You know the basics for a healthy mouth: daily oral hygiene and regular dental checkups. But there are other elements unique to you that also factor into your oral care: the mouth and facial structure you inherited from your parents (like a poor bite) and your past history with dental disease. Both of these help define your individual risk factors for potential dental problems.
That’s why you need a treatment strategy personalized to you to achieve the best health possible for your teeth and gums. We create this plan by using a detailed and thorough 4-step process.
Step 1: Identify your unique risk factors. To find your risk factors for dental disease, we carefully assess your history and other areas of oral function and health: the soundness of your supporting bone and gum structures; your teeth’s structural integrity and any effects from decay, enamel erosion or trauma; functional issues like a poor bite, a jaw joint disorder or a grinding habit; and problems with appearance like disproportional gums.
Step 2: Prioritize risk factors and form the treatment plan. Once we’ve identified your individual risk factors, we assess how each could impact you and whether any require immediate treatment. Any current dental disease should be treated immediately to minimize and prevent further damage. Depending on severity, other issues like bite problems or unattractive teeth may be scheduled for later treatment.
Step 3: Execute the treatment plan. With our priorities in place, we then proceed with treating your teeth and gums, the most pressing needs first. Throughout this step, our goal is to bring your oral health to the highest level possible for you.
Step 4: Monitoring and maintaining health. Once we’ve achieved an optimum level of health, we must remain vigilant about keeping it. So we monitor for any emerging problems and perform preventive treatments like clinical cleanings to help maintain that healthy state. This also means regularly repeating our 4-step process to identify and update any new, emerging risks and incorporate them into our treatment strategy.
While this process may seem overly methodical, it can actually result in more efficient and cost-effective treatment. It’s the best way to ensure good health for your teeth and gums throughout your lifetime.
If you would like more information on creating a long-term dental care plan, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Successful Dental Treatment: Getting the Best Possible Results.”
Everyone has to face the music at some time — even John Lydon, former lead singer of The Sex Pistols, arguably England’s best known punk rock band. The 59-year old musician was once better known by his stage name, Johnny Rotten — a brash reference to the visibly degraded state of his teeth. But in the decades since his band broke up, Lydon’s lifelong deficiency in dental hygiene had begun to cause him serious problems.
In recent years, Lydon has had several dental surgeries — including one to resolve two serious abscesses in his mouth, which left him with stitches in his gums and a temporary speech impediment. Photos show that he also had missing teeth, which, sources say, he opted to replace with dental implants.
For Lydon (and many others in the same situation) that’s likely to be an excellent choice. Dental implants are the gold standard for tooth replacement today, for some very good reasons. The most natural-looking of all tooth replacements, implants also have a higher success rate than any other method: over 95 percent. They can be used to replace one tooth, several teeth, or an entire arch (top or bottom row) of teeth. And with only routine care, they can last for the rest of your life.
Like natural teeth, dental implants get support from the bone in your jaw. The implant itself — a screw-like titanium post — is inserted into the jaw in a minor surgical operation. The lifelike, visible part of the tooth — the crown — is attached to the implant by a sturdy connector called an abutment. In time, the titanium metal of the implant actually becomes fused with the living bone tissue. This not only provides a solid anchorage for the prosthetic, but it also prevents bone loss at the site of the missing tooth — which is something neither bridgework nor dentures can do.
It’s true that implants may have a higher initial cost than other tooth replacement methods; in the long run, however, they may prove more economical. Over time, the cost of repeated dental treatments and periodic replacement of shorter-lived tooth restorations (not to mention lost time and discomfort) can easily exceed the expense of implants.
That’s a lesson John Lydon has learned. “A lot of ill health came from neglecting my teeth,” he told a newspaper reporter. “I felt sick all the time, and I decided to do something about it… I’ve had all kinds of abscesses, jaw surgery. It costs money and is very painful. So Johnny says: ‘Get your brush!’”
We couldn’t agree more. But if brushing isn’t enough, it may be time to consider dental implants. If you would like more information about dental implants, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implants” and “Save a Tooth or Get an Implant?”
Chronic jaw pain and limited jaw mobility are two common symptoms of a group of conditions known as temporomandibular joint disorders (TMJD or TMD). Several effective treatments have developed over the years, despite the fact that the underlying causes for TMD remain an elusive quarry for medical researchers.
But we may now have a promising new lead in understanding TMD: a possible link between it and other systemic inflammatory diseases. In recent study researchers interviewed over 1,500 people with TMD about various aspects of their lives. Nearly two-thirds reported at least three or more other inflammatory health conditions like fibromyalgia, chronic headaches or rheumatoid arthritis.
These statistics suggest a relationship between TMD and these other conditions. Further exploration of these possible links could result not only in a greater understanding of TMD but better treatment strategies for it and the other related conditions.
In the meantime, though, what can you do if you're currently dealing with TMD?
As of now the approaches with the best results continue to be conservative, non-invasive techniques we've used for several years. Thermal therapies like hot or cold compresses to the jaw area, for example, are quite effective in providing pain relief, and muscle relaxant drugs have proven beneficial for improving jaw mobility.
More radical approaches like jaw surgery have also come into prominence. But there's a caveat here: a significant number of people find their conditions don't improve or may even worsen. In the study previously mentioned, only 38% of respondents who had undergone jaw surgery saw any range of improvement (from slight to significant); by contrast, 28% indicated no change in symptoms and 46% said they were worse off.
It's important, then, that you thoroughly discuss your condition with your dentist, verifying first that you have TMD.Â Together you can develop a treatment plan to relieve pain and restore jaw function. If your dentist or surgeon suggests surgery, consider seeking a second opinion before choosing this more radical approach.
Hopefully, further research into the causes and relationships of TMD with other health conditions will yield still better treatments. In the meantime, you may still find relief and improve your quality of life with the proven techniques available now.
If you would like more information on treatments for chronic jaw pain, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Chronic Jaw Pain and Associated Conditions.”
You know your smile could use a little enhancement. You have a chipped front tooth and a few small, but unsightly, gaps between some bottom teeth. Thankfully, the teeth are healthy, but you'd like them to look their very best. Dr. Jeffrey Pike, your Westchester dentist, uses porcelain veneers to cover those little annoying flaws that add up to a less than perfect smile. In just two visits to The Scarsdale Dentist, you could receive a permanent and dramatically beautiful change to your teeth.
What are porcelain veneers?
They are super-thin, tooth-colored and tooth-shaped shells of high-quality porcelain. Made according to your Westchester dentist's specific instructions, veneers are bonded permanently to the front of teeth marred by deep stains, gaps, crowding, odd shape, hairline cracks and chips that are too large for composite resin repair.
To decide if porcelain veneers are the right cosmetic choice, Dr. Pike visually inspects the patient's teeth and gums and takes X-rays. This examination ensures the individual's mouth is healthy enough for treatment with veneers.
With a decision made to go ahead, Dr. Pike removes a small portion of enamel from each tooth. This resurfacing ensures a strong bond and a good fit with the new veneers. Also, the dentist takes digital impressions and sends a treatment plan to an outside dental lab where the veneers are fabricated one by one. To protect the teeth in the meantime, he places temporary veneers which remain in place until the permanent ones are fitted and bonded.
On the return visit to The Scarsdale Dentist, Dr. Pike removes the temporary veneers. He uses a special adhesive to attach the veneers. This "glue" is exceptionally strong and helps the doctor match the color of the veneers to surrounding teeth.
Basically, that's all the veneer procedure involves. At-home care is the same as with untreated teeth: brush twice a day for two minutes with a soft brush according to the guidelines set by the American Dental Association. Also, floss once a day to keep teeth and gums free of plaque and tartar.
They have many advantages
In short, porcelain veneers are one of the most versatile and lifelike cosmetic dental treatments offered by today's finest cosmetic dentists, such as Dr. Pike. This Westchester dentist also praises porcelain veneers for their:
- Individualized smile improvement
- Natural appearance
- Use with other cosmetic treatments such as porcelain crowns, teeth whitening, and composite resin bonding
- Durability (with good care, they last ten years or more)
- Quick and dramatic results
Looking for an improved smile?
If you want to show a big, bright smile you can be proud of, contact The Scarsdale Dentist and his team for a cosmetic dentistry consultation. Bring your questions and your smile goals, and Dr. Pike will devise a treatment plan just right for you. For an appointment, please call (914) 725-0707.
Everyone knows that in the game of football, quarterbacks are looked up to as team leaders. That's why we're so pleased to see some NFL QB's setting great examples of… wait for it… excellent oral hygiene.
First, at the 2016 season opener against the Broncos, Cam Newton of the Carolina Panthers was spotted on the bench; in his hands was a strand of dental floss. In between plays, the 2105 MVP was observed giving his hard-to-reach tooth surfaces a good cleaning with the floss.
Later, Buffalo Bills QB Tyrod Taylor was seen on the sideline of a game against the 49ers — with a bottle of mouthwash. Taylor took a swig, swished it around his mouth for a minute, and spit it out. Was he trying to make his breath fresher in the huddle when he called out plays?
Maybe… but in fact, a good mouthrinse can be much more than a short-lived breath freshener.
Cosmetic rinses can leave your breath with a minty taste or pleasant smell — but the sensation is only temporary. And while there's nothing wrong with having good-smelling breath, using a cosmetic mouthwash doesn't improve your oral hygiene — in fact, it can actually mask odors that may indicate a problem, such as tooth decay or gum disease.
Using a therapeutic mouthrinse, however, can actually enhance your oral health. Many commonly available therapeutic rinses contain anti-cariogenic (cavity-fighting) ingredients, such as fluoride; these can help prevent tooth decay and cavity formation by strengthening tooth enamel. Others contain antibacterial ingredients; these can help control the harmful oral bacteria found in plaque — the sticky film that can build up on your teeth in between cleanings. Some antibacterial mouthrinses are available over-the-counter, while others are prescription-only. When used along with brushing and flossing, they can reduce gum disease (gingivitis) and promote good oral health.
So why did Taylor rinse? His coach Rex Ryan later explained that he was cleaning out his mouth after a hard hit, which may have caused some bleeding. Ryan also noted, “He [Taylor] does have the best smelling breath in the league for any quarterback.” The coach didn't explain how he knows that — but never mind. The takeaway is that a cosmetic rinse may be OK for a quick fix — but when it comes to good oral hygiene, using a therapeutic mouthrinse as a part of your daily routine (along with flossing and brushing) can really step up your game.
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