4 Reasons Not to play hooky from Your Dental Cleanings

BRIGHTON, CO - SEPTEMBER 11:  Dental hygiene s...Image by Getty Images via @daylife
Sure, regular cleanings with our office promotes good oral hygiene, but did you know these visits also screen for a multitude of diseases? Getting your teeth cleaned and having your doctor’s exam may not rank up there with an afternoon on the course or ditching work to enjoy a matinee, but it may be well worth it for your overall health. Here are 4 really great reasons to see your dentist for your regularly scheduled cleanings.
1.    It’s an opportunity to check for Oral Cancer. You may or may not realize that you're screened for oral cancer during your regular dental cleaning but you are. According to the Oral Cancer Foundation, an American dies of oral cancer every hour of every day. It's a sad proposition, especially when you consider that it is highly curable with early diagnosis.
2.    Your gums are being checked for Gum Disease. Gum disease, or an infection in the gum tissues and bone that keep your teeth in place, is one of the leading causes of adult tooth loss. It can be treated and reversed if diagnosed early. Unfortunately, not receiving treatment will lead to a more serious and advanced state of gum disease. Regular cleanings and check-ups along with daily brushing and flossing are key defenses against gum disease.
3.    Your overall health. Studies have linked heart attacks, diabetes detection and strokes to gum disease associated with poor oral hygiene.  A trip to your dentist at least every 6 months and in some cases more often, could reduce your risk of other serious health issues.
4.    Early detection of Dental Problems. We've already touched upon early detection of gum disease and oral cancer, but don't overlook more basic dental problems. Cavities and broken fillings are easy to treat. Without regular check-ups, undetected problems can lead to more serious issues like root canals, gum surgery and tooth extraction.   An ounce of prevention verses a pound of cure.
So you haven’t been keeping up with what current research has to say about caring for your teeth.  That’s why check-ups allow your dentist to examine your mouth and keep you on the right path.  If it's been more than 6 months since your last check up and cleaning, call your dentist to schedule an appointment today.  If we can be of any help or answer any questions please feel free to drop us a line.

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620
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Monday, April 4, 2011

8 Windows Dentistry Opens to your Overall Health

notice do not swim if you have diarrhea mayo c...Image by benchilada via Flickr
I  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.
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>
Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs) GA 30328
404-256-3620
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Friday, April 1, 2011

Number 1 difference between Dental and Health care costs.

Spending on U.S. healthcare as a percentage of...Image via Wikipedia
Have you ever wondered or noticed why 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 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 for.  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, that 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?  No, 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 and 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
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620


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




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Wednesday, March 30, 2011

Dentist Sandy Springs - 4 Steps to Promoting Good Oral Health

Dental hygienist flossing a patient's teeth du...Image via Wikipedia
Good oral hygiene is important for maintaining one's overall health.  If you believe this and you should, then there are 4 essential guidelines of preventative care to maintaining good oral health, all of which are endorsed by the American Dental Association:
1.   Floss regularly and floss first- It is recommended that individuals floss on a regular basis after meals and before brushing their teeth.  The reason to floss first is to dislodge any food particles trapped in between your teeth, which can be disposed of while brushing.  The proper way to floss is to push the floss gently between your teeth to the gum to loosen debris your toothbrush cannot reach. Initially, you may experience some light bleeding but this should disappear once your gums get used to the flossing process.

2.   Brushing your teeth-  If you don’t have an electric toothbrush, good brushing by hand should take a minimum of 2 minutes and should involve brushing in a circular motion, which the electric toothbrush does for you.  You work your way from one side of the mouth to the other, keeping in mind to pay attention to certain neglected areas such as the very back teeth and your tongue. Dentists recommend using soft bristle brushes and toothpaste that contain fluoride.  The fluoride is important, but the rise in use of bottled water has led to the population’s decline in fluoride intake.

3.   Mouthwash- I am not sure how effective this is, but if you’re not going to brush twice a day, using a mouthwash that contains fluoride at least twice a day is a good preventative measure that kills the bacteria responsible for cavities and gum disease.

4.   Your Dental visits- Maintaining your oral health requires regular dental visits at least every six months.  You need to do this for early detection of potential problems that could develop into more serious problems and the hygienist can clean areas that might have been missed or that were resistant to the 3 steps above.
Finally, Finding a Dentist that is Right for You
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. 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 better understanding of the basics for good oral health.   I you have questions or concerns feel free to contact or call.
Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620
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Monday, March 28, 2011

Dentist Sandy Springs - How much do dental implants cost?

Dental implantImage via Wikipedia
If you are trying to figure out the in’s and out’s of  implants verses the older more conventional methods of tooth replacement,  cost of dental implants at first blush may appear high, and therefore, unaffordable to most people.  But appearances can be deceiving if you examine the beneficial differences and the time involved by your specialist.  I have written on those issues before here let’s explore the other aspects of price and how different dental implants may differ very significantly depending on different factors.
The real concern for the patient is where and how to find a low cost quality dental implant, and is most likely the drive adjective ‘low cost’ is a result of the perception by the patient that teeth are utilitarian to their daily life.  That’s really not the case, but to put the cost into perspective all the while considering that your teeth aren’t really as appreciated as much as they should be, let’s examine what goes into the cost of a dental implant.
4 Factors that Drive the Cost of Dental Implants:
The Material:
The traditional materials – prices of cobalt-chromium alloy and titanium are not the same.  Implants from cobalt-chromium (CC) alloy rods are cheaper than comparable titanium implants, but when it comes to zirconium dioxide, then cost of a dental implant may appear to be cost prohibitive to the patient.  But, depending on where the implant is being placed, you may end up with a less than satisfactory result with the less expensive CC implant.
The Size:
This case is a significant factor.  The bigger the implant, the more material, the more it costs, but also the more it may do.  Also, special coatings applied to the surface of the implant, contribute to better oseo-integration with the bone, will affect the cost of the dental implant.
The Manufacturer:
Different manufacturers put different prices on similar rods made from the same material. Some manufacturers include some kind of an extra charge in the dental implants price for their brand. This is a lot more esoteric and therefore harder to explain.   It’s like trying to explain the difference between Polo and Hanes T-shirts.
Finally, it may depend on where your dentist gets his implants from.  And this factor may be a function of how motivated your provider is in providing you with the best implant material for the least amount of cost to you.  Some of that may just end up being economies of scale by your provider.  Does your provider have contacts directly with manufactures in China or Israel, where the dental implant cost can be significantly reduced, while the indirect purchase of dental implants from U.S dental suppliers may ratchet up the price.
If the price is too good to be true?
The cost of an dental implant starts from around $1,500 up to $5,000 .  Anything less may be an indicator that you’re getting an inferior product or one not designed for a particular location in your mouth.  (Mini-plants, which I have discussed before, are the exception to the rule).  Short term it may appear to be fully functional.  But if we look at the cost and cost of other materials for dental implants compared to their operational life, the difference may be likened to the difference between Toyo’s and Michelin tires.  Here again you may get what you pay for and the initial cost may appear affordable, but in the  long term you are going to get a better result with respect to how it functions and how long it lasts if your provider installs Michelins.
A lot of your choice and cost may depend on the choice of your provider.   It’s not to say the more you spend the better you will be.  Rather, a reputable practitioner, who is truly trained in the placement and restoration (and this may be two providers), may be a significant factor in what you end up with and what it costs.  Trust and reputation are the more difficult factors to define for the patient.
Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620
receptionist@rightsmilecenter.com
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Friday, March 25, 2011

Dentist Sandy Springs - Success Rates of Dental Implants

Straumann implant placed in site #14 (maxillar...Image via Wikipedia
Dental implants are among the most successful procedures in dentistry. However, there are no guarantees that an implant procedure will be successful.  Given the complexity of the procedure,  there are many variables that can play into the success rate.  The studies show a five-year success rate of 95 percent for lower jaw implants and 90 percent for upper jaw implants.  The success rate for upper jaw implants is lower because the upper jaw is less dense than the lower jaw, making the success of implantation and osseointegration slightly more difficult to achieve.  The lower posterior implantation has the highest success rate for all dental implants because of the density of the bone, there’s more to work with.
Other factors that have an impact on success are pre-existing dental or general health conditions or the position of the replaced tooth.  Dental implants may fail for a number of reasons, but the most come reason is the failure of the implant device to properly osseo-integrate.  The actual failure of the implant may be the result of poor positioning or over torqueing in the bone.  Although infrequent, dental implants may break or become infected or crowns may become loose the same way your natural teeth become loose.
If you are a heavy smoker, your dentist may advise you to give up smoking before undergoing the procedure because smokers statistically face a higher risk of implant failure. Given how expensive implants can be, one risks wasting money on dental implants if you can’t give up the habit. Other high risk candidates are patients with diabetes, hemophilia or immune deficiencies and rare instances, patients with chronic bruxism.
As I have noted in other articles the value of implants is significant with respect to bone retention and actual functionality, and they are not susceptible to the formation of cavities.  So as long as one engages in good oral hygiene, i.e. with brushing, flossing, and regular hygiene procedures, the chances of peri-implantitis (characterized by inflammation or swelling of the tissues surrounding the implant) should be avoidable.  This disease is similar to periodontitis around one natural tooth, and thus requires a similar approach to good oral hygiene.
Key factors in minimizing dental implant complications are the selection of an experienced prosthodontist and oral surgeon who specialize in implant dentistry, careful pre-operative treatment planning and proper after-care and oral hygiene. If you would like to know whether you are a candidate for implants please feel free to call for a free consultation.

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620
receptionist@rightsmilecenter.com
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Wednesday, March 23, 2011

Survey: What [5] Questions Do Patients Ask About Dental Implants?

This is dental implant fixtureImage via Wikipedia

I read this article by Jim Du Molin and thought it might be interesting to readers and my patients.

We (I'm assuming Jim Du Molin) conducted a survey that asked dentists what questions dental patients ask when considering getting implants. It turns out that there’s a real difference between the questions dental implant patients do ask — and which questions they should be asking.
Dentists responded with the following . . .
The top 5 questions dental patients ask -
  1. How much do dental implants cost?
  1. How long do dental implants last?
  1. Are implants painful?
  1. How long will it take to get my new teeth?
  1. Does dental insurance cover implant surgery?
Versus . . .
The top 5 questions dentists want patients to ask -
  1. Am I a good candidate for implants?
  1. What are the potential complications of dental implant therapy?
  1. How much implant experience does the doctor have?
  1. What is the healing time for my implants?
  1. Can implants improve my appearance?
Many dental implant patients seem to have the same questions about dental implant therapy. Unfortunately, these questions aren’t necessarily the ones dentists think they should be asking.
The 2 main questions patients ask are -
  1. How much do dental implants cost?
  2. Will dental implant surgery be painful?
When dentists feel their very first question should be -
  1. Am I a good candidate for dental implants?
There is really a disconnect between the doctor and patient. This really is no surprise, since patients are thinking about how they are going to pay for the implants, and whether the procedure will be painful.
But doctors can’t afford not to address the primary concerns of the patient first: cost and pain.
One dentist wrote, “Long term, when the conditions are favorable, proper bone density, height and width, proper biomechanical considerations, proper occlusal load. A dental implant is more cost effective over a 3 unit bridge. However, when the above conditions are not meet — the 3 unit bridge (with sufficient ferule, impressions taken with custom made tray and properly impressioned, properly articulated, preprosthetic endodontic treatment performed by an endodontist, core-restoration — not in composite) will be more cost effective (for the patient).”
If you would like to learn more about implants and your candidacy please call or email your question.
Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620




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