Brushing

Brushing is the most effective method for removing harmful plaque from your teeth and gums. Getting the debris off your teeth and gums in a timely manner prevents bacteria in the food you eat from turning into harmful, cavity causing acids.

Most dentists agree that brushing three times a day is the minimum; if you use a fluoride toothpaste in the morning and before bed at night, you can get away without using toothpaste during the middle of the day. A simple brushing with plain water or rinsing your mouth with water for 30 seconds after lunch will generally do the job.

Brushing techniques

Since everyone's teeth are different, see me first before choosing a brushing technique. Here are some popular techniques that work:

• Use a circular motion to brush only two or three teeth at a time, gradually covering the entire mouth.
• Place your toothbrush next to your teeth at a 45-degree angle and gently brush in a circular motion, not up and down. This kind of motion wears down your tooth structure and can lead to receding gums, or expose the root of your tooth. You should brush all surfaces of your teeth - front, back, top, and between other teeth, rocking the brush back and forth gently to remove any plaque growing under the gum.
• Don't forget the other surfaces of your mouth that are covered in bacteria - including the gums, the roof and floor of your mouth, and most importantly, your tongue. Brushing your tongue not only removes trapped bacteria and other disease-causing germs, but it also freshens your breath.
• Remember to replace your brush when the bristles begin to spread because a worn toothbrush will not properly clean your teeth.
• Effective brushing usually takes about three minutes. Believe it or not, studies have shown that most people rush during tooth brushing.

What is Tooth Decay?

Plaque is an insidious substance—a colorless, sticky film—that blankets your teeth and creates an environment in which bacteria erode tooth enamel, cause gum irritation, infection in inner structures such as pulp and the roots, and in extreme cases, tooth loss.

Some of the biggest culprits causing plaque are foods rich in sugar and carbohydrates, including soda beverages, some juices, candy and many kinds of pasta, breads and cereals.

Plaque also can attack Fillings and other restorations in your mouth, which can lead to more costly treatment down the road.

Plaque is the main cause of tooth decay. It can also cause your gums to become irritated, inflamed, and bleed. Over time, the plaque underneath your gums may cause periodontal disease, which can lead to bone loss and eventual tooth loss.

Inside your teeth, decay can gradually destroy the inner layer, or dentin. It can also destroy the pulp, which contains blood vessels, nerves and other tissues, as well as the root.

Periodontal Disease is advanced gum disease. This serious condition occurs when the structures that support your teeth—the gums and bone—break down from the infection. Pain, hypersensitivity and bleeding are some of the signs of periodontal disease.

Simple Preventative Measures
The two best defenses against tooth decay and gum disease are a healthy, well-balanced diet and good oral hygiene, including daily brushing with fluoride toothpaste, flossing and rinsing. Most public drinking water contains fluoride, but if you are unsure of your water supply, then use a good quality mouth rinse containing fluoride.

A good way to help your oral health between brushing is chewing sugarless gum; this stimulates your body's production of saliva, a powerful chemical that actually neutralizes plaque formation and rinses decay-causing food particles and debris from your mouth.

In some cases, our office can prescribe anti-cavity rinses or apply special anti-cavity varnishes or sealants to help fight decay.

Periodontal Exams

Periodontal Exams are vital in the maintenance of your oral health as they are used to assess the health of your gums and teeth. They can help your dentist diagnose gum diseases, gingivitis and periodontitis. These exams can also reveal receding gums, exposed roots, tooth grinding and other problems, making periodontal exams vital to maintaining proper oral health. Regular dental exams are important as they can reveal evidence of gum disease in its early stages.

During your periodontal examination, your dentist will check:

• For any lumps or abnormal areas in the mouth
• Whether any of your teeth are missing or loose
• The color, texture, size and shape of your gums
• Whether you have fillings, crowns, bridges, dentures or implants
• How much plaque is on your teeth
• The depth of the space between your tooth and gum

Gingivitis is the first stage of periodontal disease that causes inflammation of the gums. Dental X-rays can determine if the inflammation has spread to the supporting structures on the teeth so treatment can be started to correct the problem. Periodontitis occurs when gingivitis goes untreated, which makes periodontal exams vital to preventing and putting an end to gum diseases.

Your dentist will complete a periodontal exam with each visit, emphasizing the importance of regular, routine visits to your dentist's office.

Oral Health Topics: ORAL PIERCING

Oral piercings (usually in the tongue or around the lips) have quickly become a popular trend in today’s society. With this popular trend, it is important to realize that sometimes even precautions taken during the installation of the piercing jewelry are not enough to stave off harmful, long-term consequences such as cracked or chipped teeth, swelling, problems with swallowing and taste, and scars. There is also a possibility of choking on a piece of dislodged jewelry, which makes it important to ask if the risks are warranted.

One of the most serious long-term health problems that may occur from oral piercings come in the form of damage to the soft tissues such as the cheeks, gums and palate, as well as opportunistic infections. When performed in an unsterile environment, any kind of body piercing may also put you at risk of contracting deadly infectious diseases such as HIV and hepatitis.

A tongue piercing is a common form of body piercing. However, tongue piercings have been known to cause blocked airways (from a swollen tongue). In some cases, a tongue piercing can cause uncontrolled bleeding.

Oral Health Topics: TOBACCO

Dentistry health care that works: tobacco

The American Dental Association has long been a leader in the battle against tobacco-related disease, working to educate the public about the dangers inherent in tobacco use and encouraging dentists to help their patients break the cycle of addiction. The Association has continually strengthened and updated its tobacco policies as new scientific information has become available.

Frequently asked questions: tobacco products

What effects can smoking have on my oral health? Are cigars a safe alternative to cigarettes? Are smokeless tobacco products safe? The American Dental Association has some alarming news that you should know.

Smoking and Implants

Recent studies have shown that there is a direct link between oral tissue and bones loss and smoking.

Tooth loss and edentulism are more common in smokers than in non-smokers. In addition, people who smoke are more likely to develop severe periodontal disease.

The formation of deep mucosal pockets with inflammation of the peri-implant mucosa around dental implants is called peri-implantitis. Smokers treated with Dental Implants have a greater risk of developing peri-implantitis. This condition can lead to increased resorption of peri-implant bone. If left untreated, peri-implantitis can lead to implant failure. In a recent international study, smokers showed a higher score in bleeding index with greater peri-implant pocket depth and radiographically discernible bone resorption around the implant, particularly in the maxilla.

Many studies have shown that smoking can lead to higher rates of dental implant failure. In general, smoking cessation usually leads to improved periodontal health and a patient’s chance for successful implant acceptance.

Oral Health Topics: AGE AND ORAL HEALTH

Oral changes with age

Is tooth loss inevitable in your later years? How much should adults be concerned about cavities? Here you will find helpful answers to some frequently asked questions about oral health questions you may have as you get older.

National survey reveals baby boomers miss links between oral and overall health

Baby boomers looking for the warning signs of adult-onset diseases may be overlooking key symptoms in their mouth that should signal alarms about their overall health. According to a survey commissioned by the Academy of General Dentistry, 63 percent of baby boomers (ages 45-64) with an oral symptom considered to be a key indicator of a more serious health condition, were unaware of the symptom`s link to the condition. Boomers` failure to recognize that Oral Health holds valuable clues could negatively impact their overall health.

Oral Health Topics: Latex Allergy

Naturally occurring latex has been linked in recent years to allergic reactions in people who use such products as latex gloves. The proteins in the latex, which can also become airborne, can cause problems in vulnerable people such as breathing problems and contact dermatitis. Some allergic reactions, including anaphylactic shock, have been more severe.

Many health experts have rightly attributed the dramatic increase of allergic reactions to latex in the health care community to the increased use of gloves and other personal protection equipment in light of the AIDS epidemic.

Latex is a pervasive substance in many household items—from toys and balloons to rubber bands and condoms.

Latex allergies could cause the following symptoms:

• Dry skin
• Hives
• Low blood pressure
• Nausea
• Respiratory problems
• Tingling sensations

People with high-risk factors for latex allergy include those who have undergone multiple surgical operations, have spina bifida, or are persistently exposed to latex products.

If you are vulnerable to latex or have allergies related to it, please notify our office and, by all means, seek medical attention from your family physician.

Oral Health Topics: MEDICATION AND HEART DISEASE

Certain kinds of medications can have an adverse effect on your teeth.

Long ago, children exposed to tetracycline developed tooth problems, including discoloration, later in life. The medication fell out of use, however, and is not an issue today.

The best precaution is to ask your family physician if any medications he or she has prescribed can have a detrimental effect on your teeth or other oral structures.

A condition called dry mouth is commonly associated with certain medications, including antihistamines, diuretics, decongestants and pain killers. People with medical conditions, such as an eating disorder or diabetes, are often plagued by dry mouth. Other causes are related to aging (including rheumatoid arthritis), and compromised immune systems. Garlic and tobacco use are other known culprits.

Dry mouth occurs when saliva production drops. Saliva is one of your body's natural defenses against plaque because it acts to rinse your mouth of cavity-causing bacteria and other harmful materials.

Some of the less alarming results of dry mouth include bad breath. But dry mouth can lead to more serious problems, including burning tongue syndrome, a painful condition caused by lack of moisture on the tongue.

If dry mouth isn't readily apparent, you may experience other conditions that dry mouth can cause, including an overly sensitive tongue, chronic thirst or even difficulty in speaking.

Heart Disease
Poor Dental Hygiene can cause a host of problems outside your mouth—including your heart.

Medical research has uncovered a definitive link between heart disease and certain kinds of oral infections such as periodontal disease. Some have even suggested that gum disease may be as dangerous as or more dangerous than other factors such as tobacco use.

A condition called chronic periodontitis, or persistent gum disease, has been linked to cardiovascular problems by medical researchers.

In short, infections and harmful bacteria in your mouth can spread through the bloodstream to your liver, which produces harmful proteins that can lead to systemic cardiac problems. That’s why it’s critical to practice good oral hygiene to keep infections at bay—this includes a daily regimen of brushing, flossing and rinsing.

Antibiotic Prophylaxis

In some cases, patients with compromised immune systems or who fear an infection from a dental procedure may take antibiotics before visiting the Dentist.

It is possible for bacteria from your mouth to enter your bloodstream during a dental procedure in which tissues are cut or bleeding occurs. A healthy immune system will normally fight such bacteria before they result in an infection.

However, certain cardiovascular conditions in patients with weakened hearts could be at risk for an infection or heart muscle inflammation (bacterial endocarditis) resulting from a dental procedure.

Patients with heart conditions (including weakened heart valves) are strongly advised to inform our office before undergoing any dental procedure. The proper antibiotic will prevent any unnecessary complications.

Oral Health Topics: INFECTION CONTROL

Standards and Best Practice

With all of the increased media attention on infection outbreaks such as AIDS and multi-drug resistant strains of viruses, it's no wonder people have heightened concerns about infection control during a medical procedure.

Gloves, gowns and masks are required to be worn in all dentist offices today—a far cry from just a few decades ago—when fewer than one-third of all Dentists even wore such personal protective equipment, or PPE. After each patient visit, disposable PPE-such as gloves, drapes, needles, and scalpel blades-are thrown away, hands are washed, and a new pair of gloves used for the next patient.

All hand instruments used on patients are washed, disinfected and/or sterilized with chemicals or steam after each use.

One of the most effective methods for preventing disease transmission—washing one’s hands—is practiced in our office. It is routine procedure to wash hands at the beginning of the day, before and after glove use, and after touching any surfaces that may have become contaminated.

Water Quality and Biofilms

Concerns about the quality of water used in a dentist's office are unfounded, provided the Dentist follows the infection control guidelines of the Centers for Disease Control and the American Dental Association.

Some health "experts" in recent years have called into question the risks associated with so-called "biofilms," which are thin layers of microscopic germs that collect on virtually any surface. Essentially, these bacteria and fungi occur everywhere, including faucets in your home; your body is no less accustomed to being exposed to them than in any other situations.

In fact, no scientific evidence has linked biofilms with disease. If you have a compromised or weakened immune system, you are susceptible to germs everywhere. Consequently, let our office know if you have such a condition so additional precautions, if any, can be taken.

Oral Health Topics: FILLINGS

Frequently asked questions: dental fillings

Are dental amalgams safe? Is it possible to have an allergic reaction to amalgam? Is it true that dental amalgams have been banned in other countries? Is there a Filling material that matches tooth color? If my tooth doesn't hurt and my filling is still in place, why would the filling need to be replaced? Read this interesting and informative discussion from the American Dental Association.

FDA consumer update: dental amalgams

The Food and Drug Administration and other organizations of the U.S. Public Health Service (USPHS) continue to investigate the safety of amalgams used in Dental Restorations (fillings). However, no valid scientific evidence has shown that amalgams cause harm to patients with dental restorations, except in rare cases of allergic reactions.

ATSDR - public health statements: mercury

The Centers for Disease Control and Prevention offers some scientific background on mercury (contained within silver-colored fillings), and whether it believes the substance presents any health hazards.

Analysis reveals significant drop in children's tooth decay

Children have significantly less tooth decay in their primary (baby) and permanent teeth today than they did in the early 1970s, according to the Journal of the American Dental Association (JADA). The analysis reveals that among children between the ages of six and 18 years, the percentage of decayed permanent teeth decreased by 57.2 percent over a 20-year period. In addition, children between the ages of two and 10 years experienced a drop of nearly 40 percent in diseased or decayed primary teeth.

Alternative Materials
Advances in modern dental materials and techniques increasingly offer new ways to create more pleasing, natural-looking smiles. Researchers are continuing their often decades-long work developing esthetic materials, such as ceramic and plastic compounds that mimic the appearance of natural teeth. As a result, Dentists and patients today have several choices when it comes to selecting materials used to repair missing, worn, damaged or decayed teeth.

The advent of these new materials has not eliminated the usefulness of more traditional dental restoratives, which include gold, base metal alloys and dental amalgam. The strength and durability of traditional dental materials continue to make them useful for situations where restored teeth must withstand extreme forces that result from chewing, such as in the back of the mouth.

Alternatives to amalgam, such as cast gold restorations, porcelain, and composite resins are more expensive. Gold and porcelain restorations take longer to make and can require two appointments. Composite resins, or white fillings, are esthetically appealing, but require a longer time to place.

Here's a look at some of the more common kinds of alternatives to silver amalgam:

Composite fillings - Composite fillings are a mixture of acrylic resin and finely ground glasslike particles that produce a tooth-colored restoration. Composite fillings provide good durability and resistance to fracture in small-to-mid size restorations that need to withstand moderate chewing pressure. Less tooth structure is removed when the Dentist prepares the tooth, and this may result in a smaller filling than that of an amalgam. Composites can also be "bonded" or adhesively held in a cavity, often allowing the dentist to make a more conservative repair to the tooth. In teeth where chewing loads are high, composite fillings are less resistant to wear than silver amalgams. It also takes longer to place a composite filling.

Ionomers - Glass ionomers are tooth-colored materials made of a mixture of acrylic acids and fine glass powders that are used to fill cavities, particularly those on the root surfaces of teeth. Glass ionomers can release a small amount of fluoride that help patients who are at high risk for decay. Glass ionomers are primarily used as small fillings in areas that need not withstand heavy chewing pressure. Because they have a low resistance to fracture, glass ionomers are mostly used in small non-load bearing fillings (those between the teeth) or on the roots of teeth. Resin ionomers also are made from glass filler with acrylic acids and acrylic resin. They also are used for non-load bearing fillings (between the teeth) and they have low to moderate resistance to fracture. Ionomers experience high wear when placed on chewing surfaces. Both glass and resin ionomers mimic natural tooth color but lack the natural translucency of enamel. Both types are well tolerated by patients with only rare occurrences of allergic response.

Porcelain (ceramic) dental materials - All-porcelain (ceramic) dental materials include porcelain, ceramic or glasslike fillings and crowns. They are used as inlays, onlays, crowns and aesthetic veneers. A veneer is a very thin shell of porcelain that can replace or cover part of the enamel of the tooth. All-porcelain (ceramic) restorations are particularly desirable because their color and translucency mimic natural tooth enamel. All-porcelain restorations require a minimum of two visits and possibly more. The restorations are prone to fracture when placed under tension or on impact. Their strength depends on an adequate thickness of porcelain and the ability to be bonded to the underlying tooth. They are highly resistant to wear but the porcelain can quickly wear opposing teeth if the porcelain surface becomes rough.

Sealants

Research has shown that almost everybody has a 95 percent chance of eventually experiencing cavities in the pits and grooves of their teeth.

Sealants were developed in the 1950s and first became available commercially in the early 1970s. The first sealant was accepted by the American Dental Association Council on Dental Therapeutics in 1972. Sealants work by filling in the crevasses on the chewing surfaces of the teeth. This shuts out food particles that could get caught in the teeth, causing cavities. The application is fast and comfortable and can effectively protect teeth for many years. In fact, research has shown that sealants actually stop cavities when placed on top of a slightly decayed tooth by sealing off the supply of nutrients to the bacteria that causes a cavity.

Sealants act as a barrier to prevent bacteria and food from collecting and sitting on the grooves and pits of teeth. Sealants are best suited for permanent first molars, which erupt around the age of 6, and second molars, which erupt around the age of 12.

Sealants are most effective when applied as soon as the tooth has fully come in. Because of this, children derive the greatest benefit from sealants because of the newness of their teeth. Research has shown that more than 65% of all cavities occur in the narrow pits and grooves of a child`s newly erupted teeth because of trapped food particles and bacteria.

Application

Sealant application involves cleaning the surface of the tooth and rinsing the surface to remove all traces of the cleaning agent. An etching solution or gel is applied to the enamel surface of the tooth, including the pits and grooves. After 15 seconds, the solution is thoroughly rinsed away with water. After the site is dried, the sealant material is applied and allowed to harden by using a special curing light.

Sealants normally last about five years. Sealants should always be examined at the child`s regular checkup. Sealants are extremely effective in preventing decay in the chewing surfaces of the back teeth.

Insurance coverage for sealant procedures is increasing, but still minimal. Many Dentists expect this trend to change as insurers become more convinced that sealants can help reduce future dental expenses and protect the teeth from more aggressive forms of treatment.

Oral Health Topics: THE PREVENTIVE PROGRAM

Both natural teeth and teeth with restorations survive best in an oral environment that is clean and where the intake of harmful foods is controlled. Our program is designed to help prevent new cavities, preserve teeth that have been restored and manage periodontal disease. At the initial visit Oral Hygiene instructions are reviewed and are reinforced at subsequent recall visits. The following are helpful recommendations:

Brush your teeth twice a day in a circular motion with a soft bristled toothbrush aimed at the gum.

• Floss every night in an up-and-down motion while keeping the floss in a U-shape and against the tooth surface.
• Avoid smoking.
• Avoid sticky sugary foods.
• Eat a balanced diet.
• Use antiseptic and fluoride rinses as directed.
• Have sealants placed on young permanent teeth.

Oral Health Topics: FLUORIDE

For decades, fluoride has been held in high regard by the Dental community as an important mineral that strengthens tooth enamel, which thereby helps to prevent decay of tooth structures.

Water fluoridation is endorsed by nearly every major health and safety-related organization in the world. Communities make it a common practice to "fluoridate" their drinking supplies in order for the general population to benefit from this inexpensive and effective preventative treatment. According to the American Dental Association, more than 144 million U.S. residents in more than 10,000 communities drink fluoridated water, most from public water supplies with sodium fluoride added artificially.

Bottled water, home water treatment systems, and fluoride exposure

Can the consistent use of bottled water result in individuals missing the benefits of optimally fluoridated water? Can home water treatment systems (e.g., water filters) affect optimally fluoridated water supplies? The answer is yes to both. Read how you can avoid some of the pitfalls that may be preventing you from getting the maximum value of fluoride, in this article from the American Dental Association.

ADA statement on FDA toothpaste warning labels

The American Dental Association`s Council on Scientific Affairs believes that one part of the warning now required on fluoride toothpastes by the Food and Drug Administration (FDA) could unnecessarily frighten parents and children, and that the label greatly overstates any demonstrated or potential danger posed by fluoride toothpastes. The label language, "If you accidentally swallow more than used for brushing, seek professional help or contact a poison control center immediately," is now required on all fluoride toothpastes. But the ADA, in a letter sent to the FDA last year, pointed out that a child could not absorb enough fluoride from toothpaste to cause a serious problem and that the excellent safety record on fluoride toothpaste argues against any unnecessary regulation.

Enamel fluorosis

According to the American Academy of Pediatric Dentistry, a child may face a condition called enamel fluorosis if he or she receives too much fluoride during the years of tooth development. Too much fluoride can result in defects in tooth enamel.

CDC web site provides information on community water fluoridation

People seeking information on whether their water system is fluoridated can now find out by visiting a new Web site at the Centers for Disease Control and Prevention (CDC). The new feature, "My Water`s Fluoride," allows consumers in participating states to check out basic information about their water system, including the number of people served by the system and the target fluoridation level. Optimal levels recommended by the U.S. Public Health Service and CDC for drinking water range from 0.7 parts per million (ppm) for warmer climates, to 1.2 ppm for cooler climates accounting for the tendency to drink more water in warmer climates. States that are currently participating include Arizona, Colorado, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Maine, Massachusetts, Michigan, Minnesota, Nebraska, New Hampshire, Nevada, North Dakota, Oklahoma, Pennsylvania and Wisconsin.

Oral Health Topics: GENERAL DENTISTRY

GENERAL DENTISTRY: The first line of defense against oral health problems

In General Dentistry, the dentist is the primary care provider for patients of all ages and is responsible for the prevention, diagnosis and treatment of a wide variety of conditions, disorders and diseases affecting the teeth, gums and maxillofacial (jaw and face) parts of the body. Even though general dentists primarily provide preventative care and minor restorative therapy, they are often able to perform a wide array of other dental procedures, including some minor cosmetic treatments.

The American Dental Association (ADA) recommends that patients visit their general dentist at least once every six months to ensure proper oral health and functionality. Regular oral health check-ups and maintenance help to prevent the development of serious dental problems that may require more extensive and costly treatments. General dentists are highly educated and trained in multiple facets of Dentistry, providing a variety of different services for you and your family including:

• Crowns and bridges
• Dentures
• Dental implants
• Gum disease (Periodontal) treatment
• Orthodontics
• Root canal therapy
• Teeth cleanings
• Bonding
• Dental fillings

General Dentists who do not perform a certain treatment will provide you with a specialist referral.

Oral Health Topics: INTRODUCTION

Does mercury in the silver Fillings in your mouth pose any long-term health risks? Does fluoride, in spite of everything we've been told since childhood, actually cause more harm than good? What does the latest research reveal about tobacco use on your overall oral health?

This section is dedicated to the latest information about these and other Oral Health topics, pulled from authoritative sources such as the American Dental Association.

Dental Emergencies

A knocked out tooth or bitten tongue can cause panic in any parent, but quick thinking and staying calm are the best ways to approach such common Dental Emergencies and prevent additional unnecessary damage and costly dental restoration.

This includes taking measures such as application of cold compresses to reduce swelling, and of course, contacting our office as soon as possible.

Toothaches

Simple toothaches can often be relieved by rinsing the mouth to clear it of debris and other matter. Sometimes, a toothache can be caused or aggravated by a piece of debris lodged between the tooth and another tooth. Avoid placing an aspirin between your tooth and gum to relieve pain, because the dissolving aspirin can actually harm your gum tissue.

Broken, Fractured, or Displaced Tooth

A broken, fractured or displaced tooth is usually not a cause for alarm, as long as decisive, quick action is taken.

If the tooth has been knocked out, try to place the tooth back in its socket while waiting to see your Dentist.

First, rinse the mouth of any blood or other debris and place a cold cloth or compress on the cheek near the injury. This will keep down swelling.

If you cannot locate the tooth back in its socket, hold the dislocated tooth by the crown - not the root. Next, place it in a container of warm milk, saline or the victim's own saliva and keep it in the solution until you arrive at the emergency room or Dentist's Office.

For a fractured tooth, it is best to rinse with warm water and again, apply a cold pack or compress. Ibuprofen may be used to help keep down swelling.

If the tooth fracture is minor, the tooth can be sanded or if necessary, restored by the Dentist if the pulp is not severely damaged.

If a child's primary tooth has been loosened by an injury or an emerging permanent tooth, try getting the child to gently bite down on an apple or piece of caramel; in some cases, the tooth will easily separate from the gum.

TEETH WHITENING

Whitening procedures have effectively restored the smile of people with stained, dull, or discolored teeth.

The darker tissue of your teeth, the dentin, can become exposed as the outer layer of enamel is worn away by the effects of aging or things like caffeine and tobacco.

Food particles are naturally attracted to a tooth's enamel by a certain protein. Products like coffee and tea, berries and soy sauce are notorious for staining teeth. Over time, teeth actually become more absorbent and vulnerable to staining from food and other substances.

One type of stain—caused by traumatic injuries, medications and fluorosis—actually begins inside the tooth; brushing and flossing don’t help. Another type of stain—one that can be more easily attacked by brushing, flossing and rinsing—is caused by external factors such as foods.

More and more people today are choosing tooth-whitening procedures to reverse the effects of aging and abuse from food and tobacco stains.

Some commercially available "whitening toothpastes" can be somewhat effective at removing stains and making teeth a few shades brighter. However, many of these products have abrasive substances that can actually wear away your tooth's enamel.

Whitening agents actually change the color of your teeth, but only are effective on certain types of stains. For example, bleaching agents have a difficult time removing brownish or grayish stains. These products also are not as effective on pitted or badly discolored teeth, or on restorations such as crowns, bridges, bonding and tooth-colored fillings (Porcelain Veneers or Dental Bonding may be more appropriate in this case).

Professional whitening performed by our office is considered to be the most effective and safest method; done properly, Tooth Whitening can last as long as five years. Over-the-counter whitening systems are somewhat effective as long as they are monitored and directions followed closely.

CROWNS AND BRIDGES

Bridges

Bridges are natural-looking dental appliances that can replace a section of missing teeth. Because they are custom-made, bridges are barely noticeable and can restore the natural contour of teeth as well as the proper bite relationship between upper and lower teeth.

Bridges are sometimes referred to as fixed Partial Dentures, because they are semi-permanent and are bonded to existing teeth or implants. There are several types of fixed dental bridges (cannot be removed), including conventional fixed bridges, cantilever bridges and resin-bonded bridges. Unlike a removable bridge, which you can take out and clean, your dentist can only remove a fixed bridge. .

Porcelain, gold alloys or combinations of materials are usually used to make bridge appliances.

Appliances called implant bridges are attached to an area below the gum tissue, or the bone.

Crowns

Crowns are synthetic caps, usually made of a material like porcelain, placed on the top of a tooth.

Crowns are typically used to restore a tooth's function and appearance following a restorative procedure such as a root canal. When decay in a tooth has become so advanced that large portions of the tooth must be removed, crowns are often used to restore the tooth.

Crowns are also used to attach bridges, cover implants, prevent a cracked tooth from becoming worse, or an existing filling is in jeopardy of becoming loose or dislocated. Crowns also serve an aesthetic use, and are applied when a discolored or stained tooth needs to be restored to its natural appearance.

Procedures

A tooth must usually be reduced in size to accommodate a crown. An impression is then made from the existing tooth to create a custom-designed crown. The impression is sent to a special lab, which manufactures a custom-designed crown. In some cases, a temporary crown is applied until the permanent crown is ready. Permanent crowns are cemented in place.

Crowns are sometimes confused with veneers, but they are quite different. Veneers are typically applied only to relatively small areas.

Caring For Your Crowns
With proper care, a good quality crown could last up to eight years or longer. It is very important to floss in the area of the crown to avoid excess plaque or collection of debris around the restoration.

Certain behaviors such as jaw clenching or bruxism (teeth grinding) significantly shorten the life of a crown. Moreover, eating brittle foods, ice or hard candy can compromise the adhesion of the crown, or even damage the crown.

VENEERS

Teeth that are badly stained, shaped or crooked may be improved by a veneer placed on the surface of the affected teeth.

Veneers are thin pieces of porcelain or plastic cemented over the front of your teeth to change their color or shape. Veneers are used on teeth with uneven surfaces or are chipped, discolored, oddly shaped, unevenly spaced or crooked. Little or no anesthesia is needed. Veneers have a longer life expectancy and color stability than bonding, and highly resist permanent staining from coffee, tea, or even cigarette smoking.

Veneers are usually made by a dental lab technician working from a model provided by your dentist. Veneers are usually irreversible because it`s necessary to remove a small amount of enamel from your teeth to accommodate the shell.

Porcelain Veneers can mask undesirable defects, such as teeth stained by tetracycline, by an injury, or as a result of a root-canal procedure, and are ideal for masking discolored fillings in front teeth. Patients with gaps between their front teeth or teeth that are chipped or worn may consider porcelain veneers.

Typically, veneers entail at least three appointments: diagnosis and treatment planning, preparation, and bonding.

During the Tooth Preparation visit, usually lasting one to two hours, the teeth are lightly buffed to allow for the small added thickness of the veneer. Usually, about a half a millimeter of the tooth is removed, which may require a local anesthetic. During the same visit, a mold is taken of the teeth, and sent to the laboratory for the fabrication of the veneers.

During the final "bonding" visit, also about one or two hours, the veneers are placed on the tooth surface with water or glycerin on the teeth to check their fit and get a sense of the shade or color. While the veneers are resting on your teeth, they can be adjusted with various shades of cement to match the color of your teeth. To apply the veneer, the tooth is cleansed with specific chemicals to achieve a bond. Once a special cement is sandwiched between the veneer and tooth, a visible light beam, or laser, causes a catalyst to be released, hardening the cement.

During a two-week period of adjustment that follows, you may notice the change of size and shape in your teeth. It is important to brush and floss daily. After one or two weeks, you`ll return for a follow-up appointment. Porcelain veneers are reasonable facsimiles of natural teeth, not perfect replacements. It`s not uncommon to see slight variations in the color of porcelain veneers upon close inspection, as this occurs even in natural teeth.

For certain patients no preparation of the teeth may be necessary. Please see our specialties page for more information.

IMPLANTS

Before development of Dental Implants, dentures were the only alternative to replacing a missing tooth or teeth.

Implants are synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are anchored to the jawbone or metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge. In some cases, implants can be used to attach Dentures.

Not everyone is a candidate for a dental implant, however. For a successful implant to take hold, a candidate must have proper bone density and have a strong immune system. In all cases, dental implants require strict oral hygiene.

Implants are so well designed that they mimic the look and feel of natural teeth. Implants are usually made of a synthetic yet biocompatible material like metal or ceramic.

Surgery is necessary to prepare the area for an implant and place the implant in the mouth. Following the procedure, a period of time is required for the implant to take hold and for bone tissue to build up and anchor the device. In some cases, metal posts are inserted into the implant during a follow-up procedure to connect the tooth.

Because implants require surgery, patients are administered anesthesia and, if necessary, antibiotics to stave off infection following the procedure.

Like any restoration, implants require diligent oral hygiene and proper care to ensure they last a long time.

NEW PATIENTS

Patient Forms, Map and Directions to Wappingers Falls Office

Your first visit to Michael D. Meshnick, DDS establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There’s also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Mission Statement

To welcome and treat each patient as a respected and honored guest while providing only excellence in Dentistry in a warm, friendly, caring and professional manner.

To fulfill this mission, we are committed to:

• Listening to those we are privileged to serve.
• Earn the trust and respect of patients, profession and community.
• Exceed your expectations.
• Ensure a creative, challenging and compassionate professional environment.
• Strive for continuous improvement at all levels.

What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

DENTAL SERVICES

Wappingers Falls Teeth Whitening, Dental Implants, Veneers

Michael D. Meshnick, DDS offers a full array of dental services to help you maintain healthy teeth. You can read more on this page about specific services.

• Bonding
• Cosmetic Contouring
• Crowns and Bridges
• Specialty Dentures
• Cosmetic Fillings
• Implants
• Veneers
• Whitening 
• Sealants
• Extractions
• Scaling and Root Planing
• Dentures
• Jaw/TMJ
• Cosmetic Dentistry
• Denlight for oral cancer screening
• Excessive or Uneven Gums

We also feature:

• TV in the treatment rooms
• Nitrous Oxide
• Treatment for mild Sleep Apnea and Snoring

Initial Oral Examination

Your initial oral examination includes a visual examination, charting, periodontal probing, diagnosis and treatment recommendations. We will also take x-rays, which includes proper diagnosis of the anterior (front) and posterior (back) teeth as well as the bite-wing x-ray series for proper diagnosis of proximal decay of posterior teeth.

OFFICE

Wappingers Falls Dentist - Wappingers Falls Dental Office

Comfort and convenience are the hallmarks of Michael D. Meshnick, DDS’s office operations. To ensure your convenience, below is the information you need about our hours, location, appointment scheduling, insurance acceptance and billing.

Michael D. Meshnick, DDS
187 New Hackensack Rd.
Wappingers Falls, NY 12590
845-297-3000

Office Hours

Monday: 08:00 AM - 06:00 PM
Tuesday: 08:00 AM - 06:00 PM
Wednesday: As Needed
Thursday: 08:00 AM - 06:00 PM
Friday: 08:00 AM - 02:00 PM
Saturday: Closed
Sunday: Closed

Appointments

Please call 1-845-297-3000

Insurance and Billing

We work with all insurance carriers.

Payment Options

We accept checks, cash or credit cards. We also offer a flexible payment plan. Please see our Financial Coordinator for details. We are happy to file insurance for your reimbursement as long as you are free to choose your own Dentist.

Financing Options
CareCredit is here to help you pay for treatments and procedures your insurance doesn’t cover. We offer No Interest* financing or low minimum monthly payment options so you can get what you want, when you want it. You can even use CareCredit for your family and favorite pet.

With three simple steps, including an instant approval process, it’s easy to apply for CareCredit. After you’re approved, you’re free to use CareCredit for the services you choose including LASIK, veterinary, Dentistry, cosmetic, hearing aids and more.

CareCredit is endorsed by some of the most credible organizations specific to each healthcare profession we support. And CareCredit is a GE Money Company, so you know you can count on us. For over 20 years, we’ve been helping over five million cardholders get the Healthcare Treatments they want and need.

Now you don’t have to worry about saving up for the procedures you want and need. With CareCredit, the decision’s in your hands to get what you want, when you want it. For more information or to apply online, visit carecredit.com.

Facilities and Equipment

• Intra Oral Camera
• Diagnodent - Laser carries diagnosis
• AMD Dental Laser - In office bleaching technique with zoom light

DENTAL STAFF

Dentist in Wappingers Falls, NY

All our professionals at Michael D. Meshnick, DDS maintain the highest levels of accreditation and pursue ongoing education to stay abreast of the latest trends in Dentistry.

Our seven staff members including Valerie Cook and Michele Cahill, our two licensed Dental Hygienists are all here two serve you with kindness and professionalism

Michael D. Meshnick, DDS

• Graduate of New York University College of Dentistry
• Served as a Captain in the United States Air Force
• Staff Dentist at Vassar Brothers Hospital for 20 years
• Membership in:
• The American Dental Association
• Dental Society of the State of New York
• Ninth District Dental Society
• Dutchess County Dental Society
• Academy of General Dentistry
• Awarded Fellowship in the Academy of General Denistry
• Written articles for the Poughkeepsie Journal
• Interviewed about Cosmetic Dentistry on cable TV.

Meet the Team

Jean - Office Manager has been with us for more than 20 years and is from Poughkeepsie

Valerie – Dental Hygienist has been with us for more than 20 years and is from Wappingers

Bonnie – Dental Assistant has been with us for more than 15 years and is from Wappingers

Bernadette – Dental Hygienist has been with us for more than 6 months, has wonderful experience and is from Fishkill

Terri – Dental Assistant has been with us for more than 1 year and is from Beacon

Rebecca – Receptionist/ Administrator has been with us for more than 1 year and is from Wappingers

Grace - Receptionist /Administrator has been with us more than 6 months, happy to help and is from Poughkeepsie

Dentist Wappingers Falls, NY - Michael D. Meshnick, DDS

From first contact at Michael D. Meshnick, DDS, our Wappingers Falls dentists are committed to your individual attention and strive to provide personalized oral health care tailored for your unique dental needs and goals. We work hard to create the ultimate stress-free and comfortable dental experience. Your health and comfort are our top priorities, and we do what it takes to help every patient understand their symptoms and treatment options in a relaxed office setting.

It is our mission to educate and provide our patients with the Best Dental Care in Wappingers Falls. For that reason, we've designed this website to provide you with all of the important information you need to make healthy decisions about your teeth and gums. We encourage you to browse our office page, service details and patient education library whenever you have a question about our practice or your oral health.

Achieving Quality Dental Care shouldn't be difficult, so at Michael D. Meshnick, DDS we make it simple to achieve your healthiest, most beautiful smile. Whether you are looking for information on implants,teeth whitening, crowns, or preventive care, you can learn more about all of your options from our services page. For your convenience, you can also request an appointment online with our Wappingers Falls dentist and download patient forms directly from our website.

Feel free to contact our Wappingers Falls office with any questions. We look forward to making each visit to our office a positive experience.

Visit our Wappingers Falls Dental Office.

We specialize in dental implants, restorative dentistry and laser dentistry.

We offer many dental services such as:

• Implant Dentistry
• Preventative Dentistry
• Teeth Whitening
• Periodontal Treatment
• General Dentistry