Now Open Wide!

I’d like to share some exciting news about dental repair. Many patients who haven’t visited the dentist in awhile are surprised by the astounding advances in dentistry. Not only are appointments more comfortable, but your choices in how to treat dental decay or missing, cracked, or chipped teeth have grown exponentially.

Here is an overview of just a few of the popular choices you have today. Of course you should discuss your individual circumstances with your dentist so you can decide together which option best suits your needs.

Glass and Resin Ionomers
Ionomers offer many benefits to patients. The white color of glass and resin ionomers blend nicely with natural teeth. Using glass ionomers often achieves a smaller filling because your dentist may not have to remove as much of the tooth’s structure to prepare the tooth for the filling. Additionally, glass ionomers can release fluoride which is beneficial in fighting tooth decay. Ionomers are generally not placed where a great deal of chewing pressure will take place.

Porcelain or Ceramic Material
Ceramic is revered for the natural, translucent white appearance it gives teeth. This versatile material can be used for crowns, inlays, onlays, and full veneers. Porcelains are highly resistant to wear, but can also scratch the teeth it comes in contact with should its surface become rough. Porcelains tend to retain their white color so it is important to take care of your surrounding teeth so a discrepancy in color between natural teeth and veneers doesn’t become apparent.

Many dentists today favor these choices over amalgam fillings, including myself. While the jury is still out over the safety of amalgam fillings, there have been some convincing studies that lead me to believe the mercury in amalgam fillings can seep into a person’s body and cause adverse health effects. Additionally, amalgam fillings can lead to cracked teeth and they are not as aesthetically pleasing as their newer and safer alternatives.

I hope I’ve opened your mind to some possibilities. There are several more options such as porcelain fused to metal, indirect composites, and indirect restorative dental materials. This should give you a starting point to discuss the possibilities with your dentist. We’re thrilled to be able to offer you the custom choice that is right for you.

What kind of research do you do before choosing a course of treatment for your dental work? Do you rely solely on your dentist for advice or do you take to the internet? How about peer recommendation? I’d love to hear what is important to you when making decisions concerning your dental health.

Halloween Cash for Candy Buy Back Program

This Halloween, trick-or-treaters can bring their excess candy to our office on Tuesday, November 3rd between 9am and 5pm. We are leading this anti-decay movement by giving away dollars in exchange for cavity-provoking candy. Tell me what you think or what you do?

The candy must be unopened. Please no bites. The candy will be donated and sent to our troops through a local charity.

Taking your children to the dentist twice a year and brushing daily are great preventative measures, but doing away with excess sweets all together would really give your teeth and your children’s teeth a healthy boost. Kids can still have all the fun of trick-or-treating, and now their piggy banks will benefit as well.

Halloween is approaching, and so are all those scary costumes and haunted houses. It shouldn’t be the ghouls and ghosts that you fear, however, but the candied apples, trick-or-treat sweets and all the soda that washes them down! Sugary and acidic foods can lead to tooth decay, and that can put a damper on anyone’s festive spirit.

If possible, try to limit children’s sugar intake. Encourage them to drink plenty of water while snacking – soda will only make things worse! And finally, while it’s easy to slip into a “sugar coma” and just pass out while watching a favorite horror flick, this is not the time to stray from your brushing or flossing routine. Let your children know that if they eat sweets without their toothbrushes on hand, they should rinse their mouths out with warm water.

Ever since becoming a dentist Dr. Ushma Patel from Center for Advanced Dentistry has had a tradition of not only passing out a limited amount of candy/chocolate (so they do come) but also gives the children in her neighborhood a toothbrush and a nutritious snack bag. This has turned to be a win-win, the parents love it and the kids love it too as they do their rounds walking around they appreciate the snack.

Visit us on the web at http://www.HiTechSmiles.com or http://www.JohnsCreekSedationDentist.com

Whoopi Goldberg talks about Gum Disease on The View- It can kill you

Whoopi Goldberg talks about Gum Disease on The View- It can kill you!

Whoopi’s personal experience with gum disease sheds light on how serious it can be and how easily it can be prevented. She had an infection in her face and needed to have emergency gum surgery. She had great dental insurance but did nothing with it. For years and years she let her mouth go and is loosing teeth and loosing bone. Entire mouth is connected to the entire immune system. Cardiologists are now speaking to dentists. She further said she is going to loose her teeth. Check out this important video.

Sending your Teen to the Dentist

School is in swing and your teen has a full plate with homework, friends, and perhaps a part-time job or first love. They’re likely implementing privacy barriers (i.e., closed bedroom doors and secret text messages) and trying to take charge of their own, separate lives.

This coming of age is a tough transition for parents and teens alike. You’re at a crossroads when you set up health appointments for your child and trust him or her to both attend the appointment and accurately relay medical information back to you. You want to give your child space and demonstrate your trust, but feel it’s your duty as a parent to ensure his or her health and well-being.

I know this is an important transition for families and like to partner with them to bridge the communication gap that frequently occurs during this time between parent, child, and provider.

I’d like to share with you helpful tips to transition your teens into taking charge of their own dental health.

- Remind your child to arrive 10-15 minutes early to check-in and complete any paperwork.
- Prior to the appointment, have them write down any dental concerns they would like to 
discuss  with the dentist.
- Equip them with their insurance card and co-payment monies as applicable.
- Schedule the appointment so a parent can attend if it pertains to major decisions such
as cosmetic dentistry, orthodontia alternatives, or dental repair work.

We welcome teens to come alone to their appointments and will work to make their experience a positive one through a timely appointment and a detailed explanation of their oral check-up. We’ll also provide them with post-appointment instructions on how to maintain their oral health care.

Additionally, our office staff will follow up with a phone call to parents to relay any pertinent information about their child’s visit. As a family-centered practice, we understand this time of transition and have the tools in place to make it a success for everyone involved! As always, we invite open discussion and ask you to call or stop in any time we can help your family with dental care questions or concerns.

Which dental health practices do you need help reinforcing with your teens? Flossing? Routine brushing? Which behaviors would you like us to help curb? Teeth grinding? Nail biting? Chewing on pen caps? We’d love to hear from you!

Until next time, be well!

Dr. Ushma Patel

Technology Transformed: Today’s Newer, Safer X-ray

I have to say, the medical industry and media have done a terrific job on educating the general public about the hazards of radiation through X-ray machines.

Medical establishments from hospitals to dental and medical offices have specially-built rooms to contain (and heavy-leaded aprons to deflect) the radiation each X-ray emits. Technicians are trained on how to avoid over-exposure and the industry at large has inadvertently built an innate “fear” of X-ray in many patients through these precautions and pointed education. I can’t tell you how many times patients ask me if I can simply treat them based upon their decade-old X-rays or skip their children’s X-rays altogether instead of taking a fresh look at what’s going on today. The majority of these requests come from a fear of radiation exposure.

I have some great news that I am happy to share with these patients and with you. Many cutting-edge medical and dental establishments (including ours) have implemented a new technology called “Digital” X-rays.

There are some tremendous advantages to Digital X-rays including:

Digital X-rays are Deemed Safer                                                                                                                                       Digital X-rays present about 90% less radiation than conventional X-ray machines through the use of digital sensors instead of photographic film.

Shorter Wait Times                                                                                                                                                          There are no chemicals to process or films to develop. This is both better for our environment and also translates to quicker imaging results and less office time for patients.

Easy Image Transfer and Storage                                                                                                                                       Since the images are digital, they can be transfered, filed, and stored quickly and efficiently. They are also easier to link directly with patient records.

A Better Picture                                                                                                                                                                Digital imagery cannot be under or over exposed the way traditional X-ray film can, and digital resolution is visually superior to older X-ray imaging. Dentists can zoom in or clarify portions of the image, allowing us to see details ordinary X-rays may not have presented.

Digital Technology Streamlines Office Efficiency                                                                                                                 Using Digital X-ray technology decreases your dentist’s lab processing times and the amount of time office staff has to spend managing and storing films. This translates to a smoother, quicker visit for patients.

We’re trying to spread the word about Digital X-ray and overcome the old information and fear associated with older X-ray systems. Since the media doesn’t gravitate toward or heavily profile “good news,” this might be a slow process broached one office visit at a time!

What about you? Did you know about this new technology? Given the new advantages of Digital X-ray, will you seek it out the next time you need to have an X-ray taken? I’d love to hear your perspective about this new technology.

Which Toothpaste is the Right Toothpaste?

My patients often ask me which toothpaste I would recommend. I know it is a daunting task to sift through all of the commercial hype and then encounter box upon box in the toothpaste aisle only to wonder which product will clean and protect your teeth. Colgate alone manufacturers over 60 different kinds of over-the-counter toothpaste! So it’s easy to see how even people who are loyal to a certain brand still don’t know where to begin.

Of course, you should have a discussion with your dentist concerning the condition of your oral health and which toothpaste attributes will benefit you the most. That said, I think I speak for most dentists when I say that it is the actual act of brushing and flossing to loosen and wash away lodged food particles and bacteria that we find most important. After that, selecting a specific toothpaste is subjective.

It might surprise you to know that even in third world countries where toothpaste is unavailable and dental offices are scarce, residents keep a healthy smile by using twigs to perform the same function as a toothbrush—sans toothpaste. And believe it or not, in many cases it works to maintain their general oral health. It’s the thorough, mechanical motion that delivers the key results.

Now before you hit the backyard and start snapping trees, let me say there are many benefits to living in our progressive country.

We have some great advances in toothpaste that offer our teeth protection, like toothpaste with added fluoride. Introduced in 1955 by Procter and Gamble, fluorinated toothpaste has become mainstream in most toothpastes and serves to protect the enamel on our teeth. Fluoride actually deposits itself into our teeth, making them more resistant to decay.

And while added ingredients tout whitening powers, a long-lasting minty flavor, or bubbling action to deep clean, these all have a minimal overall effect. If you are interested in the benefits in those advertised toothpastes, it’s a good time to see your dentist to accomplish noticeable results. Your dentist can whiten your teeth dramatically in one day, help you fight ongoing bad breath or halitosis, and do a more thorough deep-cleaning than anything you could do for yourself at home.

Dentists do prescribe toothpastes for individuals who experience a high level of decay or suffer from tooth sensitivity. But as long as you don’t suffer from any dental issues such as these, the next time you are in the toothpaste aisle, pick whichever one tastes best or strikes your fancy. As long as it contains *fluoride and you are doing your part with the toothbrush, we dentists are smiling.

I’d love to hear from you. How do you shop for your toothpaste? Do you select your brand based upon your dentist’s recommendation, company promises or advertising, price, flavor, brand-loyalty, coupons, or packaging?

*(Please check with your dentist about the right age to allow your children to use fluoridated toothpaste, as they should not ingest it.)

Diet and Nutrition Packing your Kids’ School Lunches

Back to school time is here and it presents a perfect opportunity to make up for the kids’ lax summer eating habits. Parents rarely look to their child’s dentist for nutritional input, but I’d like to share some important information with you concerning your child’s dental health.

When you pack your child’s school lunch, there are a myriad of things to consider. Which items will he throw away or trade? How can I keep the lunch both healthy and tasty? And what foods will have staying power to keep him focused and energized?

Another question I’d like you to consider is: Which items are causing my child’s teeth harm? One simple way to answer that question is to ask yourself if the food is chewy or sticky. While gummy fruit snacks may contain real fruit juice, don’t be fooled into thinking you are doing your child any favors. They still have high levels of sugar that don’t wash off your child’s teeth. Ditto for raisins, which appear to be a suitable and nutritious choice but can leave sticky, sugary particles clinging to a child’s teeth for hours, leading to tooth decay and bad breath. I’d rather see you pack a piece of dark chocolate! You may find that an odd thing for a dentist to say, but here’s why: Dark chocolate offers beneficial antioxidants and releases positive endorphins. Additionally, chocolate tends to naturally “wash” away from children’s teeth versus clinging to their molars like its deceptively healthier alternatives.

The best foods to pack? Crunchy fruits and vegetables. They are healthy for kids’ bodies and their crunchy texture loosens food that’s stuck to their teeth, in essence scrubbing away damaging food particles until your child can adequately brush and floss at home.

Here are some examples of fairly inexpensive, delicious, well-rounded lunches that are easy to pack and keep stocked in the house. They’ll do double duty for you by keeping your kids satisfied and by staving off cavity-causing food particles and bacteria.

Lightly Toasted Whole Grain Bread with Peanut or Almond Butter
Carrot Sticks with Dip
Apple Slices
String Cheese
A piece of Dark Chocolate
-Or -
Wheat Pita stuffed with Turkey, Hummus, and Lettuce
Celery Sticks with Peanut Butter
Banana Bread
Yogurt with Granola Bits

Look for a balance of protein, fat and calories and don’t be afraid to pack an occasional dessert. It’s easy to make carrot nut cake or banana bread to sneak in nutrients while stillproviding your kids with a treat. You can create healthful and satisfying lunches while still meeting their nutritional and dental needs.

Have you done a lunchbox makeover? Tell us about your child’s favorite healthy lunch and we may feature it on our website or in an upcoming blog.

Can your Dentist Really Treat a Headache?

Would you believe that your dentist might actually be able to alleviate those migraine and tension headaches?

I was experiencing frequent headaches and having a tough time working through the pain. At times the headaches were simply a dull nuisance and at other times they were excruciating, making me sensitive to light, sound, and frankly, just my general state of consciousness. As a dentist, I frequently heard similar stories from my patients.

Speaking with my colleagues about the causes and connections associated with the onset of headaches, I learned about a new non-drug treatment that helps treat and prevent those painful and annoying episodes. It’s the only non-drug treatment that has been both tested and approved by the U.S. Food and Drug Administration specifically for the prevention of migraine headaches.

The treatment is called NTI (Nociceptive Trigeminal Inhibition) and it is a light, portable, and painless solution to nighttime teeth clenching, a common trigger of tension headaches and migraines. To use it, patients slip a tiny, transparent device onto their upper front teeth when they go to bed at night.

It works by relaxing the muscles that cause clenching or mastication (chewing or grinding). I started to notice NTI therapy in the press after Diane Sawyer talked about it on Good Morning America and thought I would research it for my patients and myself. As a tried and true “patient” of NTI therapy, I can wholeheartedly recommend this drug and pain-free treatment to my patients who suffer similar woes.

Because it is primarily a nighttime treatment, it does not interfere with daily function. People who use it report fewer or diminished headaches. Another positive result of NTI treatment is patients’ reduction or elimination of over the counter or prescription headache medications.

I know I am functioning at full speed thanks to using NTI to treat my headaches. I am especially glad the treatment is so easy, discreet, cost effective, and drug-free. I’d be happy to tell you more about my experience or learn more about your headache aggravations to see if NTI might be right for you.

What do you think of this new solution? Is there anything that would make you reluctant to try NTI to reduce or eliminate your tension or migraine headaches?

I’d love your feedback on this topic!

~Dr. Ushma Patel

How to Visit the Dentist Less Often

It’s interesting that although dentistry is a business, I would prefer not to see some of my patients as often as I do. This goes against business logic, but my goal is to actually have your family spend less time and money at the dentist.

There is something easy you can encourage your family to do to preserve the health of their teeth. The number one habit you can break today is “sipping,” or drinking a beverage over the course of several hours of instead of consuming it within a few minutes.

That beverage that lingers on your desk all day, in your child’s sippy cup, or that has a permanent home on countertops or sofa tables around your home can unwittingly cause serious damage to your teeth over time. It may surprise you to learn I am not going to try to pry those drinks from your hands. Although I would recommend water over canned and bottled beverages for obvious reasons, when you choose something else to drink I would simply like to encourage you to drink it all at once for the health of your teeth.

The logic behind this is simple. Sipping allows a beverage to continually wash over the surface of your teeth, increasing tooth decay. Juice, milk, regular and diet soda, coffee and tea, sports drinks, lemonade, fruit-flavored kids drinks, and baby formula are all culprits that contain harmful sugars, artificial sweeteners, or high levels of acidity that damage the protective enamel on your teeth, leading to decay. Using a straw isn’t much better. It may allow the liquid to bypass your front teeth, but it still pools around your back teeth, or molars. Repeated exposure to the sugars and acids in these liquids is also the reason pediatricians advise parents against sending children to bed with a bottle of formula or juice.

Chances are you are already aware of how sugar, artificial sweeteners, and caffeine affect your body and overall health. What surprises people is just how much damage “sipping” their favorite beverage does over time compared to the simple act of drinking it all at once.

Remember, I am not only here to maintain and repair your teeth and keep your smile healthy, but to give you the tools to stay out of the dentist’s chair as much as possible.

So the next time you crack open a can of soda, think of what you have just learned. This one small change in your daily habits can save you both wear on your teeth and time in my chair. I love to see my patients, but it’s my job to prevent problems that can easily be avoided!

Until next time,

Dr. Ushma Patel