dental health

Do You Have a Dental Disorder?

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The range of possible dental disorders is wide and many and some are more easily recognized than others. It could be a bit perplexing to consider you may have a dental disorder without realizing it, but it’s actually more common than you might think. Some disorders have obvious symptoms that may have you running to our office. Others can be more subtle. Do you feel tired, easily irritable, or have difficulty focusing? Do you have facial soreness or pain? Surprisingly, these may be the result of a dental disorder. Our goal is to educate our patients on common and uncommon symptoms that may be a sign to visit our office and receive the required care to remedy these conditions.

A dental disorder is a disruption of your body’s natural process relating to your oral health. Despite its origins, it is important to understand symptoms may be experienced elsewhere in the body. For this reason, many suffer from ailments they don’t consider relevant to tell their dentist. However, as we are a medical provider we encourage you to share things that may not seem related – you never know! Here are a few to keep on the lookout, so you can better identify signs should something be amiss.

shutterstock_115032628-VECTORRedness and swelling of the gums may indicate the presence of gingivitis, or early-stage gum disease. Left untreated, it can progress into full blown periodontitis that can threaten your smile and even cause tooth loss. Bleeding from the gums, tooth mobility, and soreness are all signs of periodontitis and should be checked.

Simple bad breath, or halitosis, is very common among adults and teens. While it usually isn’t cause for too much concern, we understand it can weigh on your self-esteem. We care about your health and happiness, and would love to work with you to address the root of the issue. Restoring healthy smiles is what we do; restoring confidence is a happy side effect.

Additionally, a dry mouth may not seem like a dire situation. However, if your mouth constantly feels dry it can lead to an increased risk of tooth decay. Saliva plays an important role in ridding your mouth of bacteria, it also aids in digestion meaning it can evolve into issues that transcend the health of your smile.

While scary to confront, oral growths are a condition that can emerge as serious. It is possible for oral growths to be completely benign and harmless, but in other cases they can be the beginning stages of cancer. For this reason it’s important a medical professional diagnose and treat the growths accordingly. Even if you are certain it’s harmless (for example, perhaps you suffered trauma to the face that injured your mouth), it’s still worth an appointment to ensure you’re not at an increased risk for infection or other potential issues.

We understand some conditions may seem complex. Rest assured we are here to work with you to find a solution to your unique needs. If you feel one or more of these conditions may apply to you or a family member, call our office to begin seeking relief today. We are here for you.

Dr.Kenneth M. Sadler

Winston Salem Dental Care
(336) 331-3500
201 Charlois Blvd
Winston-Salem, North Carolina

Choose Dental Health NOT Insurance

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Health insurance is a topic familiar to many, and varies from individual to individual. Providers are different, coverage fluctuates, and co-pays change as well. However, it is always important that the health of you and your family remains our number one priority.

Dental Emergency Care

An injured tooth, like any emergency situation, often presents an unexpected expense and financial hardship. It’s important to keep perspective and ensure your primary focus remains the danger it places on your body and health, not your wallet. Dental complications, like many health conditions, are degenerative; meaning, they get worse the longer you ignore treatment. Failing to address an ailment stresses the body and almost always increases the financial cost of treatment as the severity of the damage escalates. Using the example of a broken tooth, what may originally be a quick dental restoration can easily turn into an infection, decay, or cause a loss of the tooth entirely. A lost tooth results in replacement costs, and if those are ignored, can spiral into the migration or infection of the surrounding teeth. It’s easy for simple injuries to spiral into much more serious situations when treatment is neglected.

“An ounce of prevention is worth a pound of cure.”

You’ve likely heard this before, but clichés are clichés for a reason. The ounce of preventative and immediate treatment can save you a pound of further health problems, and a pound in your wallet. We care about your health and cost effective treatment options. Our office will never surprise you with unexpected bills, and we will always work with you to ensure you understand your treatment, the significance of receiving it, and the costs. If you require a treatment that presents a financial hardship, talk to us. Where possible, we will explore alternate treatment plans or discuss other solutions to ensure you are not placed in a difficult position. We do this while always keeping your health as our number one priority.

When it comes to ensuring the longevity of your health, communication is key. Don’t stay quiet about concerns of any kind – health, financial, or other: we are your health care partner and here to serve you.

Dr.Kenneth M. Sadler
http://www.wsdentalcare.com/
(336) 331-3500
201 Charlois Blvd
Winston-Salem, North Carolina

Keep Calm and Floss On

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On August 2nd, this New York Times article was published and caused quite a bit of controversy in both the dental community and with the general public. While it is not conclusive in its findings, the overarching claim is that flossing may not be as beneficial as once thought. As dental professionals, we take very seriously the responsibility we have ensuring our patients receive the best possible education and care regarding the health of their smiles. For this reason, we feel compelled to express our disagreement with the suggestion that flossing may be overrated, and why that’s a harmful position to propagate.

Let’s first look at the article, which uses a lot of language such as:

  • “…flossing may be
  • “…most of the current evidence fell short…”
  • “That flossing has the same benefit is a hunch that has never been proved.”
  • “…there is some mediocre evidence that flossing does reduce bloody gums and inflammation known asgingivitis.”

There is a stark difference between something ‘not having been proved’ and something being ‘disproved’. Please know that there is no evidence remotely close to suggesting the latter. In fact whether the evidence is “mediocre” or not, the only evidence the article does mention (quoted above) is in favor of flossing. A lack of ability to prove something is not cause to discourage an entire population from participating in a highly beneficial component of their health care. This is particularly true because evidence is acquired by conducting large-scale studies, which are extremely costly. It would hardly be economical to spend the research funding to prove something we already have no doubt offers a variety of benefit for your oral and overall health.

We do not agree with the article’s brash call to action, or more accurately, call to inaction, and we fear how this may increase the number of people inflicted with preventable damage to their smile. Looking again at the line “…there is some mediocre evidence that flossing does reduce bloody gums and inflammation known as gingivitis.” Gingivitis is the first stage in periodontal disease – the very condition flossing aims to combat. To reduce gingivitis is to reduce your chances of progressing into advanced gum disease, a condition more than half of Americans already suffer from (CDC).

It is unfortunate the scale of damage this article has the potential to incite; too many readers will take this “lack of evidence” as being evidence to the contrary, and feel it gives them permission to neglect a very essential part of their oral health care.

We can only do our best to keep our patients like you educated and on the path to a lifelong happy and healthy smile – a path that certainly includes consistent flossing.

CDC: “Periodontal Disease.” Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 10 Mar. 2015. Web.

Dr.Kenneth M. Sadler
http://www.wsdentalcare.com/
(336) 331-3500
201 Charlois Blvd
Winston-Salem, North Carolina

Dental Deep Cleaning for Healthy Gums

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What is scaling and root planing? When is it recommended?

As with many aspects of general dentistry, scaling and root planing is a treatment related to keeping your mouth free of gum disease. Your routine appointments and your home care are preventative measures to maintain your oral health; but as nice as it would be to keep your oral health in perfect condition all the time, sometimes that just doesn’t happen. When we identify the onset of gum disease, we work quickly to reverse the condition and get you back on a healthy track. This is where scaling and root planing treatments play a critical role.

Often referred to as periodontal cleaning or deep cleaning, they are all the same form of treatment. The procedure removes dental plaque and tartar, specifically below the visible gum line. The spaces between your gums and teeth are prime breeding ground for bacteria and infection, so without treatment they can deepen and compromise your oral health. There are a variety of tools and methods available for periodontal cleaning, and each is designed to finely clean the dental pockets the gum disease is attacking and deepening. Successfully completed, the build-up collected around the teeth and gums will be removed, and the gums will heal tightly around the teeth for a secure and healthy fit.

Post-Treatment Follow-Up

Scaling and root planing are advantageous procedures if gum disease is present, but what about the importance of following up after you’ve been treated? Despite the fact healing and improvements will be seen immediately following treatment, the actual procedure is only the first step in arresting the periodontal disease. The true efficacy of scaling and root planing is contingent upon a number of variables, including patient compliance.

It is imperative the patient and our office collaborate to prevent the infection from recurring. Infection is often the result of negligent oral care, which will need to be excellent and diligently preformed following treatment. As it takes a significant period of time for the infection and bacteria to build-up, the remedial steps taken after scaling and root planing will not be an overnight solution – time and consistency will be necessary for a full recovery.

Subsequent appointments are often necessary in order to monitor and track the healing progress, and we will discuss the frequency and importance of these with you to ensure your understanding and comfort. Our office will be there to help through each and every step of this process with respect to your unique needs, as well as offer any resources or information necessary to restore your smile to a happy and healthy state.

Dr.Kenneth M. Sadler
http://www.wsdentalcare.com/
(336) 331-3500
201 Charlois Blvd
Winston-Salem, North Carolina

Amalgam Fillings: Should They Be Replaced?

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What is a filling?

Receiving a dental filling is a common procedure that many people have personally experienced. As a bit of a background, a filling becomes necessary when a tooth is damaged by decay and needs to be restored and protected. The function of a filling is to both seal off any spaces where bacteria could enter, and to reshape the tooth to its original form and function. Fillings are an invaluable part of dental work because they offer both a solution for present damage, and act as preventative guards against potential future damage.

A variety of materials are used to create fillings: gold, porcelain, a composite resin, or an amalgam (commonly referred to as silver fillings) are all common choices. There is no ‘best’ type of filling, and the right option for you is truly dependent on your individual case and personal preference.

Why remove a filling?

There are a few different reasons one may want to replace a filling, including a more natural look. Porcelain and composite resins look the most natural and are placed to match your tooth color, and it is not uncommon for those with gold and silver fillings to request these more subtle options. Each type of filling has its own lifespan, which can range from just a few years to several decades, so sometimes a routine replacement may also be in order.

BeforeAndAfter Img

However, in addition to appearance and time, there is also a debate surrounding the use of amalgam fillings.

Amalgam fillings are safe and affordable

By definition, the word ‘amalgam’ is synonymous with the words ‘mixture’ or ‘blend’. As an example, a smoothie would be considered an amalgam of fruits!

In the dental world, ‘amalgam’ as it is used to describe a filling indicates it is a mixture of materials – this means that silver fillings are not pure silver, they have other similar materials in them as well. The proposed problem with these fillings is that the material could contain toxic or harmful matter that could negatively affect your health.

That being said, these claims have simply not been proved. A lot of research has been conducted to ensure the safety of patients, but time and time again amalgam fillings are found to be safe, durable, and affordable. In fact, the American Dental Association (ADA) directly states that “the removal of amalgam restorations from the non-allergic patient for the alleged purpose of removing toxic substances from the body, when such treatment is performed solely at the recommendation or suggestion of the dentist, is improper and unethical”. This means that removing the filling creates an even bigger health risk to the patient because amalgam fillings are completely non-toxic!

Dr.Kenneth M. Sadler
http://www.wsdentalcare.com/
(336) 331-3500
201 Charlois Blvd
Winston-Salem, North Carolina

Pre-Medication for Dental Work After Joint Replacement

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What is pre-medicating? What do artificial joints have to do with dental treatment? Why is this related to my oral health and not just overall health?

Good questions! Although artificial joints can seem like a far cry from concerns with your dental health, the two are more related than one may think. When it comes to artificial joints, there is an increased risk of infection due to the inorganic material in the body that should be taken into consideration. This is true from the time of placement, but it may also play a role with future medical treatments. It has long been suggested that pre-medicating should be a standard prerequisite to dental and other procedures, but what is pre-medicating and why would it help?

Pre-Medication Before Dental Procedures

Pre-medicating is the act of giving medication prior to a medical or dental procedure, which is done with the intention of staying ahead of potential infection problems. The theory is that bacteria from the mouth can enter the blood stream, and those with artificial joints are already more susceptible to infection. Pre-medication is meant to help mitigate this risk prior to the procedure to keep your overall health in check from start to finish.

Sounds simple – what’s the dilemma?

Your replacement joints may not affect treatments at all! Many question pre-medication as it does not appear to be necessary. In fact, the ADA directly states “In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection.” There is evidence that dental procedures are not associated with prosthetic joint implant infections, along with the fact that there is evidence to suggest that there are potential harms in taking medication when not completely necessary. As such, the risks do not outweigh the benefits of pre-medication. In individual cases, there may be exceptions; however, as a rule pre-medication is not a necessary prerequisite for effective dental treatments.  In cases where antibiotics are deemed necessary, it is most appropriate that the orthopedic surgeon recommend the appropriate antibiotic regimen and, when reasonable, write the prescription.

Please be sure to let us know if you have artificial joints, or any out of the ordinary medical circumstances. We will be sure to take them into consideration when it comes to developing your treatment plan. For the most part, your artificial joints will not require special treatment on your end – we can treat you as we would any other patient to keep your smile looking sharp!

Dr.Kenneth M. Sadler
http://www.wsdentalcare.com/
(336) 331-3500
201 Charlois Blvd
Winston-Salem, North Carolina

Deep Cleaning: What it means to you

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You’re a good person – you pay your taxes, pick up litter, and make it to the dentist every 6 months. Now you’re being told you may need a deep cleaning…but don’t you clean your teeth every day? And isn’t a deep cleaning what the dentist always does? Not quite, although we know it can sometimes feel that way.

A regular dental cleaning is what you are accustomed to receiving every 6 months. The intention of this visit to the dentist is to maintain your healthy gums and give your teeth a little extra attention when it comes to matters of plaque and tartar, which can be difficult to remove fully with a toothbrush and floss alone. The odds are that if you are brushing and flossing every day, and taking any other steps recommended by your doctor, a regular dental cleaning is the perfect addition to your regular care that will keep your smile happy and healthy.

Deep cleaning, a necessity?

A deep cleaning, on the other hand, is what becomes necessary when the health of your teeth and gums become jeopardized by gum disease (or ‘periodontitis’). To put it in perspective, your gums are supposed to have tight and healthy seals around your teeth to protect them and keep them firmly in place. A standard part of your regular cleaning is your doctor using a diagnostic tool called a ‘periodontal probe’ to ensure this is the case; the probe is used to measure the depth of the space between your gums and teeth. Typically 1-3mm is considered normal, and there should be very little or no bleeding at all. Upwards of 4mm is a sign that you are developing ‘pockets’, which are a space between the teeth and gums that becomes prime breeding ground for bacteria and tartar buildup. Plaque that is not brushed and flossed away left on the teeth for more than 24 hours can become tartar, which only your dentist can remove. Left unattended, these pockets can deepen and compromise the tooth and the surrounding bone structure. If the dentist uses the probe and measures 4mm or more, and/or there is significant bleeding and signs of inflammation, then a deep cleaning will be scheduled to help you get your smile back on track.

Deep cleaning is not a scary process.

Oftentimes, your dentist will break the cleaning into two separate visits to most effectively treat your mouth, this is especially important if your entire mouth needs attention so that you’ll be numbed in only smaller sections of your mouth each time, making for a completely comfortable process and quick recovery. The most common forms of treatment are ‘scaling’ and ‘root planing’. The process of scaling involves using a professional tool to remove plaque and tartar from both the surface of the teeth, and the pocket area that has been created between your teeth and gums. A scaling instrument, on the other hand, removes plaque and tartar from the surface of the root of your teeth, which is below the gum line and not visible. These tools are the only thing that can removed built up plaque, as even floss cannot reach far into deepened pockets. The good news is they do a wonderful job of cleaning up any tartar that has built up beneath the visible surface.

Periodontitis is a progressive disease, and left unattended can turn into a much more serious problem. Fortunately, the treatment is typically straight forward and as long as you follow the doctor’s aftercare instructions, the bacteria should be reduced to manageable levels and your gums should return to normal and lose any signs of redness. If you are feeling pain or sensitivity in your teeth, have red and/or puffy gums, or are experiencing bleeding during normal brushing and flossing – call us. The sooner periodontitis is identified the easier it is to treat and the less expensive it is for you, if you have any concerns about your oral health just remember that a professional evaluation is never harmful and may offer you some great information.

Dr.Kenneth M. Sadler
http://www.wsdentalcare.com/
(336) 331-3500
201 Charlois Blvd
Winston-Salem, North Carolina