Image

Implants can be Amazing !

18 Jul

Implants can be Amazing !

This is a HAPPY young lady

Bridges vs Implants/ No Contest!!

6 Jun

I saw a patient the other day for a second opinion on whether or not he should have a lower  molar extracted. We had an x-ray  that the other dentist had taken but even without that it was clear that the tooth was so badly decayed under an old crown we could not save it.

I asked him if the other dentist had explained the implant process or shown him models and case examples.He looked confused and said no,the dentist had just told him to get the tooth out and come back to do a bridge. I Doing this bridge (cap-false tooth-cap) to replace this lost molar meant cutting down a perfectly good tooth in front of the space and taking off a perfectly good crown in back of the space . The cost ?,about $3,500 vs an implant at about $4,000.Why would the dentist not advise the patient to get a consult for an implant ?Well both answers that come to mind bother me greatly.(back to ethics again). Either the dentist is ignorant about implants (not an excuse because in today’s world an implant IS the preferred treatment ) or more bothersome, the dentist makes much more money doing the bridge and there is no waiting time vs waiting months for an implant to heal and be ready.

Friends relatives need a second opinion ? New dentist ? We would be happy to see them and as you know treat them ethically and honestly.

//

Ethics in Dentistry

4 Jun

I do not mean to keep going back to this theme but the

entire concept of what appears to be a growing lack of

ethics in a profession I love is very bothersome to me.

I worked on a patient for three hours yesterday trying

to fix some TERRIBLE work by another dentist. Five years ago her front teeth were almost perfect. Now she has lost two teeth that are now implants. The other four are crowns with a questionable prognosis.

PLEASE have your friends and family thoroughly check out their dentist. Any doubts I am always available for a second opinion or email me.

// //

No Dr Oz !!

29 Apr

On April 16th I posted a blog on composite fillings.I just received an article from the American Dental Association objecting to information Dr Oz put forth on March 28th of this year.

As I explained in my prior blog ,  I no longer use amalgam,but not because of safety issues. Dr Oz apparently put out some misleading information which is too bad because I believe he is a great source for better ,  healthier  lifestyles.

Link to the ADA article to read more  http://www.ada.org/8448.aspx and read my April 16th posting. Keep smiling !!

NEW PATIENTS

22 Apr

We are ALWAYS pleased to welcome new patients to our office ! If you are considering us please take your time on the web page. We do not mind being examined carefully. It is an important choice and in this blog area there are good in sites into the questions you should be asking us and all offices you are thinking about.

If you are a current patient and are happy with our services then do us the favor of spreading the word to your friends!! Your choice, but a Facebook ” like” is helpful and if you have the time, a positive YELP comment would be very appreciated.I am honored to take care of your friends and relatives.

Composite fillings

16 Apr

Composite( or tooth colored fillings) have become the norm in dentistry. I have not placed an amalgam (silver) filling in over ten years. Composite,when placed correctly, is kinder structurally to the tooth than amalgam. It certainly looks better and when placed correctly can last just as long as amalgam.

Here are some of the problems, however. Composite is very technique sensitive where amalgam really is not. If not placed correctly it can be very heat or cold sensitive afterwards. This can have much to do with how the dentist handles the bonding materials. It is also very important that except for gum line fillings that a rubber dam be used!

A rubber dam is that square of rubber that goes over the teeth to isolate them from contamination from blood and saliva  . If either get on the tooth during placement of the filling it will fail much sooner than necessary. If your dentist is not using a rubber dam you better receive a VERY good answer as to why!

Also remember that amalgam is still a very adequate material, just not my choice. I think it just places a nice metal wedge in the middle of the tooth that will eventually lead to fracture of the tooth.Also remember that the American Dental Association still deems amalgam perfectly safe. To tell someone they need to remove amalgam due to potential health hazards is at this point malpractice and fraudlent.

Sterilization…Again.

3 Apr

Sterilization…Again..