Monday, January 28, 2013

7 Secrets To A Brighter Smile


When it comes to lighting up some of Hollywood's brightest smiles as well as tending to the pearly whites of the average Joe, New York City dentist Steven Roth, DMD, does it all. With more than 25 years of cosmetic and restorative dentistry experience, he created a technique that allows patients to "test drive" cosmetic dental procedures (such as temporary veneers) before taking the plunge. We chatted with Roth from his Manhattan office, SmilesNY, and asked him to share the seven things he always tells every patient.

1. You probably aren't seeing the dentist enough. 

The standard twice-a-year visit (covered by most dental plans) is only half enough. Adults should see the dentist every 90 days. I know it sounds like a lot (and believe me, I get some resistance from reluctant patients), but, after just three months, the bacteria we clean out of your mouth during a check-up -- it's all recolonized! I know it can seem expensive, especially if you have to pay for the additional visits out of pocket, but it's well worth it from a health perspective. If you think about what you might spend on regularly cutting or coloring your hair, it's really not far off from that.

2. If you're scared of the dentist because you think it's going to hurt, you're not seeing the right dentist.

Today we can manage every single aspect of discomfort with the right medications to handle the annoyance of keeping your mouth open for a long period of time, or anesthesia for more extensive, invasive procedures like root canals. You name the issue, we can address it.

3. If you wait until you feel pain, it's way too late.

Know this: Most dental issues don't cause pain at first. Cavities, before they become deep, are painless. Gum disease -- also silent. But once you're wincing in pain, that means there's probably already an infection or the pockets of your gums have become riddled with bacteria. Bottom line: Make frequent check-up appointments to nip invisible-to-you problems in the bud, and put your dentist on speed-dial should you notice any problems.

4. Nothing can replace good, old-fashioned dental floss.

Sure, you can buy sharp little instruments at the drugstore for picking at your teethor follow every meal with a toothpick, but until you get in between the teeth, where the surfaces abut one another, you're not attacking the location where some of the worst bacteria hide. The truth is, brushing only gets about 50% of the nasty stuff off of your teeth. Floss is the only thing that can attack the other half. No matter how fantastically high-tech your brush is or how thoroughly you go over each tooth, you still need to floss.

5. Seeing the dentist may save your life.

People are slowly realizing that gum disease might be a sign of heart disease. Some studies indicate a connection but more research needs to be done. It's all about inflammation -- be it of the gums or of the arteries of the heart. Some studies show that bacteria in gum disease is also in plaques in heart arteries. Seeing the dentist can benefit not only your smile and the whiteness of your teeth, but also your overall health.

6. The mouth tells no lies.

I can tell so much about a person just peering into their mouth. I can see if they have certain habits or issues -- whether they drink a lot of soda or coffee and if they have had a drug problem in the past or present. If they are experiencing a lot of stress, they may grind or clench their teeth, leading to gum recession or telltale wear patterns. Acid erosion patterns can betray a bulimic. Bad breath can even say a lot -- be it acid reflux, a poor diet, or even diabetes. You just can't hide these things once you open your mouth.

7. Not all whites are right.

There's no one-size-fits-all shade of white. If you bring in a picture of someone whose bright smile you admire, it's entirely possible it won't suit you. It depends on your coloring and your teeth. It's a bit like hair color in that respect. Everyone has a different potential for whiteness.


Country Club Dentistry
72775 Frank Sinatra Drive
Suite B
Rancho Mirage, CA 92770
Tel: 760-341-2599


Thursday, January 17, 2013

Everyday Habits That Damage Your Teeth


You plan meals, grab drinks, and play sports without giving much thought to yourteeth. But you might not realize how food, beverages, and activities can wreck the health of your pearly whites. Twenty-five percent of U.S. adults over age 65 have lost all their teeth - here's how you can protect your own.

Sugar and Teeth

Sugar is the No. 1 enemy of your teeth, and the longer it stays in your mouth, the worse it is. Sugar is consumed by acid-producing bacteria in your mouth. The acids eat away at tooth enamel. Avoid foods like jelly candies, which stick in your teeth longer than other foods and bathe them in sugar. Dried fruit such as raisins are no better. Reach for fresh fruit instead.

Beverages and Teeth

Soda is just plain bad for teeth, sugar-free or not. "You're bathing teeth in an acid environment," says Robert Sorin, DDS, clinical instructor in the department of dentistry and oral surgery at New York-Presbyterian Hospital. Club soda is harmful, too, because of its acidity, and so are juices with added sugar.

Alcohol, even just a glass of wine, is also acidic and can erode the teeth. In addition, alcohol dries out your mouth, reducing saliva production. "Saliva bathes the teeth and helps remove plaque and bacterial accumulations from the teeth's surface. Less plaque equals less risk for bacterial acids to cause decay," Sorin says. Rinse your mouth with water between drinks. 

Other Risks to Teeth

If you use your teeth to snap off bottle caps, remove clothing tags, or open plastic bags, stop immediately. Smokers should also consider how the habit affects oral health. Nicotine yellows teeth and can also cause oral cancer. Chewing tobacco is even worse because the tobacco and associated carcinogens come into direct contact with the gums and soft tissues and stay there for a long time.
Also, ask your doctor or pharmacist if your medicines might cause dry mouth. According to the American Dental Association, more than 500 medications -- from pain relievers to antihistamines -- can do so. Dry mouth inhibits saliva production and increases your risk of cavities.
If you play contact sports, pick up a mouth guard at a sports store or have your dentist make you a custom one for maximum protection and comfort.
You don't even have to be awake to damage your teeth. Sorin says as many as 8% of Americans grind or clench their teeth, especially at night. If this is you, make an appointment with your dentist right away.

Country Club Dentistry
72775 Frank Sinatra Drive
Suite B
Rancho Mirage, CA 92770
Tel: 760-341-2599

Wednesday, January 9, 2013

Get The Most Out of Your Dental Visit


Dental visits aren't just for cavities and teeth cleaning anymore. During a check-up, your dental hygienist and dentist assess the overall health of your mouth and gums. "A dentist check-up is an essential part of preventive care," says Leslie Seldin, DDS, a spokesperson for the American Dental Association. Here are five ways to get more out of your next visit to the dentist.

1. Make a Checklist of Questions or Concerns

Be prepared with questions you'd like to ask your dentist or hygienist. Be sure to mention any of the following problems:
  • Bleeding when you brush. Bleeding is a common symptom of gum disease. The earlier the disease is caught, the easier it is to treat.
  • Pain or sensitivity. Tooth pain or unusual sensitivity when biting down or eating hot or cold foods can be a sign of a cracked teeth, broken fillings, or cavities.
  • Sores inside your mouth that don't heal normally. Sores that don't heal may be an early warning sign of oral cancer. Early detection is crucial to find oral cancer when it’s more easily treated.
  • Problems with flossing or brushing. A jagged tooth or broken filling can make it difficult to floss. Arthritis or other medical conditions may make it hard to brush. Your dental team can help find the source of the problem and offer solutions.
  • Clenching your jaw or grinding your teeth. Many people clench their jaws or grind their teeth, especially at night. Over time, grinding and clenching can wear teeth down, damaging the enamel and making teeth more susceptible to decay. Talk to your dentist if you think you grind your teeth.  

2. Update Your Medical History

Make sure your dentist and dental hygienist know your complete medical history. Common conditions like diabetes can affect the health of your gums and teeth. Some medical problems can lead to dry mouth, which increases your risk of cavities. Alert your doctor to any changes in your health since your previous visit. The more your dentist knows about your overall health, the better able he or she will be to give you personalized care.   

3. List All Medicines, Vitamins, and Supplements You Take

Certain prescription drugs for allergies, high blood pressure, or depression can cause dry mouth, which increases the risk of tooth decay and gum problems. Some medications and dietary supplements can thin your blood, increasing the risk of bleeding when you have dental work done. It's very important for your dental team to know about all the pills you take, including supplements that you may not think of as serious medicine.

4. If Money Is Tight, Ask About Low-Cost Options

When household budgets are strained, some people put off dental visits. That can lead to problems that are far more expensive than preventive care. If you are having trouble paying for dental care, talk to your dentist about low-cost options or extended payment plans.

5. Find Out What You Can Do Better

The field of dental health is constantly changing. New products continue to come along that make oral hygiene easier and more effective. New research provides insights into the best ways to keep teeth and gums healthy. Ask your dentist about anything you should be doing to improve your oral health.
Article Source: http://www.webmd.com/oral-health/healthy-teeth-2/dental-visit

Country Club Dentistry
72775 Frank Sinatra Drive
Suite B
Rancho Mirage, CA 92770
Tel: 760-341-2599

Wednesday, January 2, 2013

No More Excuses: Floss More in 2013


Do you floss? Or, like many people, do you always seem to find a reason not to?
A 2008 survey found that only 49% of Americans floss daily, and 10% never floss. That’s most unfortunate, dentists say, because flossing is even more important than brushing when it comes to preventing periodontal (gum) disease and tooth loss. 
"If you were stuck on a desert island and a boat could bring only one thing, you’d want it to bring floss,” says Samuel B. Low, DDS, professor of periodontology at the University of Florida College of Dentistry in Gainesville, and president of the American Academy of Periodontology. “But I’m convinced that the only time some of my patients floss is an hour before showing up in my office.”
Dentists say they hear all sorts of excuses for not flossing. Yet they insist that simple workarounds exist for just about all:
Excuse #1: Food doesn’t get caught between my teeth, so I don’t need to floss.
Flossing isn’t so much about removing food debris as it is about removing dental plaque, the complex bacterial ecosystem that forms on tooth surfaces between cleanings. Plaque is what causes tooth decay, inflamed gums (gingivitis), periodontal disease, and eventually tooth loss. Flossing or using an interdental cleaner is the only effective way to remove plaque between teeth.
Excuse #2: I don’t know how to floss.
Flossing isn’t easy.  Low calls it “the most difficult personal grooming activity there is.” But practice makes perfect.
Here’s how the American Dental Association describes the process:
  • Start with about 18 inches of floss. Wrap most of it around the middle finger of one hand, the rest around the other middle finger.
  • Grasp the floss tightly between your thumbs and forefingers, and use a gentle shoeshine motion to guide it between teeth.
  • When the floss reaches the gum line, form a C shape to follow the contours of the tooth.
  • Hold the floss firmly against the tooth, and move the floss gently up and down.
  • Repeat with the other tooth, and then repeat the entire process with the rest of your teeth, “unspooling” fresh sections of floss as you go along.
Don’t forget to floss the backs of your last molars. “By far, most gum disease and most decay occurs in the back teeth,” Low says.
Excuse #3: I’m not coordinated enough to floss.
Many tooth-cleaning options exist for people whose manual dexterity is compromised by poor coordination, hand pain, paralysis, and amputations -- or simply by fingers that are too big to fit inside the mouth.
One option is to use floss holders. These disposable plastic Y-shaped devices (some equipped with a spool of floss) hold a span of floss between two prongs to allow one-handed use.
Another option is to forgo floss and clean between teeth using disposable toothpick-like dental stimulators (Stim-U-Dents, Soft-Picks, and so on); narrow spiral brushes (interproximal brushes); or the conical rubber nubs (tip stimulators) found at the end of many toothbrushes or mounted on their own handles. 
Excuse #4: I don’t have time to floss.
Effective flossing does take a while -- once a day for a “good three to five minutes” according to Low. But even 60 seconds of flossing is of enormous benefit. As with exercise, bathing, and other daily activities, the key is to make flossing a habit.
“If you make time for your personal hygiene, you can find time to make for flossing,” says Maria Lopez Howell, DDS, a dentist in private practice in San Antonio.
She recommends keeping floss in plain view, alongside your toothbrush and toothpaste. If you’re too tired to floss before bed, floss in the morning or afternoon. Or keep floss on hand and use it when you find the time.
Mark S. Wolff, DDS, PhD, chairman of the department of cardiology and preventive medicine at New York University School of Dentistry in New York City, keeps a stash of dental stimulators in his car. “I use them when I am stuck in traffic,” he says.
Excuse #5: It hurts when I floss.
If flossing causes gum pain or bleeding, odds are you have gingivitis or gum disease -- precisely the conditions for which flossing is beneficial.
“Flossing should not be a painful experience,” Wolff says. “But stopping flossing because of bleeding [or pain] is just the opposite of what you should be doing.” The good news? With daily brushing, flossing, and rinsing, gum pain and bleeding should stop within a week or two. If either persists, see a dentist.
Excuse #6: My teeth are spaced too close together to floss.  
If unwaxed floss doesn’t work for your teeth, you might try waxed floss or floss made of super-slippery polytetrafluoroethylene.
If the spacing between your teeth varies (or if you have significant gum recession), yarn-like “superfloss” may be a good bet. It stretches thin for narrow spaces and fluffs out to clean between teeth that are more widely spaced.
If you’re having trouble finding a workable floss or interdental cleaner on your own, your dentist should be able to offer guidance -- and may even offer free samples.
Excuse #7: The floss keeps shredding.
In many cases, broken or fraying floss is caused by a cavity or a problem with dental work -- often a broken or poorly fabricated filling or crown. Consult your dentist.
Excuse #8: I have dental work that makes flossing impossible.
Try floss threaders. These monofilament loops make it easy to position floss around dental work.

Country Club Dentistry
72775 Frank Sinatra Drive
Suite B
Rancho Mirage, CA 92770
Tel: 760-341-2599