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/

Can I trust my dentist? How do I know if I really need the work?

Can I Trust My Dentist? How Do I know if I really Need The Work?

Can I trust my dentist? How do I know if I really need the work?

Dentists hold a position of trust with their patients; dentistry, as a profession, is bound by a code of ethics.

That said, dentists are people, too, and professional opinions in this field may vary as widely as in other fields.

Some dentists will inevitably favor an aggressive approach; others will work as conservatively as possible. Most will tend to favor the methods and approaches that were drilled into them, so to speak, in dental school. Some like to try new and cutting-edge approaches, others stick to the tried-and-true. Adherents to both approaches will tell you that they’re right.

A funny fact—A study published by the British Dental Journal in 2014 found that opinions on how one should best brush one’s teeth vary widely between dentists and textbooks and toothbrush manufacturers. “Unacceptably inconsistent,” concluded the study, about this variation. Sort of embarrassing, but it does illustrate the point that there can be disagreement on even the most commonplace of issues.

At the end of the day, however, we’re dealing with issues that can be seen. When you’ve got questions, ask to take a look at your chart. If something doesn’t make sense to you, ask us to explain it again. If that doesn’t work, try getting a second opinion from a dentist in rockville.

It’s worth mentioning, also, that there’s rarely only one way to fix an issue. Whenever possible, we’ll explain the different possible approaches. If we’re suggesting a more expensive option, it’s always because we think it’ll be more effective, or cost-effective, in the long run.

 

How to get my children to Brush Teeth Properly

Brush teeth properlyHow to get my children to Brush Teeth Properly?

There certainly has been no lack of marketing and research money spent for the purpose of encouraging kids to take care of their teeth over the years.

A couple of years ago, some dentists tried getting kids to brush their teeth ‘Gangnam Style’; more recently, the Minions have been recruited to try and make dental hygiene more fun for kids. We wouldn’t be surprised to see a new set of hitting storeshelves later this year, after the new Star Wars movie comes out. Whatever works!

Kids need to brush 35 times on each side of the mouth, using seven strokes in five areas.

Many free or cheap Apps for smartphones designed to encourage kids to brush longer use music as way to try and keep them brushing.

In our household, we’ve had some success in getting a child more interested in brushing her teeth with a new type of chocolate-flavored toothpaste called Theodent. This line of fluoride-free toothpaste is carried at Whole Foods. Despite being chocolate-flavored, Theodent pitches itself as being more healthy than other toothpastes in that it can be swallowed; by contrast, it is not recommended to ingest most toothpastes containing fluoride.

In other kid-related dental news, there’s a website that purports to track how much money parents are leaving under their kids’ pillows whenever the “tooth fairy” comes to visit.

Apparently, the amount of money kids get per tooth has been known to fluctuate up or down in accordance with the S&P 500. In 2014, according to The Original Tooth Fairy Poll, kids received an average of $4.36 per tooth from the Tooth Fairy in 2014, that’s up from $3.50 the previous year. The site estimates that parents (or, the tooth fairy) left kids $255 million in 2014.

There are many different toothpaste options such as Colgate, Tom’s of Maine.  There has been no study done comparing Kids tooth brushing compliance and the taste of tooth paste.

 

Safe Amalgam Filling Removal

safe mercury, amalgam, and metal filling removal

Safe Amalgam Filling Removal

Many of my patients ask about the risks of Metal aka Amalgam and Mercury Fillings.  Are the fillings Safe?  Should I have them removed?  Am I being exposed or poisoned by the Mercury in the Metal Fillings that are in my mouth?  Will the Metal and Amalgam fillings make me sick?  What is the best material to replace metal and Amalgam Fillings?  I spend hours a day discussing all the above questions with my patients.  So lets start from the top..

1) Are Metal, Mercury, Amalgam Fillings safe?  No.  Amalgam Fillings contain approximately 50% mercury and Mercury is one of the most poisonous materials on planet earth.  Years ago, if a thermometer broke and there was a mercury spill in a public building, the building was evacuated and a hazmat team was dispatched to clean up the dangerous, toxic mess.  So tell me how it is ok to have mercury in your mouth and placed in contact with living tissue permanently?

Should my Amalgam Fillings Removed?

Yes, but the Amalgam Fillings need to be removed safely using the proper equipment to insure your and my safety.  I do not want to make you sick, but think about how bad removing this material is for me?  I remove this poisonous stuff everyday.  We also need to have a plan to replace the Mercury Fillings with another material.

Am I being exposed or poisoned by the Mercury in the Metal Fillings in my mouth?

Yes you are being exposed, but you may or may not be sick or get sick depending on the conditions in your mouth and your genetics.  The truth is that every time you eat, or perform any function on your teeth where your Mercury Fillings are touched, you are exposed to mercury.  In fact, if you clench your teeth and you have Mercury Fillings you have an even higher exposure to the Mercury in the Metal Fillings due to the increased clenching or grinding on the mercury surfaces of your teeth.

Will the Metal and Amalgam Fillings make me sick?

Whether you get sick or not depends on the amount of Mercury you are exposed to and your genetics.  Some people have  genes where they are more tolerant to mercury and other metal exposures.   Others are more sensitive and can get quite sick even to very small exposures.

What is the best material to replace Metal and Amalgam Fillings?

Once the amalgam with Mercury is removed from your teeth, we evaluate the tooth for decay and cracks.  Any external cracks need to be supported or removed  and all soft rotten tooth structure needs to be also removed.  Your tooth is then treated with oxygen and ozone to be sure the tooth is free of bacteria and to promote healing.  At this point your tooth is ready to be filled or rebuilt.  A BPA free composite or tooth colored filling can be placed as long as there is more than 50% of your tooth structure remaining.  If the tooth is more broken down and more than 50% of the tooth is missing than your tooth lacks the structural integrity to support another filling and it needs to be rebuilt with a tooth colored, metal-free porcelain or a porcelain-like tooth colored material called zirconia.  It is very important to place crowns when more than 50% of the structure is missing.  Teeth that are over filled will not hold up to the forces of chewing and the tooth will break and more aggressive treatment such as a root canal or an extraction may be consequently necessary.