Floyd Dental

After Labor Day Whites

2012-02-01T07:07:00.000-08:00

After Labor Day Whites

Wear white after Labor Day? Of course! Especially when it comes to your smile. A beautiful white smile can give you confidence and make you more apt to smile. Increase your ‘face value’ with a clinical tooth whitening treatment.

Having a beautiful white smile doesn’t happen on its own. So many factors, including healthy juices and berries, wines and some medications, can stain and darken your teeth. Some not-so-healthy factors such as smoking and using other tobacco products can also make teeth yellow and dingy. Unfortunately, those stains don’t go away when you quit smoking or switch to apple juice. Once those stains creep in, you’ll need a little help to get rid of them.

There are plenty of over-the-counter whitening treatments that can help you brighten your teeth marginally but for serious whitening, we recommend an in-patient whitening. With whitening toothpastes we very little if any improvement.

We find that custom fitted trays with higher concentration solution than over the counter work great. An even higher-concentration whitening can also be done in the office, usually in less than an hour. With proper care and avoidance of staining agents, an in-office dental whitening can be easy, inexpensive and long-lasting.

Still have questions about dental whitening? Call us today and we can discuss your options for a brighter smile.

2012-01-10T07:38:00.000-08:00

Dry Mouth

Have you ever had ‘cotton mouth’? Everyone occasionally has a dry, sticky feeling in their mouth because of heat or a reaction to food but when your mouth is chronically dry, it’s a serious problem. When you notice a dry mouth, it’s a condition called xerostomia (zero-stow-me-uh) and may be only noticeable after you’ve lost about 60% of your saliva.

Xerostomia refers to a sensation of a dry mouth and can be caused by many different factors including over 400 different medications. A constantly dry mouth isn’t just annoying but makes it difficult to speak, chew and swallow foods and prevents you from maintaining proper nutrition.

Without that protective saliva, your mouth becomes a bacteria playground. If left untreated, xerostomia can result in tooth decay and gum disease, painful oral ulcers or a rampant yeast infection.

There are a few things that you can do to treat the symptoms of xerostomia. There are over-the-counter and prescription products and saliva substitutes that may help alleviate symptoms. They are available in sprays, toothpaste, lozenges, gels, chewing gum and liquids.

Another way is to avoid the things that cause dry mouth. Dental products that contain drying ingredients like alcohol or sodium laurel sulfate can exacerbate the existing problem. Other steps include stopping smoking and the drinking alcoholic beverages, consulting your physician about changing medications as well as reducing stress and anxiety.

If you are experiencing chronic dry-mouth, it is also important to have more frequent dental check-ups so that we can closely monitor the condition. If you are concerned about xerostomia, call and make an appointment, and bring a current list of medications with you to your check-up.

Eight reasons

2011-12-20T10:27:00.000-08:00

Eight Reasons to Stay Away

It's been a long time since you have been in. We're not going to scold you. We understand.

Are you embarrassed because you're unemployed? Did your previous dentist seem cold? Maybe you're afraid because you had a bad experience in the past.

We have a few tips to help you relax.

A down economy is not the time to skimp on your teeth. Conditions are more easily treated when we catch them early.
The days of the stern, dentist parent are gone. We are caring professionals who chose this career because we like people and could make a difference in their lives.
If the sights, sounds and smells of the old style dentist office are a turn-off, they're gone, too. Our office has a relaxed, homey atmosphere.
And as for those calculus-encrusted teeth, you can't shock us; we've already seen it all.
Don't be afraid to talk to us. We need to know if you are uncomfortable or want an accommodation; otherwise, we'll continue our procedure as if everything's hunky-dory.
Some adults and children feel more secure when they are covered by a blanket; so, bring one with you. We're fine with that.
If you don't like watching instruments being placed in your mouth or the sight of a needle—simply close your eyes.
Bring your portable CD player or iPod, earphones and your favorite music. We suggest music that will help mask or blend into other sounds in the room.

Now, pick up that phone and call us; together we can make a beautiful difference in your mouth!

Snoring

2011-12-13T11:53:00.000-08:00

Got Snore?

Are you losing sleep because your bed mate stops breathing, makes choking sounds and gasps for air? This condition is called obstructive sleep apnea (OSA).

An OSA sufferer can stop breathing as many as 100 times each night when the soft tissues in the mouth collapse into the airway. The lungs struggle to catch a breath—choking sounds—until the chest muscles can force the airway to open—the gasp.

OSA affects about 18 million people in the U.S. and can be life-threatening. OSA increases the person's risk for a heart attack, stroke and high blood pressure. Lack of continuous, restful sleep puts the sufferer at high risk of being involved in an auto accident and an inability to efficiently and safely function during the day.

OSA often goes undiagnosed because the person may be embarrassed to confide in us that there is a problem. Yet, OSA is easily diagnosed and treated, even from the dental office.

If you or someone you love has OSA (or is just someone who snores), the solution can be as simple as a custom-fitted mouthpiece to prevent the tongue and other soft tissues from collapsing into the throat. We would take an impression here in our office and send it to a lab where the technician will create your custom mouthpiece.

Call us right away and schedule a consultation so you and your partner can get the sleep you need and enjoy beautiful dreams together!

Billions of Reasons to Brush

2011-11-29T13:53:00.000-08:00

Billions Reasons To Brush

Would you like to turn 20 billion into 100 billion in only one day? Sure, that would be great if we were talking about money but, in this case, we’re referring to how rapidly oral bacteria multiply in your mouth. Researchers think there are at least 20 billion bacteria in your mouth. Using that math, if you skip brushing your teeth just one day, you would have 100 billion bacteria living in your mouth!

We all know the excuse: “But I’m too busy to brush as often as I should!” It’s becoming clearer that oral bacteria have an impact on your oral health as well as your overall health. We know that oral bacteria can:

Travel to the heart and cause a heart attack.
Travel to the brain and cause a stroke.
Create oral infections that make it difficult for diabetics to control their blood sugar.

So, it just makes sense to take good care of your teeth. How can you maintain your busy lifestyle and protect your oral health, heart and brain? It just takes a little planning. Some helpful tips include:

Keeping a disposable, waterless, pre-pasted toothbrush in your desk, briefcase or gym bag.
Using Floss picks - disposable, stretched floss on plastic holders.
Keeping a spare toothbrush at work or in your car.
Stow a germ-killing oral rinse in your handbag or backpack.

Another tip is, after you eat, chew gum that contains xylitol. And, by all means, keep those regular bi-yearly hygiene appointments!

Baby Teeth

2011-11-22T14:26:00.000-08:00

Baby Teeth We just saw anklosed tooth in the office today

Dancing is about rhythm. One steps and moves and the partner smoothly follows. The process of getting and losing a tooth is like a carefully choreographed dance.

After a baby tooth erupts, it saves a space in the jawbone for the permanent tooth to one day reside. When the baby tooth and the permanent tooth dance to the same rhythm, the baby tooth's root will dissolve; the tooth will fall out, and the permanent tooth will erupt and take its place.

In rare instances, a tooth partner loses its rhythm. The permanent tooth erupts, but the baby tooth is still firmly secured in the jawbone. When this happens, we say that the baby tooth is ankylosed (ank-ill-osed). This means that the tooth root has welded to the jawbone and now cannot fall out, but the permanent tooth will still erupt, painlessly and out of alignment.

A tooth is not a simple object. Beneath the gums lies a complex system of dental structures that protect a tooth so that it can last a lifetime.

A tooth has a periodontal ligament. This is a tough, sock-like structure that snugly fits around a tooth's root. The fibers in the ligament attach to two structures: 1-the cementum, a thin layer of calcified material that covers a root's surface, and 2-the jawbone. In essence, the ligament is like a thread of a spider's web that suspends the web between two tree branches.

Causes of ankylosis

There are several theories why a tooth's root does not dissolve. Some researches blame the periodontal ligament. Somehow a tooth loses its ligament. Without that sock, the tooth root and the jawbone weld together and dance cheek-to-cheek.

An ankylosed tooth can cause the opposing partner tooth to dance alone and protrude from its socket because the ankylosed tooth sits lower in the jawbone. The ankylosed tooth can block the permanent tooth from erupting properly. The tooth erupts crooked and misaligned, which can create orthodontic issues later.

Preventative measures

This is one more reason why it is so important to bring children in for regular dental check-ups. We can usually identify an ankylosed tooth just by observation and x-rays. Then we can decide what the best treatment is. We might decide to leave it alone and watch it for a period of time. In the end, we may have to remove the ankylosed tooth or put a crown on it to make it a little taller.

We will work closely with you to determine the best treatment.

Please schedule an appointment right away if your child is experiencing a dental issue. The sooner we can evaluate a situation, the sooner we can intervene and help those smiles last a lifetime!

Sports Drinks

2011-11-15T14:55:00.000-08:00

Sports drinks Erodes Tooth Enamel

Energy drinks are a $10 billion business, and you are getting more than your money's worth of energy. You are getting tooth decay from the corrosive acids in those drinks.

Dental erosion and decay occurs when acids leach calcium and phosphorous out of your tooth's enamel, the strong cover that protects the visible part of your tooth. Dental erosion is irreversible. Once the enamel is gone, it is gone forever.

Dental erosion is an epidemic amongst our youth because their teeth are not yet hard enough to withstand constant acid attacks.

Teens and young adolescents are the biggest group of soda consumers, and advertisers target this market. A spokesperson for the Academy of General Dentistry states that his teen- to 20-year old patients are flirting with needing full mouth reconstructions to repair their damaged teeth unless they change their beverage of choice.

Dental erosion from sports drinks and non-colas can be 11 times greater than drinking other beverages. The worst offenders are energy drinks, canned iced tea and bottled lemonade. Exposing teeth to those beverages for only 14 days produces damage equivalent to 13 year's normal beverage drinking exposure!

Stopping dental erosion and decay can be done by limiting how much and how often you drink acidic beverages.

Drink an acidic beverage only with a meal.
Wait at least 20 minutes before brushing because your tooth enamel will be soft and vulnerable during that time. In the meantime, rinse your mouth with plain water.
Drink 100 percent fruit juice, fluoridated water, milk or a less acidic beverage.
To increase saliva flow, chew gum that is made with the natural sweetener, xylitol. An increased saliva flow neutralizes acids that destroy enamel.

During your regular check-ups, we watch for signs of dental erosion and can make recommendations that will help you keep your dazzling smile! Is it time for your check-up? Call us today.

Halloween was One Week ago

2011-11-07T10:58:00.000-08:00

Post Halloween Tips

Halloween is, let’s face it, a holiday built around candy consumption. There are lot of good reasons to restrict your child’s intake of candy but doling it out one piece at a time might not be the best idea for protecting their teeth.

When you dole out a continuous stream of single candies, instead of allowing larger portions less frequently, you’re keeping the level of sugar high throughout the entire day. Decay-causing bacteria feast on the sugars in candy and produce acid that dissolves minerals in tooth enamel. Once the enamel is weak and soft, teeth are more vulnerable to toothbrush abrasion, abrasive toothpaste products and decay. Each acid attack can last about 20 minutes, so giving your child one piece every hour is a constant acid attack from which the enamel never has a chance to recover.

Current recommendations are:

Brush before eating sweets to get the teeth as clean as possible.
Let your child eat several pieces of candy at one time.
After finishing the candy, rinse with water or a fluoride rinse but don’t brush.
Wait at least 40 minutes for saliva to reharden the enamel, then, brush with fluoride toothpaste.

Another recommendation is, after a sugary treat, to offer chewing gum or mints that list xylitol as the first ingredient. Xylitol is a natural sugar that prevents bacteria from producing decay-causing acid. Note: Xylitol is poisonous to dogs. Don’t allow your dog to eat anything that contains xylitol.

And not all candies are created equally. In order from worst to best:

Sour candies (enamel dissolving acid plus sugar)
Sticky candies like taffies and caramels (clings to teeth)
Hard candies and lollipops (lingers in the mouth longer)
Powdered candies (dissolves on tongue. Requires no chewing)
Sugar-free candies and gums

And the same rules apply to you, too. Indulging that adult sweet tooth must be done thoughtfully to avoid dental disasters. The trick is to enjoy that treat without forgetting your oral health. A little planning and regular dental checkups will keep your holidays happy.

Part 24: USDA's New Food "Plate"

2011-06-02T11:01:00.000-07:00

Life just got easier. One of the few good things out of the government lately. Out with the Pyramid and in with the "Plate". Here is the info.

http://www.choosemyplate.gov/

It shows easy to remember portion sizes for your plate and how to have a balanced meal. Let's see if that sinks in to the public!

Part 23: Snoring - Who's Problem Is It?

2011-01-12T11:50:00.000-08:00

More and more evidence is showing that sleep disorder breathing is bad for your health as well as your partner's sleep. Sleep apnea has been linked to dying from cardiovascular disease. The issue for your health care providers is to accurately determine the degree of the disorder. It ranges from simple snoring to severe sleep apnea. Fortunately, there are treatments available for the various stages as well as things you, the patient, can do to prevent or lessen the problem.

Apnea is defined as stopping breathing for 10 or more seconds or taking less than 25% of a normal breath. 15 million Americans have sleep disorder breathing with up to 90% being undiagnosed. 4-9% of the male population and 1-5% of the female population are affected. There is a higher incidence in African-Americans, Native Americans and Hispanics, as well as an increase with age and weight.

Here are some questions to help you determine if this is a problem.

1. Frequent or heavy snoring?
2. Significant daytime drowsiness?
3. Have you been told you stop breathing while sleeping?
4. Do you gasp at times when waking up?
5. Do you feel unrefreshed in the morning?
6. Do you have morning headaches?
7. Are you aware of any teeth grinding at night?

Typical Obstructive Sleep Apnea (OSA) patients have one or more of these:

1. Large necks: Men - 17 inches or larger; women - 16 inches or larger
2. Small chins (overbite).
3. Over weight - % increases dramatically over 200 lbs.
4. Scalloped tongue - Sides of tongue show imprint of the teeth ( a 70% predictor).
5. Eroded enamel - Enamel worn off teeth.
6. Enlarged tonsils - Graded by amount of blockage (Pharyngeal grade 1-4)
7. Crico-mental space < 1.5 cm. (Turkey Gobble neck)

If you have a Turkey Gobble, an overbite, and a Pharyngeal grade >II, there is a positive predictive score of 95%!

The final diagnosis of OSA is done with polysomnography (PSG) at a certified sleep lab.

So, let us say "You've got OSA". Now what? Here are your options.

1. Sleep hygiene
2. Over the counter nasal aids
3. Oral Appliances
4. CPAP, CPAP Pro, Nasal CPAP, and BiPAP
5. Surgery

Let's look at each one a little closer.

Sleep Hygiene:
Avoid sleeping on back (sleep position training).
Avoid alcohol for 2 hours prior to bedtime.
Lose weight
Avoid CNS depressants
Stop smoking

Over the Counter:
Breathe Rite Strips
Lubricants (Ayr,etc.)
Nasal sprays (Afrin, etc. and my favorite - Xlear)

Oral Appliances: Over 40 types available, here are some I like.
Silent Nite - For snoring only
Aveo TSD - For snoring, no impressions
Myerson EMA - For snoring and mild OSA
TAP III - For mild to moderate OSA
Somnomed MAS - For mild to moderate OSA

CPAP (Continuous Positive Airway Pressure): The Gold Standard
Machine with various masks to provide pressurized air to the lungs to override obstructions.

Surgery:
Various surgeries on the throat to open the airway by removal of tissue. This is usually the option of last resort. One, a tracheotomy, bypasses the throat altogether.

The object of all these methods is to get oxygen (air), to the lungs. The dental versions do this by holding the lower jaw and tongue in a forward position which opens the airway. It is a low cost, non surgical option that doesn't restrict sleeping patterns. I would recommend it as a primary choice for mild to moderate OSA or for people who cannot adapt to the CPAP. A before and after sleep study will tell it's % of effectiveness.

The main thing is to do something. Your life may depend on it!

Part 22: Dental Fees- Why the Variation?

2010-12-01T07:41:00.000-08:00

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.

Part 21: Direct Reimbursement- Simply the Best

2010-11-04T11:28:00.000-07:00

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

Part 20: Dental Insurance- The Good, the Bad and the Ugly

2010-11-03T12:42:00.000-07:00

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.

Part 19: The Halloween Dilemma

2010-10-21T09:53:00.000-07:00

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.

Part 18: All Dentists are the Same - Right?

2010-10-14T10:07:00.000-07:00

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!

Part 17: Toothpastes - "Which is the Best?"

2010-07-06T12:33:00.000-07:00

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.

Addendum to Prenatal Advice

2010-06-30T08:59:00.000-07:00

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

Part 16: Baby From Twelve to Thirty Months

2010-06-17T13:52:00.000-07:00

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!

Part 15: Baby From Six to Twelve Months

2010-06-16T08:49:00.000-07:00

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

Part 14: Baby From Birth to Six Months

2010-06-09T12:48:00.000-07:00

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.

Part 13: Mom and the Prenatal Period

2010-05-29T12:17:00.000-07:00

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.

Part 12: The Prenatal period

2010-05-13T11:39:00.000-07:00

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.

Part 11: Shoot for the Center

2010-04-29T08:55:00.000-07:00

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

Part 10: Maximize Exercise

2010-04-27T08:36:00.000-07:00

Here is a list of aerobic exercises and the duration they must be performed to be effective.

Required Minimum Time 12 Minutes

Jumping Rope
Running in place
Jumping jacks
Chair stepping

Required Minimum Time 15 Minutes

Jogging
Running
Cross-Country Skiing
Rowing
Dancing

Required Minimum Time 20 Minutes

Walking
Outdoor Bicycling
Stationary Bicycling
Ice Skating
Roller Skating
Swimming

The best way to monitor your exercise is by taking your pulse rate. Take your pulse by laying your fingers on the side of your neck in front of the large muscle (SCM). Take it for only 6 seconds and multiply it by 10 (add a zero to the number). Don't take it for 10 or 15 seconds and multiply by 6 or 4. By then your pulse has started to slow down and makes the figure too low.

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 LOST if you exercise 2 days a week.

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

Part 9: Burn Butter

2010-04-19T14:36:00.000-07:00

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

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?

Part 8: A Prescription for Wellness

2010-04-16T07:37:00.000-07:00

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

Part 7: The Basic Diet Experiment

2010-04-11T13:31:00.000-07:00

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

Part 6: The Challenge

2010-04-10T10:21:00.000-07:00

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.

Part 5: Food- Friend or Foe?

2010-04-09T11:52:00.000-07:00

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.

Part 4: A Gummy Situation

2010-03-27T12:40:00.000-07:00

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.

Part3: What's New Pussycat?

2010-03-26T13:14:00.000-07:00

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".

Diagram of Three Circles

2010-03-25T12:18:00.000-07:00

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

2010-03-25T05:00:00.000-07:00

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!

Part 1: Every Thing You Always Wanted To Know About Dentistry

2010-03-24T15:16:00.000-07:00

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!

Coming soon Dr. Curt Floyd's Blog

2010-03-24T14:04:00.001-07:00

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Welcome to our Blog!

2010-02-23T09:27:00.001-08:00

Welcome to the Floyd Dental blog!