Treatment for First-Stage Tooth Decay

Published on July 5, 2016 by

Treatment for First-Stage Tooth Decay

Most people know that a dental cavity is a hole in the tooth. But many people may not realize that a cavity is the result of a process that happens over time-and more importantly, that in the earliest stages, the decay process can be halted or reversed to avoid a cavity.
If the start of a cavity is caught and treated early enough, while there is still a “white spot” (a spot where minerals have been lost) the tooth may be able to repair itself. Over-the-counter toothpastes containing the minerals calcium, phosphate and fluoride can help strengthen or re-mineralize these white spot lesions. If your dentist thinks you need more tools to keep your teeth healthy, he or she may apply prescription-strength fluoride varnish and dental sealants.

Oral Health Could Affect Your Heart

Published on May 10, 2016 by






Research suggests that people with severe gum disease may be more likely to suffer from cardiovascular disease (CVD). Gum disease is caused by a bacterial infection in the mouth – specifically adjacent to or within the soft tissue that supports the teeth. When your body reacts to this infection, your gums become inflamed, they may bleed, and in severe cases, your teeth may become loose.

The earliest form of gum disease is called gingivitis and the more severe is periodontitis. When oral bacteria are not properly removed from around your teeth, local inflammation results as your body fights the infection. Early research suggests a possible link between Systemic Inflammation and CVD. Cardiovascular disease (CVD) is a disease involving the heart and blood vessels. Heart disease and gum disease have several things in common. One of them is inflammation, which in the case of CVD narrows coronary arteries and in the case of severe gum disease breaks down the tissues that hold teeth in place. Emerging research suggests a possible association between gum disease and CVD, as the oral bacteria of gum disease can enter the bloodstream and cause a defense reaction throughout the body. Also, bacteria from the mouth can travel to important organs in the body, including the heart. 


Dental Implants

Published on April 4, 2016 by

Dental Implants

What are Dental Implants?

Dental Implants are an effective way to replace missing teeth. When teeth are lost because of disease or an accident, dental implants may be a good option. Many people choose implants to replace a single tooth or several teeth, or to support a full set of dentures.  Implants are posts surgically placed into the upper or lower jawbone. They replace the root of one or more missing teeth.

Dental implants are made of titanium, (a strong, lightweight metal) and other materials that are well accepted by the body. More than 5 million implants are placed each year by dentists in the United States.






















Dental Implant treatment usually involves three basic steps:

1.) Placement of the Implant-Your dentist will carefully locate where the implant should be placed, using x-rays or other pictures. Then the dentist surgically places the implant into the jawbone. You may have some swelling and/or tenderness after surgery. The healing process can vary for each person. Chronic illnesses, such as diabetes and leukemia, may slow healing after surgery. Implant treatment may not be a good option for patients with these illnesses. Tobacco use also can slow the healing process.

2.) Abutment-What makes an implant so strong is that the jawbone grows around it and holds it in place. This process is called osseointegration, which takes time. It may be several months before the implant is completely integrated into the bone. Once the implant has healed, a connector piece called the abutment is placed on or built into the top of the implant.

3.) Placement of the Prosthesis (Replacement Tooth or Teeth)- For a single tooth implant, the dentist custom makes a new tooth for you called a dental crown. It is designed to look just like your other teeth. Implant-supported bridges and dentures are also custom-made to look like natural teeth and to fit your mouth.

Dental implants are the closest you can get to healthy, natural teeth. They will allow you to confidently eat, smile, laugh, talk, play and enjoy all of your regular activities of everyday life without thinking about your teeth. If interested, you should discuss implant treatment carefully with your dentist.





Periodontal Disease

Published on March 1, 2016 by

What is periodontal disease?

Periodontal disease is an inflammation of the gums that can lead to loss of the bone that supports the teeth. If it is not treated, the disease can cause tooth loss. This disease is common and affects people of all ages.

What causes periodontal disease?

Periodontal disease is caused by plaque, a sticky film that is always forming on your teeth. Plaque contains bacteria that produce harmful toxins. If teeth are not cleaned well, the toxins can irritate and inflame the gums.

Healthy gum tissue fits like a cuff around each tooth. But inflamed gum tissue can pull away from the teeth and form spaces called pockets. These pockets collect more plaque bacteria. If the infected pockets are not treated, the disease gets worse. The bone and other tissues that support teeth are damaged. Over time, teeth may fall out or need to be removed.

You can help prevent tooth loss by cleaning your teeth and gums each day. Plaque is removed by brushing your teeth twice a day and flossing daily. If plaque stays on your teeth, it hardens into a rough substance called calculus, or tartar. Tartar can only be removed when teeth are cleaned at the dental office.







How can you tell if you have periodontal disease?

Some people with periodontal disease have few or no warning signs. If you notice any of these signs, see your dentist:

  • gums that bleed when you brush or floss
  • red, swollen or tender gums
  • gums that have pulled away from your teeth
  • bad breath that doesn’t go away
  • pus between your teeth and gums
  • loose or separating teeth
  • a change in the way your teeth fit together when you bite
  • a change in the fit of partial dentures

How does my dentist check for periodontal disease?

The dentist checks for problems by looking at the color and firmness of your gums. The dentist or hygienist also uses an instrument called a periodontal probe to gently measure the depth of pockets between your teeth and gums. Very deep pockets are a sign of advanced periodontal disease.

During your visit, dental x-rays may be taken to check the amount of bone supporting the teeth. The dentist may also check how your teeth fit together.












Stages of periodontal disease:

  • Gingivitis- The mildest form of periodontal disease. It makes the gums red and swollen and they also may bleed easily when you brush. The good news is that gingivitis can be reversed with better oral care at home and more frequent professional cleanings.
  • Periodontitis- The more advanced form of periodontal disease. It results in more swelling and redness in the tissues around the teeth. It also causes the tissue and bone to break down.

Treatment for periodontal disease:

  • Scaling and Root Planing- The removal of plaque and tartar down to the bottom of each periodontal pocket. The dentist or hygienist smoothes the tooth’s root surfaces to allow the gum tissue to heal and reattach to the tooth. This treatment often takes more than one visit. To control infection, sometimes antibiotics can be placed directly in the pocket after scaling and root planing. Your dentist may also prescribe medicines to help control pain or aid healing.

***Periodontal disease will not go away by itself. Preventing and treating the disease in the early stages are the best ways to keep your smile healthy and avoid tooth loss. If you have periodontal disease, follow your dentist’s recommendations for treatment and follow-up care.





February is National Children’s Dental Health Month

Published on February 11, 2016 by

February is National Children’s Dental Health Month



Oral Hygiene Facts

Healthy Kid’s Teeth with the 2-2-2 Rule
Help keep your child’s teeth healthy by using the 2-2-2 rule: visit your dentist TWO times a year, and brush and floss TWO times a day for TWO whole minutes!

How Do You Get Kids to Brush Their Teeth?
Our dentists recommend parents follow the Tell, Show, Do model:

• TELL: In age-appropriate language, explain how to brush and floss and how those actions keep teeth clean and healthy.
• SHOW: Let children watch when mom or dad brush and floss their own teeth.
• DO: Help children brush and floss their teeth in the morning and before bed, and keep a regular routine so they know it’s expected. Continue helping to brush a child’s teeth until they’re age 4 or 5. After that, let them do it themselves, but supervise them until age 7 or 8. Children and adults should brush for two minutes, twice a day.

School Hours Lost to Dental-Related Conditions
Did you know? According to the Office of the Surgeon General, more than 51 million school hours are lost each year to dental-related conditions. Help prevent lost school days and embrace the 2-2-2 rule!

The Reason to Invest in Preventative Dental Care
Did you know? According to the American Dental Hygienists Association, every dollar spent on preventative dental care could save you $8 to $50 in restorative and emergency dental treatments and potentially more in additional types of medical treatment.

Oral Hygiene: the Importance of Brushing and Flossing
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? Like many areas of the body, your mouth is teeming with bacteria, most of them harmless. Normally the body’s natural defenses and good oral hygiene, such as daily brushing and flossing, can keep these bacteria under control. If you don’t remove decay-causing bacteria with daily brushing and flossing, it can lead to cavities or worse, gum disease.

Fluoride in Water

Published on January 5, 2016 by

What Is Community Water Fluoridation?

Fluoridation of community water supplies is simply the adjustment of the existing, naturally occurring fluoride in drinking water to an optimal level for the prevention of tooth decay.

The communities who make the choice to fluoridate their water continues to grow. From 2000-2014, more than 449 U.S. communities in 42 states have voted to adopt or retain successful fluoridation programs. The latest data show that in 2012, 74.6% of the U.S. population on public water systems, or a total of 210.7 million people, had access to optimally fluoridated water.

How Much Fluoride Is Recommended In Community Water Systems?

It is recommended that community water systems adjust the amount of fluoride to .7 milligrams per liter of water.

Fluoride facts

5 Reasons Why Fluoride in Water is Good for Communities

  • Prevents tooth decay. Fluoride in water is the most efficient way to prevent one of the most common childhood diseases – tooth decay. An estimated 51 million school hours are lost each year due to dental-related illness, and one study has shown that children who live in communities without fluoridation are three times more likely to end up in the hospital to undergo dental surgery.
  • Protects all ages against cavities. Studies show that fluoride in community water systems prevents at least 25 percent of tooth decay in children and adults, even in an era with widespread availability of fluoride from other sources, such as fluoride toothpaste. Why fluoride is called nature’s cavity fighter.
  • Safe and effective. For 70 years, the best available scientific evidence consistently indicates that community water fluoridation is safe and effective. It has been endorsed by numerous U.S. Surgeons General, and more than 100 health organizations recognize the health benefits of water fluoridation for preventing dental decay, including the Centers for Disease Control and Prevention, the American Medical Association, the World Health Organization and the American Dental Association.
  • Saves money. When it comes to the cost of treating dental disease, everyone pays. Not just those who need treatment, but the entire community – through higher health insurance premiums and higher taxes. The average lifetime cost per person to fluoridate a water supply is less than the cost of one dental filling. For most cities, every $1 invested in water fluoridation saves $38 in dental treatment costs.
  • It’s natural. Fluoride is naturally present in groundwater and the oceans. Water fluoridation is the adjustment of fluoride to a recommended level for preventing tooth decay. It’s similar to fortifying other foods and beverages, like fortifying salt with iodine, milk with vitamin D, orange juice with calcium and bread with folic acid.

If you have specific questions about your family’s fluoride needs, please contact your family dentist, pediatrician or physician.

For additional information on fluoridation visit:


Health Savings Account

Published on December 8, 2015 by





Have a Health Savings Account but not sure what it is or how to use it?

What is a Health Savings Account?

A Health Savings Account (HSA) is a personal bank account created exclusively for individuals to pay for eligible health expenses and save for future healthcare expenses tax-free.

How does the HSA work?

It’s just like a bank account, but for eligible medical expenses. Here’s how it works:

-Put money in your HSA through payroll deduction or direct deposit.

-When you have an eligible expense, withdraw money from your HSA to pay for it. Or save your

money for a future expense like pregnancy or braces.

-Once you reach your HDHP (High Deductible Health Plan) deductible, your health plan coverage starts.







Where can I open an HSA account?

Many banks and credit unions offer HSAs. Your employer may have a preferred HSA option, otherwise you can choose any financial institution you want.

HSA Qualified Dental Expenses

Non-cosmetic dental treatments.

Examples include:



Diagnostic services


Orthodontia (not for cosmetic reasons)

Teeth cleaning

Tooth extraction


Special Tips for the Growing Years: Sucking Habits

Published on November 3, 2015 by



Pacifier Use

Many infants and young children like to suck on thumbs, fingers and pacifiers.  Sucking is a natural reflex and necessary for feeding.  However, sucking habits can cause problems with tooth alignment and the proper growth of the mouth.  Children should stop using pacifiers by age two and sucking their fingers or thumbs by age four. If this does not happen, try to get them to stop.


Here are a few tips to consider:

  • Instead of scolding your child for sucking, praise him or her for not sucking.
  • Remember that children often suck their thumbs when feeling insecure or seeking comfort. Focus on correcting the cause of the anxiety and comfort your child.
  • Reward your child when he or she avoids sucking during difficult times, such as being separated from you.
  • Your child’s dentist can encourage your child to stop sucking and explain what could happen to their teeth if he or she does not stop.
  • If these methods do not work, remind your child of the habit by bandaging the thumb or putting a sock over the hand at night.
  • If the sucking continues, talk to your child’s dentist or pediatrician. He or she may recommend other ways to discourage sucking.


Are you having a hard time getting a good night’s rest?

Published on October 5, 2015 by

Snoring and OSA

What causes snoring and Obstructive Sleep Apnea (OSA)?

Snoring is a result of partial blocking of the upper airway. During sleep muscles relax, including those that control the tongue and throat. The soft tissue (or flesh) at the back of the throat can sag, narrowing the airway. Incoming air then makes the tissue at the rear roof of the mouth (the soft palate), the flap of skin hanging from the palate (uvula) and the throat vibrate – a sound known as snoring.

Loud snoring may be a sign of a more serious problem – OSA. This is where the airway becomes completely blocked and breathing stops. The brain then detects the lack of oxygen and prompts a momentary arousal to draw breath.

There are three types of OSA: upper airway obstructive, central, and mixed. The SomnoDent® MAS device is an effective treatment for those who suffer from upper airway obstruction, which is by far the most common. Despite the causative differences of each type, people with untreated obstructive sleep apnea stop breathing repeatedly during their sleep. This may happen hundreds of times during the night and can often last for a minute or longer. In central sleep apnea, the brain fails to signal the muscles to breathe. Mixed apnea is a combination of central and obstructive sleep apnea. Obstructive sleep apnea (OSA) is a serious condition and has been linked to excessive tiredness, depression and reduced resistance to infection. Obstructive Sleep Apnea is a medical condition and as such SomnoDent advises that all patients undergo a sleep study, prior to oral device therapy.

Who has OSA?

Although sleep apnea can affect anyone at any age, it is usually between the ages of 45-65. Due to a lack of public awareness, the vast majority of sufferers remain undiagnosed and therefore untreated despite the fact that the disorder can have serious medical consequences.

Normal breathingNormal breathingNormal breathing

What can the dentist do?

After you have a formal sleep study, a dentist trained in dental sleep medicine will thoroughly examine your teeth and mouth to confirm your oral health status, as well as ensuring that you are dentally appropriate for the appliance.  Dental impressions are required to fabricate the SomnoDent.  These are then sent to the lab where the appliance is made.  Once custom made for you, the appliance will be fitted by your dental team and they will instruct you on how to insert and remove it yourself, including how to clean and care for your appliance.

How effective is SomnoDent?

  • 96% of patients with proven OSA state they would like to continue using SomnoDent
  • 91% of patients reported improvement in sleep quality with SomnoDent
  • 88% of patients reported nightly use of SomnoDent

A Crown in a Day?

Published on May 14, 2015 by

Conventional methods of placing single crowns usually require two appointments. During the first one, the dentist will usually prepare the tooth, get the information needed to make the final restoration and then put on a temporary restoration. A temporary that you may have to wear for up to 3 weeks or more.

With the new E4D Dentist System we can often provide you with a same day solution providing you more convenience and eliminating the waiting period.

If you qualify for an E4D crown we can prepare the tooth one day and usually place the crown later that day or the very next day.

What is the process?

  1. The Dentist will numb your mouth with anesthetic.
  2. Then the tooth will be prepared to accept the crown.
  3. Then an impression or a scan will be taken of the tooth in the mouth.
  4. The crown will be milled in-office and then fitted over the tooth.

These crowns can be prepared by the dentist in the patient mouth, scanned by the CAD/CAM fiber-optics technology. These scans are read and are formulated onto the computer screen. The computer initially generates a crown from the endless library of teeth and displays this on the screen. Then the crown can be modified by the dentist using the variety of different programs available. Once the crown has been modified and custom made electronically it is sent to a mill located on the premises and it is milled to the precise dimensions. The crown is taken out of the mill and stained and glazed in a porcelain oven. Finally, the crown is placed in the patient’s mouth with dental curing adhesives.

Question: Does it hurt?

Answer: It will feel the same as a normal crown preparation would be with the conventional crowns.

Question: How much does it cost?

Answer: In our office the cost is the same as a porcelain crown.

Question: Does my insurance cover it?

Answer: Yes it will cover the same as a traditional crown, insurance companies have accepted the quality of these restorations into their policies.


E4DE4D—Available for you!

You don’t have to travel far to experience the convenience and precision of E4D Dentistry. We’ve already invested in this innovative technology because we believe our patients deserve modern dentistry that fits their lifestyles.