Just as all dentists aren't the same, so are their fees. A lot goes into what is a "fair fee". The standard definition of a fair fee is "That fee which the patient will pay with gratitude and appreciation, which will enable the dentist to render the best possible service for that fee". So, that means the fee has to be fair to both the patient and the dentist. It should be a win-win.
But what actually goes into the dentist's decision of what to charge for each service they perform? Here are some, but not all the answers:
1. Overhead
A. Cost of Materials - Can vary a lot. Is it a Brand name or generic? Is it an ADA approved product? Is it the latest generation? Was it purchased at a discount house or a full service supply house? What dental lab was used?
B. Facility - Is the office owned or rented? Is it in a good neighborhood? Does it have convenient parking? Is it clean, neat, and nicely decorated?
C. Equipment - Does the dentist have new or old equipment? Does the office have the latest technological advancements? Has the office gone digital?
D. Staff - Does the dentist have competent, well trained staff? Are they experienced or seem to be "new" each time I come in? Are they happy?
E. Constants - Utilities, phone, mailing, office supplies and equipment, etc.
2. Profit
A. What does it take for the dentist to provide an acceptable return on his investment (ROIC) of education, time and money?
B. What does the dentist feel his/her care, skill, and judgement is worth? Actually, this is usually very accurate as each dentist evaluates how they compare themselves to their colleagues in the area.
So, "you usually get what you pay for" is true. The harsh truth is not all dental care is the same. There are different "levels" of care for the different values patients place on dentistry. And there are likewise different dental practices to meet those needs. It is for you, the patient, to determine what best suits your needs and perceived values, and seek out a dental office that meets those needs and values. Then you can pay the fee with "gratitude and appreciation". The dentist has already determined what the fee needs to be for him/her to provide their best possible service.
Wednesday, December 1, 2010
Thursday, November 4, 2010
Part 21: Direct Reimbursement- Simply the Best
Whether you are an employer or an employee, this is for you! Direct Reimbursement offers the best bang for the insurance buck. It is a self directed fund set up by the employer. Here's how it works:
1. Employer decides how much he/she wants to provide per employee for dental benefits each year.
2. The employee knows exactly, up front, the amount they have for dental care each year.
3. Employee keeps their own dentist.
4. Employee and their dentist decide what treatment is best. No pre-determinations. No limitations. No third party involved in any way.
5. Employee pays for the dental care.
6. Employee presents paid receipt to employer.
7. Employer reimburses employee. No fuss- no muss!
This has several obvious advantages over traditional dental insurance.
A. For the employer:
1. Can control this line item of the budget
2. No third parties to negotiate or deal with.
3. Lower cost.
4. Minimal in-house administration.
5. Happier employees.
B. For the employee:
1. Keep your own dentist. Not forced to see a "Participating Dentist".
2. Can spend your allowance on whatever dental care you want - cosmetic, orthodontics, oral surgery, etc.
3. No waiting on pre-determinations or consultant reviews.
4. No waiting for reimbursement from insurance company.
5. Usually higher benefits because employer doesn't have to pay a third party.
So if you are an employer look into providing the best (and cheapest) insurance. Or if you are an employee, share this information with your employer, union rep or HR person. Tell them this is truly a win-win.
The American Dental Association has free information about Direct Reimbursement and assistance in setting it up in your business. Here is the link. Since we feel this is "Simply the Best", our office is happy to assist in any way.
http://www.ada.org/1330.aspx
1. Employer decides how much he/she wants to provide per employee for dental benefits each year.
2. The employee knows exactly, up front, the amount they have for dental care each year.
3. Employee keeps their own dentist.
4. Employee and their dentist decide what treatment is best. No pre-determinations. No limitations. No third party involved in any way.
5. Employee pays for the dental care.
6. Employee presents paid receipt to employer.
7. Employer reimburses employee. No fuss- no muss!
This has several obvious advantages over traditional dental insurance.
A. For the employer:
1. Can control this line item of the budget
2. No third parties to negotiate or deal with.
3. Lower cost.
4. Minimal in-house administration.
5. Happier employees.
B. For the employee:
1. Keep your own dentist. Not forced to see a "Participating Dentist".
2. Can spend your allowance on whatever dental care you want - cosmetic, orthodontics, oral surgery, etc.
3. No waiting on pre-determinations or consultant reviews.
4. No waiting for reimbursement from insurance company.
5. Usually higher benefits because employer doesn't have to pay a third party.
So if you are an employer look into providing the best (and cheapest) insurance. Or if you are an employee, share this information with your employer, union rep or HR person. Tell them this is truly a win-win.
The American Dental Association has free information about Direct Reimbursement and assistance in setting it up in your business. Here is the link. Since we feel this is "Simply the Best", our office is happy to assist in any way.
http://www.ada.org/1330.aspx
Wednesday, November 3, 2010
Part 20: Dental Insurance- The Good, the Bad and the Ugly
Like any insurance, when you need it, it's nice to have. What those of you who have dental insurance need to know is the "cost-benefit ratio". How much is it costing you for your needed benefits versus a larger paycheck. Getting the answer to that question takes some investigation and knowledge about dental insurance. Here is some background information that should be helpful.
Dental insurance benefits differ greatly from health insurance benefits. In 1971, dental insurance benefits were approximately $1,000 per year. In 1995, benefits were only $1,000 to $1,500 per year. As of 2010 only a few policies have $2,000 per year coverage. Figuring a 6% rate of inflation per year, benefits should be over $10,000 per year. Premiums have increased, but benefits have not. Therefore, dental insurance is never a pay-all; it is only meant as an aid.
Many plans tell their participants that they will be covered "up to 80% or up to 100%" but do not clearly specify plan fees, schedule of allowances, annual maximum or limitations. It is more realistic to expect dental insurance to cover 35% to 65% of major services. Remember, the amount a plan pays is primarily determined by how much the employer paid for the plan. You get back only what your employer puts in, less the profits and admistrative costs of the insurance company.
You may receive notification from your insurance company stating that dental fees are "higher than usual and customary". An insurance company surveys a geographic area, calculates and average fee, then takes 80% of that fee and considers it customary. Not suprisingly, the "usual and customary" fee for the same procedure varies from policy to policy. Again, they are in business to make a profit, so controlling pay outs versus premiums is how that is done. If your employer purchased a bare bones policy - a lot more fees are "higher than usual and customary".
Your dental insurance is based upon a contract made between your employer and an insurance company. Should questions arise regarding your dental insurance benefits, it is best for you to contact your employer or insurance company directly. The policy holder has the most influence with the company. Our office will submit any necessary pre-determination of benefits or treatment claim forms. If necessary, we will work with you to finance any charges that are remaining beyond the coverage amount. Remember, unlike some medical bills - dental care won't break the bank.
Professional care is provided to you the patient, and not to an insurance company. Therefore, you are ultimately responsible for the services rendered, and your insurance company is responsible to you the insured.
Lastly, do not let policy limitations determine your dental care. Treatment should be based on an informed decision by you and not an insurance representative. The company will be more concerned as to what is the cheapest treatment, not what is the best treatment for your particular situation.
Dental insurance benefits differ greatly from health insurance benefits. In 1971, dental insurance benefits were approximately $1,000 per year. In 1995, benefits were only $1,000 to $1,500 per year. As of 2010 only a few policies have $2,000 per year coverage. Figuring a 6% rate of inflation per year, benefits should be over $10,000 per year. Premiums have increased, but benefits have not. Therefore, dental insurance is never a pay-all; it is only meant as an aid.
Many plans tell their participants that they will be covered "up to 80% or up to 100%" but do not clearly specify plan fees, schedule of allowances, annual maximum or limitations. It is more realistic to expect dental insurance to cover 35% to 65% of major services. Remember, the amount a plan pays is primarily determined by how much the employer paid for the plan. You get back only what your employer puts in, less the profits and admistrative costs of the insurance company.
You may receive notification from your insurance company stating that dental fees are "higher than usual and customary". An insurance company surveys a geographic area, calculates and average fee, then takes 80% of that fee and considers it customary. Not suprisingly, the "usual and customary" fee for the same procedure varies from policy to policy. Again, they are in business to make a profit, so controlling pay outs versus premiums is how that is done. If your employer purchased a bare bones policy - a lot more fees are "higher than usual and customary".
Your dental insurance is based upon a contract made between your employer and an insurance company. Should questions arise regarding your dental insurance benefits, it is best for you to contact your employer or insurance company directly. The policy holder has the most influence with the company. Our office will submit any necessary pre-determination of benefits or treatment claim forms. If necessary, we will work with you to finance any charges that are remaining beyond the coverage amount. Remember, unlike some medical bills - dental care won't break the bank.
Professional care is provided to you the patient, and not to an insurance company. Therefore, you are ultimately responsible for the services rendered, and your insurance company is responsible to you the insured.
Lastly, do not let policy limitations determine your dental care. Treatment should be based on an informed decision by you and not an insurance representative. The company will be more concerned as to what is the cheapest treatment, not what is the best treatment for your particular situation.
Thursday, October 21, 2010
Part 19: The Halloween Dilemma
Some professional advice for the concerned parent about all that candy at Halloween, Easter,etc. If you'll recall from my first article, sugar intake is what feeds the bacteria that causes dental disease. Each intake allows the bacteria to turn sugar into acid that attacks the enamel and other tissues of the oral cavity. That acid attack lasts for 20-30 minutes with each intake.
What will sound on first blush as crazy, is actually good science. Don't beat youself up about letting your child go trick - or - treating and bringing all that candy home. Same goes for Easter , birthdays, etc. Let them be a normal child. The TRICK is: Let them eat all they want (and more) at one sitting till they are sick of it. Afterwards, have them brush their teeth.
After they've gone to bed, the candy can "disappear" and usually it is not missed later. The TREAT is this allows the child to get dressed up and enjoy Halloween like their friends, eat candy on that and other special occasions but not keep giving their teeth acid baths every 20 minutes for days on end. Thats when the old saying comes true "Eat Candy- Support Your Local Dentist".
If you really want to help us out, you could give out sugar free candy, gum etc. Especially things sweetened with Xylitol . Kids that come to our house get an apple and a toothbrush. They weren't too crazy about it, but their parents made sure our house was on their route for the free toothbrush! I'm not saying you have to go that far, but be creative with what you give out and don't stress - it's supposed to be FUN.
What will sound on first blush as crazy, is actually good science. Don't beat youself up about letting your child go trick - or - treating and bringing all that candy home. Same goes for Easter , birthdays, etc. Let them be a normal child. The TRICK is: Let them eat all they want (and more) at one sitting till they are sick of it. Afterwards, have them brush their teeth.
After they've gone to bed, the candy can "disappear" and usually it is not missed later. The TREAT is this allows the child to get dressed up and enjoy Halloween like their friends, eat candy on that and other special occasions but not keep giving their teeth acid baths every 20 minutes for days on end. Thats when the old saying comes true "Eat Candy- Support Your Local Dentist".
If you really want to help us out, you could give out sugar free candy, gum etc. Especially things sweetened with Xylitol . Kids that come to our house get an apple and a toothbrush. They weren't too crazy about it, but their parents made sure our house was on their route for the free toothbrush! I'm not saying you have to go that far, but be creative with what you give out and don't stress - it's supposed to be FUN.
Thursday, October 14, 2010
Part 18: All Dentists are the Same - Right?
Now, for a word from the sponsor - me. The short answer is NO. Just like everybody else on this planet, we're all different. All licensed dentists went to dental school and passed National Boards, then passed board exams for the state in which they practice. That's where the similarity ends.
After those basic requirements, we are free to practice as we please and only have recently been required to attend minimal continuing education requirements. There is no mechanism to test proficiency or updated practices after receiving our state license. There in lies the rub. How does the public know who's who?
There are clues you can get by inquiry. Is the dentist a member of organized dentistry - the ADA? If so, he or she has ageed to conduct their practice by Principles of Ethics and Code of Conduct that are designed to protect the public. Their local componet has an available Peer Review Committee to resolve complaints - even with insurance companies. The ADA's charge is to protect the public welfare and to police it's membership for unethical practices. Learn more here.
Is the dentist a member of any other dental organizations? Like the Academy of General Dentistry AGD which has strict continuing education requirements and awards Fellowship and Mastership status. The American Academy of Cosmetic Dentistry AACD which is devoted to advances in cosmetic dental treatment and also has requirements for Fellowship status. There are also dental organizations that require nomination for membership. The American College of Dentists ACD, the International College of Dentists ICD, and the American Academy of Dental Practice Administration AADPA are some examples. Membership in dental organizations shows the area of interest the dentist has - if any.
What is the dentist's "reputation"? What is his/her standing in the community? Do they volunteer to make my community better? How long have they been in practice here? Does he/she own their practice or work for an "out of town corporation"? Has there been a high turnover of dentists or staff in that office? Do I know anybody who has had a good experience in that office? Have any complaints or judgements been filed with the State Department of Professional Regulations.
Once you've narrowed the search, then some additional questions need answering. Do they have convient hours? Are they conviently located? Do they see children? What financial arrangements are available if needed? Is the office clean and friendly? How do the staff members get along? Am I treated as an individual or pushed through some system because of my insurance coverage? Is quality or managed care the guiding force in treatment recommendations?
It is our commitment to you, our patients, that we will meet your criteria for an outstanding Dentist, Staff and Office!
After those basic requirements, we are free to practice as we please and only have recently been required to attend minimal continuing education requirements. There is no mechanism to test proficiency or updated practices after receiving our state license. There in lies the rub. How does the public know who's who?
There are clues you can get by inquiry. Is the dentist a member of organized dentistry - the ADA? If so, he or she has ageed to conduct their practice by Principles of Ethics and Code of Conduct that are designed to protect the public. Their local componet has an available Peer Review Committee to resolve complaints - even with insurance companies. The ADA's charge is to protect the public welfare and to police it's membership for unethical practices. Learn more here.
Is the dentist a member of any other dental organizations? Like the Academy of General Dentistry AGD which has strict continuing education requirements and awards Fellowship and Mastership status. The American Academy of Cosmetic Dentistry AACD which is devoted to advances in cosmetic dental treatment and also has requirements for Fellowship status. There are also dental organizations that require nomination for membership. The American College of Dentists ACD, the International College of Dentists ICD, and the American Academy of Dental Practice Administration AADPA are some examples. Membership in dental organizations shows the area of interest the dentist has - if any.
What is the dentist's "reputation"? What is his/her standing in the community? Do they volunteer to make my community better? How long have they been in practice here? Does he/she own their practice or work for an "out of town corporation"? Has there been a high turnover of dentists or staff in that office? Do I know anybody who has had a good experience in that office? Have any complaints or judgements been filed with the State Department of Professional Regulations.
Once you've narrowed the search, then some additional questions need answering. Do they have convient hours? Are they conviently located? Do they see children? What financial arrangements are available if needed? Is the office clean and friendly? How do the staff members get along? Am I treated as an individual or pushed through some system because of my insurance coverage? Is quality or managed care the guiding force in treatment recommendations?
It is our commitment to you, our patients, that we will meet your criteria for an outstanding Dentist, Staff and Office!
Tuesday, July 6, 2010
Part 17: Toothpastes - "Which is the Best?"
Not a day goes by that our staff or myself isn't ask "What toothpaste should I use?". It seems we are all being constantly bombarded by advertisements to buy this or that toothpaste. Well, several factors need to be considered in selecting the most effective toothpaste for you. Just some of the issues to consider are:
1. Are cavities a problem - do I have a high decay rate?
2. Do my gums bleed - do I have periodontal disease?
3. Do I have bad breath - halitosis?
4. Can my teeth be whiter?
5. What if my teeth are sensitive?
6. What if am I allergic to a lot of ingredients?
7. What does it taste like?
8. And what about cost?
As you can see, no one toothpaste can meet all these critieria. So let's start with the basics. Remember Keyes's Circles from Part 1? Getting rid of the bugs is the most important thing for a healthy mouth. That means disrupting the plaque at least once every 24 hours. Toothbrushing is just one of the ways, and toothpaste is just one of the aids. Effective plaque removal doesn't require toothpaste. "Dry" brushing is an OK method if done properly.
Next would come "Home Remedies" : baking soda, salt, and peroxide. They are cheap and effective at killing the bacteria that cause dental disease. Just be cautious with excessive use of peroxide as some studies show a link with precancerous lesions.
After that comes commercial toothpastes. Here a balancing act is important for an "all around" good toothpaste; one that prevents cavities, isn't too abrasive to wear away enamel and cause sensitivy, tastes good, and will keep teeth from turning yellow. So, rather than giving you just one "best", I will let you pick from a list based on their RDA Index (abrasiveness). As you will see, most whitening pastes have a high RDA. That is how they whiten, by being abrasive - so beware! Also look for the ADA Seal of Acceptance as an additional check. But as a good, all around, general toothpaste, the Arm and Hammer line has some safe choices.
Then there are the special situations:
If cavities or a high decay rate is your issue, then a prescription strength fluoride toothpaste is what you should be using. We also recommend this for patients who have had a lot of dental work, especially crowns. It's like cheap insurance. It also comes in a version with a desensitizing agent.
If you already have some begining cavities we might recommend the newest paste with ACP. It can reverse the acid destruction on enamel. This is only available from your dentist.
If bad breath or gum problems are the main issue, we carry two - products in the office for that.
If you have dry mouth syndrome, there are toothpastes that help stimulate saliva flow.
For your kids that are learning to brush - use a toothpaste without fluoride but has xylitol as a sweetner and is bacteriostatic ( kills bugs).
Hopefully, you now can make an informed choice on the "best" toothpaste for you. We are always ready to discuss this with you and answer any questions. Remember, this is a fast changing field. Look for updates.
1. Are cavities a problem - do I have a high decay rate?
2. Do my gums bleed - do I have periodontal disease?
3. Do I have bad breath - halitosis?
4. Can my teeth be whiter?
5. What if my teeth are sensitive?
6. What if am I allergic to a lot of ingredients?
7. What does it taste like?
8. And what about cost?
As you can see, no one toothpaste can meet all these critieria. So let's start with the basics. Remember Keyes's Circles from Part 1? Getting rid of the bugs is the most important thing for a healthy mouth. That means disrupting the plaque at least once every 24 hours. Toothbrushing is just one of the ways, and toothpaste is just one of the aids. Effective plaque removal doesn't require toothpaste. "Dry" brushing is an OK method if done properly.
Next would come "Home Remedies" : baking soda, salt, and peroxide. They are cheap and effective at killing the bacteria that cause dental disease. Just be cautious with excessive use of peroxide as some studies show a link with precancerous lesions.
After that comes commercial toothpastes. Here a balancing act is important for an "all around" good toothpaste; one that prevents cavities, isn't too abrasive to wear away enamel and cause sensitivy, tastes good, and will keep teeth from turning yellow. So, rather than giving you just one "best", I will let you pick from a list based on their RDA Index (abrasiveness). As you will see, most whitening pastes have a high RDA. That is how they whiten, by being abrasive - so beware! Also look for the ADA Seal of Acceptance as an additional check. But as a good, all around, general toothpaste, the Arm and Hammer line has some safe choices.
Then there are the special situations:
If cavities or a high decay rate is your issue, then a prescription strength fluoride toothpaste is what you should be using. We also recommend this for patients who have had a lot of dental work, especially crowns. It's like cheap insurance. It also comes in a version with a desensitizing agent.
If you already have some begining cavities we might recommend the newest paste with ACP. It can reverse the acid destruction on enamel. This is only available from your dentist.
If bad breath or gum problems are the main issue, we carry two - products in the office for that.
If you have dry mouth syndrome, there are toothpastes that help stimulate saliva flow.
For your kids that are learning to brush - use a toothpaste without fluoride but has xylitol as a sweetner and is bacteriostatic ( kills bugs).
Hopefully, you now can make an informed choice on the "best" toothpaste for you. We are always ready to discuss this with you and answer any questions. Remember, this is a fast changing field. Look for updates.
Wednesday, June 30, 2010
Addendum to Prenatal Advice
The California Dental Association has just released new guidlines for pregnant women. This is evidence-based perinatal guidelines developed in conjunction with the American College of Obstetricians and Gynecologists. The article is somewhat lengthy, but full of solid information for the mom to be.
Prenatal Guidelines
Prenatal Guidelines
Thursday, June 17, 2010
Part 16: Baby From Twelve to Thirty Months
A. Dental Visits
The dentist should decide how often each child should be seen. Possibly every 3 to 6 months for self applied fluorides and instructions in preventive dental care. Non threating trips to the dentist pay big dividens if and when some dental work becomes necessary. These trips build familiarity and trust with the dentist and the dental staff. Conversely,a lifetime of fear of the dentist can begin when the child's first visit includes needed emergency dental work. More frequent visits may be necessary to control active dental disease. Pit and fissure sealants may be recommended for susceptable teeth.
B. Oral Hygiene
The dentist or hygienist will teach proper tooth cleaning, demonstrate techniques for holding the child for easier cleaning. Follow up examinations will evaluate the effectiveness of the home care, working with both parent and child to master excellent oral hygiene.
C. Dietary Regime
During the second year baby enjoys gradually shifting to a diet of plain table foods selected from the Food Pyramid. His/her appetite and rate of growth are slower during the second year of life. He/she should be allowed to feed him/herself from a plate with small servings of several items on it. A spoon or the fingers can be used and mike is given for him/her to drink from a "sippy" cup. The following amounts are guides for planning the child's diet:
Milk Group Up to 3-4 cups daily. More than one quart of milk daily is unecessary.
Meat Group 1-2 (2-3oz.) servings daily, including plain chopped meats, fish, and chicken, egg, cheese and peanut butter.
Vegetable/Fruit Group 4-5 (1/2 cup) servings daily, including a wide variety consisting of cooked and raw vegetables, fresh fruit and unsweetened fruit and vegetable juices. A citrus fruit or tomato is needed daily as a source of vitamin C.
Grains 2-3 servings daily. Continuing use of iron- frotified infant cereal is recommended until 18 months of age. Other whole grain, unsweetened cereals may also be used and whole-grain breads, crackers, rice, etc., should be added.
Supplements - Fluoride (if not in the water supply) should be prescribed in the appropriate dosage. Other vitamins and minerals are unnecessary.
Other Foods - Regular use of cookies,candy,cake sugars, soft drinks,sugary fruit drinks, snack foods and chips should be avoided. Read labels! This destroys appetite for meals, risks development of dental caries (cavities) and promotes improper lifelong eating habits. It should be remembered that young children learn and aquire food preferences by example set by parents and other family members. Food and sweets should not be used as rewards or taken away as punishment. Nutritous snacks for optimal dental health should be used throughout toddler and preschool years.Fresh fruit, raw vegetables, yogurt, cheese, meat and peanut butter on whole grain crackers make good snacks.
D. Dental Habits
Continued monitoring of finger and sleeping habits.
E. Arch Development
The dentist will check for any abnormalities in arch development and tooth eruption patterns. Radiographs (X-Rays) of suspected pathology or abnormalities may be recommended.
F. Traumatic Injury
Facial traumatic injuries are more likely at this age and should be seen and treated by the dentist immediately.
G. Fluorides
Fluoride should be continued in prescription if indicated. However fluoride toothpastes should not be used until the child can expectorate (spit) and rinse the toothpaste out of the mouth. Swallowing of fluoridated toothpaste can cause GI upset. There are non-fluoridated, non foaming, xylitol flavored toothpastes on the market that are excellent for children to start with.
This should now have baby on the way to their prettiest smile!
The dentist should decide how often each child should be seen. Possibly every 3 to 6 months for self applied fluorides and instructions in preventive dental care. Non threating trips to the dentist pay big dividens if and when some dental work becomes necessary. These trips build familiarity and trust with the dentist and the dental staff. Conversely,a lifetime of fear of the dentist can begin when the child's first visit includes needed emergency dental work. More frequent visits may be necessary to control active dental disease. Pit and fissure sealants may be recommended for susceptable teeth.
B. Oral Hygiene
The dentist or hygienist will teach proper tooth cleaning, demonstrate techniques for holding the child for easier cleaning. Follow up examinations will evaluate the effectiveness of the home care, working with both parent and child to master excellent oral hygiene.
C. Dietary Regime
During the second year baby enjoys gradually shifting to a diet of plain table foods selected from the Food Pyramid. His/her appetite and rate of growth are slower during the second year of life. He/she should be allowed to feed him/herself from a plate with small servings of several items on it. A spoon or the fingers can be used and mike is given for him/her to drink from a "sippy" cup. The following amounts are guides for planning the child's diet:
Milk Group Up to 3-4 cups daily. More than one quart of milk daily is unecessary.
Meat Group 1-2 (2-3oz.) servings daily, including plain chopped meats, fish, and chicken, egg, cheese and peanut butter.
Vegetable/Fruit Group 4-5 (1/2 cup) servings daily, including a wide variety consisting of cooked and raw vegetables, fresh fruit and unsweetened fruit and vegetable juices. A citrus fruit or tomato is needed daily as a source of vitamin C.
Grains 2-3 servings daily. Continuing use of iron- frotified infant cereal is recommended until 18 months of age. Other whole grain, unsweetened cereals may also be used and whole-grain breads, crackers, rice, etc., should be added.
Supplements - Fluoride (if not in the water supply) should be prescribed in the appropriate dosage. Other vitamins and minerals are unnecessary.
Other Foods - Regular use of cookies,candy,cake sugars, soft drinks,sugary fruit drinks, snack foods and chips should be avoided. Read labels! This destroys appetite for meals, risks development of dental caries (cavities) and promotes improper lifelong eating habits. It should be remembered that young children learn and aquire food preferences by example set by parents and other family members. Food and sweets should not be used as rewards or taken away as punishment. Nutritous snacks for optimal dental health should be used throughout toddler and preschool years.Fresh fruit, raw vegetables, yogurt, cheese, meat and peanut butter on whole grain crackers make good snacks.
D. Dental Habits
Continued monitoring of finger and sleeping habits.
E. Arch Development
The dentist will check for any abnormalities in arch development and tooth eruption patterns. Radiographs (X-Rays) of suspected pathology or abnormalities may be recommended.
F. Traumatic Injury
Facial traumatic injuries are more likely at this age and should be seen and treated by the dentist immediately.
G. Fluorides
Fluoride should be continued in prescription if indicated. However fluoride toothpastes should not be used until the child can expectorate (spit) and rinse the toothpaste out of the mouth. Swallowing of fluoridated toothpaste can cause GI upset. There are non-fluoridated, non foaming, xylitol flavored toothpastes on the market that are excellent for children to start with.
This should now have baby on the way to their prettiest smile!
Wednesday, June 16, 2010
Part 15: Baby From Six to Twelve Months
A. Diet
Usually between the ages of 5 to 6 months when baby is able to sit up in a high chair and willingly opens his mouth to a spoon placed before him/her, he/she is ready for introduction of solid foods. Begin with 2 teaspoons of iron - fortified infant cereal (usually rice) by diluting with infant formula or breast milk and gradually increase the amount used. After introducing cereal, other single - item strained foods (no sugar, starch or salt) should be added one at a time. The interval between new foods should be 5 days Single ingredient vegetables and fruits can be introduced alternately if desired.. Dinners, desserts and combinations should be avoided due to added sugar, starch, salt, etc.
If baby is eating cereal and several vegetables and fruit by 7 or 8 months of age, single - item strained meats may be introduced once every 5 days. After the eighth month, egg yolk (no egg white), mashed potatoes and zweiback or dry toast may be introduced also. Generally about this time baby enjoys soft finger foods from the table such as fruits and cooked vegetables. No salt, sugar or seasoning should be added to these. By 8 to 9 months, unsweetened fruit juices diluted with one - half water may be offered from a cup. Juices should not be given from a bottle. It is best for baby to be fed breast milk or infant formula until one year of age. About that time whole cow's milk may be offered in a cup. (Never use skim milk and use 2% only after consulting the physician or dietetian). Introducing cow's milk before the age of 12 months is not recommended due to immaturity of the infant's gastrointestinal tract. Diarrhea and other allergic reactions are commonly a result of this practice.
Supplements - When breast milk, infant formula and a variety of solid foods are being consumed, the only supplement necessary is fluoride, if not available through the water supply.
Other foods - Baby has no need for sugar, salt or seasonings. Regular use of sugary foods such as candy, cookies, cakes, syrups, jellies,honey, sweetened fruit drinks or fruit "aid", soda pop, tec., can be destructive to newly forming teeth. Likewise, fried foods, spicy foods, nuts, chips, fench fries, tea or coffee and popcorn should not be given to baby.
B. Dental Habit
Try to remove fingers from baby's mouth after they fall asleep. However, don't over do it. Continue to use a proper nipple one the bottle and teething appliance.
C. Dental Arch Development
Make sure baby does not habitually sleep on fist or other firm objects under their face. Baby should be examined by the dentist when the first tooth appears. Growth and development of the mouth will be assesed, home care instructions given and any questions answered. This eruption chart will be helpful to monitor baby's progress.
D. Traumatic Injuries
If any traumatic injuries occurs to the face or teeth take the child to the dentist ASAP.
E. Fluoride
Make sure the child has the proper amount of fluoride either through the water or supplements.
F. Oral Hygiene
Teeth should be cleaned by wiping with gauze, wash cloth wrapped around a finger or with a proper sized soft nylon bristled toothbush.
Next time: Baby From 12 to 30 Months
Usually between the ages of 5 to 6 months when baby is able to sit up in a high chair and willingly opens his mouth to a spoon placed before him/her, he/she is ready for introduction of solid foods. Begin with 2 teaspoons of iron - fortified infant cereal (usually rice) by diluting with infant formula or breast milk and gradually increase the amount used. After introducing cereal, other single - item strained foods (no sugar, starch or salt) should be added one at a time. The interval between new foods should be 5 days Single ingredient vegetables and fruits can be introduced alternately if desired.. Dinners, desserts and combinations should be avoided due to added sugar, starch, salt, etc.
If baby is eating cereal and several vegetables and fruit by 7 or 8 months of age, single - item strained meats may be introduced once every 5 days. After the eighth month, egg yolk (no egg white), mashed potatoes and zweiback or dry toast may be introduced also. Generally about this time baby enjoys soft finger foods from the table such as fruits and cooked vegetables. No salt, sugar or seasoning should be added to these. By 8 to 9 months, unsweetened fruit juices diluted with one - half water may be offered from a cup. Juices should not be given from a bottle. It is best for baby to be fed breast milk or infant formula until one year of age. About that time whole cow's milk may be offered in a cup. (Never use skim milk and use 2% only after consulting the physician or dietetian). Introducing cow's milk before the age of 12 months is not recommended due to immaturity of the infant's gastrointestinal tract. Diarrhea and other allergic reactions are commonly a result of this practice.
Supplements - When breast milk, infant formula and a variety of solid foods are being consumed, the only supplement necessary is fluoride, if not available through the water supply.
Other foods - Baby has no need for sugar, salt or seasonings. Regular use of sugary foods such as candy, cookies, cakes, syrups, jellies,honey, sweetened fruit drinks or fruit "aid", soda pop, tec., can be destructive to newly forming teeth. Likewise, fried foods, spicy foods, nuts, chips, fench fries, tea or coffee and popcorn should not be given to baby.
B. Dental Habit
Try to remove fingers from baby's mouth after they fall asleep. However, don't over do it. Continue to use a proper nipple one the bottle and teething appliance.
C. Dental Arch Development
Make sure baby does not habitually sleep on fist or other firm objects under their face. Baby should be examined by the dentist when the first tooth appears. Growth and development of the mouth will be assesed, home care instructions given and any questions answered. This eruption chart will be helpful to monitor baby's progress.
D. Traumatic Injuries
If any traumatic injuries occurs to the face or teeth take the child to the dentist ASAP.
E. Fluoride
Make sure the child has the proper amount of fluoride either through the water or supplements.
F. Oral Hygiene
Teeth should be cleaned by wiping with gauze, wash cloth wrapped around a finger or with a proper sized soft nylon bristled toothbush.
Next time: Baby From 12 to 30 Months
Wednesday, June 9, 2010
Part 14: Baby From Birth to Six Months
A. Parent Health
Continued monitoring of mother by physician is critical to both mother and baby.
B. Baby's Health
Baby should be throughly examined by the family physician or pediatrician. Congenital birth defects should be diagnosed and refered for proper treatment - this would include dental.
C. Fluorides
Fluoride supplements for forming teeth will likely be recommended and can be prescribed by the M.D. or D.D.S.. Most public water supplies are fluoridated, however baby must drink one liter of water daily to get optimal benefit.
D. Sucking
While breast feeding is optimal, bottle feeding is acceptable if certain precautions are taken. Avoid free flowing nipples that could produce a reverse swallow as baby tries to keep from drowning. This can cause orthodontic problems as baby's teeth erupt. Check the nipples frequently for tears that could cause choking. As for fingers vs. pacifiers, a pacifier habit is easier to break.
E. Diet
During the first year of life, growth is greater than ever occurs again. the rapid growth and metabolism require ample supply of growth and energy nutrients. Human milk is tailored special to your baby's nutritional needs in terms of calories, protien, vitamins and minerals. Breast milk also contains antibodies against intestinal and other infections which can threaten a young infant. It is easily digested with the least risk of allergic reaction, diarrhea or stomach upset.
Supplements - Generally, it is recommended that the breast fed infant be given supplements of iron, vitamin D, and, if not in the water supply, fluoride. Multivitamin drops with iron and fluoride can be prescribed by the physician or dentist. Ask for one that does not have sugar.
Other foods - Up to the age of 4-6 months, baby's nutritional needs can generally be fully met by breast milk and the vitamin/mineral supplement. if for some reason, mother is unable or does not wish to breast feed, a comercially prepared infant formula with iron may be used. Vitamin drops with fluoride should also be prescribed if fluoride is not found in the water supply. Sugar, sucrose, syrup or honey should not be added to the formula or to baby's water. If teething devices are used, sugar-containing substances (such as cookies) should be avoided. Baby should never be put to bed with a bottle. If this is ever done, water only should be put in the bottle.
F. Sleeping
One of the most important influences on how baby developes both physically and dentally is how baby sleeps and is carried during the first months of life. A baby that is carried as well as sleeps on its back does not place unnecessary pressures on developing bones of the face and back. Orthopedic surgeons and orthodontists have long shaped bone by outside pressures. If baby sleeps on its back, full genetic potential can be reached. Swaddling and modern papoose carriers have long been found to be excellent ways to not only nurture baby, help baby develope a straight posture, but also keep fingers out of the mouth that cause dental mal occlusions. In more recent years peditricians have found a higher incidence of SIDS in babys that sleep on their stomachs(prone position), and therefore are encouraging back (supine position) sleeping.
Next time: Six to Twelve Months.
Continued monitoring of mother by physician is critical to both mother and baby.
B. Baby's Health
Baby should be throughly examined by the family physician or pediatrician. Congenital birth defects should be diagnosed and refered for proper treatment - this would include dental.
C. Fluorides
Fluoride supplements for forming teeth will likely be recommended and can be prescribed by the M.D. or D.D.S.. Most public water supplies are fluoridated, however baby must drink one liter of water daily to get optimal benefit.
D. Sucking
While breast feeding is optimal, bottle feeding is acceptable if certain precautions are taken. Avoid free flowing nipples that could produce a reverse swallow as baby tries to keep from drowning. This can cause orthodontic problems as baby's teeth erupt. Check the nipples frequently for tears that could cause choking. As for fingers vs. pacifiers, a pacifier habit is easier to break.
E. Diet
During the first year of life, growth is greater than ever occurs again. the rapid growth and metabolism require ample supply of growth and energy nutrients. Human milk is tailored special to your baby's nutritional needs in terms of calories, protien, vitamins and minerals. Breast milk also contains antibodies against intestinal and other infections which can threaten a young infant. It is easily digested with the least risk of allergic reaction, diarrhea or stomach upset.
Supplements - Generally, it is recommended that the breast fed infant be given supplements of iron, vitamin D, and, if not in the water supply, fluoride. Multivitamin drops with iron and fluoride can be prescribed by the physician or dentist. Ask for one that does not have sugar.
Other foods - Up to the age of 4-6 months, baby's nutritional needs can generally be fully met by breast milk and the vitamin/mineral supplement. if for some reason, mother is unable or does not wish to breast feed, a comercially prepared infant formula with iron may be used. Vitamin drops with fluoride should also be prescribed if fluoride is not found in the water supply. Sugar, sucrose, syrup or honey should not be added to the formula or to baby's water. If teething devices are used, sugar-containing substances (such as cookies) should be avoided. Baby should never be put to bed with a bottle. If this is ever done, water only should be put in the bottle.
F. Sleeping
One of the most important influences on how baby developes both physically and dentally is how baby sleeps and is carried during the first months of life. A baby that is carried as well as sleeps on its back does not place unnecessary pressures on developing bones of the face and back. Orthopedic surgeons and orthodontists have long shaped bone by outside pressures. If baby sleeps on its back, full genetic potential can be reached. Swaddling and modern papoose carriers have long been found to be excellent ways to not only nurture baby, help baby develope a straight posture, but also keep fingers out of the mouth that cause dental mal occlusions. In more recent years peditricians have found a higher incidence of SIDS in babys that sleep on their stomachs(prone position), and therefore are encouraging back (supine position) sleeping.
Next time: Six to Twelve Months.
Saturday, May 29, 2010
Part 13: Mom and the Prenatal Period
MOM'S DIET
Special dietary instructions should be followed as prescribed by an obstetrician or family physician, including correct use of the Basic Four Food Groups (Food Guide Pyramid) for better dental health of baby. Foods eaten by mother provide the materials which build baby's body and begin forming baby's teeth. Mother's diet should include the Basic Four Foods with special emphasis on:
1. Elimination of refined starchy foods and sugar such as dry sweetened cereals, chips, cookies, cakes, candies and soda pop - using as substitutes moderate amounts of unrefined foods. Those include fresh vegetables, and fruit, whole grain breads and crackers, unsweetened cereals, potatoes, cooked dry beans, peas and corn.
2. Avoid skipping meals and emphasize three balanced moderate sized meals with small snacks between consisting of nutritious foods (no sugars).
3. Basic Four Foods
a). 4 servings daily of low fat (or skim) milk, cheese or yogurt.
b). 2 to 3 servings of complete protien food such as meat, fish, poultry, cheese or eggs.
c). Fruits and Vegetables: At least one serving daily of citrus fruit or tomatoes and three servings daily of other fruits and vegetables including a serving of dark green and dark yellow vegetables.
d). Four servings of whole grains a day such as whole wheat bread and crackers, brown rice and whole grain cereal.
e). 6 to 8 glasses daily of liquids consisting of water, low fat or skim milk, unsweetened fruit and vegetable juices. Avoid all alcoholic beverages, soda pop and sugared friut drinks; limit coffee and tea.
4. Take vitamin-mineral supplements as prescribed by your physician daily.
EXPECTANT MOTHER'S DENTAL CARE
Professional Dental Care - Regular dental visits should be continued throughout pregnancy. The best possible care can be provided to help you keep your teeth and gums healthy during this special time.
A complete dental history should be taken if you have not been to a dentist recently, and your dentist may talk with your physician if any abnormal conditions exist. This information will help your dentist decide if it is necessary to modify the type of treatment given and determine the best time for treatment.
Non-emergency (elective) treatment can be performed safely during pregnancy. However, treatment maybe avoided during the first and last three months for a number of reasons. First, if you have a history of miscarriage, are threatening to miscarry, or because of other medical conditions, your dentist may recommend that treatment be posponed until later in the pregnancy or after delivery. Secondly, some pregnant women may be more anxious, more nervous, or subject to gagging during the first few months of pregnancy. If these conditions exist, first discuss your fears with your dentist. Special care will be taken to insure that you do not experience unnecessary physical or emotiomal stress. If your dentist does not think you can tolerate the suggested dental treatment, most often it can be postponed.
Finally, the last months of pregnancy may be uncomfortable for the mother to sit in the dental chair for extended periods. In addition, if you have a history of premature babies, treatment should also be avoided during this time. For your peace of mind and comfort, the fourth to sixth months of pregnancy are usually the best time for treatment.
X-Rays - The dentist uses x-rays to help detect dental caries and other problems. Only the x-rays that are necessary for treatment should be taken during this time. Although the amount of radiation produced from a dental x-ray is very small (and the new digitals are only one tenth of the standard ones), only necessary - not routine- ones should be taken at tis time. Ask that a lead apron be used to prevent exposure to the developing child.
Drugs - Some drugs and anesthetics can be used during and after dental treatment to make you more comfortable. Only those drugs which have no proven side effects should be given. your dentist will consult with your phsician and use their expert judgement to determine what drug can be given at different times during your pregnancy. Also, be sure to inform your dentist of any prescribed drugs you are taking. This will help determine the type of drug, if any, that will be prescribed before,during or after treatment. Take only the correct amount of the drug prescribed. This includes aspirin! If you have any concerns about the effect of any drug on your pregnancy, discuss them with your dentist and physician. Both are concerned about you and your baby's health.
Next time: the Birth to Six Months Period.
Special dietary instructions should be followed as prescribed by an obstetrician or family physician, including correct use of the Basic Four Food Groups (Food Guide Pyramid) for better dental health of baby. Foods eaten by mother provide the materials which build baby's body and begin forming baby's teeth. Mother's diet should include the Basic Four Foods with special emphasis on:
1. Elimination of refined starchy foods and sugar such as dry sweetened cereals, chips, cookies, cakes, candies and soda pop - using as substitutes moderate amounts of unrefined foods. Those include fresh vegetables, and fruit, whole grain breads and crackers, unsweetened cereals, potatoes, cooked dry beans, peas and corn.
2. Avoid skipping meals and emphasize three balanced moderate sized meals with small snacks between consisting of nutritious foods (no sugars).
3. Basic Four Foods
a). 4 servings daily of low fat (or skim) milk, cheese or yogurt.
b). 2 to 3 servings of complete protien food such as meat, fish, poultry, cheese or eggs.
c). Fruits and Vegetables: At least one serving daily of citrus fruit or tomatoes and three servings daily of other fruits and vegetables including a serving of dark green and dark yellow vegetables.
d). Four servings of whole grains a day such as whole wheat bread and crackers, brown rice and whole grain cereal.
e). 6 to 8 glasses daily of liquids consisting of water, low fat or skim milk, unsweetened fruit and vegetable juices. Avoid all alcoholic beverages, soda pop and sugared friut drinks; limit coffee and tea.
4. Take vitamin-mineral supplements as prescribed by your physician daily.
EXPECTANT MOTHER'S DENTAL CARE
Professional Dental Care - Regular dental visits should be continued throughout pregnancy. The best possible care can be provided to help you keep your teeth and gums healthy during this special time.
A complete dental history should be taken if you have not been to a dentist recently, and your dentist may talk with your physician if any abnormal conditions exist. This information will help your dentist decide if it is necessary to modify the type of treatment given and determine the best time for treatment.
Non-emergency (elective) treatment can be performed safely during pregnancy. However, treatment maybe avoided during the first and last three months for a number of reasons. First, if you have a history of miscarriage, are threatening to miscarry, or because of other medical conditions, your dentist may recommend that treatment be posponed until later in the pregnancy or after delivery. Secondly, some pregnant women may be more anxious, more nervous, or subject to gagging during the first few months of pregnancy. If these conditions exist, first discuss your fears with your dentist. Special care will be taken to insure that you do not experience unnecessary physical or emotiomal stress. If your dentist does not think you can tolerate the suggested dental treatment, most often it can be postponed.
Finally, the last months of pregnancy may be uncomfortable for the mother to sit in the dental chair for extended periods. In addition, if you have a history of premature babies, treatment should also be avoided during this time. For your peace of mind and comfort, the fourth to sixth months of pregnancy are usually the best time for treatment.
X-Rays - The dentist uses x-rays to help detect dental caries and other problems. Only the x-rays that are necessary for treatment should be taken during this time. Although the amount of radiation produced from a dental x-ray is very small (and the new digitals are only one tenth of the standard ones), only necessary - not routine- ones should be taken at tis time. Ask that a lead apron be used to prevent exposure to the developing child.
Drugs - Some drugs and anesthetics can be used during and after dental treatment to make you more comfortable. Only those drugs which have no proven side effects should be given. your dentist will consult with your phsician and use their expert judgement to determine what drug can be given at different times during your pregnancy. Also, be sure to inform your dentist of any prescribed drugs you are taking. This will help determine the type of drug, if any, that will be prescribed before,during or after treatment. Take only the correct amount of the drug prescribed. This includes aspirin! If you have any concerns about the effect of any drug on your pregnancy, discuss them with your dentist and physician. Both are concerned about you and your baby's health.
Next time: the Birth to Six Months Period.
Thursday, May 13, 2010
Part 12: The Prenatal period
PARENT HEALTH
Baby's health is best served when blessed by healthy parents. A complete physical examination by a physician of both prospective parents is of extreme importance. The expectant mother especially should be closely observed during pregnancy by either her family physician or an obstetrician.
FAMILY DENTAL HEALTH
As you know, babies develop in the sterile environment of the mother's womb. We know that the germs that cause dental disease, cavities and gum problems, are not in the womb. Then, how do we get these germs? The answer is not one we like very much. Research has shown that they come from those we love. From the people who kiss baby. Dental disease is a communicable, infectious disease process. It, therefore, becomes a family concern when we talk about helping baby to the prettiest smile. The job becomes very difficult if baby is daily reinfected by a family member or care giver with uncontrolled dental disease. We now know how to control both caries (decay) and periodontal disease (pyhorrea). The process does not take long and is not expensive, so, the first thing to help baby is to have the family ready (dentally) for baby.
MOTHER'S DENTAL HEALTH
Oral Hygiene - During pregnancy, there is a special need for good oral hygiene because pregnancy may exaggerate some dental disorders and poor oral hygiene can cause complications like preterm low birth weights and preeclampsia.
Dental Caries - Many women still believe that a tooth is lost for every pregnancy, but this is not true. Decay is the result of repeated acid attacks on the tooth enamel, not from repeated pregnancies. If a pattern of frequent consumption of sugar- rich foods is allowed, and plaque is allowed to remain on the teeth, decay will develop. Avoid the unnecessary loss of teeth by thoroughly brushing and flossing daily to remove harmful plaque. See Part 4.
Morning sickness and an increased gag reflex makes good oral hygiene more difficult. If these problems occur, please advise us and we can provide ways to overcome these problems. Ex - Gargle first with Chloraseptic to temporarily numb the gag reflex, and use of a water irrigator can help.
Pregnancy gingivitis - Unremoved plaque on your teeth can irritate the gums, making them red, tender, and likely to bleed easily when you brush. This condition is called gingivitis and can lead to more serious problems of the gums and bone that anchor your teeth in place. During pregnancy, gingivitis may occur more frequently due to an increased rise in hormone levels. This exaggerates the gum tissues' response to the irritants in plaque. But remember, plaque is the major cause of gingivitis. Even though hormone changes are occuring, you can prevent gingivitis by keeping your teeth clean. Thoroughly brush and floss your teeth daily to remove plaque and eat a balanced diet low in sugar to keep your gums healthy.
Next time - More on food and MOM.
Baby's health is best served when blessed by healthy parents. A complete physical examination by a physician of both prospective parents is of extreme importance. The expectant mother especially should be closely observed during pregnancy by either her family physician or an obstetrician.
FAMILY DENTAL HEALTH
As you know, babies develop in the sterile environment of the mother's womb. We know that the germs that cause dental disease, cavities and gum problems, are not in the womb. Then, how do we get these germs? The answer is not one we like very much. Research has shown that they come from those we love. From the people who kiss baby. Dental disease is a communicable, infectious disease process. It, therefore, becomes a family concern when we talk about helping baby to the prettiest smile. The job becomes very difficult if baby is daily reinfected by a family member or care giver with uncontrolled dental disease. We now know how to control both caries (decay) and periodontal disease (pyhorrea). The process does not take long and is not expensive, so, the first thing to help baby is to have the family ready (dentally) for baby.
MOTHER'S DENTAL HEALTH
Oral Hygiene - During pregnancy, there is a special need for good oral hygiene because pregnancy may exaggerate some dental disorders and poor oral hygiene can cause complications like preterm low birth weights and preeclampsia.
Dental Caries - Many women still believe that a tooth is lost for every pregnancy, but this is not true. Decay is the result of repeated acid attacks on the tooth enamel, not from repeated pregnancies. If a pattern of frequent consumption of sugar- rich foods is allowed, and plaque is allowed to remain on the teeth, decay will develop. Avoid the unnecessary loss of teeth by thoroughly brushing and flossing daily to remove harmful plaque. See Part 4.
Morning sickness and an increased gag reflex makes good oral hygiene more difficult. If these problems occur, please advise us and we can provide ways to overcome these problems. Ex - Gargle first with Chloraseptic to temporarily numb the gag reflex, and use of a water irrigator can help.
Pregnancy gingivitis - Unremoved plaque on your teeth can irritate the gums, making them red, tender, and likely to bleed easily when you brush. This condition is called gingivitis and can lead to more serious problems of the gums and bone that anchor your teeth in place. During pregnancy, gingivitis may occur more frequently due to an increased rise in hormone levels. This exaggerates the gum tissues' response to the irritants in plaque. But remember, plaque is the major cause of gingivitis. Even though hormone changes are occuring, you can prevent gingivitis by keeping your teeth clean. Thoroughly brush and floss your teeth daily to remove plaque and eat a balanced diet low in sugar to keep your gums healthy.
Next time - More on food and MOM.
Thursday, April 29, 2010
Part 11: Shoot for the Center
Now, back to the fuel we run our machine on. Contrary to what most Americans have been led to believe by dentists and others - carbohydrates are not all bad. The refined ones - sugar and white flour are not good for us, but the complex carbohydrates like whole grain and other roughages are excellent and we should be eating more of these.
What we should really be cutting down on is our fat intake. Fat is left as fat by our bodies until it is needed for energy. Below is a table showing how our diet has changed over the years and what it should be.
Percentage of Daily Calories
1900 1970 2000 Recom.
Protein 10-12 % 12-14 % 33% 12%
Fat 30% 44 % 52 % 23 %
Carbohydrates 60% 44% 23% 65%
How does this all tie in with exercise? Well here's the answer. Glucose (carbohydrates) are metabolized as quick energy by enzymes requiring little oxygen in the first stage. All the enzymes used in fat breakdown need a lot of oxygen. Anaerobic (stop and go) exercise, therefore, effectively shuts off all fat burning and forces the muscles to use glucose exclusively.
The aerobic exercise not only allows you to burn fat while exercising but also stimulates DNA synthesis of more of the fat burning enzymes. You are able to grab more oxygen from the blood better and use fats at a higher exercise intensities as these enzymes proliferate.
So the Secret to wellness is to avoid refined carbohydrates and fats and do aerobic exercise for a minimum of 12 minutes six days a week! It sounds easy but requires determination and commitment.
Covert Bailey's Target Diet book would be a great help in eating the right foods. As a quick summary, think of a target with four rings. Now divide the target into four pie shaped sections, one for each of the four food groups. Now let's put some examples of foods in each circle.
Food Group Center Ring Next Ring
Milk Skim Milk Low Fat Milk
Grains Whole Grain Bread Bran Muffin
Meats Beans Fish
Veg/Fruit Fresh Veg Fresh Fruit
Food Group Next Ring Outer Ring
Milk Whole Milk Ice Cream
Grains Granola Snack Crackers
Meats Ground Round Sausage
Veg/Fruit Potatoes French Fries
Aim for the Center Ring!
Next time: Helping Your Baby to it's Prettiest Smile
What we should really be cutting down on is our fat intake. Fat is left as fat by our bodies until it is needed for energy. Below is a table showing how our diet has changed over the years and what it should be.
Percentage of Daily Calories
1900 1970 2000 Recom.
Protein 10-12 % 12-14 % 33% 12%
Fat 30% 44 % 52 % 23 %
Carbohydrates 60% 44% 23% 65%
How does this all tie in with exercise? Well here's the answer. Glucose (carbohydrates) are metabolized as quick energy by enzymes requiring little oxygen in the first stage. All the enzymes used in fat breakdown need a lot of oxygen. Anaerobic (stop and go) exercise, therefore, effectively shuts off all fat burning and forces the muscles to use glucose exclusively.
The aerobic exercise not only allows you to burn fat while exercising but also stimulates DNA synthesis of more of the fat burning enzymes. You are able to grab more oxygen from the blood better and use fats at a higher exercise intensities as these enzymes proliferate.
So the Secret to wellness is to avoid refined carbohydrates and fats and do aerobic exercise for a minimum of 12 minutes six days a week! It sounds easy but requires determination and commitment.
Covert Bailey's Target Diet book would be a great help in eating the right foods. As a quick summary, think of a target with four rings. Now divide the target into four pie shaped sections, one for each of the four food groups. Now let's put some examples of foods in each circle.
Food Group Center Ring Next Ring
Milk Skim Milk Low Fat Milk
Grains Whole Grain Bread Bran Muffin
Meats Beans Fish
Veg/Fruit Fresh Veg Fresh Fruit
Food Group Next Ring Outer Ring
Milk Whole Milk Ice Cream
Grains Granola Snack Crackers
Meats Ground Round Sausage
Veg/Fruit Potatoes French Fries
Aim for the Center Ring!
Next time: Helping Your Baby to it's Prettiest Smile
Tuesday, April 27, 2010
Part 10: Maximize Exercise
Here is a list of aerobic exercises and the duration they must be performed to be effective.
Required Minimum Time 12 Minutes
You can figure your recommended exercise pulse rate by subtracting your age from 220 and then multipling by .8. Ex. 220 - 40 = 180 x .8 = 144. This is based on resting heart rates of 72 for males and 80 for females. Athletes can use a .85 multiplier, people with a heart history should use a .75 multiplier. Men over forty and people with any heart problem should talk with their physician and have a stress electrocardiogram before starting an exercise program.
Remember:
Aerobic Exercise
Fitness is MAINTAINED if you exercise three days a week.
Fitness is IMPROVED if you exercise six days a week.
Next time: Covert Bailey's Target Diet
Required Minimum Time 12 Minutes
- Jumping Rope
- Running in place
- Jumping jacks
- Chair stepping
- Jogging
- Running
- Cross-Country Skiing
- Rowing
- Dancing
- Walking
- Outdoor Bicycling
- Stationary Bicycling
- Ice Skating
- Roller Skating
- Swimming
You can figure your recommended exercise pulse rate by subtracting your age from 220 and then multipling by .8. Ex. 220 - 40 = 180 x .8 = 144. This is based on resting heart rates of 72 for males and 80 for females. Athletes can use a .85 multiplier, people with a heart history should use a .75 multiplier. Men over forty and people with any heart problem should talk with their physician and have a stress electrocardiogram before starting an exercise program.
Remember:
Aerobic Exercise
- Steady, Non-Stop
- Duration - 12 to 20 Minutes
- Intensity - 80% of maximum heart rate
Fitness is MAINTAINED if you exercise three days a week.
Fitness is IMPROVED if you exercise six days a week.
Next time: Covert Bailey's Target Diet
Monday, April 19, 2010
Part 9: Burn Butter
So the problem, as most overfat people (which is what we should focus on rather than overweight) already know, is not losing weight. The problem is gaining weight. They now must tackle the real problem... how to change the body chemistry so they won't have such a tendency to make fat out of the foods they eat. How to avoid getting fat all over again.
The ultimate cure for obesity is exercise! Exercise increases muscle, tones it, alters the body chemistry and increases its metabolic rate. It makes you a better butter burner. The most efficient exercise for this purpose is called aerobics (Dr. Ken Cooper). Briefly, aerobic exercise means steady exercise: exercise that demands an uninterupted output from your muscles over a minimum 12 minute period. It has been shown in many exercise physiology laboratories that a steady continous exercise repeated every day reverses more quickly the syndrome of muscles turning to fat than any other kind.
The main criterion for aerobic exercise is that it be continuous and steady. Stop and go exercises just don't do the same thing. Here is a list of endurance exercises (Aerobic) and stop and go exercises (Non-aerobic).
Aerobic
Non-Aerobic
Stop and Go
Short Duration
Low Intensity
Next time - How long for it to work?
The ultimate cure for obesity is exercise! Exercise increases muscle, tones it, alters the body chemistry and increases its metabolic rate. It makes you a better butter burner. The most efficient exercise for this purpose is called aerobics (Dr. Ken Cooper). Briefly, aerobic exercise means steady exercise: exercise that demands an uninterupted output from your muscles over a minimum 12 minute period. It has been shown in many exercise physiology laboratories that a steady continous exercise repeated every day reverses more quickly the syndrome of muscles turning to fat than any other kind.
The main criterion for aerobic exercise is that it be continuous and steady. Stop and go exercises just don't do the same thing. Here is a list of endurance exercises (Aerobic) and stop and go exercises (Non-aerobic).
Aerobic
- Running/Jogging
- Cross-Country Sking
- Jumping Rope
- Running in Place
- Cycling Outdoors
- Stationary Bicycle
- Rowing
Non-Aerobic
Stop and Go
- Tennis
- Downhill Sking
- Football
- Calisthenics
- Handball
- Racquetball
Short Duration
- Weight Lifting
- Sprinting
- Isometrics
- Square Dancing
Low Intensity
- Golf
- Canasta
Next time - How long for it to work?
Friday, April 16, 2010
Part 8: A Prescription for Wellness
The Oral Cavity is not a seperate entity, existing in a vacuum. It is a part of a total being. What is good for one part of that being is good for the rest. Wellness from a dental standpoint must include wellness of the whole person. The following articles are a synopsis of the combined role of nutrition and exercise as it relates to human wellness.
The adage "You are what you eat" only tells part of the story. The other part of the story is how efficient is your body at burning the fuel you feed it? Biochemistry shows us that the better physical shape we are in, the more efficient we utilize the foods we eat. No wonder the sedentary lifestyle Americans lead makes the majority of us overweight.
As we abuse ourselves with over eating and under exercising, the muscles in our bodies atrophy. Your weight may stay the same but the muscle loss is replaced with fat tissue. Muscle weighs more than fat. So the first place we get fat is in our muscles. The "love handles" come later. Lack of exercise changes our body chemistry so that we tend to favor building up even more fat.
I wish to acknowledge two giants in this field whom I have had the privilege to meet and learn from.
Both are authors of books on the subject I heartly recommend.
1. Covert Bailey
2.Dr. Ken Cooper
Next time - what works
The adage "You are what you eat" only tells part of the story. The other part of the story is how efficient is your body at burning the fuel you feed it? Biochemistry shows us that the better physical shape we are in, the more efficient we utilize the foods we eat. No wonder the sedentary lifestyle Americans lead makes the majority of us overweight.
As we abuse ourselves with over eating and under exercising, the muscles in our bodies atrophy. Your weight may stay the same but the muscle loss is replaced with fat tissue. Muscle weighs more than fat. So the first place we get fat is in our muscles. The "love handles" come later. Lack of exercise changes our body chemistry so that we tend to favor building up even more fat.
I wish to acknowledge two giants in this field whom I have had the privilege to meet and learn from.
Both are authors of books on the subject I heartly recommend.
1. Covert Bailey
2.Dr. Ken Cooper
Next time - what works
Sunday, April 11, 2010
Part 7: The Basic Diet Experiment
A couple of "basic" rules for this diet experiment: IF IT COMES IN A BOX OR A CAN - DON'T EAT IT! And, IF A MACHINE GOT TO IT BEFORE YOU DID, DON'T EAT MACHINE LEFTOVERS! (THE MACHINE USUALLY GETS THE GOOD STUFF). READ LABELS on everything you take home.
And now, the diet itself..
FOODS TO INCREASE:
Please increase the amount of FRESH FRUITS and FRESH VEGETABLES you eat. Try to have at least one fresh vegetable and one fresh fruit each day. Although unsweetened, frozen products are generally acceptable, they should be consumed in addition to the fresh fruits recommended. Please try to avoid canned vegetables and canned fruits since these are processed and may have large anounts of refined sugars or corn sweetners in them - which may aggravate your dental problems.
In addition, please increase your consumption of green salads. Have at least one salad every three days, although you may eat salads as often as you wish in most circumstances.
If possible, use Olive Oil and apple cider dressings rather than commercially prepared dressings which may also contain large amounts of sweeteners. You may also use sunflower seed oil. Please avoid corn oil because of the possibility of minor allergies related to corn products. You may also use lemon juice as a form of salad dressing if you wish.
Finally, increase your intake of fish, seafood, chicken and turkey - as well as water and UNsweetened fruit and vegetable juices such as tomato, orange,V8, pinapple and grapefruit(unless your medication directions say otherwise).
FOODS TO DECREASE:
You are ask to TOTALLY AVOID the following foods so that you may scientifically evaluate the impact of dietary distress on your individual dental problems:
1. Refined sugars
2. Processed carbohydrates
3. Artificial sweetners
4. All forms of coffee
5. All forms of colas
6. White flour products
7. All types of alcohol
You may use occasional tea, and Pero or Postum as coffee substitutes. For a sweetner, you may use up to two tablespoons of unprossed honey daily - be sure to read the label to make sure that no refined sugar was added. The new sweetner Xylitol (available on the internet) is also acceptable.
After the initial experimental peroid, you may have an occasional glass of Wine if you wsh an alcoholic beverage.
Be sure to read the labels of all foods you wish to prepare for your meals. You will be amazed at how often sugars have been added to processed products (not to mention sodium). In general, if sugar is greater than the FIFTH most common ingredient on the label, please try to avoid that food. And, please note that processed, refined sugars are our biggest concern - not complex carbohydrates such as those found in potatoes and other vegetables; nor complex sugars such as those found in fruits.
Although this is an "eat as much as you want of the good things" diet, here are some hints on recommended daily amounts: MILK GROUP: Children - 3 cups; Adults - 2 cups; Teenagers, Pregnant Women and Nursing Mothers - 4 cups. MEAT GROUP: 2 servings. FRUIT and VEGETABLES GROUP: 4 or more servings. GRAIN GROUP: 4 or more servings.
How long? I usually recommend 10 days for most patients to gain the full benefit of the experiment. If you're feeling full of energy and have lost the weight ( nature's way of diluting the toxins with water) after a week, then proceed to slowly add foods back into your diet as mentioned in the prior article.
Next time: A prescription for wellness
And now, the diet itself..
FOODS TO INCREASE:
Please increase the amount of FRESH FRUITS and FRESH VEGETABLES you eat. Try to have at least one fresh vegetable and one fresh fruit each day. Although unsweetened, frozen products are generally acceptable, they should be consumed in addition to the fresh fruits recommended. Please try to avoid canned vegetables and canned fruits since these are processed and may have large anounts of refined sugars or corn sweetners in them - which may aggravate your dental problems.
In addition, please increase your consumption of green salads. Have at least one salad every three days, although you may eat salads as often as you wish in most circumstances.
If possible, use Olive Oil and apple cider dressings rather than commercially prepared dressings which may also contain large amounts of sweeteners. You may also use sunflower seed oil. Please avoid corn oil because of the possibility of minor allergies related to corn products. You may also use lemon juice as a form of salad dressing if you wish.
Finally, increase your intake of fish, seafood, chicken and turkey - as well as water and UNsweetened fruit and vegetable juices such as tomato, orange,V8, pinapple and grapefruit(unless your medication directions say otherwise).
FOODS TO DECREASE:
You are ask to TOTALLY AVOID the following foods so that you may scientifically evaluate the impact of dietary distress on your individual dental problems:
1. Refined sugars
2. Processed carbohydrates
3. Artificial sweetners
4. All forms of coffee
5. All forms of colas
6. White flour products
7. All types of alcohol
You may use occasional tea, and Pero or Postum as coffee substitutes. For a sweetner, you may use up to two tablespoons of unprossed honey daily - be sure to read the label to make sure that no refined sugar was added. The new sweetner Xylitol (available on the internet) is also acceptable.
After the initial experimental peroid, you may have an occasional glass of Wine if you wsh an alcoholic beverage.
Be sure to read the labels of all foods you wish to prepare for your meals. You will be amazed at how often sugars have been added to processed products (not to mention sodium). In general, if sugar is greater than the FIFTH most common ingredient on the label, please try to avoid that food. And, please note that processed, refined sugars are our biggest concern - not complex carbohydrates such as those found in potatoes and other vegetables; nor complex sugars such as those found in fruits.
Although this is an "eat as much as you want of the good things" diet, here are some hints on recommended daily amounts: MILK GROUP: Children - 3 cups; Adults - 2 cups; Teenagers, Pregnant Women and Nursing Mothers - 4 cups. MEAT GROUP: 2 servings. FRUIT and VEGETABLES GROUP: 4 or more servings. GRAIN GROUP: 4 or more servings.
How long? I usually recommend 10 days for most patients to gain the full benefit of the experiment. If you're feeling full of energy and have lost the weight ( nature's way of diluting the toxins with water) after a week, then proceed to slowly add foods back into your diet as mentioned in the prior article.
Next time: A prescription for wellness
Saturday, April 10, 2010
Part 6: The Challenge
If you are having problems with cavities, or your gums, or grinding your teeth, or your jaw joint and want an inexpensive test and possible cure - here's a challenge. It's call the "Basic Diet Experiment". Dentistry has arrived to the point where dental disease is OPTIONAL. That is to say "You can have it, if you want it". With what we now know, we can PREVENT dental disease. One of the tools we are using is nutrition (the Substrate Circle).
A few precautions for those who take up the challenge. What can you expect? If diet is NOT part of your dental problem or a general health problem, you will only experience a brief interruption in your normal eating habits. If, however diet IS a part of the problem, your body is initially not going to like what your going to make it do.
Similar to the person who is addicted to drugs, alcohol or tobacco - your body will go through two phases.
1. The first of these is similar to withdrawl, but not as severe. You will become irritable, have increased headaches, and crave that which you are sensitive to. These symptoms will be relieved by eating the problem substance, but - NO CHEATING!
2. The second phase will result in a weight loss. Losing 10 pounds is not unusual. You'll notice a gain, in terms of excess energy. That's when you'll know you've kicked the habit!
Take note: As I mentioned before, it is extremely important not to cheat during the experimental period. One weak moment will take you back to the starting point. I know that in some cases, it's very hard not to cheat - but those are usually the cases where help is needed most.
After the experimental period, you are strongly recommended to maintain at least 80-90% reduction of the foods you've decreased. I have some additional guidelines for that time. When you start adding foods back into your diet - do so slowly. If the symptoms return, drop back a few foods and try it again. If the symptoms occur a second time, then you know THAT is the food which contains something you can no longer tolerate.
Next time: the Basic Diet Experiment.
A few precautions for those who take up the challenge. What can you expect? If diet is NOT part of your dental problem or a general health problem, you will only experience a brief interruption in your normal eating habits. If, however diet IS a part of the problem, your body is initially not going to like what your going to make it do.
Similar to the person who is addicted to drugs, alcohol or tobacco - your body will go through two phases.
1. The first of these is similar to withdrawl, but not as severe. You will become irritable, have increased headaches, and crave that which you are sensitive to. These symptoms will be relieved by eating the problem substance, but - NO CHEATING!
2. The second phase will result in a weight loss. Losing 10 pounds is not unusual. You'll notice a gain, in terms of excess energy. That's when you'll know you've kicked the habit!
Take note: As I mentioned before, it is extremely important not to cheat during the experimental period. One weak moment will take you back to the starting point. I know that in some cases, it's very hard not to cheat - but those are usually the cases where help is needed most.
After the experimental period, you are strongly recommended to maintain at least 80-90% reduction of the foods you've decreased. I have some additional guidelines for that time. When you start adding foods back into your diet - do so slowly. If the symptoms return, drop back a few foods and try it again. If the symptoms occur a second time, then you know THAT is the food which contains something you can no longer tolerate.
Next time: the Basic Diet Experiment.
Friday, April 9, 2010
Part 5: Food- Friend or Foe?
Recent research has shown that dietary distress can be a significant factor contributing to dental problems. We have known for many years the role that diet has played in dental decay. Americans consumption of Sugar is now nearing 160 pounds per person per year! Only recently has the role of nutrition been implicated as a part of the cause of periodontal disease (pyhorrea) and tempromandibular (jaw) joint disorders.
It is felt that there are two forms of dietary distress we can get ourselves into:
1. The first is improper consumption of fuel. There are four items that seem to be the most frequent offenders- chocolate, refined sugars, coffee and foods with chemical additives. Along with this group, we must place those foods which people are allergic to- knowingly or unknowingly. Some of the most common of these are corn, wheat, homogenized milk and red meats.
2. The second form of dietary distress is insufficiency in our diets- foods we should be eating but don't. these would be fresh fruits, fresh vegetables and green salads.
Next time - a challenge.
It is felt that there are two forms of dietary distress we can get ourselves into:
1. The first is improper consumption of fuel. There are four items that seem to be the most frequent offenders- chocolate, refined sugars, coffee and foods with chemical additives. Along with this group, we must place those foods which people are allergic to- knowingly or unknowingly. Some of the most common of these are corn, wheat, homogenized milk and red meats.
2. The second form of dietary distress is insufficiency in our diets- foods we should be eating but don't. these would be fresh fruits, fresh vegetables and green salads.
Next time - a challenge.
Saturday, March 27, 2010
Part 4: A Gummy Situation
Dealing with Periodontal Disease ( gum infection) has come a long way too. We now know it takes bacteria 24 hours to organize into harmful plaque. If we disrupt that colonizing process at least once a daily with effective home care, tooth or gum infection can't occur. What determines "effective" depends on the individual situation. In healthy mouths, flossing and brushing (manual or electric) is usually enough. You don't even need toothpaste. We often recomment dry brushing so you aren't tied to the bathroom. Pick out a half hour TV program and brush your teeth and gums while you watch.
Patients with bleeding gums and/or pockets need more attention. Water irrigation, antibiotic therapy, and professional cleaning are saving may formerally condemmed teeth. Referal to a Periodontist may be necessary in more advanced cases. Just remember, chronic bleeding in your mouth is a sign of infection that needs attention. You wouldn't put up with it on your face, don't put up with it in your mouth!
Thanks to pioneers like Dr. Bob Barkley from Macomb, IL., the era of Preventive Dentistry took hold. Thankfully, he was the first lecturer I heard after dental school. He was giving his first lecture to another dental society and it changed the way I practiced for the rest of my career. Over the years we became good friends and led me to eventually becoming the President of the Illinois Chapter of the American Society of Preventive Dentistry that he started. Unfortunately his leadership was cut short by an airplane accident. The above link by Dr. Bob Frazier is a good read about one of the few original thinkers I have had the privledge to know! Next time - what nutrition ( the Substrate circle) has to do with all of this.
Patients with bleeding gums and/or pockets need more attention. Water irrigation, antibiotic therapy, and professional cleaning are saving may formerally condemmed teeth. Referal to a Periodontist may be necessary in more advanced cases. Just remember, chronic bleeding in your mouth is a sign of infection that needs attention. You wouldn't put up with it on your face, don't put up with it in your mouth!
Thanks to pioneers like Dr. Bob Barkley from Macomb, IL., the era of Preventive Dentistry took hold. Thankfully, he was the first lecturer I heard after dental school. He was giving his first lecture to another dental society and it changed the way I practiced for the rest of my career. Over the years we became good friends and led me to eventually becoming the President of the Illinois Chapter of the American Society of Preventive Dentistry that he started. Unfortunately his leadership was cut short by an airplane accident. The above link by Dr. Bob Frazier is a good read about one of the few original thinkers I have had the privledge to know! Next time - what nutrition ( the Substrate circle) has to do with all of this.
Friday, March 26, 2010
Part3: What's New Pussycat?
Where has recent advances in dental research led us? Let's look at what we are doing with the Host (teeth) circle. A lot of our efforts are directed to making the teeth more resistant to the acid attack of plaque (organized bugs). Think of plaque as millions and millions of little bugs going potty all over your teeth, that ought to motivate you in your home care! They eat the sugar you take into your mouth, digest it and then excrete acid - remember Glycolysis - sugar in, citric acid out?
Well, let's make the teeth more resistant to the acid attacks. Let's put sealants in the grooves of the teeth where the bugs tend to hide and cause cavities. Or,how about killing those bugs. Research has discovered a natural product that not only tastes good, is good for you, but also kills those bad cavity bugs-xylitol. It comes in bulk for cooking, chewing gum, breath mints, etc. One of the latest innovations is a milk derivative ACP to restore enamel that has been damaged by acid attack. Next time- let's not forget those gums. Old dental joke - " Your teeth are fine Mrs. Jones, but your gums have to come out".
Well, let's make the teeth more resistant to the acid attacks. Let's put sealants in the grooves of the teeth where the bugs tend to hide and cause cavities. Or,how about killing those bugs. Research has discovered a natural product that not only tastes good, is good for you, but also kills those bad cavity bugs-xylitol. It comes in bulk for cooking, chewing gum, breath mints, etc. One of the latest innovations is a milk derivative ACP to restore enamel that has been damaged by acid attack. Next time- let's not forget those gums. Old dental joke - " Your teeth are fine Mrs. Jones, but your gums have to come out".
Thursday, March 25, 2010
Diagram of Three Circles
As a follow up to the request for a diagram of the three circles mentioned in my first article, here is a link showing what Keyes's Circles look like. Label one circle Host (teeth), another Substrate (sugar) and the third Bacteria (bugs). Where they overlap in the middle (red) is Dental Disease. It takes all three for the disease process to occur; one or two isn't enough. These circles can also be used for other disease processes and areas where research is being done. Hope this helps.
Part 2: Circle the Wagons
Dentistry over the years has attacked the problem from all three circles. Historically, we first extracted problem teeth and eventually gave the patient dentures. Not a very good solution (think George Washington). Once we figured out bugs were the problem we worked on getting rid of them with flossing and brushing. A better answer, but still needed work. Then we learned that the bugs needed refined carbohydrates (sugar) to make the acid that causes the problems. That's when we started nutritional counseling and advertising the evils of too much sugar in our diets - more on this later.
More recently we have helped the teeth be more resistant to decay by applying fluoride to them. We also found the optimal amount needed to help forming teeth be stronger and worked to get laws passed to put it in the drinking water. That made a dramatic change that I saw personally in the late 60's. It's rare to see a child now with rampant decay. Now we are using fluoride varnish to paint on the teeth. It is a lot more effective than the old solutions we used to use. Next time- recent advances!
More recently we have helped the teeth be more resistant to decay by applying fluoride to them. We also found the optimal amount needed to help forming teeth be stronger and worked to get laws passed to put it in the drinking water. That made a dramatic change that I saw personally in the late 60's. It's rare to see a child now with rampant decay. Now we are using fluoride varnish to paint on the teeth. It is a lot more effective than the old solutions we used to use. Next time- recent advances!
Wednesday, March 24, 2010
Part 1: Every Thing You Always Wanted To Know About Dentistry
Hi and welcome to our blog! Since I'm taking more time off now, Kevin and the team nominated and elected me to do a series of articles for our blog. Coming from a long line of teachers, it didn't take much persuading. I will endeavor to keep them interesting, informative and relatively short. Hopefully they will stimulate thought and feedback which we will do our best to answer here or at your next visit.
The Basics
Let's start with some basic information on which all future articles is based. This is the science part of the "art and science of dentistry". What causes dental disease? Three things working together are necessary to cause the most wide spread ailment to mankind - Dental disease. Dr. Paul Keyes explains it in Keyes's Circles. Envision three circles that over lap each other at only one edge. That over lap is dental disease. One circle is Bacteria - bugs. Another is Substrate - food. and the third is Host - teeth. All three have to be present for dental disease to occur.. No teeth - no disease (cavities or gum). No food (sugar) - bugs starve. No bugs - healthy mouth! Control or eliminate any circle and the disease goes away. Next time, what we (you and me ) can do with each circle!
The Basics
Let's start with some basic information on which all future articles is based. This is the science part of the "art and science of dentistry". What causes dental disease? Three things working together are necessary to cause the most wide spread ailment to mankind - Dental disease. Dr. Paul Keyes explains it in Keyes's Circles. Envision three circles that over lap each other at only one edge. That over lap is dental disease. One circle is Bacteria - bugs. Another is Substrate - food. and the third is Host - teeth. All three have to be present for dental disease to occur.. No teeth - no disease (cavities or gum). No food (sugar) - bugs starve. No bugs - healthy mouth! Control or eliminate any circle and the disease goes away. Next time, what we (you and me ) can do with each circle!
Tuesday, February 23, 2010
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