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By Max Arocha DMD
October 07, 2020
Category: Oral Health
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Even the most common dental issues can also cause further complications for your smile. Learn how to protect your smile from cavities!

A cavity is the most common dental problem that affects children and adults of all ages. Whether your general dentist has told you that you have a cavity or you are just trying to learn more about them, turn to your Plantation, FL Sedation Dentistry for the answers you need.Cavity

What is a cavity?

Often referred to as tooth decay, this problem causes holes to form in the enamel of your teeth. Cavities can range in sizes and can grow and become more severe if left untreated by your dentist.

What causes cavities?

A cavity forms when plaque forms on the teeth and isn’t properly removed through daily brushings. Sugar is the number-one culprit for causing cavities. Whenever you consume foods or drinks with sugar, the substance is converted into acid by the bacteria naturally growing in your mouth.

The acid is what eats away at healthy enamel. The more sugar you consume, the more acid attacks your beautiful smile undergoes. This will make you more susceptible to cavities.

What are the symptoms?

Unfortunately, not all cavities cause symptoms, so it can be difficult to know when there is a problem. That’s why it’s important to maintain those six-month visits to see your dentist, who can detect problems right away. Some signs that you may have a cavity include:

  • Dental pain
  • Tooth sensitivity
  • A black stain on your tooth
  • A hole in your tooth
 
What complications can arise if left untreated?

If you don’t visit your dentist for cavity treatment, this can cause serious issues for your smile in the long run. Some complications that can occur as a result of ignoring or leaving your cavity untreated include:

  • Chronic or severe dental pain
  • An abscess (an infected pus-like pocket that grows around the tooth)
  • Pain or problems chewing food
  • An increased risk for a cracked or broken tooth

If you don’t seek treatment right away, the cavity could cause damage to the point that the problem might not be reversible and the tooth will need to be removed and replaced with a dental restoration like an implant or dental bridge.

Cavities don’t have to be a serious problem. By coming in for those six-month dental exams, you can protect your teeth from common, but potentially serious dental issues like decay and gum disease. If you are overdue for your next cleaning and exam, then it’s time to call your preventive dentist today.

By Max Arocha DMD
April 08, 2020
Category: lanap
Tags: Untagged

Periodontal Gum Disease Increased Death Rate from Pneumonia Almost 3.5 times

Periodontal disease may be a co-morbidity with Coronavirus deaths from pneumoniacoronavirus in the mouth

Periodontal disease may also be a co-morbidity with Coronavirus deaths from pneumonia and patients should be made aware of this possible risk.

A seven-year study to evaluate the association between periodontal disease and pneumonia mortality in dialysis patients. Iwasaki et al, Journal of Clinical Periodontology, October 2017

Materials and Methods

This prospective cohort study included 211 patients (mean age, 64.4 years) undergoing dialysis at a single medical center. The patients underwent a baseline clinical dental examination in 2008 and were then followed up until July 2015. Periodontal gum disease was defined as the presence of clinical attachment loss of ≥4 mm in ≥30% of the probed sites. The primary endpoint, that is death from pneumonia, was determined by reviewing death certificates and was analyzed using the competing‐risks regression model.

Results

At baseline, 92 patients (43.6%) had periodontal disease. The median follow‐ up period was 84 months (interquartile range, 36–86 months). Of the 68 deaths that occurred, 21 were from pneumonia. The multivariable competing ‐ risks regression model showed that periodontal disease was significantly associated with death from pneumonia (adjusted sub hazard ratio, 3.49; 95% confidence interval, 1.14–10.64), after adjusting for other baseline health characteristics.

Conclusion

The results of this study suggest that periodontal disease increased the death rate from pneumonia almost 3.5 times and is independently associated with pneumonia mortality in dialysis patients with kidney failure. Periodontal disease may also be a co-morbidity with Coronavirus deaths from pneumonia and patients should be made aware of this possible risk.

Dental Preparedness Check List

Coronavirus Disease 2019 (COVID-19) is a respiratory disease caused by the SARS-CoV-2 virus. It has spread from China to many other countries around the world, including the United States. Dental-Prepareness-Check-List.pdf

For most dental practice, protecting dental workers will depend on emphasizing basic infection prevention measures. As appropriate, all dental staff should implement good hygiene and infection control practices, including:

  • Promote frequent and thorough hand washing, including by providing workers, customers, and worksite visitors with a place to wash their hands. If soap and running water are not immediately available, provide alcohol-based hand rubs containing at least 60% alcohol.

  • Encourage dental workers to stay home if they are sick.

  • Encourage respiratory etiquette, including covering coughs and sneezes.

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION COMMON PRACTICE

  • Provide paients with tissues and trash receptacles.

  • Dental staff should explore whether they can establish policies and practices, such as flexible worksites (e.g., teledentistry) and flexible work hours (e.g., staggered shifts), to increase the physical distance among dental staff and between dental staff and patients and others if state and local health authorities recommend the use of social distancing strategies.

  • Discourage dental staff workers from using other workers’ phones, desks, offices, or other work tools and equipment, when possible.

  • Maintain regular housekeeping practices, including routine cleaning and disinfecting of surfaces, equipment, and other elements of the work environment. When choosing cleaning chemicals, employers should consult information on Environmental Protection Agency (EPA)-approved disinfectant labels with claims against emerging viral pathogens. Products with EPA-approved emerging viral pathogens claims are expected to be effective against SARS-CoV-2 based on data for harder to kill viruses. Follow the manufacturer’s instructions for use of all cleaning and disinfection products (e.g., concentration, application method and contact time, PPE).

Control guidence for Dental Settings During Coronavirus COVID-19 Response

According to the CDC there are suggested dental settings to consider as follow

  • Dental settings have unique characteristics that warrant additional infection control considerations.
  • Postpone elective procedures, surgeries, and non-urgent dental visits.
  • Proactively communicate to both staff and patients the need for them to stay at home if sick.
  • Know steps to take if a patient with COVID-19 symptoms enters your facility

 

Cleaning Products That Destroy Coronavirus

Soap and Water

Just the friction from scrubbing with soap (any kind of soap) and water can break the coronavirus’s protective envelope. “Scrub like you’ve got sticky stuff on the surface and you really need to get it off,” says Richard Sachleben, an organic chemist and a member of the American Chemical Society. Discard the towel or leave it in a bowl of soapy water for a while to destroy any virus particles that may have survived.

Using antibacterial soap won’t give you added protection against the coronavirus because it kills bacteria, not viruses. You can still use it as long as you scrub.

Bleach

The Centers for Disease Control and Prevention recommends a diluted bleach solution (⅓ cup bleach per 1 gallon of water or 4 teaspoons bleach per 1 quart of water) for virus disinfection. Wear gloves while using bleach, and never mix it with ammonia—or anything, in fact—except water. (The only exception is when doing laundry with detergent.) Once mixed, don’t keep the solution for longer than a day because the bleach will lose potency and can degrade certain plastic containers.

“Always clean the surface with water and detergent first, since many materials can react with bleach and deactivate it,” Sachleben says. “Dry the surface, then apply the bleach solution and let it sit for at least 10 minutes before wiping it off.”

Bleach can corrode metal over time, so Sachleben recommends that people not get into the habit of cleaning their faucets and stainless steel products with it. Because bleach is harsh for many countertops as well, you should rinse surfaces with water after disinfecting to prevent discoloration or damage to the surface. 

If you can’t find liquid bleach, you can use bleach tablets instead. You may have seen Evolve bleach tablets, which dissolve in water, at Walmart or on Amazon. Just follow the dilution instructions on the packaging (1 tablet is equal to ½ cup liquid bleach). A label on the bottle states the product is not a disinfectant, but chemically, it’s the same as liquid bleach. A company spokesperson at Custom Bottling & Packaging, which acquired Evolve three years ago, says the company hasn’t had the time or resources to put their product through the Environmental Protection Agency’s registration process that would allow them to make disinfecting and sanitizing claims. As of this update, Evolve is not experiencing any shortages and is supplying hospitals, research centers, and correctional facilities.

Isopropyl Alcohol

Alcohol solutions with at least 70 percent of alcohol are effective against the coronavirus on hard surfaces. First, clean the surface with water and detergent. Apply the alcohol solution (do not dilute it) and let it sit on the surface for at least 30 seconds to disinfect. Alcohol is generally safe for all surfaces but can discolor some plastics, Sachleben says.

Hydrogen Peroxide

According to the Centers for disease control and prevention (CDC), household (3 percent) hydrogen peroxide is effective in deactivating rhinovirus, the virus that causes the common cold, within 6 to 8 minutes of exposure. Rhinovirus is more difficult to destroy than coronaviruses, so hydrogen peroxide should be able to break down the coronavirus in less time. Pour it undiluted into a spray bottle and spray it on the surface to be cleaned, but let it sit on the surface for at least 1 minute. 

Hydrogen peroxide is not corrosive, so it’s okay to use it on metal surfaces. But similar to bleach, it can discolor fabrics if you accidentally get it on your clothes. “It’s great for getting into hard-to-reach crevices,” Sachleben says. “You can pour it on the area, and you don’t have to wipe it off because it essentially decomposes into oxygen and water.”

August 18, 2018
Category: sedation dentistry
Tags: Untagged

Sedation Dentist

A Sedation dentist for patients, in the Fort Lauderdale area, who has a history of psychological or physical trauma that prevents them from receiving needed dental treatment?

Oral Sedation

Patients who wish to remain conscious during treatment, sedation dentistry offers a safe and reliable technique for making dental visits comfortable and relaxing without putting the patient to sleep. Thanks to mild oral sedation pill, an alternative to IV sedation and general anesthesia.

How Oral Sedation Works

This type of sedation dentistry begins when the doctor administers a small, custom-prescribed pill shortly before treatment. Soon after swallowing the pill, the patient eases into an anxiety-free state. Patients who undergo oral Sedation Dentistry remain aware of their surroundings and yet feel calm and relaxed throughout their time in the treatment chair.

Many patients find that oral sedation dentistry allows them to undergo dental treatments and procedures they would have never before been able to tolerate. Oral sedation dentistry is an especially promising alternative for our younger patients or for people whose dental anxiety may only be exacerbated by the use of numbing injections or IV sedation. If you live in the Fort Lauderdale area interested in learning more about oral sedation dentistry call the number above.

IV Concious Sedation Dentistry

sedation dentistry

IV concious sedation dentistry allows patients to undergo one or more procedures while they remain sedated of anxiety. This effect is achieve by using intravenous medication to calm the patient into a sedated state for the duration of the treatment. A state-of-the-art monitoring equipment is use to ensure that patients are always safe and comfortable, and all of the anesthesiology is administered by Florida board-certified dentist in IV concious Sedation.

IV sedation is indicated when the patient is apprehensive and/or does not want to remember anything when going to the dentist.

IV Sedation Dentistry Applications and Benefits

For many patients, a typical IV sedation dentistry visit may include deep cleanings, crowns and multi-specialty treatments such as as gum surgery, root canal, and dental implants. The anesthesia techniques selection is based on each individual's needs and desires.

The most obvious advantage of conscious IV aneshesia is to allow the patient to undergo multiple dental procedures, all while been sedated. In general, these sedated patients do not want to remember anything when going to the dentist.

Inhalants Sedation (Gas)

Instead of receiving medication intravenously through a vein, patients can opt to receive their sedation medication through the simple process of inhalation (anesthetics in the form of gas). A small mask attached to a tube is placed over the patient’s nose in order to administer the gas medication. Nitrous oxide, which is more commonly referred to as laughing gas, is one of the most common types of inhalants used in dentistry.

By Max Arocha DMD
August 04, 2012
Category: Uncategorized
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TOOTH CAVITY:

tooth cavity preventable

A preventable problem affecting all ages!

"Tooth cavity affects more than one-fourth of U.S. children aged 2 to 5 years, and half of those aged 12 to 15 years. One-fourth of U.S. adults aged 65 or older have lost all of their teeth" according to the Center for Disease Control. (CDC).

With a very personalized dental care program - just for you - tooth cavity can be a thing of the past. A cavity is a bacterial infection that is not only treatable, but it's also preventable.

From the outset, you can prevent tooth cavities for your baby or young child by not allowing them to fall asleep with a bottle of juice or milk. The acids in these beverages can cause severe teeth cavities.

For school-aged children, untreated cavities can cause a tooth pain, teeth absences, difficulty concentrating, and poor appearance. These are problems that greatly affect a child's quality of life. Teeth sealants and preventive fillings restorations protect the chewing surfaces of the back teeth from the most common "pit and fissure" cavities.

Teens are notorious for paying minimal attention to healthy eating and oral hygiene, making this age group particularly vulnerable to tooth cavities.

For patients having braces, regular in-office dental cleanings are vital to prevent rampant cavities from occurring next to the braces.

Don't Rely on Self-Exams!

Tooth cavity is still a problem for adults today. Cavity can form along or underneath old fillings and crowns (caps) - often making it necessary to replace older dental restorations.

"Root cavities" due to receding gums and "dry mouth" are common with age. The lack of saliva diminishes your ability to protect your teeth against cavities. We will advise you on ways to stimulate natural saliva production to help neutralize tooth cavity-causing acids.

Remember, we are here to help you with any dental concerns you may have from tooth cavities. 

By Max Arocha DMD
March 16, 2012
Category: Uncategorized
Tags: Untagged

Our goal is to provide you with the science, education and tools that will help you keep plaque in check. After all, this sticky film is the main culprit for both dental decay and periodontal disease.

Bacteria break down sugar and produce an acid that dissolves enamel and lead to decay. Gum tissue is highly susceptible to the toxic waste products released by the bacteria and formation of plaque, leaving your gums vulnerable to inflammation and infection or periodontitis.

Advanced dental research is helping us better understand hoe to control the overgrowth of oral bacteria. Prevention is beginning to focus on changing the oral environment.

Not all bacteria make-up of a healthy mouth differs greatly from a mouth full of cavities or periodontal disease. Researchers have identified friendly bacteria present in healthy mouths that are missing from diseased mouths.

 THE “NEW SIENCE” BEHIND A HEALTHY SMILE

oral probiotics xylitol

Recent studies offer evidence that the natural sweetener “xylitol” can help change the oral bacterial environment by blocking the metabolism of sugar.

Xylitol is a small molecule than fructose or glucose. It passes through the bacterial cell wall. Since the bacteria cannot metabolize the xylitol, it can not produce tooth-destroying acid.

Also under study is the role of “oral probiotics” in maintaining oral health. You are probably heard about probiotics to promote intestinal health; however, recently researchers have suggested the use of probiotics to boost oral health, as well.

Current research shows that specific oral probiotics can foster a healthier balance of oral bacteria. We will keep you updated about this promising research.

Remember, nothing works better than the tired-and-true method of healthy diet, excellent oral hygiene and regular dental checkups.

By Max Arocha DMD
February 16, 2012
Category: Uncategorized
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Pregnant Women with Gum Disease

"Baby Steps" to a healthy pregnancy. Pregnant women with gum disease may be seven times more likely to have a baby that is born too early, too small and vulnerable to too many health risks.

pregnant women gum disease

If you, or someone you know, are planning to become become pregnant soon, make sure to stay on top of daily oral hygiene and dental visits. If you have not been flossing regularly or have not had your six-month dental cleaning, there is a good chance you have gum disease.

Studies have shown a relationship between periodontal disease and preterm, low birth weight babies. It is likely that the culprit is a labor inducing chemical that is actually found in oral bacteria called prostaglandin. Very high levels of prostaglandin are found in a women with severe periodontal disease.

About half of women experience pregnancy gingivitis. This is the early stage of gum disease. Common symtoms include swelling, bleeding, redness or tenderness in the gum tissue.

When gigivitis is not properly addressed, it can develop into the more advanced oral health condition, periodontitis. This infection destroys the supporting bone and gums which holds teeth in place. The infection can also spread to other parts of the body.

If you are diagnosed with periodontal disease during pregnancy, a non surgical procedure called scaling and root planing may be recommended. Research suggests that these procedures may reduce the risk of preterm birth in pregnant women with periodontal disease.

Remember, the health of your gums may affect the health of your baby-to-be. Taking baby steps to give your child an on-time delivery is one of the best ways to give your baby a healthy start.

By Max Arocha DMD
January 16, 2012
Category: Uncategorized
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5 reason millions of people have chosen INVISALIGN

For millions of people, a healthy and beautiful smile starts with taking care of crooked teeth. There is no surprise that a healthy and attractive smile makes people feel and look their best.

Did you know that the benefits of having straight and properly aligned teeth go far beyond a confident smile? According to the American Dental Association, straightening your teeth can actually significantly affect your overall dental health. When teeth are properly aligned, it helps the gums fit more securely around the teeth, allowing for the strongest and healthiest defense against potential periodontal gums problems like gingivitis and periodontitis.

Our 5 reasons why, as of 2016, over 5 million people worldwide have chosen to be treated with Invisalign over braces comes from numerous patient interviews and researching the Invisalign market. And despite tough economic times, the number of Invisalign treatment keeps growing daily for the same 5 reasons listed below.

There are definitely other good options for straightening patient teeth, but no one seems to offer the level of comfort and convenience that Invisalign provides.

REASON 1. Invisalign is made to fit different lifestyles.

The good news is the Invisalign system does not require the patient to change his or her busy lifestyle. Invisalign aligners are removable. With the comfort and convenience of customized clear plastic aligners, Invisalign would not hold patients back with a high number of visits to the dentist like conventional orthodontic braces typically do.

Unlike with braces, a patient under Invisalign treatment has the flexibility to remove the aligners to eat and drink what he or she wants during treatment without any limitation. One of the biggest challenges of having braces is removing all the food that gets trapped in the brackets and wires. This often leads to dental plaque buildup and decalcification of teeth. In the majority of patients wearing braces, this plaque buildup may eventually lead to tooth decay and bleeding gums. So, how convenient can Invisalign be? Invisalign allows the patients to enjoy their favorite food without any restriction. The Invisalign aligner can also be easily removed to brush and floss as they normally would, for fresh breath and good oral hygiene.

In addition, it does not matter what type of sport the patient enjoys, Invisalign aligners would not get in the way.

With Invisalign, the patient can be as active as he or she would like to be. The patient can remove the Invisalign aligner for special events, business meetings or social gathering.

REASON 2. Invisalign treatment is a metal-free choice.

invisalign no metal

There are no metal brackets or wires that could cause irritation to a patient’s mouth, a major advantage over traditional braces. Since dental office visits during Invisalign treatment don't involve metal or wire adjustments, the patient will likely spend much less time in the dentist's chair.

Invisalign straightens crooked teeth right before patients’ eyes. If a patient is a candidate for Invisalign treatment, his or her teeth will move, little by little, toward a new smile with straighter and healthier teeth. In fact, Invisalign aligners are smooth and comfortable.

Once a trained and certified Invisalign dentist have determined that the patient is a candidate for Invisalign, he can correct imperfections in a wide range of smiles, including Overly crowded teeth, widely spaced teeth, overbites, underbites, and crossbites. Patients who their teeth have shifted since wearing braces are also the good candidate for Invisalign.

REASON 3. The main benefit of Invisalign is that it is virtually invisible.

Invisalign are clear aligners that allow patients to look their best while they smile with confidence during and after their Invisalign treatment. In addition, most people would not even notice that there are wearing Invisalign aligners.

invisalign benefit invisible

Most Invisalign patients interviewed love the fact that Invisalign aligners are unnoticeable to family members, friends, and co-workers. No one may even notice that they are wearing them. Invisalign also allows the patients to view their virtual results and treatment plan before they start so they can see how their straightened teeth will look when their treatment is complete. Instead of imagining how much better it can be, they are able to see it for themselves on a computer screen.

REASON 4.The process of getting started with Invisalign is easy and painless.

The path to an Invisalign treatment begins at a dental office of an Invisalign certified provider. Here are the five steps patients have to go through to achieve straight teeth with Invisalign.

  • Step 1: Initial Invisalign®Visit During the initialInvisalign®examthe dentist will evaluate, assess and discuss the course and cost of treatment with the patient. The dental office would then take teeth bite impressions, photos of your teeth and send them to Invisalign for processing.

About Invisalign cost: In the U.S., the cost of Invisalign treatment ranges from $4,000 to $7,000, with the national average at about $5,000. Some dental insurance plans cover on average $1,000 towards Invisalign treatment cost just as they would with other orthodontic treatments like braces. But of course, an Invisalign dentist will be able to fully determine the cost, which is based on the specifics of a patient individual needs. These factors can include the complexity of a patient case and how long the Invisalign treatment will take. Either your Invisalign dentist provider or your insurance carrier can help you to determine the exact coverage for your treatment. If your insurance does not cover part of your Invisalign treatment costs or if cost is a concern for you, talk to your Invisalign dentist provider about payment options - many Invisalign dentists offer flexible and affordable monthly payment plans, many with no down payment and no interest. About one-third of Invisalign patients use financing options to spread their treatment costs over time like care credit.

  • Step 2: Invisalign makes your aligners

Invisalign uses advanced 3-D computer imaging technology to transform the patient teeth bite impressions into a custom-made series of clear and removable aligners. This technology will also simulate the patient complete Invisalign treatment plan from the initial position to the final position of the patient’s teeth.

  • Step 3: You receive your clear aligners in a few weeks.

During the next visit to the dental office, the patient will receive his or her first set of clear Invisalign aligners.

  • Step 4: You wear your Invisalign aligners.

The patient will wear his or her first Invisalign aligner day and night for two weeks. Then it is replaced by the next aligner in the series until the final desired teeth position is achieved. Invisalign aligners can be removed when eating, brushing and flossing. Each case is a little different. However on the average Invisalign treatment last about a year. The patient will visit the dental office about 8 weeks for the progress check.

  • Step 5: You've finished Invisalign treatment!

When the patient is finished wearing each Invisalign aligner in the series, his or her Invisalign treatment will be complete and he or she will be required to wear an upper and lower orthodontic retainers of his or her choice. The patient can choose from a fixed or clear removable retainer.

REASON 5. Invisalign has been proven effective worldwide.

The Invisalign system has been proven effective through scientific orthodontics research and in clinical dental practices worldwide. Dentists have been using invisible orthodontics to straighten crooked teeth for decades. And as of 2016 million of patients have been successfully treated with Invisalign technology. About nine out of ten patients are “very satisfied” with their Invisalign. Invisalign scientific publications on Invisalign treatments are dated as far as the year 2000.

By Max Arocha DMD
December 05, 2011
Category: Uncategorized
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QUESTIONWhy do we need to care for baby teeth if they fall out anyways.

ANSWER: Premature loss of baby teeth will interfere with chewing and can affect the child's nutrition. It also can lead to drifting of adjacent teeth and closure of some of the space needed for the incoming teeth, causing crowding of the permanent teeth. Baby teeth are even more prone to decay than permanent teeth and, because they serve many important functions, they need to be cared for just as much as permanent teeth!



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