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Aging and Oral Health

December 14th, 2016

As you age, it becomes even more important to take good care of your teeth and dental health. According to the Centers for Disease Control and Prevention, approximately one-fourth of adults age 65 and older have no remaining teeth. What's more, nearly one-third of older adults have untreated tooth decay.

Oral health, regardless of age, is crucial to overall good health. Ideally, we all want to keep your natural teeth, but whether you're caring for natural teeth or dentures, advancing age may put older adults at risk for a number of oral health problems, including:

  • Dry mouth
  • Diminished sense of taste
  • Root decay
  • Gum disease
  • Uneven jawbone caused by tooth loss
  • Denture-induced tissue inflammation
  • Overgrowth of fungus in the mouth
  • Attrition (loss of teeth structure by mechanical forces)
  • Oral cancer

These conditions may not be diagnosed until it is too late. If you want to feel good, stay healthy, and look great throughout life, you might be surprised what a difference a healthy mouth makes.

Here are some tips for maintaining and improving your oral health as you become older:

  • Brush twice a day with a toothbrush with soft bristles. You may also benefit from using an electric toothbrush.
  • Clean between your teeth once a day with floss or another interdental cleaner.
  • If you wear full or partial dentures, remember to clean them on a daily basis. Take your dentures out of your mouth for at least four hours every day. It’s best to remove them at night.
  • Drink tap water. Since most contains fluoride, it helps prevent tooth decay no matter how old you are.
  • Quit smoking. Besides putting you at greater risk for lung and other cancers, smoking increases problems with gum disease, tooth decay, and tooth loss.
  • Visit Central Park West Dental regularly for a complete dental checkup.

If you have any questions about keeping up with your oral hygiene at home, please give us a call!

More Adults Are Opting for Invisalign®

December 7th, 2016

These days it's becoming more and more common to see adults at our New York, NY office getting their teeth straightened with Invisalign clear aligners — that is, if you can see them! Treatment with Invisalign is effective and aesthetically pleasing for all ages, but adults have certainly taken to them.

For some it may be to overcome the stigma that "braces are just for kids," but for others it may be the displeasing appearance and discomfort of traditional braces. According to the American Association of Orthodontics, from 1994 to 2010 the number of adults 18 and older getting braces increased by 58 percent, from 680,000 to 1.1 million annually. Many of these adults opt for Invisalign because of how discreet they are and since they don't need to avoid any foods or make dietary changes like you do with traditional braces.

The benefits of getting your teeth into proper alignment are many, and so are the advantages of Invisalign. By following your individual course of Invisalign treatment, you can expect to enjoy the following benefits over traditional braces:

  • The total treatment time is more precise with Invisalign since your treatment is modeled by a computer, as compared to traditional braces where it is really just an estimate.
  • You'll need to make fewer trips to our New York, NY office since you can change your trays on your own every few weeks or as prescribed.
  • There's less risk to the health of your tooth enamel since there is no need to place brackets on your teeth.
  • Invisalign aligners are clear and practically invisible, so most people won't even know you're wearing them!

If you're interested in Invisalign treatment, please let Dr. David Shipper and Dr. Howard Vogel know. We'd be happy to help you on your journey to a straighter, healthier smile!

What are dental sealants, who should get them, and how long do they last?

November 30th, 2016

Dental sealants are an excellent way to protect children’s teeth from tooth decay by coating them with a thin plastic material. Their teeth look and feel like normal, but they are protected from plaque build-up and decay early on. Dr. David Shipper and Dr. Howard Vogel and our staff recommend sealants as a preventive measure for children before any decay appears on their teeth.

Who should get dental sealants?

Dental sealants are intended for young children as soon as their first teeth come in. Decay is most common in the molars, so taking your child to Central Park West Dental for sealants right when you see the molars grow in gives your child the best chance to fight tooth decay.

A child’s first set of permanent molars grow in between ages five and seven, while the second permanent molars come in between 11 and 14 years of age. Some teens and adults who don’t have tooth decay may get sealants as well, but it is less common.

How long do dental sealants last?

Once the sealant has been placed on the teeth, it lasts up to ten years. Expect to have Dr. David Shipper and Dr. Howard Vogel check the sealant at every visit to our New York, NY office, which should be twice a year. We will look at the sealant and determine if it needs to be replaced.

What is the process of getting sealants?

Applying sealants is a simple, pain-free procedure that is done quickly at Central Park West Dental. There is absolutely no effect on the tooth structure from sealants.

For starters, the teeth are cleaned carefully, then dried with an absorbent material. A mild acid solution is applied to them to roughen them slightly. This is done so the sealant can bond properly to the teeth. Then the teeth are rinsed and dried, and the sealant material is painted on and dried with a special light.

Molars are susceptible to decay early on, which is why sealants are an important treatment to get for your children’s first set of teeth.

Dental Town Magazine Article Feature

November 29th, 2016

We are happy to announce that we've had an article featured in Dental Town Magazine! Give it a read and let us know what you think.

Sealing the Gaps: How Prevention Makes Profit by Mary Jane Livingston

Tooth decay is the largest chronic disease in the United States for children ages 6–11, beating out asthma and hay fever, according to the Centers for Disease Control and Prevention. Forty percent of decay occurs in the pit and fissure areas, and dental sealants can play a large role in prevention. This statistic begs the question: Are we doing enough for our pediatric patients?

Why does tooth decay remain the highest chronic disease among children if tooth decay is—as we know—a preventable disease? This is a public health concern. As practitioners, we can help our patients and our community by using dental sealants to increase caries prevention.

Protocols in the office
Establishing protocols and having all team members on the same page is key for the office. It’s essential to have the dental assistants, dental hygienists and front-office staff properly trained in educating patients and parents about the benefits of sealants.

Morning huddles are the best time to review your daily schedule. At this time, the team can discuss who is a good candidate or who has pending treatment for sealants. This works great, both for offices that practice same-day dentistry and for those that have time-constrained patients.

Rather than leave it to the doctor to educate and make treatment recommendations, having the team introduce sealants to patients shows consistency throughout the office. Ultimately, it is the patient’s choice, but this allows patients to be part of the decision-making process.

Most patients agree that they would much rather have a sealant applied than have a cavity fixed, especially since a sealant application is a fraction of the price. While pit-and-fissure sealant is a method of preventive dentistry, it could also become lucrative for the office.

Are we doing enough for our pediatric patients? Why does tooth decay remain the highest chronic disease among children if tooth decay is—as we know— a preventable disease?

We’re not selling snake oil
Advertising and marketing seem to be taboo in the medical and dental world. What office hasn’t run into the skeptical patient who believes that the doctor is trying to make a sell? Presenting treatment is not selling treatment.

We are offering options for how to treat or prevent dental diseases. For whatever reason, we take on the burden for our patients and fail to recognize that it is the patients’ responsibility to take care of their oral health. It is, however, our obligation as health care providers to treat patients and help them achieve a healthier lifestyle.

Education is the magic word that supersedes advertising and marketing. We are educating our patients about preventive care that is beneficial to their oral health. In order to do so, we need to inform patients about the options available to them through the practice.

For example, using the wall space in the waiting room to play educational videos will teach patients and parents about sealants and their benefits.

Social media is a huge marketing and advertising tool. Reaching out to the public is as simple as the touch of a button. The beauty of social media is that a practice has the potential to reach out to thousands of people in the community, or simply to current patients.

As clinicians we forget that sealants aren’t strictly for children and adolescents. Why aren’t sealants recommended or treatment-planned for adults more often? We may have mentally trained ourselves to believe that our adult patients won’t consider sealants because often the treatment is not covered by insurance. This is why education is key.

A hygiene appointment is the perfect time to introduce preventive medicine and allow the patient to make an educated decision. At best, we can try not to let insurance companies dictate our patients’ oral health.

We are educating our patients about preventive care that is beneficial to their oral health. In order to do so, we need to inform patients about the options available to them through the practice.

What works best
You’ve established your protocol and advertised the service, but what products work best? This is a personal preference.

The two common types of sealants are resin-based sealants and glass ionomer cements. As we know, technique is crucial. As with most dental procedures, the patient’s cooperation and keeping the area dry are challenges to placing sealants. A majority of clinicians place sealants independently, while others have assistants helping.

Drs. David Shipper and Howard Vogel of Central Park West Dental in New York City said that it’s easier to set a new appointment for patients rather than run overtime on an existing appointment and sacrifice quality. This is their technique: Vogel cleans the surface area with an air abrasive, isolates the tooth, and then applies etch and bond. Next, he uses composite material rather than traditional sealant material (due to better retention), and cures the surface for 15 seconds.

Hygienist Michele Banks, who works for Arizona’s Dental Sealant Program with the Maricopa County Office of Oral Health, said, “I do not have dental assistants so I use a two-handed technique. I have started to use BeautiSealant by Shofu. I love it. It is easy and fast to place. No etching. The kids seem to like this better.”

Community minded
Many people who are most at risk for tooth decay do not have access to a regular dentist. However, community and public-health services can help bridge the gap for this population. Volunteering can make a difference in your community. Research your state to see if there is an available school-based dental sealant program. If not, Seal America provides resources on how to create one.

The Maricopa County Office of Oral Health has a successful program. Hygienist Vincent Torres, a program supervisor, said that the program follows the protocols of Seal America. Public sector programs are managed differently than private practice.
The two types of sealants that the program places are preventive or therapeutic sealants. In private practice, we generally use preventive sealants.

In the public sector, therapeutic sealants are placed in the pits and fissures with incipient caries. The reason is simple: sealant material may arrest or stop the progression of the carious lesion, and clinicians have no way of knowing if the child will receive dental treatment in the near future. Therefore, placing sealants will be beneficial for the child, regardless of whether or not there is incipient decay.

You can also reach out to your community by creating public service announcements through social media, or writing articles for your local school or community newspaper. Public health organizations can always use a helping hand, so checking out your local chapter is a great place to start. Better yet, offering a “free clinic day” for those in need will boost your office morale and provide services to your community while increasing your practice’s visibility.

More people are seeking preventive and natural-health treatment alternatives. By establishing protocols, preparing patients, finding dental materials that work for your office, and helping out in our communities, we as dental professionals can help make a positive impact. Let’s get back to basics and make dental sealants a priority.

References
Beauchamp, J., Caufield, P. W., Crall, J. J., Donly, K., Feigal, R., Gooch, B., … Simonsen, R. (2008). Evidence-Based Clinical Recommendations for the Use of Pit-and-Fissure Sealants. The Journal of the American Dental Association, 139(3), 257-268. doi:10.14219/jada.archive.2008.0155

(2014, December 16). Retrieved August 04, 2016, from cdc.gov/healthywater/hygiene/disease/dental_caries.html

Seal America The Prevention Invention Second Edition, Revised. (2011). Retrieved August 11, 2016, from mchoralhealth.org/seal/

Torres, V., RDH, MHI. (2016, August 5). Maricopa County Department of Public Health, Office of Oral Health [Telephone interview].

Banks, M., RDH. (2016, August 10). Maricopa County Department of Public Health, Office of Oral Health [E-mail interview].

Shipper, D. M. (2016, August 09). Central Park West Dental: Sealants, [Personal interview].

Vogel, H. J. (2016, August 12). Central Park West Dental: Sealant Technique, [Personal interview].

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