Thursday, December 23, 2010

The Pain of TMD

The nerves and muscles of the jaw control opening and closing and cause separation as pressure is applied between the teeth.  Pressure sensitive receptors in the tiny ligaments suspending the teeth in the jaw bone and the receptors in the chewing muscles cause a reflex to occur during biting to minimize the duration and magnitude of the forces on teeth.

Dysfunction  in the jaw joint occurs when this reflex control of the jaw movement is over-ridden by higher brain centers during clenching and grinding (bruxism).  During bruxism, tooth contact occurs for extended periods of time and with much greater magnitude.  These pressures measure ten times greater than the force commonly exerted on teeth.  These excessive pressures can result in severe tooth wear, cracking and fracturing of teeth and fillings and pain during chewing due to incomplete fracture of the tooth (Cracked Tooth Syndrome).  A crown is necesary to splint a cracked tooth to prevent further separation of the crack.

The excessive forces of bruxism can also cause jaw pain from fatigue of the jaw muscles and inflammation from damage to the cartilage and ligaments of the jaw joint.  These sign and symptoms are referred to as Temporal Mandibular Dysfunction, or TMD.  If you believe that you are experiencing any of these changes, then visit http://www.dulski.com/jawbite.html to learn how Dr. Dulski at Adult Dentistry of Rochester can help.

Tags: TMJ ProblemsTMD

Wednesday, December 15, 2010

Pain Control In Dentistry

Pain is a protective response to tissue injury and has two components.  The first is the propagation of the sensory impulse along the nerve to the brain where the impulse is recognized and described in terms of location, nature and intensity.  The second is the emotional response to pain which involves the interpretation of pain and the fear triggered by this interpretation.  The experience of pain is therefore the product of the magnitude of the sensory input and its psychological processing.

In dentistry, pain control often requires analgesic drugs.  Adjunctive measures can augment the effectiveness of these drugs in the dental office.  Studies show that the sensation of pain is increased as anxiety increases.  This relationship suggests that efforts to reduce anxiety can lessen pain both in the dental office and at home after the procedure.

At Adult Dentistry of Rochester, Dr. Dulski uses the following simple measures with each patient to optimize patient comfort:

     1)  Present a calm, well-organized staff and treatment environment.

     2)  Provide information both about the procedure and what sensations to expect.

     3)  Assure the patient that no treatment will be initiated unless the patient is 100% completely numb.

     4)  Discuss the patient's previous experiences of pain management in other dental offices.

     5)  Assure the patient that effective pain control will be provided with medication after the procedure.

And, for patients with a heightened sense of fear, Dr. Dulski provides a range of sedation to meet every need.  To learn more about effective control of the pain and anxiety of dental procedures, visit http://www.dulski.com/oral.html.

Tags: Dental InjectionsPain ControlDental AnesthesiaSedation Dentistry

Tuesday, December 7, 2010

Oral Health and the Geriatric Patient

Several factors influence the planning of treatment for the older adult.  More than any other age group, some patients may benefit from complex and invasive treatment such as implant restorations while limited supportive care may be the optimal choice for others.  The factors which influence this decision include:

      1)  Patient desires and expectations

      2)  Type and severity of the patient's dental need

      3)  The problem's impact on the patient's quality of life

      4)  The probability of positive treatment outcomes

      5)  The availability of reasonable and less extensive treatment alternatives

      6)  Ability of the patient to tolerate the physical, mental and emotional stress of treatment

      7)  The patient's capacity to maintain oral health

      8)  The patient's financial resources

      9)  The dentist's skills and facility access

     10) Other issues such as life expectancy, family desires and bio-ethical issues

Treatment outcomes are optimized by incrementally prioritizing treatment.  Initially, care should center on emergency care such as control of pain and infection; extraction of hopelessly decayed teeth; removal of deposits of plaque, stain and tartar; fillings to prevent further decay ; and repair of broken dentures.  Then treatment of periodontal disease and simple restorations such as root canals, crowns and temporary dentures should be pursued.  Finally, complex restorations such as implant crowns and bridges, and partial or complete removable dentures can be provided.

An informed discussion with the patient includes the advantages, disadvantages, risks and alternatives to any proposed treatment along with the staging of care.  All treatment questions are answered before the treatment plan is finalized at the dental chair and a written plan with associated fees is presented at the reception desk for signature by the patient.  To learn more about the special care for older adults provided by Dr. Dulski at Adult Dentistry of Rochester, visit http://www.dulski.com/.

Tags: Oral HealthGeriatric DentistryGum Disease

Denture Care

Determination of a patient's capacity to chew adequately is an important part of the periodic denture exam.  Studies in the United Kingdom and Japan have found that maintaining 20 or more natural teeth represents an important cut-off for adequate nutrition.

In addition to tooth loss, chewing effectiveness may be impaired by pain; crooked , worn or loose teeth; dry mouth; loss of tooth or bone support for the bite; joint dysfunction; or ill-fitting dentures.  Complete denture wearers have about one-fifth the chewing ability of persons with natural teeth and take more laxatives and anti-reflux drugs for gastro-intestinal problems.

Existing dentures need to be carefully evaluated for fit, comfort and function.  Dr. Dulski evaluates dentures for stability, retention, support for the bite and esthetics of the face, bite contacts and alignment, tissue extension and pressure.  For a free comprehensive denture examination by Dr. Dulski to spot problems, visit Adult Dentistry of Rochester at http://www.dulski.com/banner.html.

Tags: Denture ExamDenturesDental Implants

Warning Signs of Periodontal Disease

The American Dental Association lists eight warning signs of periodontal diseasePeriodontal disease in its early stages is often painless.  It is the most common cause for tooth loss for adults age 35 years or older and it affects 75% of this age group.  Don't wait till it hurts.  The eight warning signs are:

      1)  Gums that bleed when you brush.

      2)  Gums that are red, tender or swollen.

      3)  Gums that have pulled away or receded from the teeth.

      4)  Pus between teeth and gums when the gums are pressed.

      5)  Permanent teeth that are loose or separating.

      6)  Change in the way your teeth fit when biting.

      7)  Any change in the fit of partial dentures.

      8)  Persistent bad breath.

If one or more of these warning signs apply to you, bring it to the attention of your dentist or hygienist.  Act now to save your teeth for a life-time.  For a free comprehensive dental examination by Dr. Dulski to screen for periodontal disease, visit Adult Dentistry of Rochester at http://www.dulski.com/banner.html.

Tags:  Periodontal DiseaseWarning Signs of Periodontal Disease

Monday, December 6, 2010

The Link Between Diabetes and Gum Disease

Did you know that gum disease is often linked to the control of diabetes?  If you are a person with diabetes, ask your dentist to show you how to keep your teeth and gums healthy because persons with diabetes get gum disease more often than people who do not have diabetes, and gum infections can make it harder to control blood sugar.  Conversely, good blood sugar control can prevent gum disease.

Because diabetes reduces the body's resistance to infection, the gums are among the tissues likely to be affected.  Gum or periodontal disease is an infection of the gum and bone that hold your teeth in place.  Keeping your own teeth is important for healthy eating.  Natural teeth help you chew foods better and easier than you can with dentures. Good nutrition is another way that healthy teeth and gums can make it easier to control blood sugar.

Persons with diabetes with inadequate blood sugar control appear to develop periodontal disease more often and more severely, and lose more teeth than persons who have good control of their diabetes.   It is possible to have periodontal disease and not be aware of it.  An early warning sign of periodontal disease is bleeding gums.  Healthy gums do not bleed.  A later warning sign is loose teeth.  Unfortunately, at this later stage of periodontal disease, so much supporting bone has been lost that there is no alternative than to remove the teeth.

Because of lowered resistance and a longer healing process, periodontal disease often appears more frequently and more severely among persons with diabetes.  That's why good maintenance of blood sugar levels, a well-balanced diet, good oral care at home, regular dental check-ups and periodontal examinations at each appointment are important.  For a free comprehensive dental examination by Dr. Dulski to spot problems which could affect the control of your diabetic condition, visit Adult Dentistry of Rochester at http://www.dulski.com/banner.html.

Tags: Gum DiseasePeriodontal DiseaseDiabetesDental Examination

Monday, November 29, 2010

Top 10 Critical Things You Should Know Before You Select A Sedation Dentist

Sedation dentistry is a great option for patients with dental phobias, patients requiring large amounts of dental work, and patients who just prefer to sleep through their appointment.  However, sedation is a powerful tool, and you don't want to entrust your safety to just anyone.  These guidelines can help you choose the practitioner who's right for you.

1)  Check the doctor's credentials.  Unlike other dental specialties (oral surgery, orthodontics, ect.) sedation dentistry is not recognized by the American Dental Association (ADA) as a specialty.  However,  sedation dentists receive certification through The University of the State of New York Education Department.  The sedation dentist should also be licensed through the New York State Dental Board.

2)  Investigate the doctor's training.  The best sedation dentistry practitioners didn't just go to dental school; they also completed extensive post-graduate training programs that focus specifically on issues of sedation dentistry.  In addition, the best dentists regularly attend continuing education classes to stay up-to-date on new procedures and materials.  Is the dentist a member of professional organizations such as the Academy of General Dentistry (AGD) which promotes quality continuing education courses to its members?

3)  Start with a consultation.  Going in for a consultation is a great way to learn more about a dentist and dental practice.  Consultations are generally inexpensive, and are sometimes even offered for free.  Talk to the dentist before you commit to anything.  Remember, it's your job to make an educated decision.

4)  Look for sedation experience.  Sedation dentistry is as much an art as it is a science.  In general, the more sedation dentistry that the dentist has performed, the more comfortable and safe will be your sedation dentistry experience.  And sedation dentistry is more than just the health of your teeth; the dentist should also consider the health of  your gums and supporting bone.

5)  Communication is key.  It's essential that you be able to talk to your dentist - and that your dentist will listen to you!  There's a lot of dialogue that needs to go into an individual long-term treatment plan.  If you feel bullied, pressured, or rushed, then that's probably not the right dentist for you.

6)  Review before and after photos and testimonials.  Take a look at the dentist's portfolio before you make up your mind.  What do patients report about their experience?  Pay specific attention to cases that are similar to yours.  Make sure that the photos are of actual work done by the dentist, not just stock photos.

7)  Don's pay too much - or too little.  Some dentist charge more marketing themselves as high-end cosmetic dentists offering Hollywood smile makeovers.  Other dentists try to make up for poor materials and shoddy work by offering low prices.  Beware of extremes.

8)  An honest dentist sets realistic expectations.  Watch out for doctors who promise more that they can deliver.  You want a dentist who will tell you what can and cannot be done for your smile.  You need to know how long the process will take, any complications that could occur, expected longevity of the restoration, and cost.  Get a written fee estimate.

9)  Technology is cool, but it's not the only thing.  A dentist with high-tech modern equipment like digital x-rays and intra-oral cameras is more likely to be up-to-date on modern techniques.  At the same time, however, don't let yourself be dazzled by a dentist's fancy tools; what really matters is that the dentist knows how to use them properly.

10)  A good lab technician is a valuable asset.  The dentist might decide on the treatment plan, but it's the lab technician who'll actually fabricate the porcelain veneers, crowns or dentures used to restore your smile.  Great dentists are proud of their lab technicians and the materials that they use.

We know that selecting a sedation dentist is not easy.  Here at Adult Dentistry of Rochester, we want you to know that you can contact Dr. Dulski personally with any questions or concerns at http://www.dulski.com/contact.html.

Tags: Sedation DentistryDental PhobiasSedation Dentistry, Sedation Dentist

Tuesday, November 16, 2010

What Does Dental Insurance Cover?

Dental insurance is a benefit plan, unlike your medical insurance.  Dental insurance is an agreement made between your employer and the insurance company to help pay for some of your dental needs.  The more that your employer pays for coverage, the lower your out-of-pocket expense will be.

The services covered by the policy are totally arbitrary and have no relation to the treatment that you need or want.  At Adult Dentistry of Rochester, Dr. Dulski's responsibility is to advise you what treatments are available and the risks and benefits of each.  Your insurance contract is designed by lawyers and accountants to control costs for the insurer.

We can only estimate your insurance benefit prior to service.  At Adult Dentistry of Rochester, we deal with thousands of plans and hundreds of types of treatment each year.  Most insurance carriers refuse to release the details of their plans.  They change policies and reimbursements constantly and without notice.

Occasionally, we are asked to send a written request to the insurance carrier for an estimate.  This pre-authorization is rarely required, despite contract language that is designed to suggest otherwise.  The process is so long and frustrating for patients that statistically nearly 70% of the planned treatment never gets done.  Plus, carriers rarely disclose what the actual dollar amount of the reimbursement will be.  Even after all that time and effort, the carrier is not obliged to honor the pre-authorization once treatment is completed.  That's why Adult Dentistry of Rochester does not submit pre-authorizations.  Honestly, if you can't afford the risk of the insurer not paying the estimated portion, then you can't yet afford to proceed with the planned treatment.

We are happy to process your paperwork for you.  To accept insurance, we ask you to keep a credit card on file.  Before treatment, we will approximate your coverage and ask for your estimated co-payment.  After insurance pays, we will credit or charge your card to reconcile the difference.  Whether your insurer pays some, all, or none of the estimated coverage, remember that you are ultimately responsible for payment.  To learn the financial options that are available at Adult Dentistry of Rochester to pay for your dental needs, visit http://www.dulski.com/affordable.html.

Tags: Dental InsurancePayment Plans

Monday, November 15, 2010

Conditioning And The Origin Of Dental Phobia

If you dread the dentist, then you are not alone. 50% of Americans are afraid of the dentist. How does this common fear of the dentist become the disabling disorder of dental phobia?

A dental phobia is a persistent and unreasonable fear that results in a compelling desire to avoid the dreaded object, activity or situation. There are three characteristics that distinguish a phobia from ordinary, everyday fears. First, you are persistently afraid of the situation over a long period of time. Second, you know that your fear is unreasonable, even though this recognition does not help to dispel it. Finally, what is most characteristic of a phobia is your avoidance of the feared situation. Being unreasonably afraid of something is not yet a phobia; the phobia begins when you actually start avoiding what you fear.

Only when you start to avoid that situation do you "learn" to be phobic. A cardinal principle in behavioral psychology is that any behavior that is rewarded tends to be repeated. Avoiding a situation you're anxious about is obviously rewarded - the reward being the reduction of anxiety. Each time you avoid the situation, the reward of being relieved of anxiety follows, and so your behavior gets strengthened and tends to be repeated. Your avoidance works very will in saving you from anxiety. Learning to stay away from a fearful situation because it is rewarding to do so is what constitutes conditioning by avoidance. Avoidance conditioning is the most critical process in the formation of any phobia.

The most effective way to overcome a phobia is simply to face it. Continuing to avoid a situation that frightens you is, more that anything else, what keeps the phobia alive. Having to face a particular situation you have been avoiding for years may at the outset seem an impossible task. Instead of entering a situation all at once, you can do it gradually in small increments. Here at Adult Dentistry of Rochester, we practice the process of desensitization, or exposure, which is the unlearning of the connection between anxiety and the dental experience. The goal is to unlearn the connection between a phobic situation and re-associate feelings of relaxation and safety with that particular situation. We can train you to relax and feel safe in response to the dental experience so that you will no longer feel anxious about it. Relaxation and anxiety are incompatible responses, so the goal of desensitization is to learn to remain in the phobic situation and be calm at the same time.

Exposure therapy demands a strong commitment on your part. If you're genuinely committed to overcoming your dental phobia, then (1), you'll be willing to take the risk to start facing the dentistry that you may have been avoiding for years, (2), tolerate the initial discomfort that entering the dental office, even in small increments, often involves, and (3), persist in practicing exposure on a consistent basis, despite probable setbacks, over a long enough period of time to allow your complete recovery. Generally, this takes from six months to two years. If you're ready to make a genuine commitment to real-life desensitization, then you will recover from your dental phobia.  For practical, step-by-step directions for mastery of these techniques, refer to Dr. Edmund Bourne's, The Anxiety And Phobia Workbook.  For Dr. Dulski's help overcoming dental anxiety and phobia at Adult Dentistry of Rochester, visit http://www.dulski.com/oral.html.

Tags: Dental PhobiaDental AnxietySedation Dentistry

Friday, November 12, 2010

Tooth-Colored Fillings

Thanks to advances in dental materials and techniques, tooth-colored ceramic-polymer composites now substitute for the black mercury-metal amalgams of the last 150 years.  These tooth-colored fillings not only look like natural teeth, they are bonded to the tooth with dental adhesive to seal out leakage and decay.

Composite fillings are a mixture of glass or quartz filler in a resin medium that provides the tooth color.  Composites provide good durability and resistance to fracture in small-to-medium-size restorations.  Less tooth structure is removed in preparing the tooth for restoration, resulting in conservation of tooth structure and strength.  The strength of a filled tooth is proportional to the percentage of remaining tooth structure.  For larger restoration, crowns are placed to restore the tooth to its original strength to resist fracture under the load of chewing forces.

Several factors influence the performance, durability, longevity, and cost of dental restorations.  At Adult Dentistry of Rochester, Dr. Dulski evaluates the patient's oral and general health, the components used in the restorative material, where in the patient's smile the restoration is to be placed, and the direction and force of chewing forces that the restored tooth will bear.  To help you decide which restoration is right for you, visit http://www.dulski.com/restorative-dentistry.html.

Tags: AmalgamsSilver FillingsCompositesTooth-Colored FillingsCosmetic Dentistry

Monday, November 8, 2010

Digital Imaging

At Adult Dentistry of Rochester, we feature some of the most advanced equipment and procedures available.  Our intra-oral digital cameras produce high-resolution images of your teeth and gums for a more thorough evaluation to better help Dr. Dulski devise appropriate treatment.  The biggest hurdle for patients to accept treatment is that they do not understand their condition.  With our intra-oral digital cameras, patient education is simplified by being able to help patients see what Dr. Dulski sees.

Digital imaging has also revolutionized the making of dental X-ray imagesX-rays have long been used to detect dental cavities and damage below the gum invisible to the eye.  The difficulty has been reading the negative image produced on conventional dental film.  Adult Dentistry of Rochester uses a Computed Dental Radiography System which captures the image utilizing a digital sensor and displays the image on a computer screen.  The digital image is instantaneous and can be magnified and enhanced for improved diagnostics and patient education.  This new system requires 90% less radiation than the old film X-rays, and can magnify the image up to 300 times.  Now it's as easy as reading a photograph.  When Dr. Dulski discusses something that he sees in your mouth, you'll be able to view it right along with him.

Finally,  Adult Dentistry of Rochester couples these images with our digital patient education system that displays a menu of video presentations that gives you valuable information on today's latest dental techniques to correct any dental problem.  It's 21st-Century dental care that revolves around you and it's available at Adult Dentistry of Rochester.  To learn more about this advanced technology, visit http://www.dulski.com/dental-technology.html.

Tags: Digital Dental X-raysIntra-oral Camera

Wednesday, November 3, 2010

Choosing A Dental Crown

Dental crowns are applied to strengthen a weak, decayed or fractured tooth.  Dental crowns can also cover dental implants.  When a broken or decayed tooth does not have enough healthy structure to support a filling, you may need a dental crownDental crowns can be made of different materials.

Porcelain dental crowns are ideal for front teeth due to their natural tooth color.  Porcelain fused-to-metal crowns combine the esthetics of a porcelain outer surface with the strength of a metal core and are used primarily on the back teeth to withstand the increased forces of chewing.

In the United States, all metals used in dental crowns and implants must get the approval of the FDA.  In recent times, some imported dental crown were found to contain lead.  Patients are therefore advised to check with their dentist to learn if FDA materials are being used in their restoration.

Our office uses a local dental laboratory in Seneca Falls, NY, BonaDent, which guarantees that all of your restorations whether crowns, bridges, implants, partial dentures, or complete dentures, are made in the United States.  Some labs in the United States ship work overseas to reduce the cost of materials and labor.  Our exclusive use of BonaDent ensures you that all materials used to fabricate your restoration comply with all federal guidelines.

We also guarantee that every restoration is made using FDA registered materials for your safety, health and well-being.  Our practice is committed to providing you with the highest quality restorations made in the United States by American workers.  To learn more about our commitment to you and the local community, visit Adult Dentistry of Rochester at http://www.dulski.com/restorative-dentistry.html or visit BonaDent at http://www.bonadent.com/.

Tags: Dental CrownsPorcelain CrownsPorcelain and Metal Crowns, Dental Implant

Monday, November 1, 2010

Non-Surgical Periodontal Treatment

Periodontitis is a destructive inflammatory disease leading to the decay of gum and bone supporting the teeth.  This destruction is attributed to the development and maturation of a bacterial plaque or biofilm.  The maturation of this biofilm in the sulcus between the tooth root and gum results in an increasing prevalence of particularly virulent bacteria triggering inflammation and the resulting tissue destruction which is periodontal disease.  With the progression of periodontal disease, there is an accumulation of mineralized deposits of bacterial plaque called calculus which contributes to the progression of the disease.  The removal of calculus and its associated bacterial plaque is critical to treatment success.

Several factors increase the risk of periodontits.  Tobacco smoking is the number one contributing factor, followed by diabetes.  These factors compromise the immune response of the individual which can promote the progression of the disease.   Non-surgical periodontal treatment is the primary therapy for restoring the health of periodontal tissues.

Plaque removal is the ultimate goal of therapy.  Beyond the removal of plaque on the crowns of teeth during a routine hygiene cleaning appointment, non-surgical periodontal treatment  removes the bacterial deposits along the root surfaces by scaling and root planing for a successful treatment.

Studies strongly support both manual and ultrasonic scalers to remove deposits below the gum.  Local delivery of antibiotics as an adjunct to the gold standard of scaling is moderately supported.  However, the use of lasers to treat diseased root surfaces as an alternative to scaling is questionable.

Treatment success is dependent on sufficient cleansing of the root surface to allow for the return of tissue health.  The healing response requires the diminished presence of bacteria and their toxins, the resolution of inflammation , and the reattachment of gum and bone to the root surface.  The clinical end-points of non-surgical periodontal treatment are reduction of sites with bleeding on probing and reduction of probing depths.

It appears that studies strongly support a non-surgical initial periodontal therapy,  and that probing depths greater the 6 mm following non-surgical therapy may benefit from a surgical approach.  The optimal outcome rests on prevention and early detection and treatment of periodontal disease to maintain healthy roots in supporting gum and bone.  To learn more about non-surgical periodontal treatment as a treatment option, visit www.dulski.com/gum-disease.html.

Tags: PeriodontitisPeriodontal DiseaseBacterial PlaqueCalculusNon-Surgical Periodontal TreatmentTreatment of Periodontal Disease

Wednesday, October 27, 2010

Fish Oil Might Help Fight Gum Disease

A study published in the November issue of the Journal of the American Dietetic Association found that eating moderate amounts of omega-3 fatty acids seemed beneficial in preventing gum disease. The American Heart Association recommends eating fatty fish at least twice a week. So it appears that omega-3 is a good idea for heart and gum health.

Periodontal disease is an infection of the gums caused by the accumulation of plaque and tartar along the gum line of teeth. The bacteria of plaque release toxins which cause inflammation, the body's attempt to heal and repair itself. This chronic inflammation causes decay in the surrounding gum and bone causing pockets or cavities. About half of the adult population over 35 years of age experiences gingivitis, an infection limited to the gums, while 10-20 percent experience the more advanced form of periodontal disease effecting the gum and bone called periodontitis.

The usual treatment of periodontal disease is good home care involving daily brushing and flossing with supportive professional care by the dentist to remove the hard deposits of tartar and applying local antibiotics to kill the bacteria. This study supports incorporating fish into one's diet for the anti-inflammatory effects of omega-3 to limit the destruction of gum and bone as a result of periodontitis. Dietary sources of omega-3 are sardines, herring, salmon, along with walnuts and flax seed. For more information on periodontitis and the relation to heart health, refer to my September 29, 2010 blog post or visit www.dulski.com/gum-disease.html.

Tags: Prevention of Gum Disease, Periodontitis, Periodontal Disease, Treatment of Periodontal Disease

Saturday, October 23, 2010

Cosmetic Dentistry

Innovations in dental technology have made a trip to the dentist an entirely new experience thanks to the advances of cosmetic dentistry. The main goal of traditional dentistry is to keep teeth healthy and free of decay. Cosmetic dentistry takes the profession to a whole new level with the goal of enhancing the appearance of your smile and consequently your self-esteem. With cosmetic dentistry, even getting a cavity filled can be an opportunity to improve your smile.



For over 150 years, cavities were filled with a metal called amalgam, a mixture of silver and mercury. You may have seen these black filling on the back teeth of an individual when they laughed. Today, cavities are filled with composites which are made of resins that are matched to the tooth color for a natural appearance. Composite fillings also provide an excellent seal since they are bonded to the tooth using a strong dental adhesive.

Bonding technology is also used to restore severely discolored or decayed teeth with porcelain veneers or crowns. One of the more popular developments in cosmetic dentistry is the use of porcelain veneers to close gaps or straighten crowded teeth. The result is a new smile which can be accomplished in as little as one week.
Stained teeth are very common among adults of all ages and come from foods such as coffee, tea, tobacco, red wine and soda. Teeth whitening is a safe, effective and fast procedure. The key to a long-lasting, dazzling white smile is to have them whitened by a cosmetic dentist using a prescription strength agent applied using the technologies available in a professional office.
Teeth whitening used in conjunction with Invisalign uses a series of clear plastic aligner to close gaps and straighten healthy teeth without the metal brackets and wires of conventional braces. 3-D computer imaging technology allows you to see the results of your beautiful new smile right at the chair. It's one thing for me to tell you the services available through the advances of cosmetic dentistry. Why not see the results for yourself and hear patients relate their success stories by visiting www.dulski.com/success.html.

Tags: Cosmetic DentistryCompposite FillingsPorcelain VeneersDental CrownsTeeth WhiteningInvisalign

Thursday, October 14, 2010

Teeth Whitening

A smile is one of the first things that you notice about people. A bright, beautiful smile catches your attention. Stained or discolored teeth are very common among adults of all ages, and comes from a variety of sources, such as smoking or drinking coffee, tea, or red wine.

Those with stained teeth tend to brush more vigorously which can cause gum recession and expose and damage tender root surfaces. Others use over-the-counter whitening kits which don't have the prescription strength and lasting effects of professional teeth whitening.

The key to a long lasting, bright, naturally white smile is to have teeth whitened by a cosmetic dentist. I have found blue light activated teeth whitening to be safe, gentle and effective. Blue Light Teeth Whitening works by the dentist carefully applying the whitening gel to the teeth. The gel is then activated by a gentle blue light for 20 minutes while you relax and watch a video or listen to music. The process is repeated before you go home with a naturally dazzling new smile.

There's no laser, no heat and no scraping; only gel and light to achieve dramatic results in one hour. To learn more about what teeth whitening can do for you, visit /www.dulski.com/whiten.html.

Tags: Teeth WhiteningCosmetic DentistBlue Light Teeth Whitening

Monday, October 11, 2010

Why Dental Implants?

There are plenty of reasons to replace a missing tooth. A gap between your teeth if in your smile is an embarrassment. A missing tooth can also impair your speech. Missing back teeth, although not noticeable, diminish your bite.

When a back tooth is lost, the biting force on the remaining teeth increases and adjacent teeth collapse into the gap. These extra pressures if distributed to the jaw joints can lead to dysfunction and pain. If a missing tooth is not replaced, the shifting teeth open gaps at the gums which accumulate plaque which can lead to tooth decay, periodontal disease and further tooth loss. The need for many dentures began with the loss of a single tooth.

Dental implants are an excellent treatment for replacing a missing tooth. Implants are small titanium posts that replace the roots of missing teeth. Custom crafted crowns are secured to the implant which then restore the bite and hold the adjacent teeth firmly in place. Single tooth implants are not removable.

The placement of an implant has several phases. First, we determine if an implant is right for you by discussing your health and treatment goals. We do a comprehensive examination to check the health of your gums and the supporting jaw bone.

To begin the procedure, we shape a shaft in the bone, then place the implant in the prepared space. Over the course of the next two months, the implant will become fused in the bone. The last step is to secure the crown for final restoration.

Implants have several benefits. They stimulate the jaw bone when you chew preserving the jaw bone and keeping it healthy. Implants are comfortable and secure, and they have the look and feel of natural teeth. With good home care and regular check-ups, implants can be a good long-term solution for missing teeth. For more information, visit www.dulski.com/implants.html or www.ada.org/public/topics/implants.asp.

Tags: Dental ImplantsSingle Tooth Implants

Wednesday, September 29, 2010

Key Reason Found for Gum and Heart Disease Link

Scientists say they have established one reason why gum disease may increase the risk of heart disease. The link between gum and heart problems has long been recognized but it is unclear if poor oral health is simply a marker of a person's general well-being. UK and Irish experts now say bacteria enter the bloodstream via sore gums and deposit a clot forming protein. The findings are being presented at a meeting of the Society for General Microbiology. Earlier this year a Scottish study of more than 11,000 people found that people who did not brush their teeth twice a day were at increased risk of heart disease. It backed up previous findings suggesting a link, but researchers stressed the nature of the relationship still needed further analysis.

Scientists from the University of Bristol working with the Royal College of Surgeons in Ireland now suggest it is the Streptococcus bacteria responsible for causing tooth plaque and gum disease which may be to blame. Their work shows this bacteria once loose in the bloodstream makes a protein known as PadA which forces platelets in the blood to stick together and clot.

"When the platelets clump together they completely encase the bacteria. This provides a protective cover not only from the immune system, but also from antibiotics that might be used to treat infection," said Professor Howard Jenkinson, who led the research. Unfortunately, as well as helping out the bacteria, platelet clumping can cause small blood clots, growths on the heart valve, or inflammation of blood vessels that can block the blood supply to the heart and brain." While maintaining good dental hygiene could minimize the risk, the team is also investigating how the platelet activating function of the protein PadA can be blocked.

Professor Damian Walmsley, scientific adviser to the British Dental Association, said, "Research such as this makes a welcome contribution to further understanding the nature of the relationship between gum disease and heart disease. It also underlines the high importance to the relationship between gum disease and heart disease. It also underlines the high importance of brushing twice a day with fluoride toothpaste, restricting your intake of sugary foods and drinks and visiting the dentist regularly in order to maintain good oral health."

The British Heart Foundation said that other factors besides oral health had a greater impact on heart health. But their senior cardiac nurse Cathy Ross added that combining good oral health care "with a healthy diet, not smoking and taking part in plenty of physical activity will go a long way in helping you reduce your overall risk of heart disease." To learn what dental services are available in Rochester, New York to maintain a healthy heart, visit http://www.dulski.com/services.html.

Tags: Gum DiseaseHeart DiseaseOral HealthRisk of Heart DiseaseHealthy Heart

Monday, September 27, 2010

Anethesia and Sedation

The question often arises from an anxious patient whether sedation such as nitrous oxide can substitute for "a shot." I think the anxious patient often poses the question in the hope of avoiding "the needle." The question can be answered by understanding the difference between anesthesia and sedation.

The purpose of local anesthesia is to eliminate pain during dental treatment. A topical anesthetic is sprayed to the area to make the injection more comfortable. Local anesthetics are injected into the tissues to block the nerves that transmit pain thereby numbing the mouth tissues. The numbness lasts during the one to two hour dental procedure.

Anti-anxiety agents, such as nitrous oxide, or sedatives, help you relax during dental visits and are used along with local anesthetics. Nitrous oxide provides a light level of sedation. The advantage is being able to drive to home or office shortly after the procedure. Conscious oral sedation uses oral medications in addition to nitrous oxide to produce a deeper level of sedation where a friend or relative will need to drive you home to recover after the procedure. The range of sedation is used to match the severity of the dental anxiety presented by the patient.

To better understand the range of sedation choices available to relieve anxiety, visit /www.dulski.com/oral.html. Anxiety need not be a barrier to safe and comfortable dental visits to keep your smile healthy.

Tags: Conscious Oral SedationLocal AnetheticsNitrous Oxide

Monday, September 20, 2010

The Value of Conservative Tooth Restorations

The Value of Conservative Tooth Restorations

Has there been a movement away from conservative tooth restorations in recent years towards large, deep, aggressive preparations and full crowns? Dr. Gordon Christensen, co-founder and senior consultant of Clinical Research Associates in Provo, Utah believes so ("What Has Happened to Conservative Tooth Restorations?" Gordon Christensen, DDS, J am Dent Assoc, Vol 136, No 10, 1435-1437).

The belief is that too many full-coverage restorations are provided when less radical restorations could have been placed. As an example, a popular speaker at a continuing education course taught that a tooth with any restoration to be replaced, regardless of the restoration size, should be replaced with a full crown. Instead, Dr. Dulski believes that conservative restorations should be encouraged. This report discusses some of the reasons full crowns are being accomplished more commonly than in the past, the rationale for returning to more conservative restorations, the financial implications of crowns versus conservative treatment, and the potential longevity differences between small and large restorations.

The rationale for conservative restorations is preservation of tooth structure. Assuming that a given tooth has a significant amount of tooth structure remaining and that the structure is not discolored or cracked, conservative restorations have some significant advantages. Among these advantages is long-term esthetic acceptability for the tooth restored with a conservative tooth-colored restoration. When a tooth-colored full crown is placed in the smile zone of the mouth, the esthetic desirability of the crown is usually good for only the first years. Eventually, the gums around the crown begin to shrink and recede, and the margin joining the crown and the remaining tooth structure is revealed. The overall esthetic result is then unacceptable.

Most dentists agree that preservation of tooth is a desirable goal. Once enamel is removed, it cannot be replaced with anything as long-lasting. If tooth structure and restorative material can be bonded successfully, the result achieves the goal of preserving tooth structure. Bonding tooth structure, especially enamel, to restorative materials is a reality today.

It is well-known that restorations, including full crowns, have a finite life expectancy. People are living longer than ever before. At some point in the life of every restoration, replacement is inevitable. Why not restore teeth conservatively for a filling or two before a full crown is required? Full crowns can be placed in the future.

What are the financial implications of conservative tooth restorations? If a full-crown costs about $1000, a typical three surface white filling costs about one-sixth or $167. If the conservative filling can be placed with the confidence that it has a reasonable chance of achieving adequate longevity, such conservative placement allows several replacements before the patient's financial outlay reaches the cost of a crown.

There is a tendency in dentistry to place more full crowns than may be necessary. This report has discussed the rationale for a reduction in the use of full crowns and a preservation of enamel. Dr. Dulski supports the desirability of placing more conservative restorations to realize the financial and longevity benefits offered by more conservative restorative dentistry. Visit www.dulski.com to learn how contemporary methods give us the tools to give you a gorgeous, bright smile with minimally invasive treatments and fewer repeat visits.

Tags: Conservative Tooth RestorationsCrownsTooth-Colored RestorationsConservative Restorative DentistryMinimally Invasive Dentistry

Tuesday, September 14, 2010

Choosing A Rochester Dentist

                             What Should You Look For When Choosing A Rochester Dentist?

You may wish to consider several Rochester dentists before making your decision.  During your first visit, you should be able to determine if this dentist is the right dentist for you.  Consider the following:

  • Is the appointment schedule convenient for you? 
  • Is the office easy to get to from home or job?
  • Does the office appear to be clean, neat and orderly?
  • Was your medical and dental history reviewed by the dentist with you?
  • Was your pulse and blood pressure checked?
  • Do you fully understand the nature of any discovered dental problems, the recommended treatment and the consequences of no treatment?
  • Are your questions encouraged and fully answered?
  • Is the dentist available for emergency calls after office hours?
  • Are fees quoted for recommended care and payment options presented in writing before treatment is scheduled?
  • Is the dentist a member of professional organizations such as the American Dental Association (ADA) and the Academy of General Dentistry (AGD)?  ADA members agree to abide by the highest ethical standards of patient care.  AGD members are dedicated to the highest level of continuing education as a condition of their membership.
You and your dentist are partners in maintaining your oral health.  Contact this Rochester dentist www.dulski.com or search the ADA directory of member Rochester dentists www.ada.org to schedule a new patient appointment.

Tags: Rochester DentistRochester Dentists

Wednesday, September 8, 2010

Bonding Breakdown? Time for Porcelain Veneers

How we perceive our smile and appearance affects our self-esteem, our moods and how we function in social and business relationships.  Common conditions that impact negatively on your smile include broken, cracked or worn teeth, discolored teeth, missing teeth, crooked teeth, gaps between your teeth and/or "gummy smiles."  Each patient and each specific circumstance must be evaluated on its own merits.  Factors such as occlusion (bite), oral habits, available space, health of the gum tissue, severity of the problem and patient expectation must be taken into consideration while planning your cosmetic makeover.  While in many circumstances bonding teeth with resin composites has its advantages, the resin materials are not as long lasting as ceramic materials.  Porcelains won't darken and their surface doesn't wear like acrylic resins might.

If there have been cracks, chips or discolorations in your composite restorations, they need to be redone or replaced with ceramic restorations.  When possible using porcelain veneers that are bonded to the teeth are less invasive than ceramic crowns that necessitate the removal of greater amounts of tooth structure.  This person chose to have a porcelain veneers to mask teeth discolored by tetracycline stains which typically will not respond to bleaching (teeth whitening) procedures.  www.dulski.com/gallery3.html

Visit us on-line at www.dulski.com or call our office at 585-442-1230 if you think that you are a candidate for this type of procedure.

Tags:Porcelain VeneersPorcelain CrownsTeeth WhiteningCosmetic Dentistry