Wednesday, December 5, 2012

Dentist Sandy Springs: Oral Health and Pregnancy


More than 6 million women in the US become pregnant every year and 40% of them for the first time.  During pregnancy, women are at greater risk of experiencing poor oral health care, which has been linked to adverse pregnancy outcomes.  Pregnant women are susceptible to oral infections, pregnancy gingivitis, periodontitis and oral pyogenic granulomas.  Results of varies studies regarding oral health literacy showed it was directly related with general health knowledge, and therefore, health outcomes of both the mother and the fetus followed the level of their general health knowledge.  These studies showed that the prevalence of low health literacy among pregnant women ranged from about 15 to 38% and was associated with older age women and women of minority status.[1]
Because of the low levels of oral health knowledge among these segments of the population, it is important for physicians and public health workers to be aware that a message should be tailored to direct pregnant women in these at-risk populations to seek out dental professionals who can alleviate potential oral health issues that might be related to complications in their pregnancies and the potential of adverse effects on their babies.
If you have any questions or concerns about your oral health care, please do not hesitate to contact us via email or by phone.
Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620


Thank you for all your referrals.  We truly appreciate them.
Information included is not dental or medical advice.  For your specific information
 be sure to consult your dentist.
Related articles


[1] Jada, September 2012 at 972-979

Tuesday, December 4, 2012

Dentist Sandy Springs: Dental Implants 101


Dental Implants have changed the face of dentistry.  What used to be a difficult procedure is now the standard of care. As with most treatment procedures today, dental implants not only involve scientific discovery, research and understanding, but also application in a practical sense.[1]  The practice of implant dentistry requires expertise in planning, surgery and tooth restoration.  The role of a prosthodontist as the ‘quarterback’ in the process is as much about their art and experience as it is about their post graduate training.
The dental implant is actually a replacement for the root or roots of a missing tooth. And like tooth roots, dental implants are secured in the jawbone in a process known as osseo-integration.  Hidden beneath the gum-line, they are used to secure crowns (the parts of teeth seen in the mouth), bridgework or dentures by a various design means. They are made of titanium, which is lightweight and strong, but most importantly, they are biocompatible, which means that it is not rejected by the body.[2]
Titanium’s special property of fusing to bone is the biological basis of dental implant success.  Placing dental implants stabilizes the existing jawbone.  Along with replacing lost teeth, implants help maintain the jawbone’s shape and density, ensuring your facial skeleton is also maintained. This means they also support indirectly, the soft tissue structures — gum tissues, cheeks and lips. Dental implants help you eat, chew, smile, talk and look completely natural, transitioning the patient to a well maintained physical appearance.[3]
So the final question is ‘are you a candidate for dental implants’?  If we can be of service please do not hesitate to contact us.
Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620

Thank you for all your referrals.  We truly appreciate them.
Information included is not dental or medical advice.  For your specific information
 be sure to consult your dentist.


[1] International Congress of Oral Implantologists - http://www.dentalimplants.com/
[2] Ibid
[3] Ibid

Monday, December 3, 2012

Dentist Sandy Springs: Steps In Dental Implant Treatment


The procedure is often performed in the dental office using a local anesthetic by a team of dentists, usually a prosthodontist (or a general dentist in some cases) and an oral surgeon or periodontist. During surgery, each implant is placed within the bone to serve as an anchor for the attachment that will eventually support the replacement teeth.[1]
Generally, four to six months is allowed for the bone to grow into the implant(s) (osseo-integration) and hold them securely in place like your natural teeth are held in place.  Once the bone has adhered (integration) and firmly healed around the implant, a small attachment is placed on top of each implant. The attachment (abutment) protrudes through the gum-line and serves as an anchor for the restorative crown.
After your gums have healed, an impression of the attachments and your mouth is taken, then the permanent teeth or dentures are fabricated in a dental lab and will be placed on top of the attachments during your final visit.
Subsequent to your final restoration, there will usually be some follow-up visits to ensure the restoration is functioning well in conjunction with the support structure.
Hopefully this short explanation is helpful.  If you have any questions or concerns please contact us.

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

Thank you for all your referrals.  We truly appreciate them.
Information included is not dental or medical advice.  For your specific information
 be sure to consult your dentist.

Related articles
·        Dentist Vinings: How Much Do Dental Implants Cost? (therightsmile.wordpress.com)



[1] This assumes the tooth is either missing or has been extracted.

Dentist Sandy Springs: The Good News About Root Canals


Root Canals are virtually pain-free.  Patients used to worry about root canals, and rightfully so?  Once synonymous with serious pain, today's root canal procedures are almost pain-free.  Usually the pain associated with root canals is caused by waiting until the infection has become all too tolerable.
 
Root canals are needed when the dental infection, or tooth decay reaches the pulp chamber of the tooth. The infection destroys the nerves located within the root of the tooth, eventually causing the tooth to die. Years ago, the only option for this type of dental problem was a tooth extraction. Now, thanks to the progress in dental technology, often your infection can be stopped with a topical medicine applied to the tooth. And where this is not successful, the tooth can be saved with a root canal.

If you're in need of root canal therapy, you may be having trouble eating or sleeping.  A toothache or sensitivity to hot or cold is common for those with infected pulp, and you may even have swelling or tenderness in the gums.

The best course of action is not to self-diagnose and don’t procrastinate.  Only a dentist can properly diagnose the pain and provide you with the appropriate treatment.

If you are experiencing symptoms of an infection in your teeth, don't ignore them!  Our goal is to save your tooth rather than extract it, and with good reason.  Missing teeth can cause bite problems, shifting teeth and bone loss.  The vast majority of preventative treatment or root canal procedures are effective, and a successful procedure can help you keep that tooth for a long time.

If we can be of assistance or answer any of your questions, please give us a call or email us.

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

Thank you for all your referrals.  We truly appreciate them.
Information included is not dental or medical advice.  For your specific information
 be sure to consult your dentist.
Related articles

http://therightsmile.wordpress.com/2012/06/21/dentist-atlanta-how-much-does-a-root-canal-cost/

Friday, November 30, 2012

Dentist Alpharetta: How much do Veneers Cost?


So how much do dental veneers really cost? The cost for porcelain veneers varies widely. They can run anywhere from $925 to $2,500 per tooth. There are several reasons for the difference in cost and it also varies widely across the United States.  And yes, one might consider veneers to be quite expensive but they do offer several benefits.  One of which is a distinctly improved smile.
First, lets discuss what porcelain veneers are.  Porcelain veneers are extremely thin custom made covers for the front surface of the teeth. They can be made from porcelain or direct composite resin.  Although porcelain veneers are more expensive than composite, they last much longer and are more stain resistant.  Traditional composite veneers last on average between five and seven years while porcelain veneers last between 10 and 18 years.
Veneers are used for a variety of purposes. They can be used to fix chipped or broken teeth or teeth that have become discolored by root canal work, excessive fluoride, or drugs such as tetracycline. Porcelain veneers can also be used to correct misaligned teeth or teeth with gaps between them.  But the most common reason for veneers is cosmetic. They can be used to change the length, shape, size and color of teeth. In effect, they can be used to create a designer smile.
There is also a difference in cost between having the procedure done in a metropolitan area versus a small town. Another cost variation is the difference in cost from one ceramics lab to the next. The number of veneers done also affects cost. A single veneer usually is more expensive per tooth than a set of veneers.
Because veneers are considered a cosmetic procedure, they generally are not covered by insurance. In some cases, depending on the insurance company and the policy coverage they may be eligible for a dental discount. Again, the amount and availability of this discount varies widely.  In special circumstances some insurance may pay up to 50% depending on the type of policy. To offset the high cost of veneers, most dentists offer special payment plans.
Getting dental veneers is a multi-step process. The initial visit usually consists of a consultation and depending on the dentist and the amount of work to be done, x-rays and/or impressions of the teeth may be done at this time.  On the first working visit the dentist will remove approximately 1/2 millimeter of enamel from the tooth or teeth to be veneered and make a model to send to the lab that will make the veneer.  This is most often done with a local anesthetic. Normally it takes one to two weeks to construct the veneers.  During the next visit, the veneer is temporarily placed to check for proper color and fit.
The tooth that is to receive the veneer is then cleaned, polished, and etched. The etching roughens the surface of the tooth for better adhesion of the veneer. The veneer is cemented into place and a follow up visit to check placement and adhesion may be required.
How long do porcelain veneers last?  They can last between five and ten years or more, depending on how you take care of them. But at some point they probably will need to be replaced. Just like real teeth, porcelain veneers need to be thoroughly brushed and flossed daily.
Your smile is the first thing people notice about you which is the primary reason people want porcelain veneers.  If we can be of service or you have any questions, please feel free to contact us.
Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620

Thank you for all your referrals.  We truly appreciate them.
Information included is not dental or medical advice.  For your specific information
 be sure to consult your dentist.
Related articles
·   Dentist Sandy Springs: How Much do Dental Crowns Cost? (therightsmile.wordpress.com)
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Thursday, November 29, 2012

Dentist Sandy Springs: How Much does a Dental Crown Cost?


Dental crowns cost anywhere between $900.00 and $1600.00 each depending on the tooth to being restored. In addition, the cost will vary depending on materials, complexity and the dentist's training and experience and to some degree the location of the practice.  Insurance may pay part of a crown's cost if it's obviously needed for medical reasons, but usually crowns are covered only on a limited basis per year.  Depending on the customers’ needs and wishes, partial and full crowns made of various materials may be utilized.  Crowns are made of gold, porcelain, resin or porcelain-fused-to-non-precious-metal.  A tooth-shaped cap (the crown) covers the entire surface of a tooth, adding strength, durability and stability. This usually requires two office visits; first to prepare the tooth, make an impression and install a temporary crown. The impression is sent to a dental laboratory or manufactured in-house with the use of a CAD aided milling machine to create the permanent crown, which is installed during the second appointment.

There's often an initial office visit ($65-$102) and X-rays ($85-$135).  One must not forget that there are additional costs that contribute to the overall price involved in crowns, aside from the material and type of crown chosen which are beyond the patient’s control.  A large share of undervalued costs goes toward the treatment itself, lab and production costs for the crown, aftercare and the like.

Dental care on a whole is often considered expensive, but with proper care a crown may last 10 or more years.  Depending upon the general wear and tear a crown is exposed to and how well you keep your teeth free of plaque, it could last indefinitely.  With somewhere between 10 and indefinitely, the investment becomes rather modest, if not inexpensive.

If we can be of service or answer any of your questions please do not hesitate to give us a call.

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

Thank you for all your referrals.  We truly appreciate them.
Information included is not dental or medical advice.  For your specific information
 be sure to consult your dentist.

Related articles
·   Dentist Sandy Springs: How Much do Veneers Cost? (therightsmile.wordpress.com)
·   Dentist Roswell: How Much Do Teeth Cleanings Cost? (therightsmile.wordpress.com)
·   Dentist East Cobb: How much do dental implants cost? (therightsmile.wordpress.com)

Dentist Vinings: How much do dental fillings cost?


The cost of a filling can vary greatly, depending on who you go to, the type of filling and degree of restoration required.   An amalgam ("silver/mercury filling") is cheaper than a composite (white/resin filling), but will last significantly longer if you are unconcerned about aesthetics and the back and forth debate over whether or not amalgams may be linked to other health issues.  The US Food and Drug Administration (FDA) and the American Dental Association (ADA) found there is no danger from an amalgam filling, but some specialists and consumers remain unconvinced by the findings.

One of the ways to find out the actual range of cost is to just call a local dentist from the internet and ask them.  You are going to find some hesitancy to quote over the phone because each person presents a different set of restorative circumstances, but you should be able to get a range of costs or a free consultation.

While costs vary from one area to the next and from one office to the next, the cost of typical amalgam filling ranges from approximately $75 to $175 per filling, whereas a composite resin filling ranges from $125 to $300 for a single surface restoration.  You should expect about 3 to five years (possibly 7 years) of use from the composite and as many as 20 years or longer from an amalgam restoration.  Actually a well-cared-for amalgam filling can last a lifetime, so the expensiveness of the filling really becomes a minor consideration.

Restorative circumstances are going to vary from tooth to tooth and decay may be found in one small spot or throughout a tooth. The restorative fees are based on the number of surfaces needing filling in a single tooth.  A silver amalgam filling on one or two surfaces averages $75 to $175, while for three or more surfaces it could go as high as $120 to $300 or more.  The same type of logic follows with respect to composite restorations.  Since composite resin fillings are more time consuming and require greater skills to completion they are more expensive than amalgam fillings and weigh in on the more expensive side of caries restorations.
Typically dental insurance covers most or all of the costs of a silver amalgam filling, but only 50 to 80 percent of the cost of a composite filling because the higher charge for the tooth-colored material is considered a cosmetic option. One exception is when an old amalgam filling is cracked or broken and is replaced with a composite filling.

Your dentist should be advising you of the type of filling based on the size of the cavity and the location of the tooth in your mouth.  Amalgams are more likely to be placed in the back of your mouth while composites are more likely to be used on more-visible front teeth. WebMD.com gives an overview of typical filling procedures and Colgate.com lists pros and cons of different types of fillings.
Amalgam Advantages
  • Amalgam fillings are strong and can withstand the forces of chewing.
  • They are relatively inexpensive and last a long time, compared with alternatives.
  • An amalgam filling is completed in one dental visit.
Amalgam Disadvantages
  • Amalgam doesn't match the color of your teeth.
  • Healthy parts of your tooth often must be removed to make a space large enough to hold an amalgam filling.
  • Amalgam fillings can corrode or tarnish over time, causing discoloration where the filling meets the tooth.
  • A traditional amalgam filling does not bond (stick) to your tooth, so the cavity preparation developed by your dentist requires undercuts or ledges to provide retention of the filling.  Your dentist may have to remove additional tooth structure to establish good retention for the filling.  
  • Some people may be allergic to mercury or be concerned about its effects, although research shows the amount of mercury exposure from fillings is similar to what people get from other sources in the environment.
Composite Advantages
  • Your fillings will match the color of your teeth and therefore undetectable.
  • A filling should be completed in one dental visit.
  • Composite fillings can bond directly to the tooth, making the tooth stronger than it would be with an amalgam filling.
  • Less drilling is involved than with amalgam fillings because your dentist does not have to shape the space as much to hold the filling securely.  The bonding process holds the composite resin in the tooth.
  • Indirect composite fillings are heat and light cured increasing their strength.
  • Composite resin can be used in combination with other materials, such as glass ionomer, to provide the benefits of both materials.
Composite Disadvantages
  • Although composite resins have become stronger and more resistant to wear, they generally don’t last as long as amalgam fillings under the pressure of chewing.
  • The composite may shrink when placed; this can lead to more cavities in the future in areas where the filling is not making good contact with your tooth.
  • This restoration takes more time and skill to place because they are usually placed in layers. The increased time and labor involved also contribute to the higher cost (compared with amalgam fillings).
  • Indirect fillings and inlays take at least two visits to complete. Your dentist takes impressions at the first visit and places the filling or inlay at the second visit.
  • In large restorations, composites may not last as long as amalgam fillings.
The trick is to find a qualified, well trained dentist, and that requires you to educate yourself about the dentist you choose and a basic knowledge about dentistry.  If we can be of service or answer any questions or concerns please feel free to contact us, we’re just a stone’s throw from Cobb County.

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

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