If you find yourself “jittery” in the dental chair or have ever had a “white-knuckled” grip during appointments, don’t feel you are in the minority. Unfortunately, an estimated 70 percent of American adults have some level of anxiety or fear when it comes to going to a dentist.
Even worse, about a third of these adults have such deep levels of fear that they’re classified as ‘dental phobics.’ These are people who find it difficult to even call a dental office. Some have avoided dental care for decades.
Some people are unable to pinpoint where such fears originated. However, the majority of these fears are the result of traumatic dental experiences in the past (often as children).
Those with severe levels of dental fear often avoid dental care until they have an emergency need. Typically, the discomfort becomes so intense that it forces them into a dental chair for treatment. What I often see, at this point, are problems that could have easily been avoided had they been able to receive regular check-ups and cleanings.
Regardless of an individual’s level of fear, we know it’s vital that every patient feels a sense of trust that we won’t subject them to pain. We commonly start with a conversation in our consultation room. This room is away from the clinical side of the office so you won’t hear sounds or see a treatment chair.
During this time, we are seated in comfy armchairs in a private setting. We discuss your oral needs and goals, particular concerns (including dental fears) and what you want to accomplish when your oral health has been restored. For fearful patients, however, our first goal is to assure each one that comfort is a priority at all times in our office.
I explain the various options we use for enhanced comfort. Since many people are uneasy about dental visits before they walk into a dental office, I may recommend oral sedation. In pill form, oral sedation is highly-effective and safe.
Before the patient is seated in a treatment suite, the medication has taken effect. Patients relax as they ease into a state where many doze in and out. I administer numbing medication to the areas being treated so there are no worries about discomfort. Sedated patients are also monitored by a trained staff member along with advanced monitoring equipment to ensure safety and comfort.
An advantage of oral sedation is its ability to erase most or all memory of treatment afterwards. Fearful patients like knowing this. Occasionally, a patient may share later on that they recall hearing the sound of my voice during treatment, but most have no memory of their time while in the treatment chair.
Patients also like that oral sedation has a quick recovery time. After a brief nap at home, most patients feel refreshed and back to normal within hours. Although I am certified to provide I.V. sedation, also referred to as “twilight sleep,” it does require a longer recovery time (even though it’s within 24-hours) and is a bit more costly than oral sedation.
Oral sedation is a practical way for fearful adults to have dental care while being totally relaxed before and throughout treatment. In addition to achieving the healthy, confident smile you desire, a healthy mouth plays an important role in your overall health. Research has shown that oral bacteria can enter the bloodstream through weakened tears in inflamed gum tissues. This bacteria has been linked to heart disease, memory loss, stroke, diabetes, arthritis and some cancers.
We are always pleased to watch once-fearful patients overcome their fear altogether. Often, after one or two visits with oral sedation, patients feel they no longer need sedating. If fear prevents you from a healthy, attractive smile, begin with a friendly phone call at 843-871-6351 or tap here to request a no-charge consultation.Read More
Over the years, our Summerville dental office has developed a reputation for successfully helping adults who struggle with dental fears.
We understand that, for many fearful patients, it takes a great deal of effort to just come in for a consultation. Once here, however, they see that our office is structured to attend to their unique needs.
Our goal is to give all patients an environment where they can achieve a healthy, confident smile. For those who have avoided dentistry, we feel this enables many to have much-needed treatment BEFORE they are ‘forced’ into a dental office because of severe pain.
When regular dental care is avoided, it increases the risk for losing natural teeth and/or developing gum disease. Periodontal (gum) disease is an inflammatory disease that is the nation’s leading cause of adult tooth loss.
Gum disease is also associated with serious health problems. The bacteria of gum disease can enter the bloodstream and trigger inflammatory reactions far beyond the mouth. It has been linked to higher risks for heart disease, stroke, preterm babies, arthritis, diabetes, and erectile dysfunction (ED).
Some patients prefer to begin their care with the addition of Oral Sedation. This is in pill form and allows the patient to be fully relaxed throughout their care, even “dozing” in and out.
For those who prefer a deeper level of sedative, I am certified to administer I.V. Sedation (twilight sleep). Both forms of sedation erase most or all memory of treatment afterwards and have a practical recovery time.
Rest assured – patients who are sedated are closely monitored throughout treatment with advanced safety equipment and specially-trained staff members.
No matter what your fear level, you CAN experience gentle dentistry where you’ll feel relaxed before, during and after your visit. And, like many of our once-fearful patients, you can enjoy a healthy, confident smile without having a white-knuckled experience!
Dental fear affects over 70 percent of Americans, but it can be overcome. We have hundreds of formerly fearful patients who now have confident, healthy smiles. They know that dentistry can be performed without discomfort and enable them to achieve excellent oral health. You, too, can achieve this regardless of your level of fear.
We’ll begin with a friendly conversation in our private consultation room. This room is removed from the clinical side of the office. During this time, you can share your concerns and learn about options that can help you move at a pace that’s right for you. Call 843-871-6351 or tap here to schedule a convenient time for this no-cost consultation.
In the right hands, you can have the healthy, confident smile you desire!Read More
When it comes to dental implants, there can be some rather confusing information on the internet. Online “sales” for implants often promote unusually low prices, such as $999 offers. Yet, these enticing prices don’t always give people a clear picture of what their treatment costs will actually be.
Dental implants are a highly successful replacement system for missing natural teeth. This is largely because implants are held by the jaw bone, just as natural tooth roots were once. Through this sturdy foundation, biting and chewing stability for the attached teeth are restored.
However, there are particulars you should know if you are considering dental implants. Rather than be lured by a low price advertised online, keep the following in mind to get the most from your investment:
First, know your product. Dental implant systems are generally made up of 3 parts:
While that $999 price may cover the implanted piece, that’s of no good to you without the other components. Those will be added fees. However, there are additional things you should keep in mind.
Comfort options are very important during the dental implant placement process. Does the low price include Oral or I.V. sedation? If not a “mini-implant” placement (short implants placed at minimal depth), or if you need more than one implant, we recommend our patients to have Oral Sedation for optimal comfort and relaxation.
We include Oral Sedation in the cost of your implant placement, so you needn’t worry about an added fee for the comfort level you deserve. For those who desire a deeper level of sedation, we also offer I.V. Sedation, also known as “twilight sleep.”
Another consideration is the type of implant. Do you need a single implant or one that will support a bridge of two or more teeth? Some of these “deals” may have you paying for an implant for each missing tooth. However, one implant can typically hold more than one tooth.
Because the cost of dental implant treatment largely depends on the number of implants placed, having two or more teeth attached to just one implant can save you significantly in overall treatment costs.
It is highly important to select your implant dentist carefully. Does the dentist offering the low fee know which implant is best for you? Or, is he or she offering a particular type at a bargain rate?
Dental implants are not “one size fits all.” There are over 50 different types of implant systems, each designed to accommodate specific needs. If a type that is not right for you is selected and placed, you could end up with a failed implant.
When an implant fails, this means that it must be removed in order for the bone to re-heal and regenerate so a new implant can be placed. This takes additional time and expense, and the expense is in addition to what you’ve already spent. Having an experienced dentist with advanced training in all types of implant systems will help you enjoy an optimal outcome with minimal risks.
Also to be acknowledged is the look and feel of the implant restoration. Especially if the tooth could be visible in a smile, you want the replacement tooth (or teeth) to have the look and feel of a “real” tooth. The low price you may be getting, if the restoration is included in the cost, may not satisfy you when it comes to the appearance of your smile.
What all this comes down to is getting the most for your investment. This begins and ends with a dentist you can trust. Having your dental implant treatment overseen by an experienced implant dentist who is committed to your long-term well-being is more important that the risks you take placing low price as your main priority.
We are proud of our reputation for providing state-of-the-art technology, advanced techniques, and recommendations that come from an ethical commitment. We never over-treat or under-treat and respect the desires of our patients regardless of their preferences.
You are invited to schedule a no-charge consultation appointment to discuss your individual needs and goals. I’ll be happy to answer your questions and make recommendations. We can discuss various implant systems that will work best for you as well as comfort options, treatment time, and payment plans. If you have insurance coverage that may apply, we can also begin research on what you might reap from that.
Our ultimate desire is to provide each patient with an ideal outcome for a reasonable fee. We believe that our commitment to you will provide you with results that exceed your expectations. Too, the most frequent statement we hear from our completed implant patients is, “It’s the best investment I’ve ever made.” followed by, “I only wish I’d done this years ago!”
Please allow us to show you why our patients feel this way! Call 843-871-6351 to tap here to begin.Read More
Research has shown an indisputable correlation between the bacteria of gum disease and a number of serious health problems. This occurs because the infectious bacteria of gum disease can migrate to other parts of the body, triggering problems elsewhere in the body.
Oral bacteria are able to enter the bloodstream through tears in weakened gum tissues. Once bloodborne, they have been found to trigger inflammatory reactions far beyond the mouth.
Periodontal disease bacteria are highly destructive. They destroy teeth, gums and bone structures that support tooth roots. This disease will only worsen without treatment. Symptoms include swollen and tender gums that bleed easily when brushing, receded gums that expose sensitive tooth roots, persistent bad breath, and gums that darken in color.
Eventually, pus pockets form on gums and some teeth may loosen. To no surprise, advanced gum disease, known as periodontitis, is the nation’s leading cause of adult tooth loss.
Findings now reveal that advanced gum disease can cause the release of inflammatory components, enzymes and other factors that have been linked to the development of some cancers.
Highly concerning, the National Institutes of Health estimates that nearly half of adults in the U.S. have some level of the disease, even though it is one of the most preventable of all diseases. It is hoped that the recent revelations that link oral bacteria to serious health conditions may lead to heightened awareness to its prevalence. And, thus, more efforts to avoid or successfully treat it.
For many years, it was suspected that chronic infections and inflammation are associated with a higher risk of developing cancer. This prompted more research to focus on deeper studies into the relationship between bacterial and viral infections and carcinogenesis. Carcinogenesis is the process that causes normal cells to mutate into cancerous cells.
For example, one study of over 48,000 American men between ages 40 – 75 showed that participants with a history of periodontal disease had a 14 percent higher risk of cancer than those without gum disease. This was after adjustments were made for risk factors such as smoking and diet.
It was also found that, of those with a history of periodontal disease, their susceptibility to certain cancers came with a 30 percent or higher risk. The study showed that a history of periodontal disease increased the risk of lung cancer by 36 percent, kidney cancer by 49 percent, pancreatic cancer by 54 percent, and caused a 30 percent higher risk of blood cancers such as leukemia and lymphoma.
The study also showed that even non-smoking participants with periodontal disease still had a 35 percent higher risk of blood cancers as well as a 21 percent overall increased risk for cancer.
Chinese researchers also conducted a study of over 321,000 men and women, adjusting for those who were diabetic, drank alcohol and/or smoked. They found a much greater lung cancer risk in the participants who had periodontal disease with women who had gum disease having a higher risk of developing lung cancer than men.
If you have symptoms of gum disease, it is important that you have treatment promptly. In our office, we treat patients gently, respectfully and to the highest standards and make appropriate recommendations for the individualized needs of each patient.
Begin by calling 843-871-6351 to schedule a no-charge consultation appointment. If dental fear is an issue, we can discuss comfort options, including oral and I.V. sedation. We can also discuss payment plans that helps to finance treatment into easy, monthly payments.Read More
The definition of “Seniors” has changed rather drastically over the past several decades. No longer deemed the inactive, rocking chair adult, today’s seniors are active — in sports, socially involved, and still learning and participating. And, their numbers are a force to be reckoned with.
According to the U.S. Census, “baby boomers” (Americans born 1956 – 1964), are the fastest growing age group in the U.S. Currently, 14.5 percent of the nation’s population are ages 65 and over. By the year 2029, the over-65 population is estimated to be 20 percent. (https://www.census.gov/newsroom/press-releases/2017/cb17-100.html)
It is also estimated that one out of every four 65-year-olds will live past the age of 90, and one out of 10 will live beyond the age of 95. (https://www.ssa.gov/planners/lifeexpectancy.html)
One contributing factor to this trend has to do with their determination to stay active and involved. This is one of the reasons why dental implants are so appealing when an individual is faced with tooth loss.
Whereas aging adults were once associated with dentures soaking in a glass by the bathroom sink, today’s senior prefers the stability and confidence of dental implants.
But, how old is too old for dental implants?
It is a common misconception that an individual is beyond the age for dental implants. As long as one’s periodontal (gum) health is good, there is actually no age limit on having a successful outcome when it comes to dental implants.
For seniors who may have experienced loss of multiple teeth, dental implants offer a successful solution for all adults. Too, they not only replace missing teeth, they resolve the many frustrations commonly associated with removable teeth such as dentures and partials.
Quite frankly, any age can expect a successful outcome when the implants are properly selected, placed and maintained. The failure rate is actually very low, with dental implants enjoying one of the highest of all implant-in-bone success rates – up to 98 percent.
However, like anything that is not a natural part of the body, there are issues that can complicate implant success, including:
While there are risks, the many advantages of dental implants far outnumber any downside. Dental implants add to everyday pleasures, including the enhanced ability to taste, bite and chew a diet of healthy, delicious foods. The stability of dental implants also restores confidence in social settings, allowing you to speak and laugh without worry.
Dental implants also halt the process of bone loss, helping the jaw bones retain a full, healthy shape. This prevents changes in facial appearance that can be aging far beyond one’s actual years.
The best way to fully understand the risks involved is through a no-charge consultation. Call 843-871-6351 or tap here to schedule. During this time, we can discuss the implant type that may be best for your needs as well as treatment time and costs. If comfort is a concern for you, we can also discuss sedation options, including oral and I.V. sedation (twilight sleep).Read More
The health and appearance of your smile depends on a daily commitment of thorough at-home care. It also depends on regular involvement with your general dentist.
These visits are designed to remove plaque and tartar buildup that has accumulated between visits and catch problems at early stages. The appointments are spaced at 6-month intervals to keep you in a better position to maintain healthy gums and teeth.
Not many people look forward to a dental cleaning or exam, although we actually have some who tell us they DO look forward to their oral hygiene visits. They enjoy seeing long-time staff members whom they’ve grown close to. Primarily, though, they like the clean feeling and bright smile they get from these twice-a-year visits.
I understand people who don’t look forward to dental check ups, however. I feel the same way about my ophthalmologist. I know I need an annual eye exam and like the doctor and staff very much. But, the process isn’t something I deem pleasant, even though I appreciate its importance.
One of the reasons many of our patients are such long-time patients is because they trust us. They know we will never over-treat or under-treat, recommend treatment according to their specific needs, respect their preferences, and make their comfort a high priority at every visit.
Comfort is a big deal when it comes to dentistry. There are many individuals who avoid dental care altogether because they have such intense dread or fear associated with these visits. Dental fear or anxiety is said to affect over 70 percent of the American adult population.
To lessen the worries of anxiety or fear of being in pain, we have taken a number of measures. We pride ourselves on having a relationship of trust with our patients — they trust us to keep them comfortable and minimize the potential for discomfort. Yet, we know that comes with time. New patients simply don’t walk in and perceive that; they need to experience it to just know it’s part of our commitment to care.
Below are just a few of the ways my team and I optimize your comfort in our Summerville dental office:
For adults who have fear, anxiety, or even dental phobia, we have been able to help the majority to achieve a healthy, appealing smile while being relaxed and comfortable. Here, we know you can learn to dread less and smile more!
Consider starting with a no-charge consultation appointment. During this time, we will discuss your concerns, make recommendations for your specific needs and goals, and give you a firsthand look at the exceptional Summerville SC environment we offer for your very best smile.
To schedule, call 843-871-6351 or tap here to begin.Read More
I have a friend who struggled for years to quit smoking. He tried every kind of patch, gum, and hypnosis available to try to kick the habit. He eventually did, but I remember him telling me that the lectures and chastising he received from (mostly) well-meaning friends, family and strangers had very little impact on his decision to quit.
Cigarettes are manufactured to be addictive. In a 2006 ruling from a lawsuit filed by the federal government, it was found that cigarette makers deliberately misled the public about the dangers of smoking. (https://www.tobaccofreekids.org/assets/content/what_we_do/industry_watch/doj/FinalOpinion.pdf)
The ruling cited that the tobacco companies intentionally designed their products to be addictive, even while knowing their use led to harmful, and even deadly, effects.
For most smokers, they’re aware of the health risks associated with smoking. However, many are unaware of the risks that smoking poses to their oral health. Yes, gum disease and tooth loss are more prevalent in people who smoke.
The Centers For Disease Control & Prevention (CDC) warns that:
• Smokers have double the risk for gum disease compared to nonsmokers.
• The more cigarettes an individual smokes, the higher their risk for developing gum disease.
• The longer you smoke, the greater your risk for gum disease.
The CDC also warns that smoking can make treatment for gum disease less effective. (https://www.cdc.gov/tobacco/campaign/tips/diseases/periodontal-gum-disease.html)
With these challenges in mind, we want to help smokers be aware of their unique needs while providing an environment that supports their ability to prevent the development of periodontal (gum) disease and subsequent tooth loss.
In our office, we see each individual as, well… just that – an individual. Every mouth is different. And, the lifestyle and habits of each patient is different as well. Some of our patients eat too much sugar, which is a challenge in the prevention of cavities and gum disease. Others are infrequent brushers, leaving their mouths more prone to bad breath, cavities, and gum disease. Some are arthritic and have difficulty managing thorough at-home oral care.
For every patient, we strive to help them work around these particular issues so their smile is always healthy and bright. Being committed to good oral health means you can avoid the time and costs associated with treatment for cavities, gum disease, and even tooth replacement.
If you smoke, here are some at-home tips to help you keep your smile in good shape:
• Cigarette (and cigar) smoke is very drying to the tissues in the mouth. This provides an environment for the accumulation of oral bacteria that attack tooth enamel and gum tissues. The goal is to keep your mouth moist throughout the day. Drink lots of plain water (or add cucumber slices or fresh mint as smile-friendly additives). Swish water around your mouth after each cigarette. This will moisten the oral tissues and remove some of the oral bacteria from the mouth. You may also want to begin using a mouthwash that is specifically-designed to replenish oral moisture. These are available over-the-counter in most stores’ pharmacy section.
• Brush thoroughly twice a day. Spend two minutes each time you brush (even if you use an electronic toothbrush). Be careful to reach all sides of every tooth, especially back teeth. Use a soft to medium toothbrush and a toothpaste with fluoride. This will help toughen up tooth enamel. Consider finishing up by brushing the tongue with your toothbrush. There are ka-zillions of bacteria embedded in the tongue and this will help management bacteria levels. Swish and spit several times after.
• Flossing is another area that we try to avoid lecturing. However, this action gives you a ‘leg up’ when it comes to managing bacteria in the mouth. If you find the process uncomfortable, our hygienists can show you easy techniques so you’re doing an effective job in a minimal amount of time (less than 2 minutes). If preferred, use a ‘water flosser.’ Our patients (whether they smoke or not) really like these. They are affordable and easy to use. Too, studies have shown that they can be just as effective as manual flossing. (Read one article on the studies in Dental Economics: https://www.dentaleconomics.com/articles/print/volume-101/issue-30/features/water-flosser-can-address-futility-of-floss.html)
• Your regular dental check-ups (cleanings and exams) are designed to remove the buildup of oral bacteria (that forms plaque, which can harden into tartar). If you smoke, your gums are more susceptible to the hazards of cigarettes. For some patients, we arrange their dental cleanings to occur every 4 months rather than every six. This additional visit helps many of these patients avoid problems in the first place.
We want to support you in finding the best way to have fresh breath, healthy gums, and teeth that create a fabulous smile! If you are behind on regular dental visits, you may want to begin with a no-charge consultation. During this time, we can discuss ways we can help you have a confident smile.
If dental fears have prevented you from having regular dental care, we can also discuss ways to help you achieve the smile you desire through oral or I.V. sedation. You’ll also find that our entire team is committed to providing a comfortable experience with a gentle touch, at every visit!
Call 843-871-6351 to schedule or learn more.
When I go to the eye doctor for my annual eye exam, it’s usually one of my least favorite items to check off my healthcare to-do list. Having my pupils dilated, that puff of air shot at my eye ball, and sitting still while a bright light blares into each eye is no fun. However, I see my vision as not only a vital part of living a full and active life. As a dentist, having good vision is vital.
Having an annual eye exam is an appointment most people want ‘over and done with’ quickly. But, like many medical screenings and checkups, we know it’s wise to take the time. Dental checkups, although not something most people look forward to, are also important to your health and well-being. Plus, these twice-a-year dental visits are structured to help you avoid or minimize time and expenses for treatment that can occur without regular care.
Fortunately, these visits typically require only an hour or so of your time. In our office, we try to minimize wait time and use advanced skills and technology to create more efficiency while optimizing comfort. This certainly makes dental visits more appealing for all patients. Yet, for people who do struggle with dental fear, these visits require far more of them than just setting aside the time needed for each visit.
I have decades of experience helping patients who have anxiety or fear (and even dental phobia) to be able to relax through dental treatment. Some have been able to overcome their fears altogether. While I don’t claim to convert them into dental appointment ‘fans,’ I will say that a large percentage go from a sense of dread and ‘white knuckled’ tension to walking in with a smile and leaving with a smile, having completed their appointment without dealing with the grip of fear.
In our nation, periodontal (gum) disease effects over 47 percent of adults – a staggering statistic when you consider how easy it is to prevent. Gum disease occurs from the over-accumulation of oral bacteria that cause inflammation. Gum disease is the leading cause of adult tooth loss. Yet, oral health is not the only thing compromised because of gum disease.
These potent bacterial organisms can enter the bloodstream and trigger inflammation elsewhere in the body. Research has shown they can cause reactions that have been linked to heart disease, stroke, diabetes, arthritis, preterm babies, some cancers, erectile dysfunction and Alzheimer’s disease. As more research is conducted, new findings keep connecting oral bacteria to more and more health problems, some that are deadly.
With that said, our nation sadly has far more people who are nervous or afraid of dental visits than not. It is estimated that over 70 percent of adult have some level of dental anxiety or fear. Because this fear prevents some people from being able to receive regular dental care (often delaying treatment until pain forces them), it’s to no surprise that so many suffer with gum disease. As mentioned prior, it’s nearly half of our adult population.
Although we offer both oral and IV sedation (twilight sleep), all patients (in our office) enjoy the benefits of a number of comfort options. In addition to a gentle touch, we’ve invested in a wide variety of advanced technology that reduces treatment time and enhances comfort. (Even our drills are designed to eliminate that dreadful, high-pitched whine, with a gentle humming sound instead).
We also pace each patient’s care to match individual needs. Some people are happy to move through treatment in one or two appointments while others wish to proceed in small steps. We are also careful to communicate what is being done in their mouths, and why. This is reassuring to patients, especially those with fear issues. They may ‘perceive’ pain when there is unknown action taking place that they can’t see.
We encourage anyone who has dental fear or anxiety issues to begin with a private conversation at no charge. This consultation is just a chat. I take the time to learn the unique concerns of each individual and make recommendations based upon those concerns. From there, we can determine the most comfortable way to proceed. Or, they may choose to do nothing for the time being. The choice is in the hands of the patient. We are not here to nudge someone into treatment, but rather to support them when they are ready.
If you would like to schedule a private, no cost consultation, call 843-871-6351. From the very first conversation on the telephone, I’m certain you’ll understand why so many once-fearful people have chosen us to help them achieve healthy, confident smiles.Read More
Growing up, I remember a particular relative I only saw at Christmas gatherings at my Grandmother’s home. I was probably eight or nine when I recall him bending down and greeting me just inches from my face. While I don’t remember his words, I do remember his knock-you-over bad breath.
For years, every time his name was mentioned, I remembered the jolt of breath odor. I should have remembered his words and his smile, first and foremost, but his breath seemed to take a front-&-center place in my memory bank whenever his name came up.
None of us want to be remembered for our breath odor! While it is often associated with spicy foods, breath that is less-than-pleasant actually has a number of sources.
PERIODONTAL (Gum) DISEASE: A common symptom of gum disease is frequent bad breath. As the disease worsens, it goes from frequent to persistent. This is because oral bacteria produce a sulphuric odor that causes bad breath. As they reproduce, more and more of these bacteria exist, subsisting on the soft tissues in the mouth. The gums become so compromised from this over-accumulation that they bleed easily (often while brushing). Other symptoms include tender or swollen gums, gums that release their tight grip around teeth, and gums that turn red. Keep in mind, however, that gum disease begins silently. Beware: You may even have it without noticing symptoms in initial stages.
GERD OR ACID REFLUX: In addition to causing heartburn and a sore throat, acid reflux can cause bad breath. This occurs when acid travels up the throat and reaches your mouth. When these digestive acids mix with saliva, it produces bad breath that is uniquely associated with acid reflux. An excellent explanation of how it occurs (and ways to curtail it) can be found at: http://digestivehealthguide.com/acid-reflux-bad-breath/
DENTURES & PARTIALS: The gum-colored base that holds replacement teeth in dentures and partials is of a porous material. These pores actually provide oral bacteria with little homes where they breed and thrive. As mentioned prior, oral bacteria that accumulate in the mouth produce a surphur-ish odor (likened to a garlicky scent). Although soaking these appliances nightly in a denture cleanser rids most of these bacteria on a daily basis, many people also sleep in their dentures or partials. How bad is this bacteria? One study showed that pneumonia risk doubled in the elderly who slept in their dentures. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541085/)
INSUFFICIENT ORAL HYGIENE: For many people who brush twice daily, the process may not be nearly as effective as they may think. It is recommended to spend two minutes per brushing, using a soft to medium toothbrush and a fluoride toothpaste. (This applies when using either manual and electronic toothbrushes). Divide the mouth into four sections and spend 30 seconds on each. Finish up by brushing the tongue to remove millions of oral bacteria embedded there. If you’re not flossing prior to brushing, however, you can be missing an important part of the process. Food particles caught between teeth cannot always be dislodged by the bristles of a toothbrush. Left behind, they rot in your mouth, creating a welcome food source that boosts oral bacteria growth.
DRY MOUTH: When the mouth is dry, it means that saliva flow is unable to rinse oral bacteria from the mouth efficiently. This leads to bacterial growth. Dry mouth is a side effect of many prescription and OTC medications, including antihistamines, antidepressants, and sedatives. Smoking, caffeine, and alcohol are also drying to oral tissues. Be aware of the moisture level in your mouth. Drink plenty of filtered water throughout the day, chew sugarless gum to promote saliva flow, and consider using a rinse to replenish oral moisture (available over-the-counter at most drug stores).
While other causes of bad breath may be your problem, these are the most frequent culprits. However, regardless of the cause, having a healthy mouth can give you more confidence in close settings with others, and help you avoid the dreaded reputation of “the one who has bad breath.” Begin by scheduling a cleaning/exam to address your problems head on, or ask for a free consultation to discuss your concerns. I’ll make recommendations to help pinpoint the source of your problem and ways to help resolve it.
If you have dental fears or anxiety associated with dental care, please know that we hold consultations in a private room that is removed from the clinical side of the office. You’ll never be asked to sit in a treatment chair until you are ready. I’ll also be happy to discuss comfort options, including oral and IV sedation (twilight sleep), if needed.
Call 843-871-6351 to schedule.Read More
It’s pretty obvious that a beautiful smile has advantages. Not only does an appealing smile enhance facial appearance, it tends to boost self-confidence and self-esteem. People with attractive smiles are also perceived by others to be more successful and smarter.
According to Kelton market research, one 2012 study (shared online by Cision PR Newswire: https://www.prnewswire.com/news-releases/first-impressions-are-everything) included over 1,000 American adults.
Participants were asked to react to photos of people with varying smiles. The results indicated that those with straight teeth were deemed 57 percent more likely to get a date than those with crooked teeth.
Nearly 30 percent of those polled reported the first facial featured they noticed was an individual’s teeth. And, almost 75 percent stated they would trust someone with a nice smile over and above those who had a good job, attire, or vehicle.
As a dentist, I have seen firsthand the difference an attractive smile can have on an individual’s self-esteem, confidence level, and being socially comfortably. Research also shows that a beautiful smile can make an individual feel happier and even extend their lifespan.
Studies have found that the simple act of smiling causes the release of endorphins in the brain, chemicals that create sensations of happiness. Apparently, even when we ‘fake’ a smile, these endorphins react the same way. (A good reason to smile when you’re down!)
It has also been found that people who smile often extend their lifespans by up to 3 years, while frequent frowners lose a year, on average. Smiling seems to be a way to live longer and be happier during your life!
I have had many patients who have been fortunate to have naturally beautiful smiles. Genetics has been their greatest asset in addition to having proper dental care during adolescent years as their adult teeth developed.
For many, the advantages of orthodontic treatment (braces) as teens and the benefits of frequent dental visits provided a leg up in the resulting appearance and health of their adult smiles.
However, many people weren’t born with a beautiful smile. Some experienced breakdown over the years, resulting in crooked, decayed, chipped or discolored teeth. Genetics may have given them teeth that were misshapened or gums that interfered with the flattering framing of teeth, such as in a ‘gummy smile.’
Everyone seems to desire a smile that makes them feel good from the inside out. However, the only deterrent for some when it comes to cosmetic dentistry is the cost for treatment.
In our office, we understand that budget constraints may hold people back from the smile they desire. That is why we offer several payment plans, most that are interest-free with no down payment required. These allow the individual to enjoy their new smile while making affordable, monthly payments.
Another issue that holds some people back is concern over achieving a natural look. No one wants to invest in cosmetic dentistry only to end up with a smile that looks fake. In our office, we create beautifully shaped and shaded crowns (caps) and veneers that have an exceptionally-natural look and feel, even reflecting light as natural teeth. And, using the durability of porcelain for dental crowns and veneers, the longevity is outstanding.
Our dental technology is also the most advanced available, enabling us to create precision-made restorations in a single appointment. With CEREC 3D technology, you often avoid the need to wear a temporary while waiting for a dental lab to create your final result. This also means that treatment time is reduced and numbing requirements are reduced by 50 percent.
Is fear of dentistry holding you back? We can help with that. In addition to offering oral sedation, I am certified to administer IV sedation (twilight sleep). While both provide relaxation and an amnesiac effect, highly fearful patients find that IV sedation provides the deeper level of a sleep state that is reassuring for their needs.
As a dentist, there are few things as satisfying as handing a patient a mirror to view the final results of a smile makeover. Their expressions alone are worth a thousand words. I’ve had patients cry with tears of joy when seeing their new smile and how it lights up their entire face.
We offer free consultations for people who wish to discuss esthetic dentistry options. During this time, we can also discus projected fees and payment plans. Call 843-871-6351 to schedule your consultation.
“A rose is a rose,” is a common alteration of Shakespeare’s “A rose by any other name would smell as sweet.” Both mean the same, basically, in that one rose is the same as all the others. However, we know that’s not the case.
One dental office or one 6-month dental cleaning may be far different in one office than the other. For example, one dental office may make comfort a high priority while another moves patients through care in a rushed pace with little regard to comfort.
In our office, we’ve taken a number of measures to ensure patients understand the difference as well as feel it. We hope that each patient comes to find, with each appointment, that it’s not one thing but a combination of things that make the difference.
Below, we’ve listed a few areas we know affords our patients with an elevated standard of care as well as a noticeably high level of comfort:
• Advanced Technology – We’ve carefully incorporated a number of state-of-the-art features that shorten treatment time, enhance results, and optimize comfort. These include Cone Beam Imaging (for 3-dimensional views of teeth, gums and supporting bone structures), CEREC 3D computerized technology (for one-appointment crowns and implant restorations), ‘Silent’ Drills (that eliminate the high-pitched whine of a drill, replacing it with a gentle whir), and Laser Dentistry (which reduces bleeding and speeds healing).
• Staff Longevity – I am so proud of the longevity of each team member. For decades, many have worked by my side and become “like family” to patients. Newer staff members have immediately sensed the unified team spirit here, feeling fully supported in their commitment to excellent patient care.
• Exceptional Comfort – In addition to oral sedation (a sedative in pill form), I am Certified to provide I.V. sedation (twilight sleep). This provides a deeper level of comfort through ‘sleep dentistry’ and erases most, if not all, memory of treatment afterward. In addition to sedation options, all measures are taken for the highest level of patient comfort possible, starting with a gentle touch and care that is paced to each individual’s specific need.
• Complete Dentistry – In addition to providing all phases of Dental Implants, you’ll find all levels of dental care are covered – for all ages and all needs. Everything from six-month checkups to root canals to tooth replacement to therapy to treat gum disease – our patients appreciate having all services in one, convenient location.
• Skilled, Ethical Care – Our patients know our recommendations are made based on what is in their best interests. By instilling a sense of confidence with each, they have faith in us to provide the best care according to their individual needs and goals. This has created strong bonds that we feel is the foundation of “exceptional dentistry.”
You should feel positive about your dental caregivers, at every visit. If you feel something is missing in your relationship with your dental office, consider scheduling a no-charge consultation appointment. During this time, we’ll discuss how our office may be compatible to your needs and desires, enabling you to achieve a healthy, confidence smile you’ll love to share.
Call 843-871-6351 to schedule. I look forward to meeting you and including you as one of our many happy patients!Read More
I can’t imagine that any adult over the age of 30 wants to look older than they are. Most of us are hoping to go into our elder years with people saying, “Oh, you certainly don’t look your age! I would have guessed you no more than age xx.” (preferably 10 or more years less than we really are!)
Mere flattery or not, we love to hear that we are aging well. And, American adults are willing to invest heavily in keeping a more-youthful look. According to a 2015 article published in Markets & Trends entitled, “U.S. Skin Care Market to Reach Nearly $11 Billion in 2018,” they estimate nearly $11 billion will be spend on skin care in the U.S. this year. (http://www.gcimagazine.com/marketstrends/segments/skincare/US-Skin-Care-Market-to-Reach-Nearly-11-Million-in-2018-311287121.html)
While we slather on expensive creams and color our hair, an unfamiliar factor (to many) that contributes to the appearance of more years than we’re due is the decline in jaw bone mass from tooth loss.
Ever heard the term ‘granny look?’ Although this is the extreme of a shrinking jaw bone, it is pretty descriptive when it comes to an aged appearance that no one wants. It conjures up an image of an older woman who has a pointed chin, deep wrinkles around the mouth, and a mouth that seems collapsed into the face.
This all occurs when the jaw bones that supported natural teeth no longer have tooth roots to provide stimulation. When the roots are removed, the jaw bone doesn’t receive the nourishment and stimulation needed. Without this, they slowly begin to shrink. This process is known as resorption.
As the bone shrinks from a missing tooth or teeth, neighboring teeth are at higher risk. Due to various factors, the next tooth to be lost is typically one that is adjacent to a missing tooth.
Bone loss is not always obvious for people who wear dentures or partial dentures. They tend to look in the mirror when their denture is in place, which plumps up the face. However, it is what’s taking place below the gums that causes changes in facial appearance. These changes will only become more severe with time.
Bone loss contributes to deep wrinkles that form around the mouth with the corners of the mouth turning downward, even in a smile. As it continues, the mouth appears to collapse into the face and jowls form from the detachment of facial muscles.
For those who wear dentures or partials, the pressure this places on the ‘ridge’ actually accelerates the rate of resorption. This is the gum-covered arch that the denture or partial rests upon. For those who sleep in these appliances, the 24/7 pressure speeds the rate of resorption even more.
As resorption continues, the gum ridge begins to flatten as it’s foundation shrinks. Denture wearers often first notice bone loss when their denture begins to move while eating. Eventually, even denture adhesives are unable to prevent uncomfortable rubbing or slips while eating. Speaking and laughing also becomes overshadowed by the fear of embarrassing moments.
Because dental Implants recreate stimulation to the jaw bones that support them, they are able to halt the rate of bone loss. Additionally, because they are placed in bone, just as tooth roots were once, they provide the same dependable foundation of natural teeth.
Dental implant systems have also evolved so they are able to accommodate specific needs. For example, some types can be placed in adults who have experienced severe bone loss. The All-On-4 implant system requires only minimal bone to adequately support a full arch of teeth on just four implants.
Regardless of the implant type selected, a dentist who is trained and experienced in all implant types is your best choice for a successful result. In our office, our patients know their implant treatment is backed by advanced training in all implant types with both oral and I.V. sedation (twilight sleep) available.
Using the cutting edge technology of CEREC 3D, we are also able to create replacement teeth at the same appointment our patients are having their implants placed. This eliminates waiting for a dental lab to create your final restoration (replacement teeth) and a second appointment to place them. It also cuts numbing requirements in half.
Dental Implants restore biting and chewing comfort as well as the ability to speak and laugh confidently. Call 843-871-6351 to schedule a free, private consultation. During this time, I’ll make recommendations based upon your specific needs and goals. We can also discuss treatment costs and easy payment options.Read More
Dental fear is fairly common – perhaps more common than you realize. It is estimated that 75% of American adults have some level of fear associated with dental visits. Approximately 5 – 10% of these can be categorized as dental phobics. These are who are so fearful they seek dental care only when an emergency need forces them into a dental office or an emergency room.
It’s not unusual for adults with dental fear to avoid regular dental care. Unfortunately, these delays often force fearful patients into treatment for problems that could have been avoided. More-involved treatment can require lengthy time in a dental chair, the very place that fearful patients want to avoid.
When more involved treatment is needed, it tends to reinforce these fears rather than remind of the benefits of regular care that could have prevented these problems from occurring in the first place.
Regular dental check-ups are structured to help patients avoid problems altogether. For the problems that do occur, regular dental checkups help us to catch these problems early so they can be resolved with minimal treatment. Allowing us to help you address your dental fear can save you much in treatment time and expense (not to mention restore your smile to a healthy, confident look and feel!).
We take pride in the many patients we’ve helped to overcome their dental fears here, for good! Many of these patients began their care with the help of Oral Sedation, which creates a fully-relaxed state. This also eliminates most or all memory of treatment afterward.
I am also Certified to administer I.V. Sedation (twilight sleep) for those who desire a deeper level of sedation. Throughout any treatment that includes sedation, you will be monitored by trained staff members and advanced safety equipment.
In addition to a gentle touch, we also feature advanced technology for many procedures. These enhance comfort and reduce treatment time, many decreasing treatment time and numbing requirements by 50 percent. Our patients know us for the comfort level they receive. However, fearful patients also appreciate that we schedule treatment at a pace that is comfortable based on individual preferences.
Don’t wait until an emergency need occurs. Call 843-871-6351 to schedule a free Consultation. We’ll discuss your and options to enhance comfort throughout your visit. Before an emergency need arises, let’s design a customized plan to create a healthy, beautiful smile!Read More
Most of us know someone who enjoys roller coaster rides or scary movies. Quite frankly, I’m not one of them and not afraid to admit it!
Yet, I know that a scary thought to many people is a visit to the dentist. Those who experience fear or anxiety associated with dental visits are plentiful — nearly 75 percent of the adult population by some estimates. And, an estimated 5-10 percent of those can be categorized as ‘dental phobics.’ These people have such intense fears of dentistry that they avoid care until something becomes so painful that they have no choice.
Unfortunately, what prevents fearful patients from having regular dental care is a past, traumatic experience in a dental office, more often than not. When a dentist continues to work on a patient who is not fully numb or indicating discomfort, the damage inflicted can be lifelong.
What the individual is left with is a looming fear of dental care. And, the health of your mouth has been found to be even more vital to overall health than ever.
Recent research has shown that the bacteria of gum disease can trigger inflammatory reactions elsewhere in the body. This systemic inflammation has been linked to heart disease, some cancers, Alzheimer’s disease, stroke, high blood pressure, arthritis, diabetes, preterm babies, erectile dysfunction and impotency.
As a dentist who is experienced in caring for fearful patients, I understand that past traumas are difficult to set aside. I know these fears are common and try to reassure these patients that they have nothing to be ashamed of, not in our office anyway.
My entire team is focused on providing gentle care to all patients at every visit. Our desire is to provide a positive experience from the time an individual walks through our front door through the time they check out.
Here, each person is treated with respect, compassion and to the highest standards possible. We’ve also incorporated advanced dental technology and techniques to enhance every aspect of treatment, regardless of the procedure.
For example, we use a ‘silent’ drill. Rather than a high-pitched whine, these make a gentle whir sound. Another example is our CEREC 3D technology. This creates crowns and implant ‘restorations’ (replacement teeth) in one visit. This eliminates the need for the patient to have to return for a separate placement visit and have an additional numbing.
For new patients with dental fears, I often offer oral or I.V. sedation. For many, sedation helps them to relax through their initial visits so, in many cases, they come to relax on their own. Many, after only one or two visits, state they no longer need a sedative.
Oral sedation is a pill that is taken prior to one’s visit. By the time the patient arrives to our office, he or she is in a relaxed state. We seat them immediately in a comfortable treatment chair and administer numbing medications while they are in this relaxed state.
I.V. sedation, for which I am certified, is an ‘in-the-vein’ drip of anesthetic. This creates a deeper ‘sleep state’ for patients with a greater amnesiac effect. However, oral sedation also erases most (if not all) memory of the procedure. It also has a faster recovery time.
Both are safe and patients are monitored throughout treatment with trained staff members and advanced safety equipment.
As a dentist with a track record of helping hundreds of fearful patients achieve healthy, confident smiles, I know sedation options are but a piece of the puzzle to feeling good about dentistry. When it comes to a patient who has no fear of being in pain and enjoys achieving the look and feel of a healthy, beautiful smile, that comes from a relationship of trust.
This is where once-fearful patients find a solution. In knowing they are in the hands of people who care about their comfort, will never rush them, and respect their unique needs and concerns, our patients are able to enjoy smiles they are proud to share!
If fear has kept you from achieving the healthy, appealing smile you have only ‘hoped for,’ call to request a no-charge consultation appointment. This visit occurs in a private consultation room that is removed from the clinical side of our office. During this time, I’ll learn about your concerns, make recommendations, and answer your questions.
We are here for you. We know your smile is important to you. Call 843-871-8351 to schedule.Read More
After years of wearing a denture, many people realize the fit is not as dependable as when it was first made. It begins to slip while chewing and also rub sore spots on tender gum tissues.
The reason for this is due to bone loss. When natural tooth roots no longer exist in the upper or lower jaw, the bone begins to shrink, or ‘resorb.’ Resorption is also the reason a once-secure fitting denture feels less and less so after each year.
Most people are not aware that wearing a denture places pressure on the jaw bones, which speeds up the process of bone loss. For those who sleep in their dentures, the rate is accelerated even more.
Initially, after a denture is first made, patients may be advised to wear it 24/7 until becoming used to its presence in the mouth. However, after an adjustment period, you should remove it before bedtime. Studies have also shown that people who sleep in their denture have a higher risk for pneumonia. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541085/)
For people who do everything possible to care for their dentures, however, there is no way to prevent bone resorption. In addition to the looser fit with each passing year, changes to facial appearance will begin to take place.
These changes include deep wrinkles that form around the mouth, having the corners of the mouth turn downward (even while smiling), a more pointed chin, having a mouth that seems collapsed into the face, and jowls that form as facial muscles detach from bone structures.
A temporary fix to loose dentures is a reline. This reshapes the gum base portion to fit the less prominent contours of a declining gum ‘ridge’ to which it was originally fitted. Yet, the problems will reappear as bone loss continues.
In the past, people who had experienced severe bone loss were required to first have a bone graft, often using a piece of hip bone to rebuild the jaw bone where implants were to be placed. As dental techniques advanced, bone rebuilding materials were developed that could regenerate bone mass, preventing the need for the more-involved surgical grafting procedure.
Fortunately, in 1998, a new dental implant system was introduced that enabled implant placement in even severely resorbed bone mass. All-On-4 dental implants relied on specially designed implants placed at unique angles. This technique evenly distributed the load among four implants.
There were additional advantages to the All On Four system. First, the procedure itself was less complex than traditional implant placement, making it possible for the patient to recover quickly. Too, teeth could be attached immediately after placement. So, not only could the patient walk out of the dentist’s office and meet a friend following the procedure, they could enjoy lunch together!
For many, the best advantage of all is in the lower cost as compared to many other implants systems. Because only 4 dental implants are needed to support a full upper or lower arch of teeth, treatment costs are typically quite lower than traditional implant types.
While All On 4 dental implants won’t work for every individual who is missing teeth, they are a beneficial option for a number of patients who wish to be rid of a bothersome denture. If you’re one, call 843-871-6351 to schedule a free, no obligation consultation.Read More