We Now Offer A Solution For Dental Anxiety

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First, let me say that much has happened since our last newsletter back in August. We have welcomed Dr. Sagar Lunagaria to our practice, and as a result, we are offering new services and additional hours. In particular, Dr. Lunagaria provides sedation for those who have dental anxiety, he is experienced in placing dental implants and he performs gum procedures which previously required our patients to seek the care of a periodontist. For many minor surgical procedures our patients can now remain in our office. In addition, in the event that you need care for a dental emergency, you will find it much easier to be seen very promptly to have your problem addressed.

It has been an absolute pleasure working with Dr. Lunagaria, and he has been well received by not only our team but by the many patients who have met him during September. Dr. Lunagaria will be available in our office every day that we are open except Tuesdays. Please make sure that you have an opportunity to meet him the next time that you are in the office.

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You can now truly relax in the dental chair while having your treatment. Nitrous oxide – commonly known as laughing gas is a mild sedative. It is one of the safest ways to relieve fear and anxiety related to dental appointments. This form of relaxation is also very helpful in eliminating or minimizing severe gagging. It does wonders for individuals who are highly fearful of needles or who have real difficulty getting numbed.

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Is severe gagging preventing you from seeing a dentist?

Nitrous oxide is administered through the nose by simple inhalation while your dentist works on your teeth. The amount of gas is regulated by the dentist so he has full control over the amount of anxiety control which is needed for each individual patient.

Fear of needles?

Inhalation sedation is very safe and there is almost no side effect of it. The effects of the laughing gas wear off quickly as so that you can drive yourself home after finishing your procedure without the need of an escort.

Do you ever dread going to a dentist?

Depending on the severity of fear and anxiety, nitrous oxide (laughing gas) can be combined with oral medication which is taken before your treatment to help you relax even further. It is a great choice for people who fear needles. You will be awake and aware of your surroundings but relaxed and free of anxiety. It also helps create short term partial memory loss, so most patients do remember discomfort, smells or noises associated with the dental procedures performed.

Do you have difficulty getting numbed?

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Again, our goal is for you to be comfortable and anxiety-free during your dental treatment. We are proud to offer this service in our office now. Call our office at 908-659-6655 to find out more or visit us online at www.DesignsForDentalHealth.com to book a complimentary consultation today!!

Which Is Worse –Bad Gums Or Teeth?

This may sound like a trick question, but really it’s not. The “correct” answer, of course, is that both are equally important. But, I have a different view and will share it later in this article.

Both gums and teeth require good to excellent daily hygiene to remain healthy.   Prevention of both periodontal disease and dental decay is accomplished using the same techniques and products.  Both gum disease and dental decay are caused by the attack of bacteria which produce acid.  This acid causes damage to both hard and soft oral tissues including gums, enamel, dentin and bone. Both conditions if not properly and promptly addressed will result in the eventual loss of teeth as well as the inability to properly chew food.   And, both problems are a source of embarrassment and self consciousness due to missing teeth, bad breath, swollen and red gums, black holes, etc., etc.

Both teeth and gums are checked at every dental re-care appointment.   Commonly, both june3of these dental diseases go unnoticed by patients until more involved and expensive treatments are required. In the case of cavities, decay which has advanced to the point when a patient feels pain will generally require root canal therapy. And, in the case of gum disease, by the time a patient realizes that there is a problem, the solution often involves the services of a periodontist, possible gum surgery and / or loss of teeth.   Unrecognized and untreated periodontal disease will eventually lead to loose teeth as a result of the loss of bone and the attachment of the teeth.

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Finally, both gum disease and tooth decay result in the existence of chronic infection and inflammation which has detrimental affects on the overall health of the body. A chronic infection which becomes acute, can result in serious illness which may require hospitalization. The hidden impact of such diseases, however, is that these chronic inflammations increase the risk of other health issues including heart disease, cancer, complicated births, etc.

As promised, my view whenever planning the treatment for patients and explaining its need is that once acute infection and pain are under control, the health of the gums is the number one priority.  Consider the gums and bone to be the foundation which supports the teeth.   Without a solid foundation, even the healthiest teeth can be lost. Once the periodontal condition is stable and healthy, then the teeth can be addressed as needed.

If you have any questions about gum disease or dental decay, please feel free to contact us by telephone @ 908.359.6655 or via our website www.DesignsForDentalHealth.com

Our 30th Anniversary Hillsborough High School Scholarship

The artwork which you see displayed in our office has been created by six Hillsborough High School Seniors who have applied for the Richard M. Nadler DMD, PA 30th Anniversary Scholarship.  One student will be selected to receive this scholarship based on their artwork submitted for display as well as letters of recommendation from two people who were influential in the selection of fine arts as their college path.  

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This scholarship is our way of expressing thanks to the Township as well as the people of Hillsborough for having been hosts for our dental practice for the past 30 plus years.  You may ask why would a dentist sponsor a Fine Art scholarship? Wouldn’t a career in science or medicine make more sense? Well, you may already know that I originally began my working career as an architect. I actually practiced that profession for a period of some ten years before returning to school to become a dentist.  One of the reasons that I chose architecture as my original career was because of my love of drawing and art. I have always had tremendous respect and admiration for those creative individuals who have the ability to express their imagination through the visual arts – whether it is on paper, canvas, film or in three-dimensional sculpture. So, I decided to also encourage a potential, local, up-and-coming young artist to pursue his or her career in the arts.

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I hope that in some small way this scholarship expresses the gratitude that our entire team has for the people of Hillsborough.   It is you wonderful people who have made coming to work each day our life’s fulfillment.

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Celebrating 30 Years- Thank You, Mentors!

I had wanted to complete all of our anniversary “Thank You’s” in November, but that was not meant to be.  Liz and I enjoyed a wonderful long Thanksgiving weekend with our family and I decided not to rush through the final couple of articles as the people to whom they are directed have been important mentors in our lives.

With that being said, I feel extremely fortunate during my career for having found the perfect mentors who I needed at the exact time when I needed them. Each of these mentors helped our office and me personally to grow and focus on what is important and point out and help eliminate our weaknesses. I firmly believe in the value that mentoring provides for people in every situation and in every decade of life. It is my sincere hope that at some point in the future, I may give back to younger dentists some of that which I took away from my mentors over the years.

mentorsI have already mentioned in an earlier thank you article the first mentor who had a significant impact on my career – Dr. Peter Dawson. Shortly after dental school, I knew that I did not want to be an “ordinary” dentist who filled teeth all day, every day. I had also come to believe that a thorough understanding of occlusion was mandatory if I was to be an excellent dentist. The reason is because occlusion has an impact on just about every condition in the mouth including gum disease, TMD, appearance and everything having to do with the longevity of dental health. Since Dr. Dawson wrote the most important modern book on the subject, I decided to take his course and began to learn about this most complex subject. As I mentioned in the previous article, I had the amazing luck to run into Dr. Dawson in the airport as I was coming home after his class. It was at that meeting when he recommended that I begin studying at the L. D. Pankey Institute which I did.

It was on a gorgeous day in the summer of 1987 or thereabouts that I sat in my lounge chair with an occlusion textbook (which had been recommended as adjunct reading) on the beach at Spring Lake. That day was a turning point in my life as that was the day when occlusion began to make sense to me. To this day, whenever I choose to improve my understanding of any subject, I find no better place to do it than in a chaise lounge on a beach.  Now, some 25 years later, I am still studying occlusion and have attended the Las Vegas Institute for Advanced Dental Studies where I learned another philosophy on the same subject.  Thank you very much Dr. Dawson for helping me to begin on the right path.

Then, a few years later, as the office was getting busier, it became apparent that our lack of business management savvy was becoming an issue. My experience and reading had taught me that most businesses go through a progression of plateaus and the best businesses do what is necessary to face and address challenges as they arise. Common challenges include time management, team building, financial controls and the myriad of systems which make a business work.

mentorsTo that end, I was extremely fortunate to have met Dr. Michael Schuster. He and I shared a similar practice philosophy as he, too, practiced Pankey style dentistry and had a school called the Center for Professional Development (now called the Schuster Center) where a philosophy of practice management and the tools necessary to run a dental practice were taught. My team and I studied in this center in Scottsdale, Arizona for two years; and, during that time, traveled there on several occasions to learn how to better manage our office. In addition to the meetings in Arizona, there were monthly phone conferences, many books to be read and book reports to write. This course of study was like an MBA for dentists. After the first year, I clearly remember feeling so positive that I had recurring dreams about being able to fly –  seriously!

This course of study helped me to organize my entire life as well as our dental practice that eventually began to run like a well-oiled machine. Unfortunately, along with the process of self-discovery and success with the dental practice came the end of my marriage. I believe that if it were not for Dr. Schuster I would not be as successful as I feel today both professionally and personally. There, I was taught the value of setting goals and looking inward to take control of my life in a positive way. Thank you Dr. Schuster. I owe a huge debt of gratitude to you for providing exactly what I needed at that time in my life.

mentorsFinally, I’d like to thank Dr. Charlie Martin who is a dentist in Richmond Virginia and who ran conferences four times each year and facilitated a “mastermind” of like-minded dentists. Charlie is a passionate and hard-working dentist who has the ability to engage others with his point of view and extensive knowledge on various subjects. He was most helpful to me in helping to decide the most current direction in our dental practice. He provided what I needed to know,  and, as a result moved to the next level of my career. Unfortunately, Charlie has retired, but the effects of his efforts on all of our mastermind members will be felt for years to come.   Thank you Dr. Martin! This course of study helped me to organize my entire life, as well as our dental practice, which eventually began to run like a well-oiled machine. Unfortunately, along with the process of self-discovery and success with the dental practice, came the end of my marriage.

I am also grateful to Dr. Charlie Martin for having introduced me to a wonderful group of dentists who are equally passionate, hard working, intelligent and an absolute pleasure to share time with. I miss them and the conferences in Richmond, and I wish each of these friends much health, happiness and success for years to come!

Celebrating 30 Years With 30 Days of Thanks Kicks Off

30 Days of Thanks Kicks OffThis year, we commemorate the 30th anniversary of the opening of our dental practice in Hillsborough. To accomplish this, we have designated the month of November as Celebrating 30 years With 30 Days of Thanks. To that end, we have created a list of 30 different ways to express our gratitude to the many people and business partners who have contributed to the evolution and success of our dental practice. It is all these people who provided the support, fun, excitement, challenge and fulfillment which have made this last 30 years such an amazing adventure.

Each day this month, we will find a different way to express our thanks. Among those who will be honored are my mentors, significant teaching institutions, wonderful doctors and dentists to whom we refer, those who refer patients to us, our partner dental labs, our IT partners, our wonderful team, friends, family and last, but certainly not least, our amazing patients.

We will express our thanks in a number of different ways. Many will receive public letters of appreciation, which will be posted on our blog and social media pages. You may find many of these letters to be interesting as we plan to share stories about the practice and the people involved with it. There will be at least three of these each week during the month. In addition, there will be giveaways each week for our patients and we have ordered special commemorative gifts for that purpose.

Before our dental assistant, April, begins her maternity leave at the end of this month, we will enjoy a luncheon to honor of our fabulous team. Finally, we are working to complete our gift of appreciation to the town and people of Hillsborough. Details will be announced at the end of the month.

To kick off these 30 Days of Thanks, the entire list of people and entities to be thanked was reviewed in order to decide who should come first. Without hesitation, it is our wonderful patients who deserve to be celebrated first. Without these people, we would not be able to do the work that we love. Over the years, we have shared each other’s happy times, sad times, difficulties and joys. Many, if not most, of the patients who began coming to our office in the 1980’s were around the same age as me. So our families have grown up at the same time and we have shared similar experiences.

I will never forget that my team and I hosted a “VIP” (Very Important Patient) party way back in the late 80’s and it was held at my home. Our family of patients was still intimate enough to invite every one of them to this event. It was a summer party and was attended by many families who had children about the same age as my own. I still fondly remember the wonderful afternoon that was enjoyed by our team and patients alike. Many of those patients remain in our practice to this day.

Not too many years later, I turned 40 and a surprise 40th birthday party was thrown for me again at my home. Our entire dental team at that time attended that party and provided some of the “entertainment.” Specifically, an exotic dancer presented herself at my front door and proceeded to engage in a most provocative dance with yours truly – I believe her name was ”Katja”. Talk about embarrassing… That same night, my dental assistant – not Liz – came out of her shell and made quite a hit with some of the guys in attendance culminating in one of them sipping champagne out of her shoe. What a crazy, fun night.

30 Days of Thanks Kicks Off

But enough reminiscing; how shall we thank our patients? Every person who has been a regular patient for at least five years will receive a gift certificate. That certificate increases in value with every five-year period that they have been our patient. Look for yours to arrive by mail. We are still checking, but I believe that there is one person who has been a continuous patient for the last 30 years! Naturally he will receive a special certificate!

In addition, any patient who is seen on a Friday this month will receive a commemorative gift. Also, every Monday, one random patient will receive a special gift. We’ll try to keep you posted on who wins what.  These will most likely be featured on our Facebook Page.

Most importantly, Thank You to all of our patients, both current and past. We are extremely grateful for the pleasure of having cared for you for the past 30 years. You provided us with friendship, laughter, challenges, happiness and fulfillment, which has made our lives meaningful. We Love you all!

Smile Enhancements for Healthy Aging

Earlier this month, we discussed common dental problems which affect us as we grow older and how to address them.  In this installment, we will describe three popular methods to improve both the appearance and the function of your teeth. At the end of this article, we will reinforce what we believe to be the best ways to improve the health and beauty of your smile.

smile enhancementsYou may be surprised to hear about the first popular procedure which has increased in frequency over the past several years.  Once considered only appropriate for adolescents and teenagers, orthodontics has become an excellent means for adults (even those well into their 60s) to improve their smile, take years off their facial appearance, and improve their self-esteem.  This, in turn, improves their overall outlook on life. Alternatives to the metal braces commonly seen in the past have grown in popularity as they have become more comfortable, effective and invisible.  In our office, Invisalign™ orthodontics has proven to be a discrete and successful method for adults to address bite issues and crooked teeth.  Even patients who had braces as a teenager find the system an excellent way to realign teeth which have relapsed over the years.

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Invisalign™orthodontic treatment, combined with either tooth bleaching and/or bonding, can help you to achieve your dream smile, improve your appearance, help you look younger, and feel a renewed sense of self confidence.  In addition, a properly aligned bite serves to preserve your overall health and well-being.  Teeth which are not aligned and bites which are not properly balanced are much more at risk for a variety of dental issues.  These issues include tooth fractures, tooth wear, loosening teeth, gum recession, ineffective chewing ability as well as a variety of jaw, neck, and shoulder pain and headaches.

The second popular dental enhancement which has steadily gained in popularity over the last twenty-five plus years is implants. Titanium implants have evolved and become a staple in the replacement of missing teeth for those who wish for comfort, convenience, and excellent appearance. Implants can be used in a number of different ways to replace missing teeth. The simplest way, of course, is for replacing a single missing tooth. But implants can also be used to replace a series of missing teeth or even an entire arch of missing teeth. Contrary to popular opinion, the placement of implants does not involve significant discomfort and their success rate is very high.

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There are many patients who have struggled with dentures for years. Such patients have had as few as two implants placed to stabilize their existing dentures. The benefits of such procedures are astounding for those who have struggled to eat and speak with loose plates for years. We even see patients who are about to lose all their remaining teeth in one or both arches. Such patients can have their hopeless teeth removed, four implants placed, and a set of teeth mounted on those implants all in a single appointment. That procedure is called “All-On-Four” and requires collaboration between a prosthetic dentist, an implant surgeon and a laboratory technician.  The results in these cases are life changing.

The third popular smile enhancement involves bonding or porcelain to restore worn, broken, or otherwise damaged teeth. “Bonding” utilizes tooth-colored filling material which is placed on one or a group of teeth to restore natural appearance, shape, and color. Similarly, porcelain is used in more advanced cases for those patients who wish to have the most long-lasting and cosmetic solution to their dental problems. Porcelain can be used to cover the entire tooth or limited areas of the tooth as needed in any given situation. The porcelain is bonded to the teeth which results in a very strong, cosmetic, and natural result.

Bonding and porcelain can be used to enhance smiles in a number of different ways. Teeth which have mild misalignment can be made to look perfectly aligned instantly using these materials. Similarly, problems with symmetry, proportion, color and shape can all be addressed using these materials. The next time that you are in our office, make sure to look at some of the photographs on our walls which exhibit the results gained by using these materials.

Finally, let us reiterate the best ways to ensure healthy aging at least as far as oral health is concerned.  As we grow older, we are all more prone to have decay which can sometimes develop very quickly.  It is not uncommon for adult patients to have some gum recession which results in the exposure of root surfaces.  Such surfaces are very prone to decay and must be carefully monitored both at home and in the dental office.  In addition, as our gums recede, food is more likely to lodge between the teeth creating another cause for decay developing.  Increased use of medications and other medical issues may lead to a condition of dry mouth.  Without the buffering effects of saliva, the likelihood for increased dental decay as well as gum disease is highly likely.

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So what is one to do to prevent an increase in gum disease and dental decay? Here are our favorite as well as most effective recommendations:

  1. Use an electric toothbrush and brush where the teeth and gums meet.
  2. Clean between your teeth with an appropriate sized tool. Large spaces require a proxy brush and smaller spaces require fluffy floss.
  3. Brush before bed!
  4. Rinse with a fluoride mouthwash especially before bed.  During this month we have been handing out Listerine Zero which is a good product found in the grocery store but any similar product which includes no alcohol can be used.
  5. Have regular checkups! This is the best way to make sure that small problems do not become big ones! In the past few years, we have seen more and more patients who have returned after extended periods with more severe problems. Regular checkups will save you money and give you more peace of mind.

In closing, cosmetic dentistry may be key to a person’s health in later life.  Here is a quote from a cosmetic dentist in Texas:

“We often hear older patients just wanting things patched up as opposed to getting something aesthetic. They may have the idea that they are not worth it, or their families have the idea that they are too old for cosmetic dentistry. This may lead to an attitude that things are ending.

“Improving an older person’s mouth can bring them more happiness and joy, not only by improving chewing efficiency, but also bringing joy back. They will want to smile more.”

If you have any questions concerning this article or any other dental questions, please call our office at 908.359.6655 or contact us via our website at www.designsfordentalhealth.com.

 

 

Crooked Teeth and Sleep Apnea

As I mentioned in our last blog, we will be describing various connections between oral health and systemic (or total body) health. Today, I’d like to report on a very interesting class which I attended about a week ago. This was an Invisalign Study Club meeting which was meant to increase our skills in planning Invisalign orthodontic cases. But, every now and then, we watch a gifted speaker provide you with much more information than the announced topic would suggest.

My longtime patients know that I have been a lifelong student of dentistry and especially occlusion’s (the bite’s) role in preserving dental health for the long term. I have studied the various connections between occlusion and overall health including TMD and head/neck pain, occlusion and advancing gum disease, as well as occlusion and the airway to name but a few.

Well, at this particular lecture, the speaker showed slides of various patients with crowded teeth as well as some with narrow dental arches. Many of these patients, like many of those I see every day in my office, have what we call, tori, on the inside of their lower jaws. Patients are often aware of these tori, most are generally not bothered by them, but some ask if they should be concerned about them. I had always considered these to be a sign of patients who are chronic clenchers of their teeth, and many of them are. However, the speaker made a legitimate case for the chronic growth of these tori in patients whose teeth are tipped towards the tongue.

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But perhaps I am getting off of the point. The combination of people who have narrow jaws and tooth crowding are very likely to have sleep apnea. I have always known that there is a connection between narrow jaws and sleep apnea, but this presentation made it so clear that patients like those described above do not have adequate space in their mouth for their tongues. As a result, their tongues are forced back into their airways, and the result is sleep apnea.

Such patients may have had orthodontics when they were children,and had four teeth extracted because of their crowding. Such patients are quite likely to have sleep apnea because their jaws are narrow and their teeth have been moved back to where the tongue wants to be to close the space created by the extracted teeth. The tongue is thereby forced to rest towards the airway. Now, I am considering whether or not to treat such patients orthodontically to expand their arches. This is one means of improving their airways and reducing their likelihood of developing obstructive sleep apnea.

When such patients come to my office, they must be carefully screened for obstructive sleep apnea, high blood pressure, adult onset diabetes, cardiovascular disease and other systemic issues which are related to obstructive sleep apnea.

If you have a bite which sounds like the type that I have described above, please contact us so that we can perform a proper screening for obstructive sleep apnea. If you have any questions about your occlusion or sleep apnea, please feel free to contact us by telephone at 609.359.6655 or via our website at www.DesignsForDentalHealth.com

Why We Love Spring!

After this long winter, with its record setting low temps and more snow storms than we could handle, it’s safe to say that we are all ready for some warm weather.  For some of us, it’s not just the change in temperature that get us excited for spring, but the activities and life that comes with it. Some of the staff at Designs for Dental Health took a brief moment to share why we love spring. See our answers below!

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Dr. Nadler:

 “Spring is definitely my favorite season. Everything comes back to life, brown turns to green, flowers start to bloom and everyone comes out of their winter funk.  Spring also means that the golf season will soon be under way.  That REALLY makes me happy.  And, spring is when days are getting longer giving us more daylight to enjoy the outdoors and just be alive!  I love spring.”

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Liz:

“I love spring because it means the cold weather is almost gone. It’s great to see everything getting green again. And most of all it’s one step closer to Summer!”

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Maria:

 “I’m looking forward to spring because the weather is perfect.  It’s never too hot or too cold.  I can go on a bike ride with my family and spend more time being outside.”

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Remi:

“I Look forward to Spring every year! Especially after cold, long winters. But like all the seasons I find beauty in them all..(Fall is my favorite)

I love the colors that pop up everywhere you look, from the green grass to the leaf buds beginning to grow. I love how the air smells fresher almost cleaner, and you can’t help but enjoy the rebirth of almost forgotten flowers.

The poor confused crocus can finally come up and enjoy the sunshine! I don’t suffer from allergies (knock wood) and when I smell fresh cut grass it invigorates me! I love to watch the tulips that my daughter and I planted awaken from their long hiatus. And my daughter loves to pick me daffodils almost every other day. She tells me it’s because she loves me. I sometimes smile and reminisce of the first pedals/flower heads she used bring me when she was a toddler(the poor things). We are all grateful she is a more skilled gardener now. I love how even the department stores have all the vibrant colors on display!  And of course the Easter dresses and bonnets for the little ones. What is not to love about Spring?  And yes the “Golf” it’s a promise I made to myself…to get back on the course this year…with my husband.”

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 Allison:

“I love spring not only because the temperatures are near perfect, but because the warmer weather allows me to get outside and go for long runs, spend time horseback riding, and work on projects outside. I also look forward to watching the trees and flowers slowly come back to life.”

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Why do you love spring? Let us know in the comments section below!!!

Oil Pulling – A Dentist’s View

I first heard about oil pulling several years ago when one of my more “holistic” patients asked about it. Recently, the subject has been raised with increasing frequency. “Oil pulling” is an ancient Indian folk remedy in which oil is used as a kind of mouthwash. This technique is touted to improve oral health as well as provide many incredible detoxification benefits.

What is oil pulling and how does it work?

A tablespoon of oil is placed in the mouth and is swished around the teeth for twenty minutes. During this swishing process, bacteria that are present on the teeth and soft tissues of the mouth become trapped in the oil. Certain bacteria like Streptococcus Mutans cause gingivitis and dental decay, and eliminating them certainly leads to improved oral health. After the twenty minutes, the oil is expectorated (spit out) into the trash, not the sink or the toilet so as to avoid causing a clog.

Various different oils are recommended. The original technique apparently called for sesame oil, but more recently there seems to be a trend toward using coconut and sometimes sunflower oil. It is very important that the oil not be swallowed as all the collected bacteria could lead to systemic illness if ingested. Some people recommend performing this technique every day, while others suggest that four to five times a week is adequate.

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So what are the professed benefits of oil pulling?

This technique acts as an antibacterial and antiviral system, and so detoxifies the mouth and indirectly the entire body. The potential benefits of this treatment include:

  • Whiter teeth
  • Healthier teeth and gums
  • Improvement of acne, eczema, psoriasis and other skin conditions
  • Clearing sinuses and helping allergy sufferers
  • Eliminating halitosis
  • Helping with general pain issues
  • And many more

Is there any truth to all of these claims?

As a matter of fact, there is reason to believe that this technique does provide detoxification benefits. This is one of a number of methods which can be used to clean the mouth so thoroughly that the body is better able to heal itself. Apparently there is a study which was published in 2008 in which oil pulling using sesame oil resulted in a significant reduction in Streptococcus Mutans after two weeks. However, this technique was not as effective as chlorhexidine mouthwash which is commonly recommended by dentists and periodontists to control gum inflammation. In addition, a serious limitation of this technique is that the oil only travels about one millimeter deep into the gums around the teeth, and the more damaging infections are more than three millimeters deep. This technique should not be used by people with active gum disease.

The most interesting thing about this technique is that it highlights the fact that as our oral health improves, so does our general health. Everything in the body is connected. So that improvement in the sinuses, the throat, the cardiovascular system, the skin and various other body systems is a very positive byproduct. When the mouth is healthier, the level of inflammation in the body is reduced, the body is better able then to heal, and we feel better and look better.

Oil pulling may be considered as an alternative to an excellent oral homecare regimen. Such a regimen would include brushing for two minutes twice each day and especially before bed, flossing between the teeth regularly, and perhaps using a WaterPik with an antimicrobial agent on a regular basis as well. Ideally people should have their dentist or hygienist recommend an oral care system specifically designed for him or her. In addition, nowadays we even have a DNA test which can determine specifically which bacteria are present in each patient’s mouth, and if they have the specific marker which might make them more susceptible to periodontal disease.

If you have any questions about oil pulling or would like information about developing a homecare regimen for yourself, please feel free to contact us by telephone at 908.359.6655 or via our website at www.DesignsForDentalHealth.com

All-on-4®, A Dental Miracle

All–on–4® is the name for a technique used in the total rehabilitation of patients who have lost or will soon lose all of their teeth in one or both arches. This system was developed in the 1990s through studies which were funded by Nobel Biocare which has been a corporate leader in the implant industry since the early 1980s.

The All-on-4® treatment concept is a miracle because patients arrive at their dentist’s office in the morning with either no teeth or teeth which cannot be saved in one or both arches.  At that appointment, the implant surgeon (usually a periodontist or oral surgeon), the prosthetic dentist (in this case, me) and a lab technician work collaboratively.  A few hours later the patient leaves the office with a complete set of teeth which are not removable, which function well and which look amazing.

In addition, no grafting is required before placing the implants with this system. Therefore, most patients who have been told that they are not good candidates for implants because of a lack of bone, or large sinuses, or other anatomical circumstances are perfect candidates for the All–on–4® procedure.

There is no grafting, and no lengthy healing time required. Four implants are placed in each treated jaw. This procedure takes advantage of the dense bone which is available in the front of both the top and bottom jaws and places two implants there. Two more implants are placed in the back of the jaws and at an angle to both avoid sensitive anatomic areas as well as to take advantage of available dense bone there. Permanently fixed bridges can then be secured to these four implants immediately because of the solid primary stability which is gained by these strategically placed implants.

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The full dental bridge which is attached to these implants is not removable, has no coverage of the palate, and can be used immediately to eat a complete diet without restriction. After four to six months, a final fixed prosthesis is placed over the implants once total healing is assured.

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The advantages of All–on–4® are many:

1. Get implants in one day with minimal surgery.

2. Entire procedure completed in one location and one day.

3. Avoid the expense and healing time of bone grafting.

4. Have fixed, not removable teeth.

5. Have a complete new set of teeth which look and feel natural – Smile Again!

6. Have the ability to again eat all the foods that you desire.

If you have any questions about the All–on–4® procedure or if you know someone who would benefit from it, please contact us at 908.359.6655 or via our website at www.designsfordentalhealth.com