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 

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

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.

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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

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

FAQ: What Toothpaste Should I Be Using?

I often get asked what sort of toothpaste people should be using. For many years, I believed that using a toothpaste with any sort of baking soda in it was too abrasive, and thus, harmful to the enamel of the tooth and the gums. I recently took some continuing education and there has been extensive research about this topic and in fact, I must admit that I was wrong about baking soda. This research shows that when baking soda is used in Arm and Hammer toothpaste is less abrasive than most other toothpaste. One dentist at this seminar  said he recommends Arm & Hammer Sensitive toothpaste for patients who have gum line sensitivity and he found it to be effective. This type of sensitivity is a common problem for patients who have receded gums.

I still prefer to use our Dental Herb Company's Tooth and Gum Paste, and I recommend that to all of our patients. We also still recommend that no matter what toothpaste you are using, to be applying only a pea sized amount on a soft bristle brush. I like this tooth paste because it is free of chemicals and it is effective.

I'm always looking for new ways to be educating our patients and my staff. So knowing this new research about baking soda is going to be very helpful when educating our patients about proper home care and what toothpaste they should be using.

I hope you all are having a great week. Stay warm this weekend, I hear it is going to get cold!
Richard Stickney DDS PS

Common Dental Issue

Hello everyone!

Today we wanted to talk about a common issue many of our patients have. On our Health History forms we have the question, "Have you had problems or undesirable experiences with previous dental treatments?" Many of our patients have stated there that they requested no amalgam fillings, but they were put in anyways! You might be wondering, "well how is that possible?"

The answer to that is communication, and the lack of REALLY listening to what the patient wants. As for the amalgams, sometimes they are left behind when a crown is made and they are found years later. They can be underneath old crowns, fillings, or bridges. Other times, some dentists take it upon themselves to make decisions for the patient without consulting with them about what they would prefer.

When we consult with patients about their treatment, whether it be crowns, onlays, composites, etc, we really try to listen to the needs and desires of each individual person. We may have a recommendation, but if the patient would prefer some other form of treatment, we of course would cater to that need, as long as it applies to the situation. When we go over treatment options with them, we outline what the ideal and optimal solutions would be, but also provide alternative plans so that the patient can make an informed decision regarding his or her mouth. To me, patient education plays a major role in my practice so we always encourage our patients to ask questions. We also ask our patients to speak up about things so that we can deliver the best experience for them. We are happy to tell our patients about the materials we are using and why we use them.

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

Laser Helps With Sensitivity

Hello everyone!

I hope this blog post is finding you all happy and healthy! We just returned from our two week vacation, and we are ready to start up our weekly blog again, sharing timely and informative news with you!

This week's blog is talking again about our dental laser! (Boy do we love it!) But this time we are focusing on how the laser can help with sensitivity during and after dental procedures and how it can help with general tooth sensitivity. We've attached a video at the bottom on this post that explains how the laser can help with sensitivity caused by gum recession and exposed nerve endings. These exposed nerve endings can cause sensitivity to brushing, and cold.

This week alone, we've done a couple of composite fillings with the use of our Waterlase. Asking the patients afterwards how they felt during the treatment, all of them said they had no discomfort. No anesthetic was used during either of these treatments. Unfortunately, we cannot use the laser for every procedure, but we do use it as often as we possibly can. Many of our patients prefer the use of our laser opposed to the use of anesthetic and the drill. On the flip side, some people prefer not feeling anything at all and want to be numb, so we definitely respect all of our patients wishes.

If you'd like to see an animated demonstration of how the laser can help with tooth sensitivity, please follow this link to watch a short video.

Please feel free to leave feedback in the comments section or on our Facebook or Twitter pages!

Be well,
Richard Stickney

Dental Seminar: Laser Dentistry

Hello everyone!

About 2 weekends ago I attended a Waterlase dental  laser seminar done by Dr. Marshall Golan. Much of this seminar discussed technical aspects of laser dentistry, and some of it I'd like to share with you all today.

I've had my Waterlase for over 5 years now, and I use it as often as I can on my patients. Dr. Golan outlined some suggestions that I've already been putting into practice during the seminar, but one thing he mentioned is that he uses the laser on just about every patient to kill bacteria and decontaminate after decay removal, even if he used the drill. On Dr. Golan's website, he outlines some other advantages of using the laser, such as:

• It helps remove areas of infection
• Removes gum disease with great precision
• The laser beam sterilizes as it works
• Anesthetic is not needed as often
• Faster healing
• Less bleeding and swelling
• Less noise so less anxiety
• Less post operative pain so less pain medication is needed.

92% of stained grooves on a non smoker's occlusal (or biting) surface has decay underneath, and this does not show on an x-ray. If that decay stays only on the enamel, then we can treat that as a sealant, but if it goes into the dentin layer of the tooth, at that point we have to do a composite filling. The laser can often be used in removing such decay without the use of anesthetic. Some other uses of the laser include:

1. Gum surgery- we can often treat gum disease with the laser to disinfect deep pockets, remove diseased tissue, and stimulate reattachment of the tissue to the gum without invasive painful scapel surgery.
2. Decay removal- the laser can remove decay, disinfect and biostimulate the tooth
3. Cosmetic purposes- the laser can re-contour the gums and eliminate a "gummy" smile

We love using our laser, and I enjoy learning new ways to use it. If you'd like more information about the Biolase water laser that I use in my practice, please visit their website.

Be well,
Richard Stickney DDS PS

What's In Your Mouthwash?

Today we wanted to talk a little bit about what's being put into current toothpastes and mouthwashes. A dangerous chemical called Triclosan, which is an antibacterial chemical used in mouthwash and toothpaste, along with other products such as lipstick, deodorant and hand soap. A new study in the Proceedings of the National Academy of Sciences has shown that not only does Triclosan hinder reproductive hormone activity and signaling in the brain, but also has dramatic effects on cardiac functions and hinders muscle contractions on a cellular level. The Food and Drug Administration (FDA) is currently investigating the safety of this chemical.

What we'd like to get across to our patients is the importance of checking the ingredients on the dental products you use. Many of the popular products on the market these days are using ingredients and chemicals that might be harmful to overall health. These chemicals are then being absorbed quickly into the body "sub-lingually" (under the tongue) and directly into the blood stream.

I once heard from Dr. Marshall that you don't want to put anything on your skin or in your mouth that you wouldn't eat because it can be absorbed into the skin very easily. And that has become part of my philosophy here; don't put things in your body that cause problems. In my practice I like to use and recommend products that are natural and that have no harmful chemicals in them. One of the mouthwashes and toothpastes that I carry is from a company called "Dental Herb Company" and their products contain medicinal grade herbs and essential oils. The tonic and toothpaste contain no artificial chemicals, flavorings, preservatives, sweeteners or fractionated ingredients.

I hope that you are all experiencing good health!
Richard Stickney DDS

I take...

"I take Asprin for the headache caused by the Zyrtec I take for the hayfever I got from Relenza for the uneasy stomach from the Ritalin I take for the short attention span caused by the Scopederm Ts I take for the motion sickness I got from the Lomotil I take for the diarrhea caused by the Zenikal for the uncontrolled weight gain from the Paxil I take for the anxiety from Zocor I take for my high cholesterol because excersise, a good diet and regular chiropractic care are just too much trouble."

(Source: http://chirocentre.co.uk/chiropractic-t-shirt-medication-side-effect/)

This is a picture of a real T-shirt. My son, Pearce, sent this to me, and although I knew you'd all enjoy the humor in it, I also believe our patients can see the seriousness as well. What we put in our bodies sometimes have side effects, and to cover those side effects, many people take other medications. What a cycle!

The problem is.. many doctors do not take the time to search for the CAUSE of the problem, but instead just cover over the symptom. In our practice, we enjoy taking the time to listen to the needs of the patient, and try to discover the underlying problems associate with their symptoms. From there we are able to help relieve the patient's immediate symptom or pain while at the same time addressing the cause of the problem.


To hoping you are all happy and healthy (and enjoying this beautiful summer)!
Richard Stickney DDS PS

Perio Supplements

Hello!

I hope everyone is doing well! Today we wanted to share some exciting information about a few new supplements we will be carrying in the office. They come from a company called Pharmaden and they have created 3 dental supplements focused on periodontal health. These three products are called PerioTherapy, OsteoTherapy, and PerioCare. Here is how they work:

 
PerioTherapy: This supplement is designed to help support the immune system to promote normal gum health. The ingredients selected to formulate this supplement are balanced to achieve the ultimate bio-availability (which is the body's ability to absorb nutrients). It is a diligent homecare program, that along with personalized care from your dentist and hygienist are key components to good oral health. Some of the ingredients include: Vitamin C, Folic Acid, Vitamin B12, Echinacea Angustifolia Root, Grape Seed Extract, and CoQ-10. This is used as a 60 day regiment to kick start getting the mouth healthy again.


OsteoTherapy: This is a remineralization supplement. Bone loss support and mineral support is essential but sometimes overlooked in gum disease. This supplement is designed to provide mineral support to assist the body is maintaining bone density. The ingredients include: Calcium Citrate, Magnesium, Vitamin D, Vitamin K, Vitamin B6 and B12, Folic Acid and Grape Seed Extract. Again this is used for 60 days.

 
PerioCare: This is designed to be the perfect compliment following PerioTherapy and helps maintain the results of the dentist's treatment. It is developed to enhance the body's host resistance. Some of the ingredients include: Vitamin C, Folic Acid, Vitamin B12, Grape Seed Extract, and CoQ-10. This supplement is used after the 60 days of using PerioTherapy and OsteoTherapy to continue good oral health.

We are very excited to be carrying these new products and will be incorporating them into our normal hygiene program depending on the patient's needs and wants. So next time you are in, make sure to pick up and brochure and ask our staff about how these products can work for you! You can find more information on their website as well.

Take care,
Richard Stickney DDS

TA-65

Hello!

Today's blog post is about a supplement called TA-65, taken from an email we received from TA Sciences. Now for those of you who don't know what TA-65 is, it is a cell rejuvenation supplement that activates our telomerase. So what is a telomere? It is strings of DNA located at the ends of chromosomes. They maintain the structure of the chromosome and protect the genes. These telomeres shorten as our cells divide and once one becomes too short the cell will either stop working properly or it dies. These telomeres shorten as we grow older and certain things, such as environmental, physical and emotional stress can accentuate that.

Leading a healthy lifestyle will help slow down the shortening of our telomeres but what can we do to LENGTHEN them? Activating our telomerase! So what is telomerase? It's an enzyme that maintains the telomeres at the end of chromosomes in order to prevent cell death. And how do we activate it? TA-65!

TA-65 is those only proven way to activate telomerase. It also lengthens shortened telomeres, restores an aging immune system and increases bone density. Many people who have taken this supplement have noticed an increase in energy, vision improvements, better skin elasticity and improved endurance. So now the question is...What is it? What makes it different than anything else? Well, TA-65 is a purified molecule taken from the Astragalus plant. Astragalus is a well known Chinese medicinal plant that has been used for over 2,000 years. This is the only known supplement to be using this kind of technology.

So knowing all this, again, we wanted to share with you an email we received from the makers of TA-65 about Suzanne Somer's new book called "Bombshell".

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Suzanne Somers is a fan of TA-65®MD - here's what she had to say about our product in her new book, Bombshell:

"Telomeres and telomerase - these are two words that will change the way you age! So it's only fitting that they are the next Bombshell I'll introduce you to. There is a new supplement that may turn the medical world on its ear. It works by lengthening your telomeres, which appear to be the key to the fountain of youth. And best of all, the supplement that does this work is all natural."

"TA-65 is the only telomerase activator available right now."

"TA-65 can rejuvenate and strengthen an aging immune system. Seems it's worth it if only for that."

"I see this supplement as a step toward health and away from the present aging paradigm."

"It's like rolling the clock back."

Please click the link below to download the segment of Suzanne Somers discussing TA-65®MD on Fox & Friends:

Suzanne Somers on Fox & Friends  

Bombshell is available now!  You can get a copy of the book on Amazon:

Suzanne Somers new book, Bombshell

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I have personally been using this supplement now for about 1 year and I can say with confidence that I have noticed a difference in how I feel. It has definitely made me feel better and more energized. I am a registered distributor of this product and am happy to explain in more detail what TA-65 can do for you! Feel free to pick up a brochure or ask about this supplement next time you're in for a check-up.

To your health,
Richard Stickney DDS

Protecting You and Our Environment

Protecting You and Our Environment

Fifteen years ago I became one of the first dental practices to install digital x-ray system in our office. I am still excited because every x-ray we take has 80-90 per cent less radiation than traditional dental x-rays. Using the digital system also eliminates the dental developing and fixing chemicals. By eliminating them none of us are exposed to these toxic chemicals and do not have to breath them in. It also eliminates disposing of them into our environment. We also have filters that remove mercury and other chemicals from the air while we work. We have specific air filters to remove mercury and a filter on the waste line that also traps the old amalgam that is removed from the tooth. We place any mercury amalgam scrap into a sealed container for disposal by a hazardous waste company. Our lead apron recently wore out and we wanted to replace it. We also wanted to dispose of it safely as lead is another big concern in the environment. My assistants, Xia and Katlyn spent hours searching for a safe place to take it for disposal.

We have also reduced the use of chemicals in our office by using melaluca which is natural and also an approved disinfectant. We even filter our office water supply with reverse osmosis and carbon block filters to provide pure water for drinking and for use in the dental water we use for procedures and for the laser.  

I came across the following information about mercury and the environment from Dr Mercola. Dr Mercola is a ostheopathic physician and a health advocate and he has many interesting articles on his web site. He sends out a free daily health newsletter. This is from his newsletter:

(You can read more here)

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Coal Plants and Dentists May be Accelerating Wildlife Extinctions 

Coal generates 54 percent of the electricity in the United States and is the single largest cause of air pollution. Coal fired power plants are also the number one source of environmental mercury pollution. Mercury is extremely tenacious once in the air, water and soil, and levels gradually increase over time, as it accumulates.

Each coal plant discharges an average of 170 pounds of mercury into the air each year, along with other pollutants. There are about 600 coal plants in the United Statesⁱ. So, if you do the math, you will discover that coal plants in the U.S. are releasing about 51 TONS of mercury into the environment each year. Just one gram of mercury can make the fish in a 20-acre lake unfit for consumption for a year.

A study by Island Restoration Network found dangerous mercury levels in 68 percent of swordfish, high enough to cause harm to wildlife. Recent evidence indicates mercury is now present in all fish. Other studies have demonstrated high levels of mercury in sensitive and endangered species across marine, freshwater, and terrestrial ecosystems, indicating that mercury pollution may be a significant factor in species population reduction.

The second largest mercury polluters in this country are dental practices. As a result of their continued use of mercury amalgam fillings, another 29.7 tons of mercury is discharged into the air, water and soil each year from installation and removal of amalgams.

Don't let the "cheap" price of these fillings fool you. When environmental cleanup costs are included, dental amalgams are actually the most expensive type of dental fillings on the market. Besides its toxic effects to wildlife, mercury is terribly harmful to humans as well.

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Another source of mercury in the environment is cremation. When a body is cremated, any amalgam fillings in the person's mouth are vaporized into the air and then is put forth into our environment.

We try to be very conscience of our environment and how we can best serve our patients. We make efforts in any way that we can to eliminate harmful chemicals from our office, as well as safe handling and disposal of metal's that are harmful to our environment.

Stay well!

Richard Stickney

Dental Air Vac

Hello everyone!

Many people who come into our office for treatment ask, "What is THAT thing? It looks like an elephant!" Well, we thought we'd take this blog post to explain what THAT thing is!

This is our Dental Air Vac. You may be wondering what it is used for. Well, we use our Air Vac for many things, but primarily it's use is for safe amalgam removal. This vacuum has 3 filters in it to safely remove amalgam vapors from the air. First, it has a pleated pre-filter that is able to capture particulate down to about 7 microns. The second, and most important filter is the HEPA filter that is able to capture and contain particulate down to 0.3 micron. Finally, the last filter is a blended carbon filter and is specifically designed to capture and adsorb particulate finer than 0.3 micron as well as sub-micron odors and vapors. These filters are safely replaced every 3-6 months or 6-12 months, depending on the manufacturer's recommendations.

So what we do is we turn this filter on and bring the end of the "trunk" down close to the patient's nose and mouth. When we remove old amalgams, we use what is called a "rubber dam" and that prevents amalgam particles from being swallowed, while at the same time the Dental Air Vac is removing the harmful mercury vapors from the air. This is important because the mercury vapor coming off the tooth as it is being drilled is virtually undetectable to the naked eye, but it is the most harmful form of mercury, so having the vacuum filter close to the patient's face is extremely important, not only to you, but to us as well! We use masks, glasses and gloves, but we like to take the extra measure of protection to help our patients and staff.

This filter is also used in our office when we have patients who are chemically sensitive. We like to make sure all of our patients are well taken care of and are having their particular needs met. When someone comes to us with a chemical sensitivity, we can use this vacuum to clean the air before, during and after their appointment. Although we do not use harmful chemicals in our office, some of the the dental products we use have a scent to them, so this helps to pull away that scent before it reaches the patient's nose.

So next time you come in for treatment or for an exam, be sure to check out our Dental Air Vac! We are always happy to explain it's use to anyone who asks.

I hope you are all doing well!

Richard Stickney

Laser Treatment in Our Hygiene Room Pt. 3

Hello all! Hope you are all having a great week! Here's the final part of our 3 part blog about how we are using our dental laser in our hygiene room! Feel free to let us know what you think in a comment, or on our Facebook or Twitter! Enjoy.

We have begun a new treatment protocol for periodontal disease. In addition to analyzing bacterial samples with our microscope, we now are able to send saliva samples to a lab and see exactly which periodontal pathogens are present and in what concentration, and test for genetic susceptibility for periodontal disease. The sample collection in simple and non-invasive, it involves a 30 second swish with a small amount of saline solution. After analysis, the lab includes a specific antibiotic recommendation for treatment of those who have concentrations of harmful bacteria above threshold. As you know, Dr. Stickney is not in the habit of prescribing antibiotics, so this has been a new leaf for both of us to turn over. One great benefit is that since we know the exact bacteria causing the infection, we are able to target the bacteria with the most effective type of antibiotic available, instead of simply using a broad spectrum antibiotic and hoping it works. Knowing whether or not someone is more genetically prone to periodontal disease, it helps us gauge how proactively we need to address signs of disease. Once we have this information, we are able to plan out our course of action. For those who have results with bacterial concentrations above threshold, typically the treatment includes scaling and root planning, or "deep cleaning", performed in the middle of the eight-day antibiotic regimen. The purpose of this is to attack the bacteria systemically (with the antibiotic) and locally (with the scaling and root planing). The results that we have achieved with the combined antibiotic therapy and scaling and root planing have been amazing. It used to be that we didn't see this kind of healing and recovery unless periodontal surgery was performed. Being a minimally invasive practice, we are happy to have this option for those who show the need for it and are comfortable taking the eight-day course of antibiotics. For those who have results that are positive for harmful, disease causing bacteria but are below threshold, typically antibiotics are not recommended. In these cases the body's own immune system, along with proper professional dental treatment, should be able to overcome the infection. The laser can also be used in conjunction with this treatment protocol for those who would like an option other than antibiotics. You are welcome to have a look at the lab's website, they have great educational resources: www.oraldna.com


Again, we'd love to hear what you think!
Hoping you are all well,
Richard Stickney

Laser Treatment in Our Hygiene Room Pt. 2

As we brought out in our last post, there would be 3 parts to this topic of using the laser in our hygiene room. This is Part 2. Enjoy.


As some of you may have seen, we have a microscope in our hygiene room. We have been analyzing plaque samples that we collect from periodontal pockets, pockets that show signs of gum disease and inflammation. Signs of disease include pocketing of 4 millimeters or greater, inflammation, and bleeding. It is amazing to see how much bacteria is in even the tiniest of plaque samples. I haven't been this excited since my Microbiology and Histology courses in college! Some results have been surprising. For example one sample was from a moderately healthy pocket, three millimeters deep with only a little evidence of inflammation, but upon analysis of the plaque, there were harmful spirochetes evident on the slide. The spirochete family is a nasty one. This is actually the same type of oral bacteria involved in Alzheimer's disease, and here is a link that has research on this: Alzheimer's and oral bacteria
This bacteria is tissue invasive in cooperation with other bacteria, which means that it cannot only live on the surface of your gum tissue, but actually invade and live within gum tissue. It's DNA is found in artherosclerotic lesions of the aorta and is associated with pre-term low birth weight. Those are the systemic effects of this particular oral bacteria. Connections like these reinforce how important diligent daily flossing, proper brushing and regular professional dental care is when caring for our overall health. Those little bugs go non-stop. When I analyzed my own plaque sample and was thankful to see my white blood cells working hard to combat the bacterial onslaught. I felt such affection for the hard working little guys! It is amazing to see what goes on in our bodies without our being aware and how our own beautiful immune system is waging war on harmful microbes. It motivates me to do my part in supporting my immune system and my industrious little white blood cells.

Hope you enjoyed reading part 2 of this blog post! Stay tuned next Monday for the last part of this interesting subject!
Richard Stickney

Introducing: Laser Treatment in Our Hygiene Room

We are happy to be able to offer laser services in our hygiene room as well as Dr Stickney's treatment room. Our hygienist, Annika, received additional training in using our laser for the treatment of periodontal disease. She would like to share what she learned and how we are integrating this into our treatment.
This is Part 1 of 3 blog's we will do on this subject:

The course started with the physics of lasers and laser safety, and it always good to have those reminders. We went on to learn about all the applications of lasers in gum tissue treatment, from surgeries to biostimulation. We reviewed which types of procedures I am licensed to provide in the state of Washington, which include treatment of apthous ulcers (canker sores), herpetic lesions (cold sores/fever blisters), laser bacterial reduction, which reduces the amount of live bacteria in the mouth prior to cleaning. This helps to reduce the bacterial cascade that enters the bloodstream upon the manipulation of gum tissue during cleanings. Some types of oral bacteria are linked to upper respiratory tract infections, so it is a great tool to reduce the risk of spreading harmful bacteria to the rest of the body. We also learned the specific steps associated with laser assisted periodontal therapy, which is augmenting our periodontal disease treatment. Biostimulation means activation and regeneration of damaged cells. These non-active cells are stimulated and new cells are regenerated to get proper cell metabolism. This supports the function of the immune system and thus promotes the healing functions.
We are already implementing new treatment protocols in the office I am very excited to be able to provide these services. Our experience is that diseased gum tissue heals much faster and more completely after treatment with the laser. A simple topical anesthetic gel is all that is needed to prepare the tissue and treatment is typically very easy. In certain cases, we are adding laser treatment to our scaling and root planing (also called deep cleaning) procedures. The laser is not needed on every visit but it is wonderful to have such a practical tool at our disposal.


Stay tuned for the rest of this information in the coming week!
Hope you are all doing well,
Richard Stickney

Laser Dentistry

Hello!
We wanted to talk today about our laser and our continued success with using it. At this point, most of our patients prefer it to having anesthetic on procedures where we can use it. We use the laser for many different procedures including: decay removal, extractions, disinfection, root planning and scaling, gingivalplasty, gingivectomy, and biostimulation. We enjoy being able to use this helpful tool for periodontal and other surgical procedures. One of the advantages to using the MD Waterlase is that the recovery time for invasive procedures is less, and most of our patients report little to no pain after soft tissue procedures.

Here are some interesting comments that some patients have made about the Waterlase, taken from Biolase's official website. (http://www.laserdentistry.com/testimonials.html)

97% of patients who experience Waterlase treatment
would recommend it to their family and friends.

Richter 7 Survey
"I would definitely recommend it.
It was much easier than I thought it would be."
- S. Pruitt, California
"After having this procedure done with a Waterlase MD, I would never want to have another procedure done with your conventional drills, and knives, and sutures, and everything – there’s no need for it."
- M. Roybal, California
"Before, they would get me numb, they’d leave the room, and I’d be sitting there, waiting for myself to get numb, and then they’d come back. This, they started right up."
- T. Flagler Oregon
"I saw a Waterlase® dentist just this morning, after a seven-year absence from the dentist. I belong to an online community and happened to mention how much I despise the dentist. One woman had heard about the Waterlase® and suggested I look into it. I made an appointment and then paid the price for my procrastination--four cavities and one crown (for a horrendous root canal done previously--I've been walking around with a temporary crown for seven years!) Today I went in to have two of the cavities filled and the crown prepped. The dentist used the Waterlase® on both cavities and it was the procedure I've been waiting my whole life for!"
- S. Hogan, California
"You can just have your treatment done, no anticipation. So I do think it’s going to change how people feel about coming to the dentist."
- N. Seyler, Oregon
"I just wanted to comment on the Waterlase®. I lost a crown (pin and all) and figured that the tooth couldn't be saved and I'd have a painful procedure to look forward to. My dentist recently purchased a Waterlase®, I noticed it as soon as I sat in the chair. He asked me if I was willing to have him use the Waterlase to cut back the soft gum tissue so he could reattach the crown. I have to say, even though he said he's only been using it for about 3 days, I had no pain beyond that I get from flossing. It was a wonderful experience and I should know, I've had extensive dental work performed over the last 10 years. I still can't believe I came out of today's visit without any pain or numbness. Thank you Biolase!"
- C. Stevens, Colorado


I hope you are all doing well!
Take care,
Richard Stickney

About Us

Recently we had to write a letter for one of our patients that talked about our practice, our philosophy, and what made us different from other dentists. We thought it would be nice to share, in part, what it said with our patients and friends.

"I am a general dentist who practices whole person dentistry. I look at the teeth as being part of the whole body. I like to treat my patients with the most natural approach possible. We use biocompatible dental materials. We do not use any toxic chemicals in our office. We take only digital x-rays which have 90 % less radiation then traditional film x-rays. This also allows us to eliminate the harsh chemicals used to develop traditional x-rays.

We have many patients who travel great distances to get special care in our office. Many or our patients have autoimmune diseases that cause them to be chemically sensitive. We do our best to accommodate their sensitivities."

In my practice, I am committed to giving our patients individualized care and really take to heart their concerns and sensitivities. We take pride in giving our patients the best care possible. Whether you are new to the practice or are a long time patient, we thought you'd appreciate knowing how we are different.

Hoping you are all well,
Richard Stickney

Zero Tolerance for Bleeding Gums!!

The blog post today is short and sweet. Its taken from: (http://www.Zt4bg.com/ForthePublic.html)
_____________

Imagine a raw wound the size of your palm on your arm. Now just rub the foulest dirt you can imagine into that wound. Do this twenty-four hours a day.

Think that'll be great for the rest of your body (let alone your arm!)??

Heck no, but that's what we do every day, day in and day out if we have bleeding gums ("gingivitis") or frank gum disease going down even deeper into the bone.

And big congratulations to The View that just discussed this newly emerging information.

_____(end)_________

Pretty powerful statements huh? Do you think your bleeding gums are no big deal? Many people have the thought that "If it doesnt hurt, I don't need to fix it!" Well when your gums bleed, your body is telling you something, and that something is very important not only for the health of your mouth, but also for your body as a whole! One of the simplest ways to prevent bleeding gums is to change the way you brush your teeth, and floss at least once a day. Think of your toothbrush also as a "gum" brush. Brushing your gums 2 times a day is going to help keep them very healthy, along with regular office visits every 3-6 months depending on individual situations.

To your health,

Richard Stickney