Problems With Stainless Steel Crowns and Their Alternatives

Alternatives to Stainless Steel Crowns

Alternatives to stainless steel crowns include resin-based fillings and all-porcelain crowns. These options avoid placing metal in the mouth. The filling material we use in our office is primarily comprised of porcelain particles and has minimal resin fillers, making it a safer dental material. For pediatric patients, if the cavity is small to moderate in size, we can usually use a filling to eliminate the cavity and rebuild the tooth. If the cavity is significantly larger, we may need to do a crown instead to fully encircle the tooth in order to protect it from fracturing and continuing to decay. In our office we only make all-ceramic crowns.

Types of Dental Crowns:

  • Metals and Stainless Steel

Stainless steel crowns are inexpensive and practical. They are usually prefabricated and can be placed the same day in office; however, because they are prefabricated they may not have a perfect marginal seal, which may later cause bacterial seepage into the crown causing the tooth to become further decayed or infected. One other issue is that approximately 10-15% of the population has a metal allergy or hypersensitivity, so using metals in some patients may be contraindicated.

  • Porcelain-fused-to-metal 

Porcelain-fused-to-metal crowns used to be the most common type of crown placed a decade ago. They are relatively natural-looking although often can appear to opaque and sometimes can stand out. Another issue is that since the inside of it and rim of the crown are metal, over time, more of the metal can be exposed which can be unesthetic and also can feel jagged if a porcelain portion breaks off from the metal shell.

  • All-resin 

All-resin crowns do not exist in dentistry, but large all-resin fillings are done frequently. Teeth can have fillings when they have cavities but only to a certain size. If the cavity is too large, placing a filling may not be appropriate, in that it can weaken the tooth’s structural integrity if it’s too broad of an area, and in these cases a crown may be more appropriate. 

  • All-ceramic or all-porcelain

All -ceramic crowns are the most commonly used material for crowns today in dentistry. Ceramics have come a long way in the last decade. They originally were esthetic but not necessarily as long lasting as metal based crowns. Nowadays, because of material advancements, they have now become even more esthetic and just as strong, or even stronger than metals. All-ceramic crowns are both durable and blend in well with the shade of your natural teeth. 

Does getting a crown hurt?

No, getting a crown does not hurt. You will be properly anesthetized and will feel cold water and vibration while we are working. While your crown is being fabricated in the laboratory, you will be wearing a temporary crown for a few weeks. In this time, you may experience some mild cold or chewing sensitivity, but once the permanent crown has been placed the sensitivity will calm down. We will make sure that the permanent crown has proper a fit and shade for you. We make sure to use biocompatable all-ceramic crowns and cements.

If you have cavities we are happy to assess what type of treatment you need. You can feel safe in our office knowing that we will properly diagnose and treat your cavities, and use only the safest and most biocompatable materials. Please call our office for a consultation 301-770-2270 or schedule an appointment here

Do I really need to get my teeth X-rayed at the Dentist?

x-rayed

Do I really need to get my teeth X-rayed at the Dentist? (What if I’m pregnant?)

Yes! But let us reassure you that we only take X-rays when necessary.

X-rays reveal issues that we simply can’t perceive with the naked eye. This is very important in the prevention of dental problems. The alternative of having a mouth of infected teeth is far riskier, health wise, than the supposed risk of radiation from a dentist’s X-ray machine.

At our practice, we use digital X-ray imaging. For what it’s worth, these machines emit only a tenth of the radiation given off by earlier generations of X-ray machines. To put it in perspective: You get more radiation from carrying a cell phone around in your pocket all day.

One interesting misperception that we sometimes hear is that pregnant women shouldn’t get an X-ray. Again, we don’t take X-rays except when necessary, and we care deeply about our patients’ health, but—a mother’s mouthful of infected teeth is far riskier for the health of her baby than the exposure of an X-ray machine. Studies have shown a connection between oral infections and low birth rate and premature birth.

This issue is even addressed on the American Pregnancy Association website, by the way, so you don’t have to just take our word on this:

“Preventive dental work while pregnant is essential to avoid oral infections such as gum disease, which has been linked to preterm birth…

“No single diagnostic x-ray has a radiation dose significant enough to cause adverse effects in a developing embryo or fetus.”

The site suggests that expecting mothers should perhaps wait until after the child is born to do cosmetic procedures, such as tooth whitening. We would tend to agree with that recommendation.

 

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC88948/

FAQ Coconut Oil Pulling

Coconut Oil Pulling

Coconut Oil? Really?

Yes, really. The practice of using Coconut Oil to clean and keep one’s teeth healthy is an Indian folk remedy that dates back thousands of years. Recent studies have confirmed the wisdom of this ancient practice.

 

What does Coconut Oil do that helps teeth?

Coconut Oil Pulling benefits the teeth and mouth in a few different ways. The Coconut Oil removes bacteria from the teeth and gums. This is the same bacteria that causes ‘morning breath’ for some people, so users of Oil Pulling often benefit. Oil Pulling also helps whiten teeth by sealing the tooth’s pores. This helps keep your teeth from getting new stains, such as from coffee or wine.

 

Does Coconut Oil Pulling cure dental cavities?

Yes and no. It will reverse the effects of dental decay in the enamel layer of the tooth, but once bacteria has infected  the next layer of the tooth, the tooth will require treatment by a dentist.

 

Is a special type of Coconut Oil needed?

No. Any type of virgin Coconut Oil available at your grocery store should be fine. Some Report better results with Organic Coconut Oil.

 

How do I perform Coconut Oil Pulling?

Advocates of Coconut Oil Pulling often recommend swishing a  spoonful of Coconut Oil in the mouth every day for twenty minutes. Many of our patients don’t have enough time for that sort of daily time investment, however. We’ve found that even just a few minutes of Coconut Oil swishing per day can achieve surprisingly effective results.

 

 

Do Composite Fillings Contain BPA?

Do_Tooth_Colored_Filling_Materials_Contain_BPADo Composite Fillings contain BPA?  (We have transitioned to Porcelain Filling Material which have glass particles instead of resins). This is a questions we get asked by many of our Holistic Dental patients. As awareness regarding the health effects of various dental materials is increasing among the general population, most people now question the safety of materials that their dentist places in their mouths.

Initially, concerns were raised regarding the hazardous effects of Mercury Fillings, which was present in the Amalgam Filling materials.

As a result, tooth colored Composite Filling materials were introduced, which were not only highly esthetic, but were also said to be free of any harmful ingredients. However, recent researches have documented the presence of Bisphenol-A (BPA) in composite based sealants and filling materials.

While BPA certainly induces harmful effects to the body, the important question here is that “is BPA released in sufficient quantities within the oral cavity to generate any negative effects?” To answer this question, let’s have a look at what BPA actually is, and what it does to your body.

What is BPA?

Bisphenol-A, is a chemical that is used to harden plastics. It is also present in various medical appliances, compact disks (CDs), water bottles and in the lining of some canned foods. Although it is not direct constituent of dental sealants and filling materials, various research studies have shown that it is formed as a degradation product of the composites upon exposure to the saliva.

What Are the Health Effects of BPA?

Although not much is known about the effects of BPA on the body, it is known to exhibit hormone like properties, and can therefore disturb the natural secretion, transportation and excretion of natural hormones, thereby posing a danger to your health. Furthermore, it has been shown to be particularly damaging for fetuses and growing babies.

Some of the known effects of BPA on the body are:

• Reproductive Disorders – both in males and females
• Cardiac Problems – women have been found to be more prone to having heart problems due to BPA, than men.
• Endocrine Problems – particularly type-II diabetes.
• Breast Cancer – BPA can enhance the risk of breast cancer among women.

Do Composite Fillings Really Have BPA?

The simple answer to this question, unfortunately is a simple yes. It is present within these filling materials due to 2 reasons:

• As a degradation by-product
• Trace amounts of BPA are also present in composites as left-overs of the ingredients used in making dental composites.

Although BPA has been shown to be released as a result of degradation of dental Composite Filling materials and sealants, various studies have shown that the amount that is leached out is insufficient to cause any harmful effect to the body. In addition, after the placement of a sealant or a filling, the release of BPA is at its maximum.

Hence, if the dentist wipes the surface of the filling, the chances of leaching of BPA are further decreased.

Should I be Worried about BPA?

Despite various concerns raised by many people regarding the harmful effects of BPA released from Composite Fillings, research has yet been unable to document any untoward effect of this chemical in their present levels within the human body.

In addition, the risk of leaching of BPA is further reduced, if the correct technique for their placement as well as polymerization is adopted by the dentist.

Hence, it can be safely said, that at present, the evidence obtained from various research and clinical studies, does not provide sufficient data to consider BPA, at its current exposure level, as threat to our health and wellbeing.

Holistic Dental Care: 10 Dental Tips for Whole Body Wellness

Holistic Dental Care: 10 Healthy Tips

You’ve most likely been taking care of your teeth for most of your life. But, let’s face it: there is always room for improvement. Just ask the 50% of Americans over age 30 who are currently experiencing some form of gum disease. While you may have been visiting your traditional dentist for regular dental cleanings and check-ups, you might remain unaware of the massive impact your oral health has on your daily life. At Natural Dentist Associates, we believe that your teeth, mouth, and gums are an integral part of your body and your overall health. From our natural and holistic treatment methods to the use of biocompatible and non-toxic materials, as a Holistic Dental Care Provider, we aim to create dental solutions while working in harmony with the rest of the body.

The truth is: good oral health starts at home. Which is why we encourage you to incorporate as many healthy habits as possible into your regular routine. Here are some simple, yet effective holistic dental hygiene tips to improve your oral hygiene and promote whole-body wellness:

1. Brush for two minutes, twice a day, at a 45-degree angle, using a soft-bristle brush (unless otherwise specified by your dental care provider). Brushing decreases gum swelling, and helps remove food, plaque, and bacteria. Due to bacteria that builds up on your toothbrush over time, it is best to replace your toothbrush every 3-4 months, or more often if the bristles are matted or frayed.

2. Choose toothpaste free of fluoride and sodium lauryl sulfate. Though both ingredients can be found in most over-the-counter toothpastes, these substances can have a negative effect on other bodily functions and cause health problems. We highly recommend RiseWell toothpaste, which is fluoride-free, paraben-free, cruelty-free, SLS and sulfate-free, vegan, safe enough to eat, and it includes Hydroxyapatite, the same mineral that makes up your teeth and bones. Hydroxyapatite helps to re-mineralize your teeth, the same way your body does naturally.

3. Eat alkaline foods such as beans, fruits, and greens to help maintain a good body pH. An acidic environment is a breeding ground for bacteria, disease, decay, and inflammation. Eating an alkaline diet can help to counter these effects, supporting your internal organ systems and overall body function.

4. Rinse your mouth with warm sea-salt water and a few drops of clove or mint oil instead of mouthwash. Traditional mouthwash can destroy healthy bacteria, disrupt natural saliva production, and otherwise irritate your mouth. Salt-water rinsing (1/2 tsp salt in 8 oz warm water), soothes swollen gums, fights bad breath, and reduces bacteria, gingivitis, and plaque-in a completely natural way with no hard-to-pronounce chemicals.

5. Clean your gums with an oral irrigator instead of dental floss, which can contain harmful chemicals. Dental floss is often coated with chemical substances that help the floss slide smoothly between teeth. These chemicals do not break down easily in the environment or in the body. Additionally, floss is often made from plastic, which can contain toxic chemicals that negatively impact your health. Finally, flavored dental floss can contain synthetic and undisclosed materials, making it nearly impossible to know what ingredients might be in the product. Opting for an oral irrigator over traditional dental floss can be a safe and effective switch.

6. Get plenty of sleep and exercise daily to ward off whole-body inflammation. A weakened immune system makes you more prone to oral infection. When sleep quality or quantity is poor, our immunity can be compromised, which could result in potential damage to teeth and gums. Regular physical activity can boost gum health and decrease the risk of periodontitis.

7. Seek a holistic dentist to take care of your mercury/amalgam fillings. Mercury is deemed a toxic substance and can adversely affect your overall health. Amalgam fillings are made of about 50% mercury and a 50% mix of tin, silver, and copper. The more silver/mercury fillings you have, the higher blood mercury level you have. Though you may have had these fillings for years with no obvious issues, it is best to have these potentially harmful fillings checked, and removed if necessary, by an experienced holistic dentist who is trained and certified in the safe mercury amalgam removal technique (SMART).

8. Have your teeth cleaned and a check-up with your dentist twice a year, or every 6 months. The best way to ensure a healthy smile is through PREVENTION. Having your teeth cleaned by a registered dental hygienist reinforces your existing oral hygiene routine. Your hygienist has the proper tools to remove persistent plaque, tartar, and bacteria build-up that you may miss during regular brushing and flossing. When left untreated, built up bacteria can release into the bloodstream causing many health problems. Periodic exams help your dentist catch and treat potential dental issues before they develop into larger, more expensive, and painful problems.

9. Invest in a tongue cleaner, a U-shaped wire that scrapes off any residue. When not regularly cleaned, dead cells, food particles, toxins, and bacteria can build-up on your tongue, contributing to tooth decay and gum disease. If you constantly have a white coating, then consider taking probiotics to control internal yeast and create a balanced pH. The mouth is the beginning of your digestive system and works alongside the immune system to keep harmful bacteria from becoming too dominant. Balancing the pH in your mouth is extremely important to oral and overall health.

10. Invest in a dentist’s mirror so you can see all the areas in your mouth that you may normally miss while brushing your teeth. This may come as obvious, but you cannot fix what you cannot see. Being able to see all areas of your mouth will help you know when you may be experiencing a problem and can also help you to see what areas you might accidentally miss during your homecare routine.

logo-mdAt Natural Dentist Associates  we offer the highest quality in Natural Dentistry, Dental Implants, Sedation Dentistry, Cosmetic Dentistry, Oral Surgery, Orthodontics, and Emergency Dental Services.  We invite you to visit our state-of-the-art office, located in North Bethesda, MD. It is our mission to provide a well-balanced approach to dentistry that promotes dental and whole-body health and wellness.