Dentists Journal

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Dentistry as one of the oldest medical professions

Dentistry is one of the oldest medical professions, dating back to 7000 B.C. with the Indus Valley Civilization.  However, it wasn’t until 5000 B.C. that descriptions related to dentistry and tooth decay were available.  At the time, a Sumerian text described tooth worms as causing dental decay, an idea that wasn’t proven false until the 1700s!

In ancient Greece, Hippocrates and Aristotle wrote about dentistry, specifically about treating decaying teeth, but it wasn’t until 1530 that the first book entirely devoted to dentistry—The Little Medicinal Book for All Kinds of Diseases and Infirmities of the Teeth—was published.

By the 1700s, dentistry had become a more defined profession.  In 1723, Pierre Fauchard, a French surgeon credited as the Father of Modern Dentistry, published his influential book, The Surgeon Dentist, a Treatise on Teeth, which for the first time defined a comprehensive system for caring for and treating teeth.  Additionally, Fauchard first introduced the idea of dental fillings and the use of dental prosthesis, and he identified that acids from sugar led to tooth decay.

In 1840, the first dental college (Baltimore College of Dental Surgery) opened, establishing the need for more oversight.  In the United States, Alabama led the way by enacting the first dental practice act in 1841, and nearly 20 years later, the American Dental Association (ADA) was formed. The first university-affiliated dental institution, the Harvard University Dental School, was founded in 1867.

By 1873, Colgate had mass produced the first toothpaste, and mass-produced toothbrushes followed a few years later.

What may come as a surprise is that the first African American to earn a dental degree dates all the way back to 1869, and the first female dental assistant was employed in New Orleans in 1885. What might be most surprising of all is that most Americans did not adopt good brushing habits until after World War II, when soldiers stationed abroad brought the concept of good oral health back to the United States!

Other Fun Teeth Facts:

-Hesy-Re was an Egyptian scribe who lived around 2600 B.C. and is recognized as the first dental practitioner.

-Paul Revere, famous for warning Colonial troops that the British were coming, was also trained as a dentist by America’s first dentist, John Baker.

-Edward H. Angle, who started the first school of orthodontics in 1901, created a simple classification for crooked teeth in the late 1800s, a system still in use today.

-The first dental X-ray was used in 1896.


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Your smile is the signal of your health and happiness says Dr Michelle Torres

No wonder it gets noticed. That’s why the flash, function and feel of your teeth matter, and why perfecting them is the best way we know to brighten your shine.

You’re in charge of how. We’re instinctively conservative in our approach and fastidiously thorough in exams and conversations, because smart choices start with understanding all your options.  

We start each exam by getting the clearest possible view of your bite, using magnification loops (glasses that work like microscopes) to assess your teeth and screen for periodontal disease and oral cancer. We’ll discuss the relationship between your oral and overall health and talk through what your digital radiographs mean. 

Making every visit this comprehensive and complete helps us avoid issues before they arise, plan treatments most effectively, and stay sure of the state of your smile, in the moment and for a lifetime. 

Dr. Cesar Escudero and Dr. Michelle Torres grew up in the SF South Bay and received their doctorates in dental surgery from UCSF School of Dentistry in 1993, having matriculated, respectively, from Cal Poly San Luis Obispo and San Jose State University.

Conscious that knowledge is always advancing, they maintain a commitment to education and membership in the American Dental Association, the California Dental Association and the Santa Clara Dental Association.

The doctors have each earned far-reaching reputations in aesthetic dentistry, with Dr. Escudero choosing implant and reconstructive dentistry as his areas of expertise and Dr. Torres focusing on total family care.

While Dr. Escudero discovered his love for dental artistry as a student, Dr. Torres knew she wanted to care for people and their teeth since age nine. They are fiercely devoted to their patients, having enjoyed their trust and friendship for nearly two decades (and counting). Today, you’ll find Dr. Escudero in Los Gatos and Dr. Torres with our team in San Jose.

The doctors live in Los Gatos with their two children, at whose schools Dr. Torres is an active parent volunteer (when not providing free or low-cost dental services to at-risk kids), and Dr. Escudero coaches wrestling (when not at the Los Gatos Wrestling Club).

Together, these seasoned partners take pride and pleasure in vitalizing oral health for neighbors of every circumstance.


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Invisalign is the Invisible Way to Straighten Teeth

For many years, orthodontic treatment required wearing bulky, uncomfortable metal braces and wires. The shame and embarrassment of sporting these bulky metal braces prevented many people from seeking the beautifully straight smile they desired.

Invisalign was created for the patient that wants straighter teeth without wearing visible, uncomfortable metal braces. Invisalign patients wear a series of clear, plastic aligners that gradually shift teeth into the desired position and alignment. Because of the nature of the aligners, patients can maintain a normal looking smile while simultaneously straightening their teeth.

What Invisalign Can Correct

Invisalign corrects cases of minor tooth misalignment or poor spacing, where the problem is mostly cosmetic. This includes small spaces between the teeth, crowding of the teeth, an overbite (i.e., the upper teeth bite over the lower teeth), and a crossbite (i.e., the upper and lower jaws are misaligned).

Patients that have substantial structural issues with the teeth or problems with the bite are typically better suited for traditional braces or another orthodontic alternative.

Advantages of the Invisalign System

There are many reasons why patients prefer Invisalign to traditional braces, including the following:

Aligners fit comfortably and don’t irritate the inside of the mouth

Aligners don’t disrupt speech

Aligners can be removed to eat so patients can enjoy all of their favorite foods

Aligners are inconspicuous and virtually undetectable in the mouth

Total treatment time is usually shorter than other orthodontic treatments

Treatment Details

Invisalign aligners are custom-fabricated to the exact specifications of the patient. No two treatment plans are precisely alike.

The first step to of Invisalign treatment is to capture information about the teeth’s current position. The dentist takes photographs and digital impressions that are used to create a three-dimensional “map” of the teeth’s planned movement. The map charts the teeth’s original position through Invisalign treatment to their final position. This information is then sent to the dental laboratory that constructs the series of customized aligners.

The patient receives their first set of upper and lower aligners and should wear them for 20 to 22 hours per day (removing them to eat and clean). The aligners put gentle pressure on the teeth to move them into the correct alignment and position. Patients may have a slight adjustment period, getting used to the way the aligners feel, but they usually don’t experience discomfort. They can eat, speak and smile normally while wearing the aligners.

After two to four weeks, that set of aligners is swapped out for the next set in the series. This repeats until the teeth have shifted into the desired position and alignment.

Invisalign patients are supervised by a dentist throughout treatment. The dentist periodically checks the progress of treatment and examines the teeth and bite for any potential problems.

Total treatment time varies by patient, but many Invisalign patients are able to complete treatment in less than a year.

At Dental Health Associates in Sylvania Ohio, our dentists are thoroughly trained and extensively experienced with Invisalign treatment. We enjoy helping our patients transform their smiles easily and comfortably!

by Andrew Marshall Huntzinger

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ADA and others recommend to establish a Dental Home for your child

The American Academy of Pediatrics (AAP), the American Dental Association (ADA), and the American Academy of Pediatric Dentistry (AAPD), recommend to establish a “Dental Home” for your child by around one year of age. Children who have a dental home at younger ages are more likely to receive appropriate preventive and routine oral health care, as well they are more likely to avoid future dental issues and disease. They also learn early to love the dentist and are less apt to have fear and phobias with coming to see us.

The key…EDUCATION! At our NoPo Dental office we know how hard being a parent can be and that teeth and oral hygiene are not always your top focus in the early years. As a pediatric dentist and a mother of two, Doctor Staci and her team are full of tips and tricks to get you dental savvy and to help your child become more cooperative and compliant for oral hygiene routines. We will review daily recommendations with a strong focus on diet, as well as helpful positioning to brush and floss and clever strategies to make all of it fun while you do it!

Parents are allowed to stay with their child at our NoPo Kids Dentistry office for routine cleanings, check-ups and treatment, and whether it is their very first dental visit, or their twentieth, the team at NoPo Kids Dentistry strive daily to create the most positive, loving, upbeat, and motivating appointment for you and your child. 

by Doctor Staci

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ADA 'respectfully yet strongly disagrees' with WHO guidance recommending delay of dental care

The American Dental Association released a statement Aug. 12 stating it "respectfully yet strongly disagrees" with the World Health Organization's interim guidance recommending that "routine" dental care be delayed in certain situations because of COVID-19."Oral health is integral to overall health.

Dentistry is essential health care," ADA President Chad P. Gehani said. "Dentistry is essential health care because of its role in evaluating, diagnosing, preventing or treating oral diseases, which can affect systemic health."The ADA Board of Trustees adopted an ad interim policy stating dentistry is essential health care during a video call July 27, and the House of Delegates will consider it as a resolution during its virtual meeting in October.

As U.S. COVID-19 cases began to rise in March, the ADA called for dentists to postpone all but urgent and emergency care in order to understand the disease and consider its effect on dental patients, dental professionals and the greater community, Dr. Gehani said.

Both the ADA and Centers for Disease Control and Prevention then issued interim guidance for dental professionals related to COVID-19, calling for the use of the highest level of personal protective equipment available, such as masks, goggles and face shields.

To minimize aerosols, the ADA guidance also recommended dental professionals use rubber dams and high-velocity suction whenever possible and hand scaling instead of ultrasonic scaling when cleaning teeth.

"Millions of patients have safely visited their dentists in the past few months for the full range of dental services," Dr. Gehani said. "With appropriate PPE, dental care should continue to be delivered during global pandemics or other disaster situations."

by Mary Beth Versaci

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Am I a Good Candidate for Lingual Braces?

Today’s orthodontic treatments are a lot more diverse than you remember from your youth. While metal braces are still very common, there are a lot more options than there used to be. One of those other options is lingual braces, which are braces that are adhered to the back of your teeth (the lingual or tongue side) instead of the front of the teeth making them less visible, practically invisible.

With lingual braces, the brackets, wires and even the elastics are all mounted to the back of your teeth, which is a desirous option if you don’t want people to know you are wearing braces. Whether you are a teenager who worries about peer pressure or an adult who has a career where appearance is an important factor, lingual braces are a way to get the treatment you need to correct your smile without other people having to know about it.

However, despite these positive points and the fact that is very similar in technique to traditional metal braces, lingual braces are not for everybody. You need to ask, am I a good candidate for lingual braces?

Here are a few things you should consider:

Comes Down to Bite

While most bite problems can be fixed just as well with lingual braces as with those that adhere to the outside of the teeth, there may be concerns with using lingual braces with a deep overbite. This is because the overbite might bear too much pressure on the brackets and cause them to fall off easily. After an evaluation, your orthodontist will be better equipped to tell if this is a problem that concerns you.

Drawbacks Vary Person to Person

Like with anything there are always some drawbacks to consider, but they tend to vary and are not always a deal breaker. Here are some issues you may or may not have:

Difficulties with speech. Because the braces are on the inside of your teeth, it will feel a little strange at first and you may experience some speech difficulty like a lisp or a whistling sound until you get used to them. This is because your tongue usually makes contact with the backs of your teeth as you create sounds. Your tongue however will eventually train itself to find a different place in the mouth.

Your best bet is to practice reading out loud and talking out loud until you feel like your speech is back to normal. There is a small percentage of people who will continue to have speech difficulty throughout the treatment period. Talk to your orthodontist about any risk factors you should be aware of.

Sore tongue. Because your tongue will be hitting up against your new braces a lot in the beginning, your tongue may hurt or start to develop sores. Your tongue will eventually toughen up, but in the meantime there are certain things you can do to soothe the pain. You can rinse your mouth in warm saltwater to help it heal or use an over-the counter medicine that has an anesthetic that can temporarily numb your tongue. Other things that can help include putting orthodontic wax over the sharp edges of the brackets or putting silicone pads over the braces.

Limited to what you can eat. Like with metal braces, there are certain foods that your orthodontist will recommend that you avoid while you are wearing lingual braces. Stay away from foods that are hard and very crunchy or those that are very sticky. Food stuck behind your teeth can be extra challenging to reach. Also, to avoid damaging your braces, it is best to always cut up your food into smaller pieces and avoid hard or sticky candy or gum.

Cleaning your teeth properly takes extra effort. Because the braces are on the back of your teeth, it can be harder to get rid of all the food and plaque stuck between your teeth and between your braces. An electric toothbrush can help and so can specialty dental flosses. Ask your orthodontist for a demonstration of the best way to clean your teeth and gums while wearing lingual braces.

Lingual braces can also be more expensive than other techniques depending on your dental insurance coverage. If money is an issue, then you may want to stick to the traditional metal braces which are often less expensive. It doesn’t hurt though to ask about payment options if you really would prefer the lingual braces.

Not everyone is going to have all these issues though. The good news is that the technology used in creating lingual braces is improving every day. The brackets have gotten a lot smaller and also more rounded and smoother to the touch so they will cause less tongue irritation. Also everyone’s experience is very individualized and what may bother one person may not be an issue for you. If you know someone who currently wears lingual braces or wore them in the past, ask them about their experiences with it and would they recommend this type of braces to others.

If keeping your braces invisible is of utmost importance than lingual braces is definitely worth consideration. There are also other less noticeable orthodontic options are available as well. There is Invisalign which are removable, clear plastic aligners as well as ceramic braces that are tooth-colored and so blend in better to your teeth.

Make sure you thoroughly research all options before making any final decisions. Talk to your orthodontist about the pros and cons of each and ask which technique will get the best results for your particular situation.

Also remember that not all orthodontists specialize in lingual braces. Lingual braces require special training so make sure you choose someone who is skilled in the more complex wire bending that is required with this type of braces.

Finally, no matter which type of braces you choose, following good oral hygiene is essential to keep your teeth and gums healthy throughout the treatment process. Floss and brush your teeth, gums and braces twice a day daily.

by Dr. Charles Gemmi

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Should You Worry About Gum Boils or Gum Abscesses?

Gum boils or gum abscesses are major signs that your teeth are suffering from a deep infection. These unsightly boils are filled with pus and painful once touched or bumped. If you have gum abscesses, you will have a difficult time eating your favourite foods.

But don’t worry – gum abscesses are manageable. You just need to know their real nature and how to manage them effectively. It’s also important to listen to your dentist’s advice.

The Types of Gum Boils

Gum boils are divided into two main types – periodontal abscess and periapical abscess. Your dentist can easily figure out what type of gum boil you have. Basically, periodontal abscess forms in the gum tissue, while periapical abscess forms within the tooth itself. A periapical abscess is usually more serious and can be resolved by root canal treatments and other advanced dental procedures.

Here are some of the common symptoms of gum boils:

gum pain and gum tenderness

reddening and swelling gums

abscess bleeding

bad breath

earache, nausea, and fever

Your dentist’s goal is to prevent the spread of the infection caused by abscesses. A root canal treatment is advisable if the gum infection has already affected multiple teeth. The procedure is also useful if there’s deeper tooth damage in your upper or lower jaw.

How to Deal With Gum Boils Properly

There are diverse ways to deal with gum infection and to prevent the appearance of other abscesses. Practically, dentists will advise the use of antibiotics to control bacterial growth and stop the infection. Topical treatments are only used to alleviate the pain and sensitivity caused by the abscesses.

A deep cleaning procedure is another direct solution that deals with plaque removal. This procedure can also promote continuous gum healing and can be boosted by effective oral care. Dental draining is a follow-up procedure meant to drain the pus from the abscesses in your gums.

How to Manage Gum Abscesses At Home

Home care plays a vital factor in terms of pain management. The first thing that you have to improve your brushing and flossing habits. You need to brush and floss at least twice a day to prevent the formation of gum abscesses and reduce plaque buildup. However, if you already have gum abscesses, you need to be extra careful. Be gentle, and avoid bumping the abscesses so they won’t bleed.

Nutrition is crucial to gum boil management. You must avoid sugary drinks (like sodas and fruit juices) and processed foods as much as possible. This is not easy, especially if you’re used to consuming large amounts of sugar. Let go of sodas – they can only make your gum infection worse. Smoking is also a big risk factor. Keep in mind that a stick of cigarette can affect your immune system and decrease the potency of gum treatment medicines.

Mouthwash can help in bacterial control though you shouldn’t rely on it all the time. If you constantly use mouthwash, your gums will be exposed to dryness, inflammation, and irritation. This defeats the purpose of the mouthwash. A safer alternative is a dental saltwater rinse. Just mix a teaspoon of salt and a cup of warm water. Then you can swish it all over your mouth for at least 40 seconds. Repeat the procedure for up to 3 times per day to ensure maximum effectiveness.

Hydrogen peroxide is a popular choice among dentists, but you need to be careful in mixing it. If you do the mixture correctly, hydrogen peroxide can control bacterial growth and reduce most instances of pain and gum tenderness. You should also check out natural dental rinses featured online. Remember, these dental rinses are better than commercial mouthwash and they won’t cause mouth dryness or gum irritation.


Gum boils require immediate attention. Don’t wait for too long because gum boils can lead to long-term teeth damage and other health complications.

by KW Dental Emergency

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A well-balanced, beautiful smile is more than just straight teeth says Doctor Ricardo Perez

Dr. Ricardo M Perez, DDS offers advanced care for your teeth and skin in one location where cosmetic dentistry and facial esthetics combine to help patients achieve enhanced appearance and confidence. A well-balanced, beautiful smile is more than just straight teeth. The confidence and freedom that come with it allow you to enjoy life spontaneously!

Likewise, our spa treatments for smooth, glowing skin work to empower you from the inside out. Insecurities regarding teeth and skin cause people to quickly close their mouths before getting a picture taken, or stay home when they should be out with family and friends. Who wants to live life like that? Surely, you don’t, and we care deeply that you don’t—that’s why we’re here.

A Gentle Approach to Cosmetic Dentistry

While there are numerous cosmetic dentists in the Pleasant Hill, California area, Dr. Ricardo M Perez, DDS is one of only a few that believes in providing patients with a minimally invasive approach to dental care. Not only do we offer safe, effective cosmetic dentistry using the latest technology, we also understand the importance of promoting and maintaining your overall health and wellness.

The health and appearance of your teeth and gums are connected to the health of the rest of your body, which we care about as well. Our spa services, ranging from facials to fillers and more, can work in conjunction with our cosmetic dentistry services for rejuvenation inside and out, or simply visit our spa on its own when you need a well-deserved boost in body and spirit.

Ricardo M Perez, DDS is a graduate of UCLA and the University of the Pacific School of Dentistry. He is one of less than 5% of dentists who have completed hands-on training courses in cosmetics and jaw relations.


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Dr Bhagwat focuses on modern, compassionate, friendly and ethical dental care

Dr. Gauri Bhagwat has been a resident of Sunnyvale, CA for over 10 years. She received her DDS degree from the UC San Francisco School of Dentistry in 2009. She has been in private practice in the San Francisco Bay Area since 2009. In 2016 she started her own dental practice in West San Jose, conveniently situated at the corner of San Jose, Cupertino, Saratoga and Los Gatos. Dr. Bhagwat practices all phases of dentistry and treats patients of all ages.

Dr. Bhagwat was the recipient of several prestigious awards during her dental education including the Craig Memorial Scholarship, the American Association of Periodontology Award for Outstanding Performance and the UCSF School of Dentistry Alumni Association Award for Professional Development.

In addition she was also elected to the Omicron Kappa Upsilon (OKU) National Dental Honor Society. In recognition of her outstanding achievements Dr. Bhagwat was invited to serve on the faculty of the School of Dentistry at UC San Francisco, where she currently serves as Clinical Associate Professor, actively mentoring and teaching dental students. She is abreast with the latest in the dental field, constantly updates her knowledge and strives for the best outcomes for her patients.

She is a member of the American Dental Association, the California Dental Association and the Santa Clara Dental Society. Dr. Bhagwat is committed to the Bay Area community and actively participates in dental education and awareness camps.

On the personal front, Dr. Bhagwat is an avid reader, enjoys hiking and traveling and spending time with her husband and two children.


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What are common personality traits that many dentists share?

Dentistry is an unusual profession because while dentists are mostly focused on patient care, they also often own and run their own businesses. Many dentists have a diverse set of personality traits that allow them to work both closely with patients and be successful managers of their practices.

A successful dentist is…

Comfortable with close personal interaction.   If you think about it, much of a dentist’s time is spent with his or her face and hands extremely close to patients’ faces. Successful dentists are comfortable with being very close to other people, even if sometimes patients have bad breath.  

Easy to talk to.  Successful dentists try to learn about patients on a more personal level before beginning treatment to make patients feel more comfortable. This puts patients at ease and makes them feel like the dentist truly cares about them as whole healthy people, not just about their mouths.  

Trustworthy.  Since dentists are working with sharp metal objects in the mouth, a very sensitive area of the body, it is really important that they are trustworthy. Patients need to trust that their dentist will try his or her best not to hurt them and will take all precautions necessary to make their experience pain free.   

A detail-oriented person.  The mouth is an extremely small space to work in, so dentists must be detail oriented. The smallest misalignment of something in the mouth can wreak havoc on a patient’s bite and tooth health.   

Artistic.  Dentistry is often referred to as an art. It requires mastery and technique unique to the profession. Dentistry is largely based on maintaining proper oral health, but is also an aesthetically focused practice. A large part of dentistry involves restoring teeth and making a smile beautiful, one that the patient is happy to show to others.   

A leader.  Dentists may own or work as practitioners within a practice, so they often are natural leaders. They must not only lead a team of dental hygienists, technicians and assistants, but must also manage any other employees, such as the receptionist, while also making high-level business decisions for the practice.  

Excited about the profession of dentistry.  Successful dentists enjoy the work they do every day and are fascinated by the mouth and all of the connections it has to the rest of the body.   

Passionate about providing care to those in need.  Dentists often participate in community service, helping those in need with oral care and treatment. Many dentists enjoy helping those with no access to care receive treatments for painful or unattractive parts of their mouths.  

Caring and concerned about how the patient feels during procedures.Because dentists work in a very small and sensitive space of the body, a good dentist communicates with the patient during every step of a procedure, making sure they are okay and not in too much pain. Good dentists go to great lengths to make their patients comfortable and relaxed without pain.   

Good communicator.   A successful dentist has a keen ability to distill complex procedures and processes into simple language so that the patient can understand exactly what is going on in his or her mouth and any procedures that the dentist suggests. 


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Dentistry is an essential service says the ADA Board of Trustees

The American Dental Association Board of Trustees has adopted an ad interim policy stating dentistry is essential health care to help guide advocacy for the dental profession during the COVID-19 pandemic.

The Board established the ad interim policy via a video call July 27, and the House of Delegates will consider it as a resolution during its virtual meeting in October.

"This policy was created to recognize that dentistry is an essential service. Whether it's the current pandemic, a future epidemic or a natural disaster in a particular area, this policy recognizes the need for people to be able to continue to access the full range of dental services," ADA President Chad P. Gehani said (photo). 

"Doing so will help people maintain their oral health and contribute to their overall health. Oral health is integral to overall health — staying well often depends on having access to health care, which includes dental treatment.

"From March 16-April 30, the ADA called for dentists to postpone all but urgent and emergency procedures to help mitigate the spread of COVID-19, keep patients out of overburdened hospital emergency departments and conserve personal protective equipment. By the end of May, most state governments had lifted restrictions on dental offices, but as COVID-19 cases continue to rise in many states, the dental community is concerned governors may again limit dental services to urgent and emergency care, which could negatively impact dentists and the oral health of the public, Dr. Gehani said.

The policy states oral health is an integral component of systemic health and dentistry is an essential health care service because of its role in evaluating, diagnosing, preventing and treating oral diseases, which can affect systemic health. 

It advises that the ADA use the term "essential dental care" — defined as any care that prevents and eliminates infection and preserves the structure and function of teeth and orofacial hard and soft tissues — in place of "emergency dental care" and "elective dental care" when communicating with legislators, regulators, policymakers and the media about care that should continue to be delivered during pandemics and other disasters.

"Using the term 'elective dental procedures' implies oral health care is optional and diminishes the evidence validating that oral health is an integral component of overall health," Dr. Gehani said.

The policy also states the ADA will urge state agencies and officials to recognize the oral health workforce when designating its essential workforce during public health emergencies. Government agencies such as the Department of Homeland Security and Federal Emergency Management Agency have already acknowledged dentistry as an essential service.

by Mary Beth Versaci

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4 Unusual dental problems you may not have heard of

While most people are familiar with common issues (such as dental carries or impacted wisdom teeth), there are some issues that are far less common and less known.


Anodontia (also known as Hypodontia) is a condition where some teeth never grow in place. Depending on how many teeth are missing, dentists either treat it with implants, dentures, or simply shifting teeth over to fill in the gap.


This condition involves a talon-like protrusion that grows at the back of a child’s tooth. It usually occurs behind incisors or canines. These protrusions can cause problems such as a misaligned bite, irritation of the mouth, and even plaque buildup.

Treatment can involve either grinding down the “talon”, or, if the growth contains pulp, a root canal.


When two teeth grow out from the same root, this condition is known as Geminated Teeth. While the teeth share one tooth, they each have their own tooth chamber with pulp.

Based on how this tooth interacts with other teeth, it may be removed or left alone.


Just as there’s a condition of not having enough teeth, there’s also a condition of having too many teeth. This is called Hyperdontia. Hyperdontia usually involves only one extra tooth, but it can be more. These teeth rarely erupt and usually develop inside the gums, which can cause all sorts of crowding and misalignment with other teeth.

When a dentist spots one of these, they will usually recommend having it extracted.

by Dr. Sirakian

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How To Remove Brown Stains from the Back of Teeth

How do you remove brown stains from the back of teeth? It’s a common enough problem and a question that is asked often by people who have noticed that even though they may be strict about their dental hygiene, their teeth still becomes a little less pearly white.  We all want a dazzling, bright white smile. Many consider this to be a sign of good health, so if your teeth are a little on the stained side it can dent your confidence and make you feel a bit below par.   

Identifying the triggers for this common issue is key, as is finding out the best way to remove them safely and effectively with a little help from a private Dentist, who will be able to assist and advise you should the problem be a little more persistent.   There are many causes for this, and some might surprise you more than others!  

Causes of Brown Staining on Teeth 

First, identify what the main triggers are for causing brown stains on teeth. Some of these are perhaps more obvious than others and it can be worth looking at your overall lifestyle to see what changes you can make to help you overcome the problem of brown stains between the teeth.  

Food and drink 

Food such as highly coloured fruits and vegetables (think blackcurrants or beetroot) contain stain-causing compounds that will build upon your teeth over time. Likewise, drinks such as tea, coffee and red wine contain tannins, which can turn your teeth a brownish colour if drunk regularly. Sugary soda-based drinks can also have the same effect, which is another reason why Dentists often advise against having these too often or avoiding them completely.   To prevent these stains from occurring, or to minimise the risk, regular, twice-daily brushing with a fluoride toothpaste will help. Drink cold drinks or alcoholic beverages that can cause staining, through a straw.  

Smoking and Tobacco 

Of course, one of the other major causes of brown staining is smoking and tobacco products. The best course of action to prevent staining is to give up, but in the meantime, it could be worth speaking to an Aesthetika Dentist to see how they can help with professional removal of brown stains from the teeth, especially if it is as a result of long-term smoking. 

Tooth decay 

When layers of enamel start to get worn away by the bacteria that is present in the mouth, it can form cavities. The resulting decay can end up turning a brownish colour. These will show up as spots of brown in and around the front and back of the teeth.  


Bacteria causes is a build-up of a sticky substance on your teeth known as plaque. If this isn’t properly removed by adequate brushing and mouth washing twice a day it can harden and turn brown. The only way this can be removed safely and effectively is by getting an appointment with your Dentist or Hygienist.  

Medical conditions 

Certain medical conditions such as coeliac disease can cause brown staining on the teeth, which can in some cases be permanent. It is always best to seek professional advice to treat this both for proper management of your health condition and also for good oral health.  

How To Effectively Remove Brown Stains on Teeth 

There are many different options to remove brown stains from the teeth. Some are over the counter, and some require professional advice. If you’re unsure about what to do, then it is always best to seek advice from a professional Kingston Dentist who can give the proper treatment and help.   Over the counter options for treating this problem include:  

Mouthwashes that contain hydrogen peroxide – often labelled as ‘teeth whitening’ 

Toothpaste that contain sodium hypochlorite – again, often labelled as ‘whitening’ 

Whitening strips that will contain carbamide peroxide 

Whitening systems that use a tray and contain carbamide peroxide bleaching gel 

It is important to only buy these products from a reputable supplier such as a private Dentist, or pharmacy, who will be able to verify their sources and assure you that the products they sell are safe.  Normally, if the brown stains are caused by medical issues or by tartar, it is recommended not to treat them at home and to simply make an appointment with a Dentist for further help and treatment.   The dentist or Dental Hygienists will use special tools to scrape, blast, or rub tartar and plaque away from teeth and they can also undertake minor procedures to help whiten the teeth safely and give you professional follow up advice for home use afterwards.   Sometimes, the brown staining on teeth caused by certain medical conditions like coeliac disease or the effects of years of poor dental hygiene can be permanent. It might be possible to lessen them, but it isn’t always possible to remove them.   Further discolouration can be aided by the use of the following techniques:  

White composite fillings 



Airflow Stain Removal – is the best treatment for stains built up from food/drinks and tobacco. It eliminates most dental stains very effectively. Airflow uses high-pressure water that sprays powder on the teeth and it is relatively painless. 

Sometimes wearing a retainer or night guard may also be recommended.

by Aesthetika Dental Studio

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Tips for taking care of your toothbrush

Our mouth is home to millions of germs, including those living in the plaque on our teeth, so it's no surprise that these germs can collect on your toothbrush. 

But bacteria from your toilet can also end up on your bristles. When you flush a toilet, the swirling water that removes waste from the bowl also mixes with small particles of that waste, shooting aerosolized feces — called fecal coliform bacteria — into the air. 

This phenomenon is known as a toilet plume, which can reach as high as 15 feet, says Philip Tierno, a microbiologist at New York University. And studies have shown that it can end up on your toothbrush. 

While it's not believed that the germs on your toothbrush can directly cause health problems, regularly cleaning your toothbrush, storing it properly, and knowing when to replace it is important for maintaining good oral hygiene. 

After all, what's the point of brushing your teeth if your toothbrush isn't clean? Here's how to prevent the spread of germs to and from your toothbrush and the best ways to clean it.  

1. Wash your hands before and after brushing your teeth

First, it's important to wash your handswith soap and water for at least 20 seconds whenever you'll be touching your toothbrush. 

Your hands are the main vehicles of transmission for bacteria and viruses, so washing your hands before and after brushing will help stop the spread of germs to and from your bristles. 

"You can't overemphasize the importance of washing your hands, whether it is flu season or allergy season," says William Martin, President of the Maryland State Dental Association. "People are vulnerable to the germs that end up on their hands and under their fingernail beds." 

2. Rinse and store your toothbrush properly 

You should thoroughly rinse your toothbrush with tap water after every use to remove any remaining food particles, toothpaste, and plaque debris, according to the American Dental Association (ADA). 

After rinsing, store it in an upright position and allow it to air-dry. The bacteria that live on your toothbrush are mostly anaerobic, meaning they die in the presence of oxygen, so air-drying will kill most of the bacteria. 

In addition, germs flourish in moistureand closed containers or cabinets, so it's important to leave it in the open air. But try not to store it close to your toilet — and close your toilet seat before flushing — in order to protect against germs from toilet plumes. 

Lastly, avoid storing multiple brushes, such as those of family members, in the same holder or in a drawer together. It's best if they do not contact each other, as germs can also spread that way. 

3. Disinfect your toothbrush 

If you want to take extra precaution — or, say you drop your toothbrush on the floor, and it's visibly dirty — you may want to disinfect your toothbrush to better kill germs. 

Hydrogen peroxide is an effective disinfectant that can destroy essential components of germ cells and deactivate a wide range of microorganisms. Antiseptic mouthwash contains various active ingredients, such as alcohol, menthol, and eucalyptol, which can all kill bacteria. 

According to this 2011 study, soaking your toothbrush in either a 3% hydrogen peroxide solution or antiseptic mouthwash killed 100% of germs. 

4. Keep your toothbrush safe while traveling

To keep your toothbrush germ-free while traveling, you should unpack it, remove its case, and store it properly everywhere you go. 

Air-drying your toothbrush for as long as possible — and ideally until it is completely dry — before putting it back in its travel case is one of the most important steps you can take to protect yourself from germs. 

You can also clean your travel case by rinsing it in hot water to loosen any dirt, and washing it with soap or soaking in antibacterial mouthwash for 10 to 15 minutes, just as you would with your toothbrush. 

5. Know when to throw your toothbrush away 

Toothbrushes should be replaced approximately every three to four months, or sooner if the bristles become matted or frayed, according to the ADA. 

by Hannah Roberts (Insider)
Views: 827

Sindecuse Museum is devoted to preserving and exhibiting the history of dentistry

The Sindecuse Museum exhibits and preserves a historical museum collection containing over 25,000 objects focused on the history of dentistry with particular interest on dental practice and technology in the United States and Michigan dating from the 18th century to today. It is dedicated to educating it's audiences about the history of dentistry through museum exhibition, related programs, research, and preservation of the collections.

The museum was established in 1991 with a grant from Dr. Gordon H. Sindecuse, a 1921 graduate of the University of Michigan School of Dentistry. Its first professional part-time curator was hired that year. However, the museum's collections had been forming for several decades before the museum was established, as members of the School of Dentistry faculty, including Dr. Charles Kelsey, Professor Al Richards, and dental librarian Sue Segar, preserved and stored equipment, photos, and documents relating to the history of dentistry and the history of the dental school.

The Museum has a collection of more than 15,000 catalogued items, about 15 percent of which are displayed at one time.

For many years, dentistry in America was regarded as a low trade, a sort of “tooth carpentry” practiced by barbers, blacksmiths, and other multitasking professions.

In the early 1800s, practitioners began working to legitimize the profession and lift it to the ranks of a respected medical science. To make tooth care easier, more comfortable, and less hazardous, dentists developed specialized tools and furniture, refining them over the decades. These innovations eventually led to the modern dentist office. 

The Sindecuse Museum is located in the atrium connecting the Kellogg Building with the School of Dentistry on the UM campus. The best way to access it is through the main entrance of the Kellogg Building located on Fletcher Street just off of North University Ave. The main entrance has stairs, but a handicapped entrance is available on the northern side of the building.

Parking can be hard to find on the busy University of Michigan campus, but parking structures are available in the nearby downtown district of Ann Arbor, Michigan.


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HIV/AIDS and Dental Health

If you, or someone you know, is living with HIV/AIDS, the American Dental Association recommends that dental health care be part of all HIV/AIDS treatment plans. That’s because people living with HIV/AIDS are more susceptible to infections including dental infections, which can affect their overall health.  


HIV (human immunodeficiency virus) is a virus that attacks a specific type of T cell known as CD4 cells. T cells are an important part of the body’s immune system which is needed to fight infection. If left untreated, HIV can destroy so many CD4 cells that a person can no longer fight off infections and disease.  AIDS (acquired immunodeficiency syndrome) is the last state of HIV infection where the immune system is so very weak that infection and cancer can take over. 

How Does HIV/AIDS Affect the Mouth?

Your mouth may be the first part of your body to be affected when infected with HIV.  Because infection with HIV will weakened your immune system, this means you will be susceptible to infections and other problems.  In your mouth, this can cause pain and tooth loss.  People with HIV may experience the following mouth issues:

Dry mouth 


White lesions on the sides of the tongue (oral hairy leukoplakia)

Red band gingivitis

Ulcerative periodontitis

Karposi’s Sarcoma

Outbreaks of herpes simplex virus

Canker sores

Mouth ulcers

Dental and mouth problems related to HIV can be painful, which can cause trouble chewing or swallowing. This may prevent you from taking your HIV medication. It can also result in malnutrition, as you may have trouble eating and absorbing enough essential nutrients.  A compromised digestive system may affect the absorption of your HIV drug treatment.

How Can I Cope with Dental and Mouth Issues Related To HIV?

Most mouth health problems related to HIV are treatable. Talk to your dentist about what treatment is best for you. The best ways to prevent these issues are to do the following:

Visit your dentist for regularly scheduled appointments.

Brush and floss your teeth twice daily for two minutes.

Take your HIV medicine on schedule.

Tell your doctor if your HIV medicine is causing dry mouth. Ask what treatment is best for you.

If you do not have a regular dentist, ask your primary care provider or clinic for a referral.

by ADA

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Dr. Zachary Potts goal is to change his patient's outlook by making every experience positive, comfortable and rewarding

Dr Zachary Potts is committed to not only providing the highest quality dental care available but also to erasing the negativity associated with going to the dentist. His goal is to change his patient’s outlook by making every experience at Moorpark Center for Dentistry positive, comfortable, and rewarding.

“They’re happy, they’re smiling, they’re having a good time laughing and opening up. Just seeing that transformation in people after an experience in my unique office is what keeps me loving my career.” – Dr. Potts

Education & Professional Affiliations Loma Linda University School of Dentistry – Graduated first in his class and received the Clinician of the Year award for clinical excellence. American Academy of Cosmetic Dentistry (AACD) American Academy of Implant Dentistry (AAID) Academy of General Dentistry (AGD) American Dental Association (ADA) California Dental Association (CDA) Santa Barbara Ventura County Dental Society Dentistry Development Study Club, president Board-certified in oral conscious sedation

When not providing people in Ventura County with cutting-edge dental care, Dr. Potts enjoys dining, traveling, and spending time with his wife and three children, Jelina, Corbin, and Amelia. He also has two dogs, a cat, and enjoys television, movies, and collecting beer, wine, and fine whiskey. A family man, Dr. Potts prefers spending his time away from work doing things that make his children happy.


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We think about your child’s body as a whole and not just your child’s teeth and mouth

As a holistic dentist and a member of the Holistic Dental Association, Doctor Staci thinks about your child’s body as a whole and not just your child’s teeth and mouth.  We thoroughly examine and discuss how one part of the human body can affect another part and talk a lot about how we are interconnected system…not just a bunch of separate body parts. 

In using the term biological dentistry, we are not attempting to stake out a new specialty for dentistry but rather to describe a philosophy that can apply to all facets of the dental practice and to health care in general: to always seek the safest, least toxic, and least invasive way to accomplish the mission of treatment and to discover the root cause of the issue to prevent it from happening again. 

We uphold and attain all of the same goals of modern dentistry and try our best to do it while treading as lightly as possible on the patient’s biological terrain. A more biocompatible approach to oral health is the hallmark of biological dentistry. At NoPo Kids Dentistry, we have the following holistic and sustainable offerings at our office:

1. Mercury free

2. BPA/bis-GMA free

3. Non-invasive treatments like ozone and remineralizing options

4. Limit the plastics and waste in our office and emphasize recycling

5. Digital xrays to reduce exposures

6. Electronic charting to reduce paper waste

7. Multipure Water Filtration System for drinking water for all patients and staff and the advanced Ezee Klean by Oasis filtration for during treatment appointments

by Dr Anastacia Whitman

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Dr. Garima Talwar helps her community by providing pro bono services to patients in need

Dr. Garima K. Talwar brings not only many years of experience to Esthetique, in Ashburn Virginia but her dedication to cosmetic and full mouth reconstructive dentistry has won her many patients who have experienced life changing results.

Dr. Talwar received her Doctor of Dental Science from Loma Linda University and MS in Prosthodontics from the University of Maryland. She is a Diplomate of American Board of Prosthodontics and a Fellow of The American College of Prosthodontists. Prosthodontics is a Dental specialty which required three years of additional training after one has become a dentist. The specialty focuses on complex cosmetic and reconstructive Dentistry.

She takes extensive continuing education on a regular basis to further her expertise and be conversant with latest in her field and is also a Clinical Assistant Professor at the Post Graduate Program of Prosthodontics at the University Of Maryland School Of Dentistry. At Johns Hopkins, Dr. Talwar is involved in providing prosthodontic services to patients who have suffered from trauma or cancer, and also supervise the dentists enrolled in the general practice residency

The focus of her office is on the ‘age old concept of care’, the basis of all treatment at Esthetique Dentistry. This exceptional care and her dedication to Cosmetic and Reconstructive Dentistry has always been a life changing experience for her patients, and their Testimonials are self evident of that.

Dr. Garima Talwar has been recognized as the country’s top dentist in cosmetic and reconstructive dentistry by Consumers Research Council of America since 2013. Dr. Talwar is a member of American Dental Association.

Dr. Talwar participated in Smiles Across Loudoun event in October 2014 and assisted local community with free dental services including cleanings, fillings and extractions.


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Views: 773

Dr Godorecci was a four-year Letterman, Running back on his college football team

Dr. Jim Godorecci was born and raised in Media, Pennsylvania. A graduate of Archmere Academy, Dr. Godorecci received his Bachelor's degree from Gettysburg College, where he was a four-year Letterman, Running Back on the football team. In becoming the outstanding dentist he is today, Dr. Godorecci graduated from the University of Pennsylvania School of Dental Medicine and completed an Oral Surgery externship at Parkland Memorial Hospital in Dallas, Texas. 

Dr. Godorecci has developed expert skills and a deep compassion for his patients over 20 years of practicing family, cosmetic and restorative dentistry, in Chester and Delaware Counties. Dr. Godorecci has completed continuing education and training in areas such as dental implants, porcelain veneers, orthodontics and endodontics to ensure his patients receive the most effective and comfortable care possible. 

When Dr. Godorecci is not at a continuing education course, he can be found spending time with his family, biking, cooking and coaching community sports. He and his wife, Kari, live in Paoli with their four children, and two Labrador retrievers. Jim and Kari enjoy being active in their children's activities, school and community events. 

In acquiring Main Line Dental Aesthetics, in 2010, Dr. Godorecci has fulfilled his lifetime career goal of living and practicing in the same community. Dr. Godorecci has established long term relationships with families and now offers quality services in a beautiful, relaxing and home-like atmosphere. 


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Your dentist has referred you to an endodontist because he or she understands that you will benefit from the specialized training and experience that a root canal specialist can offer. An endodontist is a dentist with special training in diagnosing and treating problems associated with the soft tissue inside of the tooth. To become an endodontist a dentist must complete an ADA certified, two-year, full-time program of advanced training in endodontics. We will work with you and your dentist to hold on to your natural dentition.


There is nothing as good as your natural tooth! Your dentist has recommended a root canal because saving your teeth is the natural choice. There are many new ways to replace a missing tooth, but not even the most advanced implants or bridges can in fact replace your natural tooth. Not all teeth can be saved, but whenever possible saving your tooth should be your first choice it’s the natural choice!


Root canal treatment doesn’t cause pain it relieves it! A toothache is most often caused by infection or other damage to the soft tissue inside the tooth. Root canal treatment removes this damaged tissue from the tooth, thereby relieving the pain. Occasionally the healing can be delayed by pre-existing conditions such as infection and inflammation but in most cases conditions start improving after a few days.


Yes! Root canal treatment is a safe and effective procedure. Starting in the 1930s and continuing until today, research has shown that people with root canal fillings are no more likely to be ill than people without them. There is no relationship between the presence of endodontically treated teeth and the presence of illness.


Recently a few very vocal dentists and physicians have been claiming that teeth that have received root canal treatment contribute to the occurrence of illness and disease in the body. This claim is based on the now obsolete studies performed by Dr. Weston Price from 1910-1930. Dr. Price believed that bacteria trapped in the teeth during root canal treatment can cause almost any type of disease, including arthritis, heart disease, kidney disease, and others. Although he and others meant well, their claims resulted in many millions of unnecessary extractions and mutilated mouths. Back then, many people in their 30’s and 40’s had all their teeth extracted for nothing and had to wear dentures for the rest of their lives. Sound like anyone you met?


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Simple oral health steps help improve elite athletes' performance

Elite athletes who adopted simple oral health measures, such as using high fluoride toothpaste and cleaning between their teeth, reported significantly reduced negative effects on performance related to poor oral health, finds a study led by UCL.

The new research, published in BMJ Open Sport & Exercise Medicine, is the latest in a series of studies led by the UCL Centre for Oral Health and Performance (COHP), based at UCL Eastman Dental Institute, which have found that elite athletes have substantial rates of oral disease, including tooth decay and gum inflammation, and these symptoms negatively affected their wellbeing and sporting performance.

To help address this, researchers at UCL COHP designed a behavioral change program aimed at better educating elite athletes about oral health and providing some simple interventions to improve their daily oral health routines.

Explaining the study, lead author, Dr. Julie Gallagher (UCL Eastman Dental Institute), said: "Poor oral health of elite athletes is common and is associated with negative performance. However, compared with other health and training pressures, oral health care is not a high priority in elite sport.

"We therefore wanted to develop a program which was aligned with the existing high-performance culture of the athletes and their teams. Underpinning the study was health behavior psychology, which included education, self-motivation, goal setting, and an easy to use toolkit, ensuring the athletes had a readily available opportunity to improve."

In total, 62 athletes from two Great Britain Olympic Teams, rowing and cycling, and one Premiership Rugby Club, Gloucester Rugby, were recruited to the study.

Athletes and support teams were asked to watch a 10-minute presentation which focussed on building motivation to improve oral health, and three 90-second information films, featuring GB rower Zak Lee-Green, which focussed on increasing oral health knowledge and skills to perform optimum oral health behavior.

In addition,each athlete received an oral health screening to check for diseases such as caries (tooth decay) and gingivitis (gum inflammation). They were then given a bespoke follow up report with tailored advice and an oral health toolkit, containing a manual toothbrush, prescription fluoride toothpaste and flosspicks. As a minimum, they were also asked to brush their teeth for two minutes twice a day, to include brushing before training in the morning and before bed in the evening.

In total 89% of athletes completed the four-month study. On completion athletes were asked to fill in an oral health knowledge questionnaire, undergo a follow-up gingival (oral disease) assessment and evaluate the oral health kit.

Dr. Nigel Jones, Head of Medical Services at British Cycling, said: "The topic of oral health amongst athletes is an important one, especially as it can be linked to performance. My role with the Great Britain Cycling Team is to ensure the holistic well-being of our cyclists, and as oral health can have a big impact on immune function as well as being important in its own right, I wanted to support this project. The learnings which the riders took from the study have been invaluable and will be deployed across the whole team as we ramp up our preparations for the Tokyo Olympic and Paralympic Games next year."

Researchers believe the bespoke model they have developed could be used for other health promotion needs in elite sport.

by University College London (UCL)

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US Top Dental School University of Michigan

The University of Michigan School of Dentistry is one of the nation's leading dental schools engaged in oral health care education, research, patient care and community service. General dental care clinics and specialty clinics providing advanced treatment enable the school to offer dental services and programs to patients throughout Michigan. The dental school of the University of Michigan, located in Ann Arbor, Michigan was established in 1875. It is currently the number one ranked dental school in the U.S. and fifth in the world according to two independent rankings.

Major renovations and expansion started in the fall of 2018. Updates were made to further the school’s state-of-the-art facilities for teaching dental students, serving patients from around Michigan and conducting world-class research that advances the dental profession. House at the University is the Sindecuse Museum of Denistry. One of a few museums of it's type around the world. d within the School of Dentistry, is one of a handful of museums throughout the world devoted to preserving and exhibiting the history of dentistry


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University of Michigan Charts a Virtual Course in Pandemic-Era Instruction

The University of Michigan School of Dentistry, ranked the best dental school in the United States by Quacquarelli Symonds and the best in the world by the Academic Ranking of World Universities, moved quickly to launch remote teaching when the president of the university and the governor of the state both mandated shutdowns of all clinics and classes in March.

Virtual Lectures:

“The university said all teaching needed to be remote, and that was on Thursday or Friday. By Monday, we had to change, which was obviously a very short time to do that,” said Carlos González-Cabezas, DDS, MSD, PhD, associate dean for academic affairs and the Richard Christiansen Collegiate Professor of Oral and Craniofacial Global Initiatives.

The university immediately provided resources to help faculty develop online versions of their courses. For example, synchronous lectures happened online in real time so students could engage in questions and discussions, while asynchronous lectures were posted and archived so students could watch them on their own schedule.

Also, the university began training faculty in new methods for conducting secure yet accurate assessments of student performance. Many of these techniques involved moving away from traditional multiple choice questions and toward questions involving more critical thinking. Constant communication between faculty and the administration was key as well.

Hands-On Instruction:

These changes enabled the school to finish the remaining few weeks in its 2019-2020 academic year. As restrictions were lifted later in the spring, though, the school pivoted to bring back hands-on work in the preclinic with new infection control protocols.

“We were able to open the preclinic with half of the class at a time and using PPE (personal protective equipment),” González-Cabezas said. “Basically leaving an empty bench between the students, which meant that we had to double the number of sessions that we had to do. We had to extend the number of sessions to evenings and sometimes to Saturdays too.”

By July, things began to improve. The school expanded the number of clinical sessions and started doing rotations again. The PPE shortages got better. And while the clinics continued to use only about half of its chairs, it also began conducting airflow analysis to see how it could best prevent virus transmissions between chairs. And to fill in the gaps in clinical learning, the school ramped up its collaborative discussions too.

“We created clinical study clubs. We had faculty coaches with groups of about 12 students, and they started to meet regularly about three or four times per week to discuss actual patients, from diagnosis to treatment planning and interpretation of data, radiographs, and photographs,” González-Cabezas said.

Morale On Campus:

Yet González-Cabezas also noted that students seem to be more productive. There is a better student-to-faculty ratio, he said, with more one-on-one teaching. Students also are more focused because they know they can’t waste any time, he added. In fact, students can be found practicing between 7:30 and 11 pm, without much chit-chat between them.

“They’re just very focused. They’re down to business, because they know they have fewer chances,” González-Cabezas said.

As the state of Michigan moves into tougher lockdowns with the latest virus surge, though, the work remains difficult.

“The faculty can tell you they are tired. The increased number of sessions, and teaching remotely, is a challenge. It’s been already quite a few months, so people are getting tired. But it’s been an amazing, overwhelming response of support from both the faculty and the students,” he said.

“The students participate right now in all the decisions we make, how we make changes about these crazy schedules that we have. They’re all part of the decision making. We discuss how to do it better, how to do remote teaching better. They understand they are being partners with us, which has been really refreshing,” he said.

Looking Ahead:

González-Cabezas expects many of the changes that the school instituted to navigate the pandemic to remain once the crisis is over and things return to normal—or settle into a new normal.

“Some of the remote teaching will stay. I do think now we’re getting to a better place from a pedagogy perspective in the design of courses, syllabi, and learning goals than we were before because we were forced to look at these very carefully, and I think those things will stay,” he said.

Administrative routines will change as well. For example, in-person department meetings before the pandemic typically saw about 50% attendance. Since they’ve moved to a virtual format, attendance is now at least 75%, González-Cabezas said. Also, faculty who need to write grant proposals, papers, or similar work will be doing that work from home.

“People will feel more comfortable to stay at home than in the past,” he said.

Of course, González-Cabezas said, all of these changes were the result of a team effort and the work of his predecessor, Diane Hoelscher, DDS, MS, who managed the effects of the pandemic before he assumed his position on July 1.

“We responded very well for keeping safety as the primary goal and being able to carry out our mission, which was a very difficult balance,” he said. “And we’re still navigating that. The safety of our students, faculty, staff, and our patients is the number one priority. How to do that without stopping the school has been a challenge, but I think we’ve done reasonably well.”

by University of Michigan

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We highly recommend your child visit the dentist before his or her 1st birthday

Dr. Chin and Associates strive to make your child’s first visit gratifying and positive by introducing them to the teeth cleaning and dental care in a particular and considerate manner. We have created this visit to create a warm and friendly environment that your child feels comfortable and at home in. We introduce them to dentists and explain all procedures and answer any questions parents or guardians might have.

We suggest refraining from using words around your child that might strike unnecessary fear, such as needle, pull, drill or hurt. Our office staff has been intentionally trained to use words that convey the same message, but are pleasant and non-frightening to the child.


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Views: 750

It’s important to realize that your dentist sees much more than just your teeth

Many Americans today enjoy excellent oral health and are keeping their natural teeth throughout their lives. But this is not the case for everyone. Cavities are still the most prevalent chronic disease of childhood.

Too many people mistakenly believe that they need to see a dentist only if they are in pain or think something is wrong, but they're missing the bigger picture. A dental visit means being examined by a doctor of oral health capable of diagnosing and treating conditions that can range from routine to extremely complex.

A Team Approach

The team approach to dentistry promotes continuity of care that is comprehensive, convenient, cost effective and efficient. Members of the team include dental assistants, lab technicians and dental hygienists. Leading the team is the dentist, a doctor specializing in oral health who has earned either a Doctor of Dental Medicine (DMD) degree or a Doctor of Dental Surgery (DDS) degree, which are essentially the same.

The Dentist's Role

Dentists are doctors who specialize in oral health. Their responsibilities include:

Diagnosing oral diseases, Promoting oral health and disease prevention, Creating treatment plans to maintain or restore the oral health of their patients, Interpreting x-rays and diagnostic tests, Ensuring the safe administration of anesthetics, Monitoring growth and development of the teeth and jaws, Performing surgical procedures on the teeth, bone and soft tissues of the oral cavity.

More than Just Teeth and Gums

Dentists' areas of care include not only their patients' teeth and gums but also the muscles of the head, neck and jaw, the tongue, salivary glands, the nervous system of the head and neck and other areas. During a comprehensive exam, dentists examine the teeth and gums, but they also look for lumps, swellings, discolorations, ulcerations — any abnormality. When appropriate, they perform procedures such as biopsies, diagnostic tests for chronic or infectious diseases, salivary gland function, and screening tests for oral cancer.

In addition, dentists can spot early warning signs in the mouth that may indicate disease elsewhere in the body. Dentists' training also enables them to recognize situations that warrant referring patients for care by dental specialists or physicians.

Education and Clinical Training

The level of education and clinical training required to earn a dental degree, and the high academic standards of dental schools, are on par with those of medical schools and are essential to preparing dentists for the safe and effective practice of modern oral health care.

Most dental students have earned Bachelor of Science degrees or their equivalent, and all have passed rigorous admission examinations.

The curricula during the first two years of dental and medical schools are essentially the same — students must complete such biomedical science courses as anatomy, biochemistry, physiology, microbiology, immunology and pathology. During the second two years, dental students' coursework focuses on clinical practice — diagnosing and treating oral diseases.

Why Oral Health Matters

Numerous recent scientific studies indicate associations between oral health and a variety of general health conditions — including diabetes and heart disease. In response, the World Health Organization has integrated oral health into its chronic disease prevention efforts "as the risks to health are linked."

The American Dental Association recommends that dental visits begin no later than a child's first birthday to establish a "dental home." Dentists can provide guidance to children and parents, deliver preventive oral health services, and diagnose and treat dental disease in its earliest stages.

Dentists' areas of care include not only their patients' teeth and gums but also the muscles of the head, neck and jaw, the tongue, salivary glands, the nervous system of the head and neck and other areas. 

by ADA

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ADA Practice Transitions expands nationally in October

When Dr. Shanna L. Gagnon was looking for an associate dentist to join her practice, she considered one factor as the most important in finding a successful hire: practice philosophy.  

“Personality definitely plays a role as well, but if the doctor and the new associate do not have the same philosophy of care, it will not work out,” she said.   To ensure she found an associate with a similar practice philosophy in her search, Dr. Gagnon decided to try a new service offered by the ADA a try.“I took the ADAPT application very seriously and put a lot of thought into it as I filled out my profile,” she said. “I figured that the more complete and honest the profile, the more likely I would be matched with the right candidate.”

In July, Dr. Gagnon officially welcomed Dr. Jessica Sikora to her practice, Gagnon Dental in Farmingdale, Maine. The two were matched by ADA Practice Transitions (ADAPT), a service backed by the ADA focused on helping dentists make the process of joining or leaving a practice predictable and successful. This occurred as Dr. Sikora neared graduation from the University of New England College of Dental Medicine earlier this year.

Come October, dentists nationwide will be able to take advantage of the ADA Practice Transitions like Drs. Gagnon and Sikora.The service announced Sept. 9 it is expanding its services to all 50 states and is encouraging dentists to answer three quick questions at to become an ADAPT Insider and receive early access to create a profile before the October opening. By filling out the form, dentists will also be entered to win a $100 Amazon gift card.

Dr. Gagnon, who serves on the Maine Dental Association board of directors, was impressed by a presentation on ADA Practice Transitions last fall, and began her profile right away, as Maine was an early pilot state for ADA Practice Transitions.

“I could not be happier with my new associate, Dr. Sikora,” she said. “It is very obvious that the ADA has done their homework in attempting to set up a successful matching service.”ADA Practice Transitions piloted the service in Wisconsin, Maine, Indiana, Iowa, Kentucky, Michigan, Minnesota and New Hampshire for dentists seeking to join or purchase a practice in those states who are looking to hire an associate or find someone to purchase their practice.

“ADA members, volunteer leaders and state associations all over the country have expressed interest in what ADA Practice Transitions is doing, and so we are happy to be able to expand nationally,” said Dr. Kirk Norbo, ADA Business Innovation Group board chair. “Part of the value of ADA Practice Transitions is its ability to use the platform to match dentists nationwide for those who are seeking to move to a different state. We anticipate that over time, the ADA Practice Transitions platform and methodology will become the first choice for dentists seeking a transition.”   

Through ADA Practice Transitions, dentists receive:

• Matches with dentists or practices that aligns with their personal and professional goals.

• Step-by-step support from a dedicated ADA advisor.

• Customized resources and help defining the right path.

ADA Practice Transitions helps retiring owners find the right person to continue to care for their patients, and helps owners hire associates who share a similar philosophy of care, ensuring a successful transition and continuity of care for patients.In addition, ADA Practice Transitions helps buyers and associates find the practice that fits their criteria and shares their goals.

ADA Practice Transitions can also help a dentist explore and narrow down their options to provide more confidence in taking their next steps.

by ADA

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Cancer and Dental Health

More than one-third of all cancer patients develop complications that affect the mouth, according to the National Institute of Dental and Craniofacial Research. These mild to severe side effects can include mouth sores, infection, dry mouth, sensitive gums and jaw pain.

Your mouth health is an important part of your overall health, so make your dentist part of your cancer care team. If you don’t have a regular dentist, use the ADA Find-A-Dentist tool to search for an ADA member dentist in your area.

How Cancer Affects Your Mouth:

Cancer and its treatments, like chemotherapy, can weaken your immune system. If your mouth is not as healthy as possible prior to your cancer treatment, you may be more susceptible to infection. If the infection is serious enough, it can delay your cancer treatment. In addition, radiation therapy, especially in the area of the head and neck, can damage salivary glands which can cause thick, sticky saliva and extreme dry mouth. A dry mouth can increase your chances of tooth decay and infection.

Maintaining your mouth at its best health before, during and after cancer treatment could help lessen some side effects and allow you to focus on your overall healing.

If your mouth is not as healthy as possible prior to your cancer treatment, you may be more susceptible to infection. If the infection is serious enough, it can delay treatment. 

Your dentist can evaluate your dental health and discuss which treatment options you should consider prior to starting cancer treatment. By treating areas of concern you may reduce possible dental side effects associated with chemotherapy and radiation. Some treatment options may include fluoride treatments to prevent cavities, filling existing cavities, treating gum disease, removing infected teeth or restoring crowns or bridge work to ensure you will be able to chew your food. 

During the course of your cancer treatment you may experience mild to severe side effects. Be sure to consult with your cancer care team prior to dental checkups, especially if you have a port under your skin for receiving medication or feeding. This is important because patients with a port may also take anti-blood clotting medications, which can increase bleeding during dental and medical procedures and the risk of infection.

After cancer treatment, you may find yourself experiencing some dental issues or simply needing a regular checkup. As you're working toward your best health, don't forget to take care of your mouth. After all, it is the gateway to the rest of your body.

Visit Your Dentist:

Routine check-ups and cleanings are essential, so visit your dentist on a regular basis. Due to the effects of cancer treatment, you may have moderate to severe tooth decay as a result of dry mouth since saliva (spit) is essential in rinsing the mouth of food particles and plaque. Treatment may include filling cavities, root canals, or crown and bridge work. 

by ADA

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What to eat when you're having dental issues

You know that what you eat directly impacts your health, and that includes the health of your teeth and gums. But it can work the other way around too. If you have an orthodontic appliance, such as braces, or have had certain dental problems or procedures, the health and comfort of your teeth and gums can directly impact what you eat. Here are some tips for what to eat and how to avoid these common dental issues.

Braces are delicate, and any food that you need to bite into to eat is prime for breaking braces. You can get around this by cutting the food, such as corn off the cob or rib meat off the bone, or slicing apples and chopping carrots into small, bite-size pieces.

Any food that you need to bite into to eat is prime for breaking braces. You can get around this by cutting the food, such as corn off the cob or rib meat off the bone, or slicing apples and chopping carrots into small, bite-size pieces. You may also experience problems eating after your braces are tightened–teeth may feel sore.

The first few days are the worst, so try eating softer foods like those listed below until the soreness passes: Scrambled eggs,oatmeal, soup with soft vegetables or pureed or cream soups, soft cheeses, including cottage cheese, smoothies and milkshakes, pudding and custard, meatloaf, mashed potatoes, sorbet and frozen yogurt, tortillas (soften by microwaving or steaming), yogurt, soft-cooked, shredded chicken and meat, protein shakes, tofu, ripe fruits, such as peaches and nectarines, cut into bite-size pieces, couscous, quinoa, bulgur, soft-cooked rice, pasta and noodles, polenta, baked apples, peanut butter, chicken or tuna salad, refried beans, avocado , applesauce, macaroni and cheese, pancakes, soft bread, saltines and matzoh, mashed bananas, cooked veggies, hummus, canned or cooked fruit.

If you get mouth sores, try these tips to make eating easier and speed healing: Choose cool or room temperature foods, blend and moisten dry or solid foods, drink through a straw to bypass mouth sores, eat high protein, high calorie foods to speed up healing time. For example, add protein powder to milk shakes or powdered dry milk to fortify mashed potatoes and soups.

Your nutrition and dietary needs following oral surgery or getting implants depends on factors including your nutritional status prior to your procedure, the extent of your procedure, how much impact there is on oral function and how long your recovery is expected to last. A liquid or soft foods diet may be required for a few days or longer, until your mouth heals. Opt for nutrient-rich foods such as fruits, vegetables, low-fat dairy foods and lean meats, eggs and beans whenever possible since they provide vitamins, minerals and nutrients needed for healing, including zinc, protein, and vitamins A and C.

Try these foods: Scrambled eggs, oatmeal or cream of wheat (make with milk instead of water to boost nutrition), soup with soft vegetables or pureed or cream soups, soft cheeses, including cottage cheese, smoothies and milkshakes, pudding and custard, meatloaf, mashed potatoes (fortify by mixing in powdered milk to boost nutrition, sorbet and frozen yogurt, tortillas (soften by microwaving or steaming), yogurt, soft-cooked, shredded chicken and meat, protein shakes, tofu,ripe fruits, cut into pieces like peaches and nectarines, peanut butter, saltines and matzoh, mashed bananas, cooked veggies, like carrots, squash, green beans, spinach and other greens, spinach soufflé, hummus, canned or cooked fruit.

Swallowing problems can occasionally happen, but if it persists, talk to your doctor since it could be related to something serious. Causes of swallowing issues vary and treatment depends on what is causing the problem. If you are having trouble swallowing, to prevent choking and aspiration avoid these foods: Alcoholic beverages, extremely hot foods and beverages, caffeine, spicy foods, popcorn, bran cereal, nuts, cottage cheese (unless pureed), skins of fruits, celery, dry, crumbly, or sticky foods (such as bread, cake, peanut butter, banana).

Depending on level of swallowing difficulty, the following foods may be included in the diet. These foods are grouped into four different categories:

Thin liquids that dissolve quickly in the mouth such as frozen yogurt, ice cream, gelatin and broth.

Nectar-like liquids where liquid coats and drips off a spoon such as nectars, milkshakes, cream soup and vegetable juices. 

Honey-like liquids that flow off a spoon in a ribbon like in yogurt, tomato sauce and honey.

Spoon-thick liquids that are thickened to pudding consistency such as pudding, custard or hot cereal.

by ADA

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When do babies start teething?

Newborns typically have 20 baby teeth concealed below the gumline. Teething is the process of these teeth erupting through the gums.

Teething usually begins about halfway through the first year of life. Different teeth erupt at different rates, with the front teeth tending to emerge first.

During teething, a baby may feel pain and discomfort, and they can show this in various ways.

In this article, we give a general timeline for the eruption of baby teeth. We also describe signs of teething and provide tips on easing any pain and discomfort.

According to the American Dental Association (ADA), baby teeth tend to appear within the first 6–8 months of life.The first teeth to erupt are usually the front teeth at the top or bottom of the mouth. Dentists refer to these teeth as the incisors. The rate and order in which the other teeth appear can differ from one baby to another.The ADA provide the following timeline of the usual ages at which baby teeth emerge:

1. lower central incisors (the bottom front two teeth): 6–10 months

2. upper central incisors (the top front two teeth): 8–12 months

3. upper lateral incisors (at either side of the central incisors): 9–13 months

4. lower lateral incisors (at either side of the central incisors): 10–16 months

5. upper first molars (behind the upper canines): 13–19 months

6. lower first molars (behind the lower canines): 14–18 months

7. upper canines: 16–22 months

8. lower canines: 17–23 months

9. lower second molars: 23–31 months

10. upper second molars: 25–33 months

If there is no sign of any teeth appearing at about 6 or 7 months of age, this is usually no cause for concern, according to the American Academy of Pediatrics.

By the baby’s first birthday, they should see a dentist, whether or not they have teeth yet.The enamel coating on baby teeth is thinner than that on adult teeth, and so it is more prone to cavities. For this reason, routine dental checkups are important for babies.

Signs of teething:

There are several indications that a baby is teething, including:

1. increased irritability

2. increased crying

3. drooling

4. a rash around the mouth, neck, or chest, caused by drooling

5. gnawing or biting on objects

6. cheek rubbing

7. ear pulling

8. a slight elevation in temperature, but not a fever

At about 6 months of age, when teething usually begins, a baby’s immune system is starting to develop, and the antibodies received from the placenta are wearing off. During this time, babies start developing colds and other viral illnesses.

by Jenna Fletcher

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How Nail Biting Could Prove Harmful and Dangerous to Your Health

Nail biting, also known as onychophagia, is a common habit that many people do without even realizing it. According to the American Academy of Dermatology, nail biting typically begins in childhood and can continue through adulthood.

Unconsciously, people start biting their nails while involved in another activity, such as reading, watching television or talking on the phone. The habit is practiced more in times of stress or excitement, or in times of boredom or inactivity. If you have the habit of nail biting, it is time to stop. The side effects can be more than cosmetic.At times, nail biting can be a symptom of a bigger issue like obsessive-compulsive disorder (OCD) or depression.

Here are the reasons why nail biting is harmful and dangerous to your health.

1. Spreads Germs to Your Mouth: 

Your hands and nails are loaded with bacteria, fungus, yeast and other harmful germs. When you put your unwashed hands and nails in your mouth, you are just increasing the risk of an infection.

Your nails are an ideal location for bacteria like salmonella and E. coli. A 2007 study published in Oral Microbiology and Immunology tested 59 people to see whether nail biting had any real effect on transporting bacteria to the mouth.

The results show that Enterobacteriaceae were more prevalent in the oral cavities of children with nail-biting habits (76%) than in children with no oral habit (26.5%). It can even increase the risk of warts and herpes infection.

2.- Nail Infections:

Nail biting also increases the risk of a nail infection. As you bite your nails, tiny tears or abrasions occur around the skin near your nails. Harmful bacteria, yeast and other microorganisms can enter through these tears or abrasions, thus increasing the risk of infection.

The infection can lead to swelling, redness and pus around your nail, which can be difficult to treat if you do not stop nail biting. According to the American Academy of Dermatology, biting your nails can lead to hangnails and make the skin around your nails bleed.

3.- Dental Problems:

Nail biting is not at all good for your dental health. It can interfere with proper dental occlusion and your teeth may shift from their original position. It can also crack, chip or wear down your front teeth over time. Those who wear braces put their teeth at even greater risk.

Along with affecting your teeth, biting your nails can damage your gum tissue. A 2000 study published in the Journal of Periodontology reports that habitual fingernail biting can cause gingival injury.

Another 2010 study published in the Journal of Contemporary Dental Practice confirms that a fingernail-biting habit can induce a periodontal traumatic injury yielding a more serious complication, such as a gingival abscess.

4. Can Lead to Bruxism:

People who bite their fingernails when stressed could be at greater risk for bruxism, according to the Academy of General Dentistry. Those who have the habit of nail biting can even chew on pencils or clench their teeth during times of stress or anxiety when their hands are occupied in other activities. Clenching their teeth can put a person at a greater risk for bruxism. The unintentional grinding or clenching of teeth may cause facial pain, jaw pain, tense muscles, chronic headaches and sensitive teeth.

Tips to stop nail biting:

Cut your nails regularly and trim them short. You will not be as tempted to bite on short nails.

Get some bitter-tasting nail polish from the market and apply it on your nails. The bitter taste will discourage you from biting your nails.

You can even apply the bitter tasting juice of Indian lilac or bitter gourd to your nails.

Treat yourself to a professional manicure to break the habit of nail biting. You can opt for acrylic nails or add nail décor like jewels, patterns and textures.

When watching television or reading a book, cover your nails with tape or stickers or wear gloves to prevent biting.

When you are stressed or tense, try playing with a stress ball to keep your hands busy and away from your mouth.

Maintain a healthy diet to help your nails repair and grow well.

Consult a doctor and consider behavioral therapy, such as habit reversal training.

by Top10HomeRemedies Team

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The key to Dr John Krell's growing success has been combining conservative methodology and technological advances

Dr. John Krell is a native Houstonian (Texas) who comes from a family where four members have become dentists. It was only natural that he would pursue a degree in dentistry as well. He received his Bachelor of Science degree from the University of Houston and then went on to dental school at the University of Texas.

After graduating in 1989, Dr. Krell joined his brother, Dr. Bill Krell, at his dental practice. Then, in 1996, Dr. Krell acquired Dr. Charles Goolsbee’s dental practice after he retired. Throughout the years, Dr. Krell has built his practice into an ultra-high-tech, state-of the-art office where he can offer his patients the best possible dental care in a very relaxing atmosphere.

With his ongoing pursuit of continuing education for himself and his team, everyone has the opportunity to stay abreast of the latest advances in dentistry.

Dr. Krell stays very active in the dental community and is also a member of the Greater Southwest Houston Chamber of Commerce. He developed and chaired the healthcare committee, and he was on the Board of Directors for six years. During that time, he received numerous awards, one of which was the Distinguished Director Service Award for his volunteerism to the community and for his long-term work for the Greater Southwest Houston Chamber of Commerce.

Dr. Krell has participated in and sponsored many fundraisers. He and his wife Stephanie are active participates in the Fund for Animals and the SPCA (the Society for the Prevention of Cruelty to Animals). They have also hosted fundraisers for Toys for Tots and have been Mr. And Mrs. Claus for Covenant House. They both enjoy giving back to the community.

He is committed to giving his patients the highest quality of care that dentistry has to offer. Through his participation in professional organizations, education, community, church, and family, his balance of professionalism and ethics stands tall. Dr. Krell is very committed to his profession, but above all, his two children Alexandria and Johnny are the loves of his life.

Even the most dedicated dentist needs hobbies. You might find Dr. Krell, when the winds and tides are just right, wading through the South Texas marshes looking for trout or redfish. Someday, he hopes to catch a tagged redfish or a world-class trout.


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Digital X-rays don’t require any chemical processing

X-rays are a standard tool in the dental industry that we use to identify issues in the teeth, surrounding tissues, and jaw that would either be hard to see or hidden from a routine visual examination.

Some examples of problems we can spot with X-rays include tooth decay around restorations, deep cavities, jawbone infections, gum disease, abscesses/cysts, developmental abnormalities, and some types of tumors.

Chun Family Dentistry uses digital X-rays, because they have numerous benefits over their conventional counterparts. Digital X-rays don’t require any chemical processing, which means we get images faster and it’s easier on the environment. They also emit much less radiation, keeping you safe in our care!



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Dr. Daniel J. Klemmedson discusses passion for dentistry

"Mrs. Klemmedson, Daniel has eight cavities." The pronouncement, made during a boyhood visit to the dentist, remains ingrained in Dr. Daniel Klemmedson's mind.

"I spent way too much time in the dentist's office," said Dr. Klemmedson. In spite of all the time he spent in the dentist’s chair, it was beside the chair where Dr. Klemmedson saw his future. As he remembers it, he was attracted to the convenience.

"I liked the fact that my dentist in Tucson lived in his office," Dr. Klemmedson said. "His office was attached to his house, and I thought that was pretty cool. "What started out as a career of convenience — either be a dentist or marry a dentist — became a passion, layered with greater complexity than what he had imagined as a teenager.

"What other profession allows for full use of intellectual abilities as well as surgical skills?" he asked. "We are the definition of primary care: Diagnosis, education, prevention and clinical care over a lifetime. The autonomy of practice choice, self-regulation and work-life balance cannot be beat."Dr. Klemmedson's career in organized dentistry will culminate Oct. 19 when he is installed as the 157th president of the American Dental Association at the virtual House of Delegates meeting. Because of the COVID-19 pandemic, the ADA Board of Trustees voted to hold the ADA FDC 2020 meeting and subsequently the House of Delegates virtually this year.

'I didn’t know how to stop'Dr. Klemmedson was born in Missoula, Montana, in 1954. His father's job in forestry and watershed management and his doctoral research at the University of California-Berkley forced the family to move around a bit during Dr. Klemmedson's youth: California, Boise, Idaho, and finally, Tucson, Arizona, where Dr. Klemmedson finished junior high, high school and ultimately obtained a bachelor's degree in biology from the University of Arizona.During a college summer, he served as a counselor for Camp Wildcat, a student-run organization at the University of Arizona that provided underprivileged children the opportunity to go camping in the mountains outside Tucson.

It was there he met another counselor: his wife, Adaline. They ultimately married before he started dental school at the University of Southern California in 1976.

Adaline got a job in the fundraising and development division for one of the vice presidents at USC, and benefited from a program to reduce Dr. Klemmedson's dental school tuition by half. A good portion of the remainder of his tuition was paid by the state of Arizona, which had no dental schools at the time so they collaborated with neighboring states to help residents financially.

As a result, Dr. Klemmedson graduated dental school relatively debt free. Without the debt and the stress that typically comes with it, Dr. Klemmedson had a lot more choices when it came to his next steps. His choice? More school."I did not know how to stop," Dr. Klemmedson said.Dr. Klemmedson completed a three-year oral and maxillofacial surgery residency at the Los Angeles County/USC Medical Center in 1983, obtained his medical degree from the University of Southern California School of Medicine in 1985 and completed a transitional internship in the Tucson Hospitals Medical Education Program in 1986.

You read that right: Dr. Klemmedson is a dentist, oral surgeon and M.D.After obtaining all of his degrees, Adaline ultimately put her foot down."Do you like what you do?" she asked. The answer was yes."Then get a job," she responded.

Dr. Klemmedson met his future partners while providing anesthesia for them during a clinical rotation at Tucson Medical Center. Drs. Theodore Kiersch and Edward Schneider were involved in organized oral surgery and invited him to a meeting at the Western Society of Oral and Maxillofacial Surgeons before he joined their practice."One of my partners became a trustee of the American Association of Oral and Maxillofacial Surgeons," said Dr. Klemmedson.

"I was constantly surrounded by organized dentistry and experienced the benefits first-hand."Dr. Klemmedson eventually became president of the Arizona Dental Association, vice chair of the ADA Council on Dental Benefit Programs, a member of the ADA Board of Trustees and now president-elect.He's switched partners a few times and currently has a practice in Tucson and a satellite one in Sierra Vista, Arizona, less than 10 miles from the Mexican border, where many of his patients come from the Fort Huachuca military base or are veterans from the area.For the past 30 years, Dr. Klemmedson has joined primary care and specialty physicians, audiologists, nutrition specialists, sociologists, dentists, orthodontists and oral and maxillofacial surgeons as a member of the Children's Clinics' cleft palate-craniofacial team.

Dr. Klemmedson coordinates surgical care with plastic surgeons and ear, nose and throat surgeons to address the many specific needs his pediatric patients require from birth to adulthood. His primary area of concentration is with the maxillary cleft closure and bone grafting, orthognathic surgery and dentoalveolar surgery.

During the little free time he does have, Dr. Klemmedson "putters around the yard" with his cacti and succulents; exercises every morning at 4:30 a.m.; is an avid cyclist, having ridden across major portions of Australia; and supports his wife's endeavors."My wife, she's kind of the star of the family to be honest," Dr. Klemmedson said. "She leads and I follow."Adaline ultimately became the program director of the Institute for Marine and Coastal Studies at USC.

In Tucson, she also worked in health care, ultimately retiring as a vice president of the teaching hospital associated with the University of Arizona College of Medicine. After retiring, she became a community volunteer and philanthropist "serving as the chair of more local groups in Tucson than I can name," Dr. Klemmedson said.

by Kelly Ganski

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Heading back to the dentist for your cleaning or filling will look a lot different in this COVID-19 era.

"We're at high risk, dental hygienists, the dentists," said dentist Stephen M. Miller of Pittsburgh PA.  "We were put out of business for eight weeks, maybe nine. COVID is a relatively simple virus to kill, if you can find it—it's invisible." 

Dentists and hygienists wear PPE and take extra precautions. According to data from the Department of Labor, compiled by the group "Visual Capitalist," their profession is at high risk for COVID-19 exposure. The virus is spread by respiratory droplets from the mouth or nose.

"There is tremendous research that oral health affects your systemic health," said Dr. Miller. 

With that in mind, Dr. Miller turned to the newest technology available to him to keep his patients and staff safe: a UVC unit. 

What is that, you may ask? Well, it’s a bright light. Actually, it’s ultraviolet light that kills pathogens on surfaces, like E. coli, salmonella, listeria and even COVID-19 in just a matter of minutes.

What is that, you may ask? Well, it’s a bright light. Actually, it’s ultraviolet light that kills pathogens on surfaces, like E. coli, salmonella, listeria and even COVID-19 in just a matter of minutes.

UVC Cleaning Systems Dental Sales Director Jim Gaitan said, "It's just it's impossible to spray everything. So if you want surfaces clean, and you want to make sure that the practice in the air is also clean, this light will broadcast in the room. So whatever remnants of COVID may be passing through the air, this can zap it and help make the environment cleaner."

He says hospitals have been using this type of technology for years and recently, more and more industries from dentists and hotels to day cares are demanding it. 

It takes ten minutes to clean this 10-foot by 10-foot exam room with the device being moved to two different spots. The makers say you can tell it worked by the smell in the air, similar to what you'd smell after using a tanning bed. Or you can look at these UVC dosimeters, which change color from the light. 

The device slowed down the number of patients that can be seen in a day, according to dental hygienist Kathleen Stec. "We have to have 20 minutes in between patients to be able to get this room back to a point where I feel comfortable letting the next person sit down."

But waiting for the room to be thoroughly cleaned helps patients feel at ease.

"I think it's a sensible, safe and scientific way to go about it," said a patient. 

But like most technology, it comes with a price. The UVC unit cost Dr. Miller more than $10,000. But for Dr. Miller, it's worth it. 

“It was a very large investment to do this, but I wanted to know that I could make my operatory rooms in my office as safe as I could make it for my patients, for my staff to come back and feel comfortable and for anyone that comes through,” said Dr. Miller. “Because you know what? COVID is one disease that you don’t want to get.”

by Ashley Bishop

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Diabetes and Your Smile

Did you know that 29.1 million people living in the United States have diabetes? That’s 9.3% of the population. Approximately 1.7 million new cases are diagnosed each year—and 8.1 million people living with diabetes don’t even know they have it.Diabetes affects your body’s ability to process sugar. All food you eat is turned to sugar and used for energy. In Type I diabetes, the body doesn’t make enough insulin, a hormone that carries sugar from your blood to the cells that need it for energy. In Type II diabetes, the body stops responding to insulin. Both cases result in high blood sugar levels, which can cause problems with your eyes, nerves, kidneys, heart and other parts of your body.So what does this have to do with that smile of yours — and how can you protect it? First, it’s important to understand the signs of diabetes and the roles they play in your mouth.

The Symptoms of Untreated Diabetes

The warning signs of diabetes affect every part of your body. After a blood test, you may be told by a doctor that you have high blood sugar. You may feel excessively thirsty or have to urinate a lot. Weight loss and fatigue are other common symptoms. Diabetes can also cause you to lose consciousness if your blood sugar falls too low.If diabetes is left untreated, it can take a toll on your mouth as well. Here's how:

You may have less saliva, causing your mouth to feel dry. (Dry mouth is also caused by certain medications.)

Because saliva protects your teeth, you’re also at a higher risk of cavities.

Gums may become inflamed and bleed often (gingivitis).

You may have problems tasting food.

You may experience delayed wound healing.

You may be susceptible to infections inside of your mouth.

For children with diabetes, teeth may erupt at an age earlier than is typical.

Why People with Diabetes Are More Prone to Gum Disease

All people have more tiny bacteria living in their mouth now than there are people on this planet. If they make their home in your gums, you can end up with periodontal disease. This chronic, inflammatory disease can destroy your gums, all the tissues holding your teeth and even your bones.Periodontal disease is the most common dental disease affecting those living with diabetes, affecting nearly 22% of those diagnosed. Especially with increasing age, poor blood sugar control increases the risk for gum problems.  In fact, people with diabetes are at a higher risk for gum problems because of poor blood sugar control. As with all infections, serious gum disease may cause blood sugar to rise. This makes diabetes harder to control because you are more susceptible to infections and are less able to fight the bacteria invading the gums.

How Your Dentist Can Help You Fight Diabetes

Regular dental visits are important. Research suggests that treating gum disease can help improve blood sugar control in patients living with diabetes, decreasing the progression of the disease. Practicing good oral hygiene and having professional deep cleanings done by your dentist can help to lower your HbA1c. (This is a lab test that shows your average level of blood sugar over the previous three months. It indicates how well you are controlling your diabetes.)

Your Diabetes Dental Health Action Plan

Teamwork involving self-care and professional care from your dentist will be beneficial in keeping your healthy smile as well as potentially slowing progression of diabetes. Here are five oral health-related things you can do to for optimal wellness:

Control your blood sugar levels. Use your diabetes-related medications as directed, changing to a healthier diet and even exercising more can help. Good blood sugar control will also help your body fight any bacterial or fungal infections in your mouth and help relieve dry mouth caused by diabetes.

Avoid smoking.

If you wear any type of denture, clean it each day.

Make sure to brush twice a day with a soft brush and clean between your teeth daily.

See your dentist for regular checkups.


by ADA

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Toothpaste matters: The evidence for stannous fluoride

Amber Auger, MPH, RDH, expounds upon the benefits of stannous fluoride toothpaste and its use in patient home care.

I have never practiced a day without being asked, “What toothpaste should I use?” Patients are constantly overwhelmed by the toothpaste aisle and the products that seem to promise all the same benefits, but with better results than the toothpaste sitting next to it. 

A patient’s goals typically include whiter teeth, a healthier smile, and fresh breath. As dental professionals, we must understand the science behind the active ingredients and the challenges of home care and patient compliance that will lead to better health outcomes. Reducing inflammation and bleeding in the mouth will not only benefit the oral health of the patient but also reduce the inflammatory load. 

The secret weapon against gingivitis

Daily removal of biofilm is essential in the reduction of gingivitis. We know that our patients don’t brush long enough, often miss areas, and struggle to clean interdentally. This leads to inflammation that is directly induced by the microbial biofilm.

We also know that subgingival bacteria thrive in an anaerobic environment and produce bacterial virulence factors (i.e., toxins).1 The byproducts of these toxins trigger an immune inflammatory response that causes further breakdown of periodontal components. 

To prevent the negative systemic effects of chronic inflammation, it is essential to prevent the formation and progression of gingivitis. Interdental aids and proper brushing are foundational in the elimination of these destructive biofilms. For the biomass left behind, a toothpaste intervention should be implemented to help restore symbiosis. 

According to a meta-analysis published in the Journal of Clinical Periodontology, patients who implement a home care regimen that includes a highly bioavailable stannous fluoride demonstrate a 51% reduction in bleeding when combined with mechanical plaque control above using a sodium fluoride or sodium monofluorophosphate product.  Let’s look further into what this means. 

The value of meta-analysis

A meta-analysis is a statistical procedure for combining data from multiple independent studies. The meta-analysis review is a Image courtesy of P&Gquantitative, formal, epidemiological study that is designed to systematically assess previously published studies. Because scientific research is carried out in a variety of settings by different individuals over time, reviewing many studies together provides a better picture of what is actually happening.

Meta-analysis plays an essential role in evidence-based medicine and is conducted to assess the strength of evidence present on diseases and treatments. 

The challenges of home care

I ask each of my patients what they are doing for their home-care regimen. If this is my first time with a patient, they are often surprised by the question. They must think about what product is on their bathroom countertop. I often play detective, asking them about the label and the texture of the paste to determine what it is that they are using. In fact, sometimes I can narrow it down by visual clues their mouths are giving me. Often, in my opinion, if a sensitivity toothpaste is used, there tends to be a greater amount of calculus present. 

Most patients can’t differentiate between toothpaste types and often underestimate the potential efficacy of ingredients. For example, most patients don’t know there are different types of fluorides in toothpaste, such as stannous fluoride, sodium fluoride, and sodium monofluorophosphate. 

One of the easiest things to adapt into the patient’s home-care regimen is a change in toothpaste. One formulation of stannous fluoride has demonstrated the ability to remain active in the reduction of bacteria and their metabolic byproducts (toxins) up to 4 mm below the gumline (Crest Gum Detoxify).

Additionally, the antibacterial gum protection for 12 hours provides all-day protection for our patients.


A meta-analysis is considered the highest level of the scientific studies. The evidence demonstrates unequivocal relevance in the efficacy of the stannous fluoride molecules to enable better oral health outcomes. As clinicians, we should expect more for our patients and help guide them toward products that can produce positive oral health outcomes, such as an electric rechargable toothbrush and well-formulated stannous fluoride toothpaste. There are ample benefits to stannous fluoride that make it a simple solution for our patients.

Stannous fluoride works to protect against cavities and prevent erosive toothwear, gingivitis, plaque, bad breath, and tooth sensitivity.

by Amber Auger, MPH, RDH
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Maybe you need to get a crown?


If you have extensive tooth decay that’s threatening the health of a tooth, the teeth surrounding it, or your gums, then your tooth may require more than a dental filling. It may be necessary to cover the tooth with a dental crown after removing all of the decay. A dental crown may also be necessary if your tooth has decay in a spot that is difficult to fill effectively.

What Is a Dental Crown?

A dental crown sits on top of a damaged tooth and can help strengthen the tooth with a large filling when there isn’t enough tooth remaining to hold the filling on its own. Crowns can also be used to attach bridges, protect a weak tooth from breaking, or restore one that’s already broken. A crown is a good way to cover teeth that are discolored or badly shaped and is also used to cover a dental implant.


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How about Dental Sealants?

Dental sealants are thin, plastic coatings that seal over the narrow grooves found on the chewing surfaces of back teeth (molars and premolars).

When placed perfectly on these deep pits, sealants can prevent a significant amount of tooth decay (cavities) by protecting sensitive tooth surfaces from acid that causes cavities.

Sealants are not generally placed on baby teeth but on the tooth enamel of permanent teeth (“adult” teeth).

Dental sealants function much like sealing cracks in a driveway or on the sidewalk. The grooves in the chewing surfaces of back teeth are sealed so that food particles and bacteria will not settle within the fissures, causing cavities.

Application of sealants may be appropriate for some pediatric dental patients to prevent tooth decay in kids. However, they are not a substitute for brushing, flossing, and a healthy diet.

Dental sealants can be placed by your dentist, dental hygienist, or other dental professional. Some states dental boards have laws governing by whom, how, and in what circumstances dental sealants can be placed.

While I will recommend sealants at my office, I do so with very strict criteria, application techniques, and only the cleanest materials. So, are dental sealants worth it for your children’s dental health?

How are sealants applied to teeth?

Sealant placement is a relatively easy process.

First, the teeth are cleaned of plaque or food particles and then thoroughly examined for tooth decay.

Each tooth is dried and surrounded by absorbent material so it remains dry throughout the procedure.

The tooth is cleaned with a mild etchant (acid etch solution) to roughen the tooth surface and encourage bonding of the sealant material.

The etchant is rinsed and the teeth are dried again.

Depending on your material of choice, a thin layer of bonding agent may be used prior to the placement of the very viscous sealant material.

The sealant is painted directly onto the chewing surface of each tooth.

Finally, a curing light may be used to harden the dental sealant.

The teeth must be nicely isolated so no contaminants, such as saliva, affect the bond. Ozone gas can be applied to ensure bacteria on or around the tooth is reduced or eliminated prior to sealing.

If a small cavity is detected, air abrasion or a dental laser or drill can be used to clean out the infection prior to any material placement.

by Staci Whitman DMD

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E4D Dentist - Same Day Dentistry

We understand that your life is busy, which is why we've invested in an E4D Dentist system that enables us to provide you with the dental care you need and want in a single visit.  We scan your tooth rather than take a conventional impression.  Then, a custom restoration is designed to fit your unique smile, after which it is transferred to the milling unit where your crown, filling, or veneer is created right in our dental office.  The final restoration is placed in your mouth the same day.

Digital scans use the latest later technology which is not only extremely precise, but also safe as the check-out scanner at the grocery store. Unlike conventional impressions that can be messy, unpleasant, and cumbersome, a digital scan is clean and fast.

No Temporaries

The benefits of a single visit restoration go beyond saving you time.  Your final crown, filling, or veneer can be seated in the same appointment so you can avoid the hassle of a temporary and a second office visit.   

Some background on the  E4D Dentist System.  About 17 years ago, Mark and Henley Quadling, twins from South Africa, had the idea of using laser digitization to scan natural tooth structure. Their concept combined a tremendous amount of data with original design software and milling hardware to allow a dental professional to scan, fabricate, and deliver a same-day restoration. They certainly were aware of the competitive system, but wanted to make the whole process more efficient, effective, and user-friendly. They brought this dream to Basil Haymann, a visionary with plenty of experience making things happen, and the company D4D Technologies (Richardson, TX) was born. What started with an idea (Dream) has progressed through Design, Development, and the company is now ready for Delivery—the fourth and final “D” of D4D Technologies—of the E4D Dental System.

by Dr James Godorecci

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