Monday, August 12, 2013

New Platform for Blogging

Good morning.

We wanted to inform everyone who regularly reads our blog that we've changed the way we will be posting. We will no longer be using Blogger as our platform to post, but rather we will now directly post everything to our new website. This consolidates everything into one place so that it is easy and effective for our patients and friends to find the information they need without having to search in 2 different places. Any information that you have read on this blog has been moved over to the website, so no information will be lost.

Please visit our new website www.seattledentalcare.com and click on the "Blog" tab. You can easily view our blog from there.

Thank you,
Dr. Richard Stickney DDS

Monday, June 24, 2013

Ceramic Implants- What's the Benefit?

Hello!

Today lets discuss a trending topic.. Ceramic Implants.

What is an Implant?

First of all, an implant is an artificial tooth root that anchors into the bone and acts as a tooth. Implants have only been around in the dental field for around 25 years or so, and the technology has come a long way since then. For many years we've been working with titanium dental implants, but the newest technology is pointing to all-ceramic dental implants.

Titanium vs. Zirconia Dental Implants:

Titanium is a strong metal, but as with most metals, it suffers corrosion. Corrosion is a gradual process of deterioration and happens when the metal reacts with the electrolytic environment in the human body. When the titanium is exposed to fluid or air, it develops a layer of titanium dioxide and forms a boundary between the metal and the body. Over time, the integrity of the titanium becomes weaker and weaker. The titanium implants also have two parts to them and thus have a prosthetic connection, which poses a weak spot for bacterial growth and possible gum irritation. Although titanium allergies are rare, metal sensitivities are not. This can pose a problem to the surrounding gum tissue and cause peri-implantitis, which affects the soft gum tissue as well as the surrounding bone and can cause the implant to fail.






Ceramic (or Zirconia) implants are all white and mimic the actual color of root structure. This is important for aesthetic purposes. If the gums were to recede at all after the implant was placed, there would be no grey line at the gingival margin of the crown. This gives the tooth a more natural look. With ceramic, the implant comes in one piece so there is no connection between the implant and the abutment, thus eliminating a weak area for bacterial growth. Ceramic is inert, non-corrosive and non-allergenic and easily accepted by the body. Since zirconia is a poor electrical conductor, it is able to withstand changes in temperature, from hot to cold, without corrosion, so the longevity and durability of ceramic is better than titanium in many cases.



If you are interested in knowing more about ceramic implants and how we are working with them in our office, give us a call at (206)-728-1330.

Be well,
Richard Stickney DDS PS

Monday, June 10, 2013

Avoiding Root Canals

Hello!

This week we wanted to discuss root canals. The best root canal is the one that never has to happen. But at times, they are necessary and we wanted to share with you what a root canal involves and how you could avoid needing one.

First of all, what is a root canal?


Here is an example of what the different parts of the tooth look like.
  • The enamel of the tooth is the hardest substance in the body and is like a protective shell over the tooth.
  • The dentin is the inner layer of the tooth and is not as strong as enamel.
  • The pulp chamber contains nerves and blood vessels
  • The root canal is the channel that supplies the tooth with nutrition by bringing blood vessels and nerves into the pulp chamber
The blood vessels and nerves bring the tooth needed nutrition and provide the tooth with feeling. At times bacteria can invade the tooth and the decay process begins. Once bacteria has gotten through the tough layer of enamel, the decay can progress much more rapidly. Decay that has reached the pulp chamber, will cause it to become infected and over time will die. If the infection remains in the tooth for a length of time, it will eventually make its way to the apex of the tooth, or the end of the tooth, and the infection will begin effecting the surrounding bone. Once the nerve has died, you cannot revive it. At this point a root canal or tooth extraction may be recommended.

absess.JPG
Here is an example. You can see at the end of the root on the middle tooth there is a dark shadow. That is the infection. Because decay and infection are less dense than healthy tooth structure, it shows up darker on an x-ray.

The process of having a root canal done goes like this:
  • An access point is drilled into the top of the tooth to get to the pulp chamber.
  • The entry point for each canal is located.
  • Files and irrigation are used to remove pulp and infection from each of the canals.
  • Canals are sealed with gutta percha, a rubbery material that protects the inside of the tooth.
X-rays are taken throughout this process to ensure that all the pulp and bacteria have been removed and we've reached the apex of the tooth. A final x-ray is taken to be sure the tooth is completely sealed. And in our office, we use our dental laser to disinfect and kill bacteria as well.



There are microscopic tubules that make up the structure of the dentin. Bacteria from the pulp can reside and remain in the tubules and with traditional root canal therapy, it is very difficult, if not impossible to remove all bacteria from them. But with the use of our dental laser and a special tip designed for root canals, we are able to kill 99.7% of bacteria remaining. This is a benefit to the patient and the dentist.


(A microscopic view of the dental tubules)


How can I avoid needing a root canal or loss of a tooth?

The need for a root canal can be prevented with a few simple steps.
  • Keeping your teeth clean. This one seems like a no brainer, but its probably the easiest way to prevent root canals. You can prevent cavities from developing by brushing and flossing your teeth every day.
  • Regular bi-yearly visits to the dentist. At your dental visits all your teeth are checked for decay or trauma. Using a dental explorer and taking yearly x-rays we are able to detect decay as early as possible. When we can catch a cavity early, we reduce the amount of drilling, and prevent the decay from getting close to the pulp.
  • Avoid trauma. Trauma to a tooth can cause the pulp to swell up and become inflamed. When this occurs inside the hard casing of the tooth, the swelling has no where to go, the access to the canals become cut off and the needed blood supply and oxygen cannot nourish the tooth and will cause the pulp to die. Trauma can be caused by a hit to the face or teeth, over drilling, or a bad bite.
  • Regular regiment of anti-inflammatories. Supplements such as Vitamin C, Curcumin, and Fish Oil, are all used as anti-inflammatories. If you regularly take nutritional supplements, you reduce your risk of inflammation not only in your whole body, but also in the tooth, thus promoting healthy blood flow to each of your teeth.
  • Cut back on sugar. Certain oral bacteria feed on sugar and excrete acid as a result. This acid breaks down the tough enamel layer of the tooth over time and causes decay. Such sugary items as carbonated beverages, sports drinks, sticky candies, and refined carbohydrates are all culprits in our diets that feed cavity causing bacteria. If you cannot cut these out completely, reducing the amount you take in will reduce the chances of caries, and the need to tooth removal or root canals.

For more information on Root Canals or other Frequently Ask Questions, please check out our new and redesigned website! Seattledentalcare.com

To your health,
Richard Stickney DDS PS

Monday, June 3, 2013

Help For TMJ

Good morning!

This post comes from a nice experience we had with our newest laser, the Biolase Epic, with one of our very own employees. Last Wednesday one of  my assistants, Katlyn, came to me and had a complaint about a TMJ issue. She said the muscle felt painful and she could barely open her mouth wide enough to eat, even feeling discomfort up into her ear. This was troubling to me, but I explained that moist heat along with some anti-inflammatory would help alleviate that discomfort. I also suggested to her that she try our new laser on the area for a few days and see how that would help. By the next day, her pain was virtually gone.

So how does this laser work?
The Biolase Epic puts out pulses of diode laser energy into the tissue followed by "down time" to allow the tissue to respond favorably. This laser provides temporary relief of minor pain. In this case, it helped relax that tense muscle that were causing her to feel pain and allowed her to eat and chew normally without any further discomfort. Again, this is a temporary relief of minor pain so along with further laser treatment, I recommend stretching and relaxation exercises so that in the future, it won't be as much of a problem.

We love to see positive results with treatments that we do, and we always appreciate any and all feedback on our laser procedures as well. We were very pleased to see such an immediate good result on this laser treatment, and will be using it more in the future for our TMJ patients. For more information about the lasers we use in our office, please visit our new website under "Laser Dentistry".

I hope you are all doing well,
Richard Stickney DDS PS

Tuesday, May 28, 2013

Out With the Old, In With the New!

Good afternoon everyone!

We wanted to dedicate this week's blog post to an exciting new announcement. We've spent a number of months working on reconstructing and completely updating our website!

Our web address is still the same: seattledentalcare.com but when you visit the new site, you'll find it is much easier to navigate, and there are a number of new and exciting features. Let me explain them to you.

1. Updated Information. On our previous website, it was not easy to update and change our information when we would add new procedures or techniques. With our new website engineer, we are able to make changes as we see fit and easily update our information when we need to. This ensures that when you read information and articles on the website, that they are as up to date and accurate as possible.

2. Navigation. We've condensed our information down to a few different dental categories such as: cosmetic, restorative, preventative, periodontal and laser dentistry. From these drop down lists you can read about all the different things we do in the office under each category. This will make finding the information YOU want to read about much easier.

3. Frequently Asked Questions. Everyone has questions they want to know about, and sometimes finding the answers is not as easy as they'd like. We've come up with a list of questions we thought were important to ask and answered them for you on one easy page. The great thing about this is that we will be updating these questions and answers so that you'll always be in the know.

4. Search Feature. On the top right hand side of every page there is a search bar. If you wanted to know more about a certain topic but don't want to look through other pages to find it, our search feature will allow you to type in a key word and it will pull up a list of pages where that word is used, including our blog posts. This will also make finding the information YOU want to read about much easier.

5. Photo Tour. For those people looking for a new dentist and checking out websites, we've added a photo tour. This is a nice feature for those who are visual and like to know what a place is like before they get there. We've not only taken photos of the actual office, but the surrounding areas, Pikes Place Market, the pier, etc.

6. Meet the Team. We've added a "Meet the Team" section to the website so that you can get to know us a little bit better.

We really wanted to do this new site in order to help our current and future patients get to know us better and provide a good place to visit if you want to learn more about how we practice holistic and natural dentistry while implementing the newest technology and techniques. Please check back regularly, as we will be updating the website more often. We are also excited to know what you think about it. We would love to hear any and all feedback on the new website so that we can continue to serve you in the best and most effective ways!

Be well,
Richard Stickney DDS PS

Monday, May 13, 2013

Safest Way to Whiten Teeth

What is the safest way to avoid chemicals when I whiten my teeth? 


Many patients who are chemically sensitive or who are concerned about swallowing or absorbing the chemicals in the gel still want their teeth whiter. In my opinion the safest way to whiten teeth is in-office using rubber dam and laser. During this method, we apply a rubber dam material around the individual teeth. This isolates the teeth from the rest of the mouth. Then we apply a gel whitening agent to the teeth and activate it with our Epic laser. The process is fairly rapid. The teeth get whiter and  none of the whitening gel gets into your saliva. This method is rapid, easy and the safest way to avoid the chemicals in the at home gels.
With other types of whitening, such as the trays or drug store products some of the gel mixes with saliva.  and is absorbed through the mucous membranes of the mouth or swallowed. I personally avoid chemicals in tooth paste or mouthwash because of my concerns about potential toxicity of sensitivity to the chemicals. 
Be well,
Richard Stickney DDS PS

Tuesday, April 30, 2013

For Your Comfort

What can we do to make you most comfortable?

We ask this question on our intake form. The most common response is: EXPLAIN WHAT YOU ARE GOING TO DO. When I look for a person to help me with any aspect of my life I want them to listen to me and then based on my needs and wants help me find a solution to my issue. My practice philosophy evolved out of what I want for myself in my relationships. I want to feel listened to and understood and I want to understand the reasons why a recommendation is being made. In every interaction with our patients, that is our goal. When examination or treatment is being done we want to tailor it to each individual person. We welcome feedback. If we can do something to make you more comfortable please ask. We will take the time to help you understand what is ideal and optimal for your dental condition and if you want other alternatives to explain them to you.

Be well,
Richard Stickney DDS PS

Thursday, April 25, 2013

Don't Do It!

Good afternoon!

Here's a little bit of advice, in case this ever happens. If you have a painful tooth or swollen gum don't ever do this:

Do not put heat on the outside of the face. Do not use a heating pad of hot towel. It might feel comforting but it can draw infection out of the tooth or gum and cause a severe wound on the outside of the face or neck. Any time you have pain or swelling in the mouth it is best to have it evaluated by a dentist. Sometimes the problem is minor and easily remedied and other times having it looked at early can save you a lot of time and money as well as preserve more of your tooth or gum tissue. If you cannot get in to the dental office right away, warm salt rinsing is a safe bet. Use one teaspoon of salt to 8 ounces of warm water. Then see your dentist as soon as you can. The old adage "better safe than sorry" applies to pain or swelling in the mouth.
Be well!
Richard Stickney DDS PS

Monday, April 8, 2013

Sterilization

Hello,

Today we wanted to discuss a topic that may be on the minds of some people. Recently, articles have been published about an oral surgeon in Oklahoma who has not been following state regulation on sterilization and anesthesia. This put thousands of patients at risk for contracting Hepatitis B and C, as well as HIV, the virus that causes AIDS. Upon inspection of his two practices, they've discovered that he was using rusty instruments, reusing needles, and potentially contaminated drug vials. Beyond that, they were not properly using the machine used to sterilize instruments, and it hadn't been tested in over 6 years. His practice is currently under investigation.

But we are not here to scare you, rather, we wish to put your mind at ease. In my practice, we take sterilization very seriously. We even have one employee whose specific job is to sterilize and clean all of our instruments and make sure they are all in good condition, although each of us knows how to do it. Ashley cleans all the rooms after each patient and makes sure each step in the sterilization process is done correctly, from using our ultrasonic (which uses sonic energy, as well as a cleaning solution to break up any debris left on instruments) to the autoclave (which is a steam powered sterilization machine, that kills any remaining bacteria and viruses). Each week we have our autoclave tested to make sure it is doing it's job properly. We also use a cold sterilization process which uses a chemical "bath" to soak certain instruments that cannot go into the autoclave and we leave them in for 12 hours for proper sterilization. Disposable needles are the only kind of needles for anesthesia we have in the office, and when the needle has been used on a patient, we have a sharps container that we put them in so they can never be reused. In addition, at the end of every week we run cleaning solutions through our suction lines and water lines and leave them over the weekend to ensure a proper and clean environment. We have 3 filters in the office that are there to kill airborne bacteria and viruses as well to protect you and us. In 2003 the CDC established infection control regulations for dental practices which covers rules about hand washing, proper glove changing, and sterilization of instruments, but inspections are left up to each individual state. We are sure to follow these rules and regulations.

In every way we are trying to protect our patients. As well, each employee in the office has had OSHA training to ensure that we also know how to protect ourselves. This requires us to wear proper PPE (personal protective equipment), which includes a lab coat, gloves, mask, and protective eye-wear. All licensed individuals (dentists, hygienists, dental assistants) must take an 8 hour course on HIV/AIDS as well to become licensed through the state of Washington. In addition, every year we review proper handling of instruments, needles, inspection of all equipment, and we go over proper procedure when exposure has occurred.

To your health,
Richard Stickney DDS PS

Wednesday, March 27, 2013

Composites: A Technique Sensitive Procedure

Hello!

My team and I went to a dental seminar this past Friday and I wanted to share a few of the things we learned with all of you!

One of the interesting things we heard was that people are living longer. In the early 1900s men were only living an average of 45-50 years, and women 50-55 years. Back then, it didn't matter as much that dental restorations lasted only a short time. Now, a hundred years later in the 2000s, men and women are living well into their 80s and 90s, so our approach to dentistry has changed dramatically and we want our restorations to be lasting a long time.

There is only so many times you can drill on a tooth before the tooth is compromised. With that statement in mind, we want to be as minimally invasive as possible to preserve as much natural tooth structure so that the tooth will last a long time. Interestingly though, on average, composite restorations only last about 5 years, and bridges only 8 years! There is something very wrong with those numbers. Lets say at 25 you get a 2-3 surface filling and by 30, that filling has failed and you are now treatment planned for a 3-4 surface onlay. Now lets say that onlay lasts about 15 years and you are now 45, but the onlay needs to be replaced by a build up and a crown. On average crowns can last 15-20 years so at best that crown lasts until you are 65. But now what? Did that tooth reach its 85th birthday? Doesn't look like it.

Composites are technique sensitive, they require a lot more attention to detail and a lot more time than you might imagine. The bonding process is extremely critical, as well as the type of curing light and filling materials used. If a tooth's first dental treatment is a filling, we want that filling to last much more than 5 years. A composite can potentially last a patient 15+ years if it is done right! That's a huge difference.

Every time you get dental work done, the hole gets bigger and bigger and more tooth structure needs to be drilled away. The last steps at saving a tooth include crowns and root canals. Once those have failed, the tooth often needs to be extracted. But with each of these steps from composites all the way to crowns and root canals, you can prolong the life of your restorations by good homecare and regular visits to the dentist. And if the work is done right the first time, you will get the maximum longevity and lifespan out of your dental restorations. Many of our patients have followed this approach and have their teeth well into their 80s and 90s. When patients lose teeth and must go to dentures, they lose about 80% of their ability to chew food, so the quality of life can go down.

Much of the seminar was a refresher for my team and I, as I have been practicing these techniques for some time now. As always though there were a few new things we will be implementing into our composite routine so that our patients are getting a lot of life out of their composites and that their own teeth get to reach their 85th birthdays! And as always, I want to preserve as much natural tooth structure as possible and use a minimally invasive approach to all aspects of dentistry in my practice.

Be well,
Richard Stickney DDS PS

Thursday, March 7, 2013

Bana Testing, What Is It?

BANA Testing

Good afternoon all!

This week's blog post is going to be about a new test we are doing in the office that will help us with periodontal cases. It's called a BANA test.

What is a BANA test?

The BANA test is a quick test that helps us determine whether a patient has any or all of the three most common and riskiest pathogenic bacteria called "red complex bacteria", Treponema denticola, Porphyromonas gingivalis and Bacteroides forsythias. These three bacteria are directly associated with periodontal disease in adults. The test is as sensitive as expensive DNA tests, though despite its accuracy it is also amazingly simple to use.

How does it work?

All this test requires is a very small sample of plaque from a pocket. We lightly smear this sample onto a small test strip that has a specific enzyme on it that reacts with red complex bacteria. We then put this test strip into an incubator for 5 minutes (yes only 5 minutes!) and when it comes out, if any of the 3 bacteria are present, the sample will have changed to a blue color. This test is easy, fast and inexpensive to do!

We are always looking for ways to better help and treat our patients. With some of these new tests we are able to better know how to treat periodontal disease and get our patients back to optimal health! If you have any further questions, please feel free to ask!

Be well.
Richard Stickney DDS PS

Monday, February 25, 2013

Romeo et Juliette Ballet

Good afternoon!

A couple weeks ago, the team and I went to see one of our favorite patients perform with the Pacific Northwest Ballet in it's rendition of Romeo and Juliet! What a wonderful time we had and how special it was for each of us to see one of our patients preform so beautifully as the lead, Juliet!

Many of you know the story of Romeo and Juliet, two young people who fall in love, despite the conflicts between their families, the Montague's and the Capulet's. Although a tragic story, it was beautifully portrayed. What made this story different was that the men and women in the ballet did not use words to tell the story, they used dance. The set was simple, yet the costumes elaborate. The emotions were clearly expressed on the faces of the dancers, and you could tell how hard these people worked on making it perfect. Not one move was out of place. 

For much of our staff, this was the first time at the ballet but each of them expressed how much they enjoyed being able to go and how exciting it was so see one of our patients and friends perform so gracefully and beautifully. We look forward to seeing her perform again in the near future, but for now, the PNB is headed to New York City to perform Romeo et Juliette there!

Here's a shot from the night of the staff and my wife and I!

 (From right to left: Kendra, Ashley, Annika, Kristin, Carol, Me and Katlyn)

Well wishes,
Richard Stickney DDS PS

Monday, February 18, 2013

What Holistic Means To Our Practice

What is Holistic?



There is no dental school that teaches “holistic dentistry”. You could substitute the words biological, integrative, natural, whole person, wellness and longevity and they could all fit. To me, holistic means taking a broader perspective, knowing your patient and what they want. It means working with people who share a common mission and purpose. Recognizing that what works with one person might not work for the next. Listening to what they have to say and honoring it. Striving to love people and help them heal via dentistry. Being holistic and natural also involves avoiding drugs and surgery when possible, caring for the teeth and tissue of the mouth as if they were your own. Everything matters in this type of dentistry. The most bio-compatable dental materials, filtered air and water, and most of all a great team of caring people. Everything matters. These principles have taught me to work slower but more effectively, preserving and protecting what nature has given the patient. I do my very best for each person I come in contact with. I strive to do the least invasive, longest acting and least toxic treatments that I possibly can, doing so with love and kindness. To me, this is holistic dentistry.

Wishing all of you well,
Richard Stickney DDS PS 

Thursday, January 31, 2013

Periodontics and Nutrition

Hi everyone!

Today we wanted to do another great article from the Center for Dental Medicine website. They have some very interesting articles that we just love to share! This one talks about the connection between nutrition and periodontal disease. Hope you enjoy!

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The Nutrition Connection - Supporting the body's defense system
By Marcus Gitterle, MD

A famous doctor once told me that “Medicines, such as antibiotics don’t cure you; They just reduce the level of harmful bacteria to the point where your own immune system can take over”.
The immune system is the body's defense against infectious organisms and other invaders. Through a series of steps called the immune response, the immune system attacks organisms and substances that invade our systems and cause disease. The immune system is made up of a network of cells, tissues, and organs that work together to protect the body. As we age, the body is less able to assimilate the nutrients required to maintain an optimal immune system and it is more necessary to make sure that our diet contains fruits and vegetables and that we take the right supplements. We have heard much about anti-oxidants that prevent cell oxidation and lower the occurrence of disease, aging and even cancer. They are important supporters of the immune system.
As we have noted, periodontal disease is much more common among 60 year olds than 20 year olds, even though 60 year olds are more dental savvy and probably brush better. The difference is likely in the body’s ability to fight off the attacks of bacteria and chemicals.
Recent research at Loma Linda University showed that a nutritional supplement alone (Pharmaden), without any other dental treatment, was able to significantly combat the effects of periodontal disease, lowering bleeding and pocket depths (19).
The key ingredients in the supplement were Grapeseed Extract, CoQ10 (Ubiquanone), Echinacea and Folic Acid. It is valuable to examine these elements because several are not normally found in your daily multi-vitamin.
Grapeseed Extract
One of the mysteries of medical research was why the French and Italians, who drank red wine were so healthy even though they had a pasta heavy or fat laden diet. We later found that it was not from the alcohol, but because of compounds found in red grapes called proanthocyanidins.
Grapeseed Extract (also called Venis Vinifera) contains this nutrient and is a powerful antioxidant with 20 to 50 times the power of Vitamin C or Vitamin E. Grapeseed Extract is a favorite for Naturopaths, the branch of healthcare that focuses on treatment using natural products rather than drugs. GSE has been found by these doctors to be a natural anti-histamine thereby counteracting allergies without drowsiness, a natural anti-inflammatory useful against arthritis and CRP, and beneficial for skin problems. Also, it improves the circulatory system.
In its particular application to periodontal treatment, Grape Seed Extract prevents bacteria from colonizing in the gum tissues and on the teeth and prevents the aggression of destructive enzymes. The anti-oxidant action also destroys free- radicals that attack the gum tissue.


Echinacea
Echinacea has been used as a home remedy for colds and flu. For treatment of periodontal disease it inhibits enzymes that break down tissue.

CoQ10 - (Ubiquanone)
CoQ10 improves the healing response. It is vital to all natural processes including the production of cellular energy, immune system function, heart function and blood pressure. It is used in medicine for treatment of congestive heart failure, neurodegenerative disorders such as Parkinson’s disease and cancer treatment through tumor suppression. During pregnancy a woman makes 50% more CoQ10 than normal, aiding the development of the placenta. Special warning for those on statin drugs: statin drugs lower the body’s production of CoQ10 - It is important to supplement with CoQ10 if you are on statin drugs.

Folic Acid
Folic Acid ensures normal development of gum tissue. It binds to endotoxins, the by-products that are generated from bacteria and renders them neutral.
Taking adequate quantities of these supplements can prevent you from getting periodontal disease in the first place, if taken during treatment will aid healing, and if continued after treatment will prevent recurrence of the disease.
Always remember a good healthy diet with plenty of fruits and vegetables (8 servings a day) plus daily exercise are vital for healthy immune system function.
 __________(end)____________


Enjoy the rest of your week everyone!
Richard Stickney DDS PS

Thursday, January 24, 2013

Periodontics and the Connection with Laser

Hello everyone and happy Thursday!

Today's post comes from an interesting article on the Center for Dental Medicine website. The focus of this program is to help educate patients and doctors alike in how periodontal problems have strong connections to diseases like heart disease, diabetes and even cancer.

This article talks about how we can use laser therapy to help improve results when treating periodontal disease.

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The Laser Connection –Toward a Kinder, Gentler, Periodontal Treatment
by Robert J. Schulhof, AB, MA Math Statist.

Until recently the only periodontal therapy available was deep cleanings and in more advanced cases, surgery. More recently, antibiotics were added to kill the bacteria. Such treatment made a lasting impression on those who went through it. However, the periodontal disease often came back again, creating the belief that the disease can never be "cured." The good news is that with the advance of laser gum surgery and gum treatment, and our understanding of the disease, laser periodontal treatment can be accomplished painlessly, quickly, and with your cooperation, can be kept in remission.
At each appointment, we will perform a typically painless gum disease laser "decontamination" which includes tracing the laser around the gumline of each tooth quickly, killing the bad (anaerobic) bacteria. It has been shown that laser decontamination is more effective than antibiotics. In addition, there are no strains of bacteria resistant to lasers (16). Periodontal laser surgery and treatment does not create resistances to medicines you may need some day and they do not suppress your immune system as antibiotics can.
We will then send you home with your special oral hygiene products, rinse and nutritional supplements. When you return the next week for your first deep cleaning you will be in much better shape, have less bleeding and sweeter smelling breath.
At the next appointment you may receive some topical anesthetic to avoid any possible discomfort. Periodontal disease laser treatment, followed by the use of a special gentle scaler, will occur in order to make sure your roots are clean. It is only when the roots are decontaminated that the gums can re-attach to the roots of the teeth. We will then use the laser to go around each pocket to vaporize the diseased tissue and treat the roots to allow better growth of new tissue and bone (18). Pocket depth will normally decrease by 1mm per visit. We will perform a refreshing irrigation of the tissue and then your visit is complete. The laser actually helps minimize the discomfort of the cleaning and you should feel fine the next day. You may have two to four of these visits, depending upon the depth of the original pockets and how your tissue responds.
If you have advanced pockets of 6mm or more you may have a few more painless visits where only the laser is used. This whole process should take no more than a month or two, after which you continue with your home care until your first periodontal maintenance visit (PMT) where your progress will be measured. This process will work 90% of the time for moderate cases of the disease, defined by 4-7 mm pockets. Deeper pockets can exist because of diseased teeth, broken down restorations and poor bite relationships. Bone grafting, soft tissue grafting and other more costly treatments might be required.
The Benefits of Treatment
Recent research has shown that laser treatment for gum disease will do more than save your teeth and sweeten your breath. It may be the best way to reduce your CRP (21), lower a factor called "glycated hemoglobin"(HbA1c) which can reduce the risk of diabetes, (4) and, if you are diabetic, greatly increase your life expectancy (5). If you are an expectant mother it can reduce your chance of a pre-term birth by a factor of 7 (6).
Costs
Our unique non-surgical laser treatment for periodontal disease protocol will be less costly and less painful than traditional periodontal surgery or even your co-pay on a one-day stay in the hospital. Since periodontal disease is now recognized as a systemic infection it is likely that in the future your medical insurance would cover some or all of the costs of periodontal treatment. In the meantime, you can be assured that the protocol we have developed will be a worthwhile investment in your total health as well as your dental health.
Get Checked and Get Tested
The first step is to come see us for a complete periodontal examination and if you do have periodontal disease, to have an hs-CRP test to assess your risk of heart attack and stroke and an HbA1c test to see if you are in danger of becoming a diabetic.

________(end)________

We've been using our laser for periodontal therapy for a while now, but are ever more motivated to be using it with every patient coming to us with periodontal problems.

To check out more articles such as this, please visit centerfordentalmedicine.com.

Hope you all have a great day!
Richard Stickney DDS PS

Thursday, January 10, 2013

Vitamin D: Impact on Cavities

Vitamin D Can Have a Positive Impact on Caries

I've taking this blog post from an email I recieved about Vitamin D and the effect it can have on Cavities. This is an excerpt from that email:

(http://www.drbicuspid.com/index.aspx?sec=sup&sub=rst&pag=dis&ItemID=312138&wf=1386)

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Study: Vitamin D has positive impact on caries rates
By Kathy Kincade, Editor in Chief


Research has shown a positive link between vitamin D and oral and systemic health, the IOM noted; however, these studies have yielded "conflicting and mixed results and do not offer the evidence needed to confirm that vitamin D has these effects."
Now a new systematic review, conducted by Philippe Hujoel, PhD, DDS, MSD, MS, of the University of Washington School of Dentistry and School of Public Health, points to a positive association between vitamin D and lower rates of dental caries (Nutrition Reviews, November 9, 2012).

Vitamin D was first discovered in the early 1920s, and at least 20 prospective clinical studies evaluating its impact on dental caries were initiated in Europe, North America, and Asia over the next two decades, according to Dr. Hujoel. However, professional and governmental groups varied widely in their interpretation of the scientific evidence.
For example, the American Medical Association and the U.S. National Research Council concluded around 1950 that vitamin D was beneficial in managing dental caries, but the ADA said otherwise -- based on the same evidence.

For the Nutrition Reviews study, Dr. Hujoel analyzed 24 controlled clinical trials (CCTs) that met the inclusion criteria. The CCT quality was quantified using a 21-item questionnaire and content-specific measures such as method of treatment assignment, setting, clinician blinding, use of placebo, commercial funding source, and study duration.
The 24 CCTs included in the study spanned the 1920s to the 1980s and were conducted in the U.S., U.K., Canada, Austria, New Zealand, and Sweden in institutional settings, schools, medical and dental practices, or hospitals. All told, the CCTs encompassed nearly 3,000 participants between the ages of 2 and 16 years.
The trials increased vitamin D levels in these children through the use of supplemental ultraviolet (UV) radiation or by supplementing the children's diet with cod liver oil or other products containing the vitamin.
These trials showed that vitamin D was associated with a 47% reduction in the incidence of tooth decay, he noted. No robust differences could be identified between the caries-preventive effects of UV therapy and nutritional supplementation with either vitamin D2 or vitamin D3. "The analysis of CCT data identified vitamin D as a promising caries-preventive agent, leading to a low-certainty conclusion that vitamin D in childhood may reduce the incidence of caries," Dr. Hujoel concluded.

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I hope you are all enjoying your week!
Richard Stickney DDS PS

Thursday, January 3, 2013

It's 2013!

Hello everyone!

Can you believe it is already 2013? This year has flown by! I just wanted to write this blog to share with all of you some of my new hopes and goals for the 2013 year.

First of all, I want to thank you for choosing us for your dental care. We are honored and delighted to be working with each of our patients and look forward to building on those relationships in the years to come.
Secondly, we wish to continue to evolve and grow in the practice, always looking for new ways to make things better for you and for us. Recently we have been making some refinements to our procedures and techniques. We've made some refinements in our laser treatment with regards to root canals and we've also had new and further laser advancements in our non invasive approach to periodontal health and how that relates to overall health.
This year we will be introducing a new laser into our office, in addition to our Waterlase. This laser is called the Biolase Epic. It is a surgical and therapeutic device designed for a wide variety of oral soft tissue procedures and dental whitening, as well as for use in providing temporary relief of minor pain.

As always we are looking for the most minimally invasive ways to do treatment and to prevent dental disease in any form.

I hope you are all having a great day!
Richard Stickney DDS PS