Archive for the ‘Procedures’ Category

Happy New Year!

Tuesday, January 3rd, 2012

Happy New Year to all of our patients, colleagues, friends, and followers!!!   We hope that you had a wonderful holiday season – but  even if you never made it to the “ball drop” at New York’s Time Square, make sure that you don’t drop the ball on your dental treatment this coming year, 2012.

We have a number of new techniques and products that we will be “featuring” in 2012, both dental and non-dental. Included among them are Oraverse (that reverses the numbness from injections),  nitrous oxide (laughing gas for patients with dental anxiety), thinner and stronger porcelain veneers (both Lumineers and Dental Ceramic veneers), and even an iPad for the reception area!

It is our intention that these and other innovations will keep you smiling all year long!

Oral Cancer Screenings a Regular Part of Our Check-Ups

Monday, December 5th, 2011

On a very serious note,  over the past few months we have seen a number of our patients who are being treated for very forms of cancer, including one patient who we diagnosed with oral cancer, localized in her tongue, and another with a large tumor in an area just behind the lower jaw.

As you know, part of our examination of our patients includes a cancer screening, often done following your dental hygiene appointment.   We take this part of your recare/recall appointment very seriously.

In addition to making referrals to the appropriate oral surgeon and/or physician, we often recommend the use of a highly flouridated toothpaste, such as Previdental 5000 and Prevident 5000 booster.  They are by prescription and should be used nightly to combat dry-mouth, which can lead to tooth decay and tissue sloughing, which are often consequences of radiation treatment and chemotherapy used to fight the cancer.  These toothpastes can also be used for our patients with diabetes and those people taking medications for high blood pressure, who may also suffer from dry-mouth.

If you or people you know need our help, please know that we are available for them!

Academy of Comprehensive Esthetics meeting

Monday, November 14th, 2011

Wendy and I just returned from the Academy of Comprehensive Esthetics (ACE) meeting in Phoenix, Arizona, looking at the latest trends, materials, and innovations in general and cosmetic dentistry.  In terms of materials, changes in porcelain  – both in color and hardness – have revolutionized veneers and crowns.  The leader is the E-max porcelain, fabricated by Ivoclar, which is three to four times stronger than the previous porcelains. In fact, I visited the Ivoclar U.S. headquarters near Buffalo, New York, earlier this year to gain a greater understanding of the Empress, E.Max fabrication.  We have been using it for the past two years, and the color improvements have made it our go-to material for both veneers and crowns, both in the anterior and posterior areas of the mouth.

If  you’d like more information about it, or how we can use it in your mouth, please let us know!

When to Remove Wisdom Teeth

Monday, June 27th, 2011

When summer comes around, and our high school and college students are on break, I always get a lot of questions about wisdom teeth and whether or not they should be extracted/”come out.”  Each patient/case should be looked at on an individual basis, though  in general, I am conservative on their removal. Factors that need to be looked at include:

  • The age and health of the patient
  • Room in the arch
  • The angle of eruption – or non-eruption – on teeth that are impacted (i.e. unable to come in due to being blocked by adjacent teeth)
  • The position of the mandibular nerve (that runs below and/or adjacent to the wisdom tooth)
  • The bone and tissue surrounding the tooth

If you have any questions, or would like yourself or your student to be evaluated, please call our office at 1-440-461-1003 or contact us here and let us know.

Oral Cancer Exam A Regular Part of Our Check-Ups

Monday, June 13th, 2011

We like to get hugs, and recently we got a hug from a husband and wife, when we detected a tumor on the woman’s tongue  that she had not known about.   She was a new patient of ClevelandSmiles, and had seen a number of physicians and dentists who were unable to diagnose her problem, being focused on a number of other oral issues that she had.  As you know, the oral cancer exam is part of our patient examination during both the new patient exam and regular dental check-ups.  We are happy to report that she is being treated for this problem, and her outlook seems good.  If you have any lesion or growth that concerns you, please let our dental staff know!!!

Learn About Our Digital X-Ray System

Monday, June 6th, 2011

We frequently get asked questions about our digital x-ray system. Here are some facts:

  • It has 90% less radiation than conventional dental x-rays; a full set of radiographs is similar to 2-3 minutes in the sun.
  • We always use a lead shield for our patients, one that has a thyroid collar as part of the coverage to minimize any unnecessary exposure.
  • Radiographs are important to look for bone disease, decay between teeth, and other important landmarks.

Gratefully, the digital x-ray system enables us to be better diagnosticians!

Additional Copies of Cleveland Smiles Magazine

Wednesday, May 25th, 2011

We have had some very nice feedback on our latest newsletter and have had a number of requests for additional copies. If you would like a copy for family members and friends, please call Afsaneh or Karin.  Also, if you’d like to see us feature any procedure or technique, from laser gum contouring to porcelain veneers to digital x-rays, please let us know and we’ll work on including it in the next copy of ClevelandSmiles magazine.

George Washington’s Teeth

Friday, April 29th, 2011

While visiting my sister Joanne in Sarasota, Florida, recently, I came across a book her husband Marshall was reading entitled, “Washington – A Life,” by Ron Chernow.

Interestingly, a chapter was devoted to his struggle with his dentures and his relationship with his dentist, who played a major role in his life, as they became close friends through President Washington’s struggle to keep his teeth in.    As they did not have impression materials back in the day, the fit of the denture was determined by the dentist’s ability to carve and sand the underside of the denture.  As might be expected, it affected President Washington’s ability to eat and give speeches, and was a major concern and frequent source of embarrassment to him.

Fortunately, today, with the materials we have, including dental implants, we are able to secure both the upper and lower dentures in a manner that makes them feel like one’s own teeth.  Please let us know if you or a family member or friend could use our help, so that they don’t have to feel like President Washington did!

Give Your Teeth a Spring Cleaning

Monday, April 25th, 2011

With Springtime in the air, and the Cleveland Indians back on track, we hope you will consider visiting Amy and Barbara, our hygienists, to give your teeth a “Spring cleaning,”   It’s always important to keep your regular appointments with them, as they not only give your teeth a sparkling look but also do an oral cancer screening, as well as watching for gum and bone problems and decay.  With the help of digital radiography (i.e. digital x-rays), they can do a thorough evaluation.   Digital radiography uses 90% less radiation than conventional x-rays (it’s like being out in the sun for only two or three minutes).  Importantly, it allows us to be better diagnosticians and minimize your dental treatment.  Going back to the Tribe, it’s even better than a scouting report.

Don’t “wait till next year” (a favorite saying of Cleveland Indians fans) to see Amy and Barbara!!! Contact us to schedule an appointment.

Welcome Our Newest Staff Member

Monday, April 18th, 2011

On Aprill 11th, we welcomed a new staff member, Ms. Suzanne Moss, who is an EFDA (i.e. Expanded Function Dental Auxillary).    She comes to us with a wealth of training and experience.  Like a Physician’s Assistant in medicine, she will help Marilyn and me chairside. Suzanne will help us educate, place restorations/fillings, sealants, and assist.   Suzanne has great enthusiasm for her work and for people, and we are sure you will enjoy getting to meet her and work with her.