health

Dental X-Rays and Your Health

x-ray-961977_1280

X-rays, otherwise known as dental radiographs, are a staple of quality dental care. While x-rays bring undeniable advantages when it comes to identifying and diagnosing potential health issues, some may harbor reservations regarding the risks of exposure to radiation.  Fortunately we can ease those concerns and serve as a resource for understanding radiography, so you can feel confident receiving excellent care.

Why Do I Need Dental X-Rays

shutterstock_300017999X-rays are an essential tool in the dental community (and medical community at large) as they provide valuable insights that we would not otherwise be able to access with visual inspection alone. Our team, with the help of x-rays, is able to see between, inside, and under your teeth. In doing so, we have the ability to check a variety of important health factors. This includes the presence of cavities, the health of your tooth roots, the bone structure surrounding the tooth, the status of developing teeth, the health of your jaw bone, and many more conditions that we would not otherwise be able to monitor. X-rays are instrumental when there is a known issue; with them, we are better able to understand the full scope of the situation and design an appropriate treatment plan for the beauty and health of your smile.

Radiation Exposure from X-Rays

shutterstock_8399488Radiography technology has come a long way, and your exposure to radiation is negligible amounts in terms of risk – in fact, the risk you assume by forgoing x-rays can create long-term damage that could otherwise have been identified and treated. We understand some patients have concerns about radiation exposure, and it’s important to understand we are all consistently exposed to radiation each and every day. It’s high levels of exposure that are the true cause for concern. Our x-ray machines operate on a micro-scale that simply don’t compare. We assure you receiving x-rays is one of the single most beneficial processes capable of saving your health by identifying small problems before they progress into serious conditions.

If you have any unaddressed concerns, in regards to x-rays or other dental procedures, our knowledgeable staff is happy to share answers with you. We want you to feel relaxed in our office, and confident that you are receiving the best care possible!

Dr.Kenneth M. Sadler

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

How the Holidays Affect Your Teeth

general-1st-paragraph-imageThe holidays are infamous for being diet-breakers, but let’s not forget the effect excessive sweets can have on your oral health! Don’t worry, we aren’t going to convince you to pass on pecan pie or skip the cider; however, it is important to continue practicing healthy habits, even with some well-deserved indulgences peppered into your seasonal celebrations. Sugar affects everyone’s teeth, no matter how old. Younger children’s smiles are still in the process of development, which means they need added care throughout the growing stages.

The Start of Gum Disease and Cavities

To better understand why it’s important to monitor sugar consumption, we must first address the development of gum disease and cavities. When you eat normally throughout the day, food particles and bacteria collect in your mouth and on your teeth. As you brush and floss, these particles and bacteria are removed with no harm done. However, the presence of sugar fuels the bacteria, which creates enamel-destroying acid; left untreated, the acids corrode a hole in the tooth that deepens over time. Additionally, infection can occur in the gum tissues and lead to swelling, bleeding, and pain. It’s important to limit the bacteria’s opportunity to spread by practicing consistent oral care, and keep your mouth free of disease and infection.

Dental Decay in Children

general-3rd-paragraph-mageWhen teeth are still in development, the story can be a bit different. The above still applies, but the stakes are higher during the formative years of cutting teeth. It isn’t uncommon to hear “oh, they’re just baby teeth”, but that couldn’t be farther from the truth. Child tooth decay is a rampant condition and, although completely preventable, is five times as common as asthma. It’s entirely possible for the infection to spread beneath the gum line, and compromise the healthy adult teeth growing below. Until children are a certain age, it’s imperative for parents to teach sustainable healthy habits. Fortunately, we have a tip or two for the whole family!

When it comes to limiting sugar intake, but also being practical enough to live a little (especially during the holidays!) we stress that it’s actually the timing of sugar consumption that affects dental health more than the quantity consumed. That means less sweets eaten throughout longer periods of the day can actually harm your teeth more than a large serving of dessert eaten at once. Additionally, serving sweets along with the meal can also prevent over-exposure, as they are less likely to sit on the teeth for extended periods of time. Bearing these facts in mind, we suggest instead of leaving sweets all over the house, limit consumption until meal time, and then allow yourselves and the kids to enjoy your share of holiday confections!

Dr.Kenneth M. Sadler


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

This Is How To Pick A Toothbrush & Floss

We all know to brush our teeth. Check. We all know to floss our teeth. Check (okay, we know some of us skip this step but we’ll let it slide this time). But do we know which type of toothbrush and which dental floss is the best to keep our pearly whites, well, pearly and white? Today we clear the air on this important topic.

Toothbrushes & Brushing

Before getting into all your purchasing options, let’s do a quick brush up (pun intended) on proper brushing techniques to ensure your dental labors are as effective as possible.

When brushing, you don’t want to apply a lot of pressure; plaque is removed with gentle and thorough cleaning. By being too aggressive you are more likely to damage your gum tissue than clean properly. To start, place the head of the brush at a 45-degree angle and point the bristles just into the gum line. This helps disrupt buildup gathering at the base of the tooth. Avoid brushing all your teeth at once; rather, target a group of 3-4 and gently clear the surfaces before moving on to the next set. Be sure to clean all surfaces of the tooth: fronts, backs, chewing surfaces, and the sides of those hard-to-reach molars. Perfect!

Which Toothbrush Is Best?

Electronic toothbrushes are a fantastic option and do a lot to help agitate food particles and really cleanse your teeth. Manual toothbrushes also work well provided they are used effectively with our above tips. For bristles, many make the mistake of purchasing them too tough. The flexibility and gentleness of soft bristles is precisely what you want to clean without damaging. For toothbrush size, just ensure it isn’t too large that it prevents access to those back molars that can be tricky to reach. There is no single toothbrush that is perfect for everyone, so be sure you’re using the one that feels the best to you and will encourage regular use – if you have any questions, we are always here!

Dental Floss & Flossing

Onto floss – but first, the brush up:

When it comes to flossing, you make a C-shape to curve around each tooth as you bring the floss down. The point is not to drag the line straight up and down, which can irritate the gums, but rather to hug the surface of each tooth and clean from the top to the root with a gentle motion. Use about 18” of floss for a fresh portion each pass. Remember to clean both neighboring teeth each time you bring the floss down, and don’t miss any teeth!

Which Floss Is Best?

There are a few variables to keep in mind when finding your ideal floss. First is the thickness of the floss – some people have larger gaps between teeth, and others have very tight spaces that can make it hard to floss. The ideal thickness is one that is comfortable to use, but still thoroughly cleans between each tooth – for tight spaces, try a flat, ribbon-like floss. There are also options like the material the floss is made of, and then waxed versus unwaxed floss. Some suggest waxed floss may be slightly more effective, but whichever choice is most comfortable for you is the choice we recommend. Yes, a lot of our advice is related to your preferences, but if you find a dental product you like with the ADA Seal of Acceptance, you can be sure you’ve found a winner!

In fact, that is our biggest suggestion for when it comes to both brushes and floss: the right option for you is the one you will actually use. If you have more questions, give us a call – we are always happy to ensure our patients feel confident with their oral health and have all the facts.

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

Dental Deep Cleaning for Healthy Gums

GENERAL-Title.png

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?

BlogTitle_Amalgam

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

GENERAL-Title

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

General-Title.png

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