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Laser Procedures: A Beneficial Trend in Modern Dentistry

Andrae Bergeron2020-06-11T13:33:01+00:00November 21st, 2019|Dental Trends|

Lasers (Light Amplified by Stimulated Emission of Radiation) are used for all sorts of things these days: welding, cutting, printing, surveying—and dentistry. A laser is a device that uses radiation to stimulate light so that it can penetrate a foreign material, which makes it a perfect device for taking care of things like cavities or excess gums overlapping the teeth.

Some patients may have a bit of reluctance towards having a radiated light used inside their mouths, but realizing what a laser can do to cavities and gums, and understanding how safe it actually is, should quickly relieve any apprehension.

Since the mid-90s, lasers have been slowly incorporated into dentistry for use on such things as:

Biopsies—since a laser is incredibly precise and reliable it can be used to remove a very small portion of tissue without affecting the surrounding areas. Using a laser also allows for a faster healing process.
Tooth Decay—using a laser to remove the decaying portion of a tooth has proven to be a quicker and a more efficient process than using traditional methods.
Gum Disease—a laser is a great way to reshape gums and remove built-up bacteria without damaging the teeth.
Teeth Whitening—modern dentistry has found a way to whiten the teeth by applying a peroxide bleaching solution to the teeth then having it activated by a laser to speed the whitening process up. And it’s completely painless.

There’s even more that dentists can do with lasers. They can be used for reducing the pain of canker and cold sores, expose hidden wisdom teeth, remove excess muscles in the mouth that restrict proper movement, and help treat infections from root canals. And as we make advancements in laser dentistry, the list just continues to grow.

Lasers Treatments

Essentially, there are two types of lasers used in dentistry: one for soft tissue and another for hard tissue.

Soft-Tissue Lasers.

These use an absorbable wavelength, making them less dangerous to use on softer tissue like the gums. The surrounding areas can then absorb and handle the effect of the beam without being damaged. Another benefit to using a soft-tissue laser is that it has the capability to kill bacteria and simultaneously encourage new growth. Postoperative pain is minimal from the use of soft-tissue lasers because, at the same time they are penetrating one area of tissue, they are able to seal the surrounding blood vessels. Soft-tissue lasers are typically used for:

Soft-Tissue Folds—devices such as dentures can cause actual folds of tissue in the mouth, which can become painfully uncomfortable and a health hazard. Using a laser is a painless way to reshape the gums and etch away areas of excess, molding the interior of your mouth to the shape it should be.
Crown Lengthening—this is a form of gum reshaping so that the foundation of the tooth is strengthened and exposed from overlapping gums. Patients don’t always notice they need crown lengthening, but the procedure does make the tooth healthier in the long run.
Muscle Attachment—for those who have limited tongue movement due to muscle restraints, a soft-tissue laser can be used to reshape or remove pieces of tissue to free up the tongue and allow for better movement within the mouth.

Hard-Tissue Lasers.

These types of lasers have a high enough wavelength that they can cut into hard tissues such as bone and teeth. This laser has such incredible accuracy that it only penetrates the desired material and causes little to no impact on the surrounding areas.

A hard-tissue laser is primarily used for prepping dental fillings. In the past, a drill was used to rid a tooth of unwanted bacteria before a filling was attached, and for this to take place the area had to be anesthetized and the prep and process were arduous. With a hard- tissue laser, there is no pain and therefore no need for anesthesia. The process is easier, faster, and much more accurate.

This type of laser is also used to help with overly sensitive teeth. On the root of sensitive teeth there can be found open tubules, which cause the unwanted sensation. By using a hard-tissue laser, a dentist can seal these holes and strengthen the teeth.

A Case for Lasers

There is a clear case for laser dentistry. The handful of procedures they are currently used for are just scratching the surface of what can be done with lasers. At Carolina’s Dental Choice, we’re excited about what can be done with laser procedures. Call or visit us today to make an appointment. It’s time to be confident with your smile, and we can help.

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Managing Pain and Anxiety During Dental Visits

Julie Mastbrook2020-06-11T13:38:58+00:00October 9th, 2019|Dental Trends, General|

It’s no secret that regular dental visits are an important tool for maintaining good oral health. Despite this, as much as 36% of the population fears a visit to the dentist and 1 in 25 suffers from dentophobia (extreme fear of dental visits). While there are many reasons people might have anxiety around a trip to the dentist, there are also a number of ways that both you and your dentist can help to alleviate those fears.

Pain and Anxiety Management

Fear of pain is the number one reason people are afraid to visit the dentist. And while having your teeth worked on won’t necessarily be something you look forward to, it also doesn’t have to be something you fear. Technology has come a long way when it comes to anxiety and pain management. Here is a list of some of the tools you and your dentist have at your disposal to combat any fears that might arise.

Pain-Free Shots – Let’s just say it. Shots are scary. For all of us. No one likes to be poked with needles, especially in their mouths. However, dentists have multiple options at their disposal to help make the experience of getting a shot much easier and a whole lot less scary. If they aren’t already, ask your dentist to use an anesthetic gel or rinse to help numb your mouth before administering the shot. This will desensitize the area and lessen pain significantly.

Studies have also shown that the speed at which a shot is administered can affect the level of discomfort a person experiences. The general rule of thumb is “the slower the better” when it comes to administering numbing medication. If your doctor gives you novocaine, expect it to take approximately 60-90 minutes to wear off after the procedure depending on the amount given.

Providing distraction – Oftentimes dentists will offer various forms of distraction that can help to lessen a person’s anxiety and make it easier to get through a procedure. Some of these distractions include tv’s on the ceiling, movie headsets that immerse you in a world outside of your current situation and soothing aromatherapy scents such as orange and lavender. Some dentists even go so far as to have a spa-like atmosphere that provides perks such as a manicurist and reflexologist to be available during procedures.

Oral Pain Relief – If an alternative to a shot is needed, there are various oral solutions that can be considered. The first option is the use of nitrous oxide (N2O). We all know nitrous oxide from our childhood by its informal name of “laughing gas”. N2O works to relax you and provide you with a more pleasurable emotional feeling. Pain is intensified when we are stressed or anxious so allowing yourself to relax can be an effective method of management. In addition, N2O is considered safe and effective because it begins to work quickly and the effect is completely reversible with no long-lasting effects. When used for a dental procedure, you will recover quickly enough afterward to be able to drive yourself home.

Another oral method used to help people alleviate the fear of a trip to the dentist is a pill called Halcion. Halcion is a member of the Valium family and is usually administered an hour or two before work is done. Some dentists will also provide a pill the night before to ensure the patient has a full night’s sleep. When this pill is used, patients can feel sleepy and relaxed but are still able to communicate with the dentist.

Electronically Delivered Pain Relief – An alternative to injection, this type of pain relief is commonly known as transcutaneous electrical nerve stimulation or TENS for short. TENS uses low voltage electricity to help alleviate pain. Your dentist will place adhesive pads on your face in the area where they are working and send a low current through in order to achieve numbness. TENS can help to relax your jaw and facial muscles, a commonly tense area when people experience anxiety.

Laser Drills – While not yet formally approved by the American Dental Association, the organization says that they are cautiously optimistic about how this technology can influence the future of dentistry. Laser drills provide an alternative to traditional drills by using the energy from light to cut or vaporize infected tissues. This form of treatment is less invasive and less painful than traditional methods currently being used. A few examples of how lasers can be used in dentistry include treating tooth decay, remedying issues associated with gum disease, performing biopsies and whitening teeth.

IV Sedation – If more moderate sedation is needed, a dentist will sometimes use IV sedation. One advantage to this form of sedation is that the dentist has direct control over the levels you are given and can quickly adjust to meet your individual needs.

Additional Sedation Options – While family dentists don’t perform deep sedation or general anesthesia, sometimes when you are referred to a specialist, you may encounter these options. In order to administer deep sedation, providers need to complete a program through CODA (Commission on Dental Accreditation) focusing on deep sedation and general anesthesia. Typically this accreditation is completed by oral surgeons and dental anesthesiologists.

Post Dental Pain – What to Expect

While pain management during dental treatment is important, understanding pain post-treatment is equally as important. Having the ability to discern between what type of pain is normal versus when it is necessary to contact a professional can be a huge advantage for someone who is anxious about their recovery. Here are a few examples of different types of pain you might experience after a visit to the dentist.

Jaw Soreness/Tenderness – This type of pain is one of the more common types experienced after a dental procedure. It occurs because of your mouth being held open for an extended period of time. The muscles in your mouth are no different from the muscles in any other part of your body. Use them more than they’re used to being used and they’ll become sore and tired. One way to remedy the pain is to ask your dentist if he has a bite block available for you to use. A bite block will allow your jaw to rest while still allowing the dentist to perform dental work. If you do experience this type of pain, it will typically clear up after a day or two depending on the procedure. For people who grind their teeth, it may take slightly longer as grinding is also a major cause of jaw soreness.

Pulpitis – Pulpitis is caused by an inflammation of the pulp within the tooth. It can feel like the sudden onset of a toothache. Pulpitis can also cause hot and cold temperature sensitivity within a tooth. This type of pain can occur after any dental procedure where a tooth has been worked on from a filling to the repair of a cracked or chipped tooth. There is both reversible and irreversible pulpitis. With reversible pulpitis, you won’t feel pain unless something comes in contact with the tooth to affect its sensitivity. However, irreversible pulpitis is a constant pain that typically requires a root canal to remedy. Irreversible pulpitis is not a common side effect of performed dental work, rather, it is typically a sign that dental work may be necessary.

Referred Pain – Referred pain is when you feel pain in other areas of your body than where the pain originated. So, for example, while you might have had a root canal on your molar, your eye sockets or ears may experience pain as a result. Referred pain can be experienced from any traumatic event and can sometimes be a sign of something more serious. If you experience referred pain that doesn’t go away within a week of your procedure, be sure to check in with your dentist and let him know about the symptoms you are experiencing.

Methods for Addressing Post Dental Pain

While there may be no sure-fire method to completely escape the discomfort that comes after a dental procedure, there are ways to lessen the pain and make recovery a more pleasant experience. A few suggestions for improved recovery time are listed below.

Eat an anti-inflammatory diet before you go to the dentist. Focusing on foods that help combat inflammation will improve your overall recovery time.
For those with TMJ/TMD, focus on relaxing your jaw before your procedure. Consciously working to relax and stretch your jaw muscles will help reduce pain post-procedure.
Check for a bite block. As stated above, asking if your dentist has a bite block available can lead to a lot less pain and discomfort after the work is over.
Relax! While this tactic is obviously easier said than done, it’s a known fact that stress will tense your muscles and cause a longer recovery as a result. Practicing mindfulness and focusing on your breathing can go a long way towards bringing down the levels of stress associated with a dental procedure.

Of course, taking an anti-inflammatory such as ibuprofen or acetaminophen is also a perfectly acceptable way to deal with pain after a procedure. If your dentist prescribes medication, be sure to follow all the directions associated with it and never share a prescription with someone else. If for any reason, your pain doesn’t diminish or feels like it’s getting worse, call your dentist and set up an appointment to check and make sure everything is healing the way it should.

Pain isn’t fun for anyone. The good news is that there are several tools at your dentist’s disposal that they can use to help you through a procedure with a minimal level of discomfort. While the dentist’s chair can sometimes seem like a scary place, remember that first and foremost, they are there to help you maintain a strong, healthy smile. They have their teeth worked on the same as you and, like you, they also desire an outcome that doesn’t leave pain in its wake.

Our dentists are sensitive to your needs and are always happy to speak with you about the options we provide when it comes to pain control. Please feel free to call anytime during office hours and we’ll be happy to set up a consultation for you to learn more.

Works Cited

Boge, Emily. “Dental Phobia, Fear of Dentist & Anxiety: Colgate Oral Care.” Dental Phobia, Fear of Dentist & Anxiety | Colgate Oral Care, https://www.colgate.com/en-us/oral-health/basics/dental-visits/how-dental-phobia-develops-and-what-offices-do-to-help-0515.

Collins, Sonya. “Do You Dread the Dentist?” WebMD, WebMD, https://www.webmd.com/oral-health/features/dentist-anxiety#1.

“Controlling Anxiety and Pain at the Dentist’s Office.” WebMD, WebMD, https://www.webmd.com/oral-health/controlling-dental-pain#1.

DDS, Mark Burhenne. “Pain After a Dental Visit: What’s Normal, and What’s Not.” Ask the Dentist, 30 Aug. 2019, https://askthedentist.com/pain-dental-visit/.

Garret-Bernardin, Annelyse, et al. “Pain Experience and Behavior Management in Pediatric Dentistry: A Comparison between Traditional Local Anesthesia and the Wand Computerized Delivery System.” Pain Research & Management, Hindawi Publishing Corporation, 2017, https://www.ncbi.nlm.nih.gov/pubmed/28293129.

Kasat, Vikrant, et al. “Transcutaneous Electric Nerve Stimulation (TENS) in Dentistry- A Review.” Journal of Clinical and Experimental Dentistry, Medicina Oral S.L., 1 Dec. 2014, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4312687/.

“Laser Use in Dentistry.” WebMD, WebMD, https://www.webmd.com/oral-health/guide/laser-use-dentistry.

“Sedation Dentistry: Can You Really Relax in the Dentist’s Chair?” WebMD, WebMD, https://www.webmd.com/oral-health/sedation-dentistry-can-you-really-relax-in-the-dentists-chair#1.

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The ABC’s of Whitening Toothpaste

Julie Mastbrook2020-07-16T16:54:54+00:00July 8th, 2019|Dental Trends, General, Oral Health, Teeth Cleaning, Teeth Whitening|

Teeth whitening is on the rise across the country. In 2018 alone, over 40.5 million people used some form of bleaching product to improve their smiles. Whitening toothpaste, in particular, is marketed as an affordable way to brighten your smile, but is it actually doing more harm than good?

A Brief History of Tooth Whitening

Despite its recent rise in popularity, you might be surprised to learn that the process of teeth whitening has been around for over 4,000 years. Egyptians were some of the first known people to follow the practice. They used ground pumice stone soaked in vinegar to improve their overall smiles. As time progressed, so did the methods. During the 1600’s people actually relied on their barbers to whiten their teeth in addition to cutting their hair. The barber would file the teeth down and then soak them in nitric acid as a way to whiten someone’s smile. Fluoride was discovered as a way to protect teeth in the early 19th century and toothpaste as we currently know it began to make its way to the public around 1945. Finally, in 1989, Rembrandt officially launched the first whitening toothpaste into the grocery market effectively empowering the general public to whiten their teeth with an affordable over-the-counter product.

Today there are hundreds of different brands of whitening toothpaste to choose from and not all are created equal. With everything from big names to natural alternatives vying for space on the shelves, it’s hard to know which path to take.

Understanding Extrinsic vs. Intrinsic Tooth Whitening

In order to understand how whitening toothpaste affects your smile, it’s helpful to first understand how the process of whitening works. When we observe stains on our teeth, we are generally seeing two types, extrinsic and intrinsic. Extrinsic stains are considered surface stains whereas intrinsic stains run deeper inside the tooth and are more difficult to remedy.

Causes of extrinsic stains include:	Causes of intrinsic stains include:
Coffee or tea	Tooth decay
Dark fruits such as blueberries and cherries	Overuse of fluoride
Red wines	Cracks/Scratches in enamel
Dark vegetables such as carrots and beets	Genetics
Smoking or Chewing Tobacco	Certain Antibiotics (Tetracycline based)

Over the counter products such as whitening toothpaste and strips are only strong enough to handle extrinsic stains. For intrinsic stains, it is recommended that you see a cosmetic dentist to learn more about safe, professional procedures that may be available to you.

How Whitening Toothpaste Works

Contrary to its name, one of the main ways whitening toothpaste works to remove stains is through abrasion. Tiny silica particles are added to the paste and are used to essentially “scratch” the stains off of your teeth. While this method may initially remove some of the discolorations, overuse can actually cause staining to become worse. This is because the abrasive material doesn’t just eliminate the tinge, it also scratches through the protective enamel. Loss of enamel can eventually lead to deeper, more permanent intrinsic staining. As the unprotected dentin becomes increasingly exposed to everyday food and drink, discoloration is able to penetrate past the surface and into the underlying layers of the tooth below.

In addition to abrasive particles, whitening toothpaste can also contain bleaching agents. The two most common bleaching agents used to whiten teeth in toothpaste include hydrogen peroxide and carbamide peroxide. While these ingredients are shown to be effective at whitening teeth, they should always be used in moderation as overuse can lead to demineralization of your teeth and if swallowed, can potentially inflame your internal organs or cause internal bleeding.

Common Dental Issues that Arise From the Use of Whitening Toothpaste

Some common dental issues that arise when using whitening toothpaste include sensitivity, retracting gum lines, and even increased discoloration as the enamel breaks down and stains are able to penetrate to deeper levels inside the tooth.

Sensitivity – sensitivity can occur for a number of reasons. Some of these include overuse of whitening toothpaste, keeping the paste on your teeth for an extended period of time, and allowing the toothpaste to penetrate through cracks or openings that are exposing the inner dentin. It should be noted that it’s never a good thing to feel sensitivity from the use of whitening toothpaste. If you have this issue, stop using the toothpaste and consult with your dentist for alternative options.

Receding Gums – if whitening products aren’t used properly and in moderation, they can irritate the gums and cause them to recede. Receding gum lines are harmful for a number of reasons. Healthy oral tissue is important not only to help prevent your teeth from getting infected but also to protect the internal area of the tooth from negative exposure to bacteria and germs. When whitening toothpaste isn’t used properly, it can cause permanent damage to gum lines, causing them to recede, and eventually exposing the vulnerable dentin and root below.

Loss of Enamel – both abrasive particles and bleaching agents can lead to a loss of enamel over time. It’s important to understand that enamel does not grow back so great care should be taken any time you choose to use a whitening product. Always consult with your dentist before using over-the-counter products so they can instruct on the safest way to achieve the results you want.

The Dangers of Children Using Whitening Toothpaste

While whitening toothpaste is problematic for adults, it can be even more detrimental to children. The American Academy of Pediatric Dentistry recommends that all children under the age of 15 refrain from teeth whitening. This is because a child’s enamel is thinner than an adult’s and the nerve and dentin on the inside of the tooth are still developing. Tooth enamel isn’t fully calcified until approximately two years after the permanent teeth finish emerging. The Pediatric Safety Organization warns of teenage use of whitening products in particular. Teenagers are at a greater risk for misuse and/or overuse because they tend to want to hasten or intensify the process without fully understanding the consequences. This can cause the developing teeth to become over-oxidized, resulting in a permanent breakdown of the teeth’s structure.

In general, improper use of these types of whitening products before a child’s smile is fully developed can result in increased sensitivity, demineralization of the enamel, and variations in tooth color. Children with braces or other mouth hardware are also at risk of uneven coloring to their teeth, as the portion of the tooth that is covered will not be affected by the whitener and will end up showing as a different shade from the exposed portions of the teeth.

Natural Alternatives to Traditional Teeth Whitening

Having whiter teeth doesn’t necessarily equate to a healthier smile. However, if you decide you want to brighten your smile using safer, more natural methods, you have a handful of options at your disposal.

Oil Pulling – oil pulling has been shown to have numerous benefits for oral health. In addition to killing the bacteria in your mouth that is responsible for plaque and gum disease, it also helps to reduce inflammation. Currently, there is no definitive evidence showing that oil pulling whitens teeth, however, many people who use the practice claim they notice a visible whitening of their teeth. Add to the fact that it’s a safe and beneficial method overall, and there’s really no reason not to give it a try to see if it works for you.

To try oil pulling, simply choose an oil of your choice (recommended options include coconut, olive, and sesame) and swish it around in your mouth for 5 to 20 minutes. You can also use a soft toothbrush to apply the oil or wipe it over your teeth with a washcloth.

Baking Soda – Sodium Bicarbonate, or baking soda as it is commonly called, is another natural product that can help to whiten your teeth. When used properly, it can reduce plaque, fight bad breath, help maintain a healthy pH inside your mouth, and assist in the overall whitening of your teeth. For the safest use with regards to oral health, it is recommended that you mix a teaspoon of baking soda with enough water to form a paste. Gently apply the mixture using either your finger or a soft toothbrush and let it sit on your teeth for approximately two minutes followed by a thorough rinse. You can apply this tincture multiple times per week for best results. Just be careful to apply gently as baking soda is abrasive and can harm your enamel if applied too strongly and too often.

Apple Cider Vinegar – apple cider vinegar is another effective way to help whiten your teeth. The reason vinegar works as a whitener is because it contains acetic acid which helps to remove the plaque and clean teeth. To use vinegar effectively as a whitener, mix one part vinegar with three parts water and swish in your mouth for about a minute. Be sure to spit it out once you’re finished. A couple of tips to remember when using Apple Cider Vinegar include:

Always dilute the vinegar with water before swishing. Straight vinegar has a highly acidic pH and will damage the enamel on your teeth if overused.

Only use organic brands of apple cider vinegar. This is because non-organic brands are typically pasteurized, which removes the majority of the beneficial properties contained in the vinegar.

Be sure to wait at least 30 minutes before brushing your teeth after use. Residual vinegar remains on your teeth and can harm your enamel if you brush while it’s still present.

Brush and Rinse After Eating and Drinking – being vigilant about your teeth after eating and drinking can really make a difference in the amount of staining you accumulate over time. Make an effort, when possible, to brush your teeth after eating food and drink so that you can alleviate stains before they happen. If you drink coffee or other staining drinks, try to follow it up with a glass of water to help mitigate the effects. Regular coffee drinkers or smokers may also want to consider a visit to the dentist every three months instead of six to help keep their smile bright and healthy.

Naturally, one of the best ways to keep a sparkling, white smile is to take care of your teeth on a daily basis. Brush at least twice a day for two minutes at a time, floss regularly, and visit your dentist every six months. If you are interested in learning more about professional teeth whitening, please feel free to call our office. We’ll be happy to help answer any questions you might have and discuss how we can safely and effectively help you to achieve a brighter, whiter smile.

– Julie Mastbrook

Works Cited

“Apple Cider Vinegar Teeth Whitening: Can You Safely Use Apple Cider Vinegar to Whiten Teeth?” Emergency Dentists USA, www.emergencydentistsusa.com/apple-cider-vinegar-teeth-whitening/.

“Apple Cider Vinegar vs. Organic Apple Cider Vinegar.” LIVESTRONG.COM, Leaf Group, www.livestrong.com/article/107959-apple-cider-vinegar-vs.-organic/.

Axe, Josh. “6 Ways to Naturally Whiten Your Teeth.” Dr. Axe, 9 Mar. 2018, draxe.com/6-ways-to-naturally-whiten-your-teeth/.

“History of Toothpaste – Toothbrush History.” History of Toothpaste – Toothbrush History, www.colgate.com/en-us/oral-health/basics/brushing-and-flossing/history-of-toothbrushes-and-toothpastes.

“Is Teeth Whitening Safe For Children?” Kids Dental Online – Plano & Carrollton, www.kidsdentalonline.com/dental-topics/teeth-whitening-safe-children/.

Lee, Sean S., et al. “Tooth Whitening in Children and Adolescents: A Literature Review.” American Academy of Pediatric Dentistry, Pediatric Dentistry, 17 Aug. 2005, www.aapd.org/globalassets/media/publications/archives/lee-27-5.pdf.

Pesce, Nicole Lyn. “The Dark Side of Teeth-Whitening Strips.” MarketWatch, 10 Apr. 2019, www.marketwatch.com/story/the-dark-side-of-teeth-whitening-strips-2019-04-10.

“The Risks of Tooth Whitening Toothpastes | Winston Salem Dentist.” Distinctive Dental, 30 Nov. 2017, www.distinctivelydental.com/can-whitening-toothpastes-damage-teeth/.

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Finding an Experienced Dentist in Monroe, North Carolina

Andrae Bergeron2020-07-16T16:55:10+00:00June 17th, 2019|Adam Brown DDS, Dental Crowns, Dental Insurance, Dental Trends, General, Oral Health, Teeth Whitening|

There are fewer things more stressful than finding a new health provider, much less finding an office and staff to trust you and your family’s smile with. Whether you’re searching for the right dentist to advise your oral health regimen, or are simply in the market for a new dentist, Carolina’s Dental Choice wants to equip you with the right knowledge to find an experienced dentist suited for your treatment needs.

Find an Experienced Dentist—Don’t Get Unnecessary Treatments

In need of a second opinion after getting a hefty price estimate for a procedure, you’re not sure you really need? Had a bad experience with a previous dentist and searching for a new practice to rebuild trust with? Waited so long for a dental visit that you’re just ready for a fresh start and motivation? No judgments and no worries! Finding an experienced dentist does not have to be an ordeal.

It is easy to get overwhelmed by your search for the right dentist. From Google searches, Yelp reviews, to scouring websites and seeking out word of mouth recommendations, there are many ways in which we try to find a great dentist. If you’ve moved recently or switched insurance companies, it can also be difficult to move on from a long-time dentist and find another that meets all of your expectations.

Where should you even start? We have laid out the most important considerations in your search for the right experienced dentist.

Question 1: What makes a good dental practice?

You have probably asked yourself this before. What makes a good dentist? Is it a staff of gentle hygienists? A dentist who spends time in the room with the patient? The cheapest treatment options around? Let’s discuss it!

Expectations should be met with every point of contact, including staff

Whether you are making your first call to inquire about services, scheduling an appointment, or entering the practice, the staff should be welcoming to patients. Practices that leave patients in the waiting room without greeting and without respect for patients’ time are red flags that the dental practice does not respect the time of their clients. A friendly, punctual staff ensures that the visit is great from start to finish.

Active listening

Between the hygienists and the dentist, you need a practice that listens to what you say. As the patient, you are the best advocate and knowledge base of your own health, and a good dental practice values that. By listening to your concerns and requests, and acting on what they hear, rather than talking over the patient or not spending and giving the time to the patient to speak their concerns, the patient will collaborate with the dental practice to ensure they are receiving the best treatment options.

Attempts to know the patient

In a larger practice, we do not expect our dentists to know the patient’s entire history, but no patient wants to feel like another file on the shelf. A dentist taking the time to know you can affect the level of care that the patient gets. Whether that’s making friendly conversation or taking a few minutes to read your chart, attempting to know the patient can make all the difference in your dental care.

Question 2: What are the warning signs of a bad dentist?

Fraudulent dentists certainly are not the norm, but more often than you would think, dishonest practices have impacted patients in their long-term trust in dentistry and their own oral health. The wrong dentist is more concerned with his pocketbook rather than the overall health of your mouth, meaning he may recommend and perform unnecessary treatments. Procedures that aren’t necessary can wreak havoc on your mouth and lead to further problems down the road.

Signs of Fraudulent Practice

Urgency without explanation:

If your dentist identifies an issue that is not a dental emergency and tells you a procedure needs to be done immediately, you should start by asking why and for full disclosure on the procedure itself. If you are in a new dentist’s chair for a regular cleaning and suddenly you’re bombarded with procedures of a type you’ve never needed before, or that you did not enter the practice asking for help with, then it may be a red flag. When the dentist is vague on the reasoning for procedures, he may be pressuring you into going forward without understanding all of your options.

If it sounds too good to be true, then it probably is:

Some dentists offer very discounted, or even free cleanings as a way to get patients in the door. Once in the chair, they may either hit you with fees that were never mentioned as part of the deal or as mentioned before, pressure you into procedures with intensity.

Lack of Patient Education:

As we mentioned before, the sign of a great dentist is one who educates patients and ensures that decisions are made collectively between the patient and dentist. It is not good practice when dentists and hygienists are not willing to take time and explain the dental issues and recommended procedures to the patient. Even the act of not showing patients their x-rays can be a red flag. Your dentist should take the time to discuss what is shown in your x-rays, point out any lesions or unhealthy teeth, and talk through the treatment plan with the findings.

Question 3: How does dentistry become susceptible to fraud, and how can I determine if I am part of fraudulent dentistry?

We know that for the majority of dentists out there, it took years of hard work and building trust among their patients to make a successful dental practice. But, as in any profession, there are a small number of professionals out there who turn to taking shortcuts for financial gain. For the medical profession in general, medical diagnoses can be subjective. Because of this, we have a number of suggestions to improve patient advocacy.

Understand how your insurance works with the dental practice.

Beyond having a sense of your general dental coverage, you may not know how the dental practices interact before and after your dental visit. After scheduling your appointment, the staff at the dental practice will reach out to your dental insurance company to find out everything that is covered under your provider. So before you even enter the office, the experienced dentist will know everything that can be billed to you during your dental visit. Unfortunately, this can leave the patient vulnerable to receiving treatments that are more likely to be reimbursed by the insurance company, rather than what’s truly right for the teeth.

For example, a dentist may be choosing between a filling and a root canal for a patient. Taking the path with the root canal and crown is more lucrative for the dental practice. This is because it is common knowledge that root canals are easier to pass through an insurance company than a filling, and by receiving a root canal, you’re automatically approved for a crown. Root canals are easier to pass simply because the dentist can justify the root canal by claiming that the patient was in pain. The problem here is that the dentist may have just been able to perform a filling, which is a cheaper procedure and less invasive for the patient.

Now that there are some ways of identifying fraud, let’s talk about active ways to prevent getting in those situations in the first place.

Choose your dentist based on referrals

Your insurance company may be telling you which dentists to see, but take time to do your own research. Seek out others with the same insurance and ask for a recommendation. Or, if you have a current dentist in the same area but you have switched insurance policies, ask your dentist for a recommendation, or ask for a recommendation from a local dentist society or health professional. Just because the insurance company covers a dentist does not make it a suitable referral. Plus, seeking out opinions from family, friends, and co-workers can give recommendations backed by real experiences.

Consider going family-owned rather than corporate

Chain-dentistry practices drive patients through the door with heavy advertising and discounts, quick cleanings, free exams, and of course, hundreds or thousands of dollars in unnecessary dental work. Corporate dental chains can run on a quota-based model that can sometimes lead to practices working on the side of pushing unnecessary treatments.

Ask for the appointment time

Generally, a new patient appointment should take around an hour and a half. If the office tells you that appointment should only last about a half hour, they may be trying to rush you through what should be a thorough cleaning and appointment, rather than give you the time you deserve as a patient. If you’re an established patient, appointment time can vary, but a cleaning should take at least 45 minutes. If it lasts only 15 minutes, it’s time to start asking questions.

Always check your bill

In a true dental scam, a dentist might inflate claims or bill insurers for procedures that the patient didn’t receive. The best way to avoid this from happening is to ensure communication with your dentist, ask for an estimated price upfront (prior to sitting in the dental chair), and always checking your bill at checkout. According to the National Health Care Anti-Fraud Association, it is estimated that Americans lose about $68 billion dollars each year to healthcare fraud. Don’t be a victim of dental fraud; know the signs and do not be afraid to advocate for yourself as a patient.

Check the market rate for common procedures.

There are common procedures you have had before that you know the price for, but when dental pain strikes, sometimes you are willing to pay anything for it to get fixed. It’s at these times when it is most important to ensure that you are being offered a fair, market-rate price, and not just being offered the most expensive procedure that your insurance may or may not cover.

Seek other opinions.

If you have ever had a major dental procedure, it is likely that you might have sought out another opinion. One dentist may recommend that you need it, while another may not. This is totally normal, and encouraged, especially if you feel that any of the signs above are occurring.

Feel out the culture of the office.

While how you feel as a patient is important, seeing how the experienced dentist treats the staff can also impact the care you receive. The best doctors are attentive to patients and staff. If you have a bad feeling with your interaction from the front desk to the dental chair, how can you trust your oral health to the practice? You should feel safe and welcome at the dentist from the moment you walk in the door.

Find a dental provider who’s right for you and your family

Carolina’s Dental Choice is here to make you feel right at home, whether you’re new to the area or a longtime resident. Give us a call today if you’re in need of a welcoming, friendly face in the dental practice world at 704-289-9519.

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The Hidden Dangers of Mouthwash: What You Need to Know

Julie Mastbrook2021-02-05T18:11:46+00:00June 5th, 2019|Dental Trends, Dentist Office Monroe NC, Oral Health, Teeth Cleaning, Teeth Whitening|

Mouthwash is often touted as a safe and effective method for curing bad breath and improving overall oral health. But recent studies show that not all mouthwashes are created equal. Before you add a mouthwash to your daily dental regimen, take a minute to understand some of the potential dangers that might be hiding in that morning and evening routine.

The Problems with Conventional Mouthwash

While advertising may state that conventional mouthwash kills 99.9% of all bacteria, that’s not always the full dental story. Many conventional types of mouthwash contain up to a 26% alcohol content in addition to other dangerous ingredients. When you swish mouthwash twice a day in your mouth for an extended period of time, a number of things occur.

Alcohol destroys the friendly bacteria your body needs to maintain normal blood pressure and positive oral health. Think of it like an antibiotic for your mouth. It doesn’t distinguish between good and bad oral bacteria, it simply kills it all.
Conventional mouthwash dries out your mouth and affects saliva production. This can actually result in worsened breath over time in addition to increased cavity production because saliva acts as a natural barrier for both of these dental conditions.
Recent studies have shown that using conventional mouthwash may potentially lead to high blood pressure issues because of disruption with the body’s production of NO (Nitric Oxide), a molecule inside the body that helps to regulate blood pressure.

A sample of ingredients that are the biggest culprits for these dental issues include alcohol (associated with drying your mouth and killing bacteria), Chlorine Dioxide (used as a bleaching agent to whiten teeth), Chlorhexidine (an antiseptic that is also an allergen), and formaldehyde (dangers include cancer risk and respiratory problems).

Discovering Natural Mouthwash Alternatives

There are several natural mouthwash alternatives available over the counter that provide a safer option for those that want to maintain their daily swishing regimen. A few choices are listed below.

The Natural Dentist
This mouthwash can be found at most major retailers and is tailored towards those with sensitive teeth and gums. The ingredients are all natural and contain 20% Aloe Vera which is a natural antiseptic that replaces conventional use of Chlorhexidine without the side effects.
Therabreath
This mouthwash is also available at most major retailers and helps increase saliva production instead of drying out your mouth. It also uses natural ingredients including aloe vera and tea tree oil which is another natural antiseptic used to aid in overall oral health.
Oral Essentials
Created by dentists and thoroughly tested, this mouthwash contains sea salt to help maintain the healthy mineral balance in your mouth. In addition, you’ll find such natural ingredients as aloe vera, coconut oil (a natural teeth whitener), and essential oils (aids in freshening breath). This mouthwash can be found on Amazon in addition to other online retailers.

Do-It-Yourself Mouthwash? Why not!

A quick search on the internet for do-it-yourself mouthwash will yield plenty of recipes for you to experiment with. When wading through the never-ending list of oral options, keep a few essential ingredients in mind.

Aloe Vera
As mentioned above, Aloe Vera is a top-notch replacement for the conventional mouthwash ingredient, Chlorhexidine. Studies have shown that it is equally as effective as an antiseptic but without all the harmful side effects.
Essential Oils
Essential Oils are a natural way to freshen breath without the drying effect of alcohol. They also contain antibacterial properties and oils such as lemon contain whitening properties to help keep your teeth shiny and bright.
Sea Salt and Baking Soda
Both these ingredients have strong benefits for oral health. Used as mouthwash ingredients, sea salt will help to restore the mineral balance of your mouth while baking soda will help to ease gingivitis and whiten teeth.

Final Thoughts on Mouthwash

Studies show that conventional mouthwashes are not as effective or as safe as typically advertised. They can contribute to dry mouth, mess with the balance of bacteria in your mouth and even cause increased gingivitis and cavity formation. The best way to keep your dental health in tip-top shape is to work on the problem from the inside out. Keep a balanced diet and stay away from processed foods and sugars. If you still want to make mouthwash a regular part of your dental routine, stick with all natural brands or create your own recipe so that you are in control of the ingredients going into your mouth and body. For more information, please contact Carolina’s Dental Choice.

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Radiography: An Essential Part of Carolina’s Dental Choice

Morgan Evans2020-07-16T16:56:30+00:00April 24th, 2019|Dental Trends, Oral Health|

If you have been to the dentist, you have probably had x-rays taken of your mouth. While annoying, and sometimes painful, these x-rays are an essential part of any dental-care plan. Despite their significance, some dentists do not offer radiography to their patients. At Carolina’s Dental Choice, we see the value in these x-rays and believe that they largely contribute to positive dental health.

The x-rays used for dentistry are known as radiographs. There are two kinds of radiographs: the extraoral, an x-ray is taken outside of the mouth; and the intraoral, which is an x-ray taken from within the patient’s mouth. Intraoral radiographs are the one most commonly seen in dentistry and the one you might easily recognize from your last dentist appointment. The intraoral radiograph has become such a prominent part of dentistry because of the high level of detail that the x-ray provides, which can show the tooth, bone, and supporting tissues in a patient’s mouth.

Not only does the radiograph allow a dentist to see what is visible in a patient’s mouth, but it also allows him to see hidden dental structures, malignant and/or benign masses, signs of bone loss and/or wearing, and cavities, all of which might not be visible to the human eye but are detrimental to an individual’s dental health.

How It Works

Now that you know how important a radiograph can be to your dental health, you are probably wondering how they actually work. Surprisingly enough, they are actually quite simple. When your dentist asks you to put a film or sensor in your mouth, which is usually the most uncomfortable part of any radiograph, he is creating a base that is crucial to the image being taken. For a radiographic image to form, the radiation from the x-ray machine has to bounce off of the film or sensor and into your mouth. Different oral structures are penetrated by the radiation at different levels, which means they reflect different images on the film. For example,

teeth appear lighter because they are dense and do not allow for as much radiation to penetrate them. Dental caries (cavities), tooth decay, infections, periodontal ligaments, and alterations in bone density will typically appear darker on a radiograph since they are less dense as other dental structures. Based on the amount of radiation that is allowed to reflect on the film, an image is created that allows your dentist to see everything that is not visible to the naked eye, and then assess the best way to maintain your dental health.

At Carolina’s Dental Choice, our dentists see the value in a basic radiograph, like the ones previously discussed; but we do not stop there. Along with traditional radiographs, our office also offers three-dimensional (3D) imaging services. Our 3D digital device combines three different types of data with one x-ray unity; this cool tool is known as the Planmeca 3D imaging device. Proper use of this helps to accurately diagnose our patients since we understand that not all damage and disease is visible during a routine dental examination.

The Planmeca 3D imaging device is one of the newest innovations in radiography procedures. Instead of using standard x-ray film, the 3D images are digitally produced on a computer screen. Not only does this save production time since the images do not have to develop, but it also allows for them to be easily viewed, stored, or printed. On top of that, digital 3D imaging with the Planmeca only takes a fraction of the time and emits less radiation than a traditional x-ray would.

Our dental professionals at Carolina’s Dental Choice also use radiographs to help monitor periodontal diseases. By using x-rays, visual examinations, and professional cleaning techniques, our staff is able to play an effective role in minimizing the spread of common dental diseases.

Just like a regular dental examination, radiographs are crucial to a patient’s oral health. How often you need one depends on the success of your treatment plan and the advice of your dentist. If you are prone to tooth decay or cavities, then your dental professional may recommend that you get them annually or biannually. Being proactive and regularly checking for signs of decay can help your dentist plan for future treatment options and prevent major cosmetic issues in the future.

As Carolina’s Dental Choice, we offer the radiography services that will keep your smile beautiful. Come see us today!

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Tooth Extraction Explained at Carolina’s Dental Choice

Mary Sturk2020-07-16T16:56:44+00:00April 17th, 2019|Dental Insurance, Dental Trends, Oral Health|

Our team at Carolina’s Dental Choice knows that the word “extraction” can cause anxiety and even fear in some people. Many of us have had this procedure done, sometimes multiple times, and the reason a tooth needs to be extracted varies from patient to patient.

What Is Dental Extraction?

A dental extraction (also called exondontia or informally, tooth pulling) is the removal of teeth from the socket (dental alveolus) in the alveolar bone. Extractions are performed for a wide range of reasons, but most commonly because a tooth is unrestorable due to decay, periodontal disease, or dental trauma.

Tooth decay is the softening of your tooth enamel and refers to the damage of the structure of the tooth caused by acids that are created when plaque bacteria break down sugar in your mouth.

Periodontal diseases are infections of the structures around the teeth, which include the gums, periodontal ligament, and alveolar bone.

Traumatic dental injuries most often occur as a result of an accident or sports injury. The majority of these injuries are minor, such as chipped teeth. Occasionally though, a tooth will dislodge or even get knocked out completely.

Extraction Procedure

Typically, when undergoing a tooth extraction procedure, your dentist will numb the area with a local anesthetic before the procedure.

Common forms of local anesthesia are Novocaine and more popularly, Lidocaine, which is injected after the dentist numbs the area with an external numbing agent. Here are all the common forms of anesthesia:

Local Anesthesia—this is when medication is injected into the mouth to numb the area to be treated and block the nerves that transmit pain. This type of anesthesia is commonly used during fillings, treating gum disease, or preparing teeth for crowns.
Sedation—this method is usually administered by inhaling nitrous oxide, also known as laughing gas. It can also be administered orally in the form of a pill taken prior to the dental procedure. This form of anesthesia is commonly combined with a local anesthetic to help relieve anxiety and reduce pain.
General Anesthesia—this is the strongest form of anesthesia available for dental procedures and involves intravenous medications that produce a temporary loss of consciousness. General anesthesia is usually only used during oral surgery procedures.

You may have also heard of I.V. sedation and wondered if it were for you. Intravenous (I.V.) sedation has become more common and works well for those with fear of the dentist and dental procedures. It is also ideal for patients whose fear of dentistry has led to a large amounts of dental work needing to be completed. I.V. Sedation is also used for outpatient procedures, like colonoscopies. Referred to as “twilight sleep,” you will wake with little or no memory of the procedure. Anesthesia is given via the I.V. and recovery requires someone take you to/from the procedure.

If the extraction involves an impacted tooth, the tooth may be broken into pieces before it is removed. An impacted tooth is a tooth that, for some reason, has been blocked from breaking through the gum. Sometimes a tooth may be only partially impacted, meaning it has started to break through.

Your dentist will perform x-rays and thorough examinations before this stage and will explain the procedure and any other possible options. Often, with impacted teeth, there are no symptoms and only an x-ray will discover it.

Another reason teeth are extracted, especially in youth and young adults, is to make room in the mouth before planning to straighten remaining teeth. Teeth may also be extracted if they are so poorly positioned that they cannot possibly be straightened. A less common reason to extract a tooth is as a cheaper alternative to filling or placing a crown on a decayed tooth.

If you or your child has a condition where a tooth extraction might be called for, please call Carolina’s Dental Choice at (704) 289-9519 to schedule an appointment.

The number of Americans missing at least one tooth is more than 120 million, so it’s not at all unusual to be missing one or more teeth for a variety of reasons, including those listed above.

What’s the deal with Wisdom Teeth?

One of the most common procedures is the removal of the “wisdom teeth.” What is this procedure and why do these teeth often need to be removed and what are the benefits? According to www.mayoclinic.org:

Wisdom tooth extraction is a surgical procedure to remove one or more wisdom teeth — the four permanent adult teeth located at the back corners of your mouth on the top and bottom.

If a wisdom tooth doesn’t have room to grow (impacted wisdom tooth), resulting in pain, infection, or other dental problems, you’ll likely need to have it pulled. Wisdom tooth extraction may be done by a dentist or an oral surgeon.

For many, the first use of dental anesthesia is during extraction of wisdom teeth (the four hindmost molars that come in during young adulthood), which can cause issues including moving other teeth around.

To prevent potential future problems, some dentists and oral surgeons recommend wisdom tooth extraction even if impacted teeth aren’t currently causing problems.

Wisdom teeth, or third molars, are the last permanent teeth to appear (erupt) in the mouth. These teeth usually appear between the ages of 17 and 25. Some people never develop wisdom teeth. For others, wisdom teeth erupt normally — just as their other molars did — and cause no problems.

Many people develop impacted wisdom teeth — teeth that don’t have enough room to erupt into the mouth or develop normally. Impacted wisdom teeth may erupt only partially or not at all.

An impacted wisdom tooth may:

Grow at an angle toward the next tooth (second molar)
Grow at an angle toward the back of the mouth
Grow at a right angle to the other teeth, as if the wisdom tooth is “lying down” within the jawbone
Grow straight up or down like other teeth but stay trapped within the jawbone

Problems with impacted wisdom teeth. You’ll likely need your impacted wisdom tooth pulled if it results in problems such as:

Pain
Trapping food and debris behind the wisdom tooth
Infection or gum disease (periodontal disease)
Tooth decay in a partially erupted wisdom tooth
Damage to a nearby tooth or surrounding bone
Development of a fluid-filled sac (cyst)

Preventing future dental problems. Dental specialists disagree about the value of extracting impacted wisdom teeth that aren’t causing problems (asymptomatic), because it is difficult to predict future problems with impacted wisdom teeth. However, here’s the rationale for preventive extraction:

Symptom-free wisdom teeth could still harbor disease.
If there isn’t enough space for the tooth to erupt, it’s often hard to get to it and clean it properly.
Serious complications with wisdom teeth happen less often in younger adults.
Older adults may experience difficulty with surgery and complications after surgery.

What to expect after a Dental Extraction

Immediately after an extraction, be sure to follow your dentist’s instructions. You may receive a prescription for a mild pain killer or antibiotic, but in most cases, over-the-counter medications will manage pain. Do not eat solid foods or smoke for 48 hours. Stick with soft foods like yogurt, soups, mashed potatoes, and smoothies (avoided fruit seeds). The soft tissue takes about 3-4 weeks to heal.

Keep an eye out for any signs of acute bleeding, pain, or swelling. This could indicate an infection.

Beware of Dry Socket

Dry socket (alveolar osteitis) is a painful dental condition that sometimes happens after you have a permanent adult tooth extracted. Dry socket is when the blood clot at the site of the tooth extraction fails to develop, or it dislodges or dissolves before the wound has healed.

Normally, a blood clot forms at the site of a tooth extraction. This blood clot serves as a protective layer over the underlying bone and nerve endings in the empty tooth socket. The clot also provides the foundation for the growth of new bone and for the development of soft tissue over the clot.

Exposure of the underlying bone and nerves results in intense pain, not only in the socket but also along the nerves radiating to the side of your face. The socket becomes inflamed and may fill with food debris, adding to the pain. If you develop dry socket, the pain usually begins one to three days after your tooth is removed.

Dry socket is the most common complication following tooth extractions, such as the removal of third molars (wisdom teeth). Over-the-counter medications alone won’t be enough to treat dry socket pain. Your dentist or oral surgeon can offer treatments to relieve your pain.

Signs and symptoms of dry socket may include:

Severe pain within a few days after a tooth extraction
Partial or total loss of the blood clot at the tooth extraction site, which you may notice as an empty-looking (dry) socket
Visible bone in the socket
Pain that radiates from the socket to your ear, eye, temple, or neck on the same side of your face as the extraction
Bad breath
Unpleasant taste in your mouth

When to see a doctor. A certain degree of pain and discomfort is normal after a tooth extraction. However, you should be able to manage normal pain with the pain reliever prescribed by your dentist or oral surgeon, and the pain should lessen with time.

If you develop new or worsening pain in the days after your tooth extraction, contact your dentist or oral surgeon immediately.

Expected Costs

The cost of a dental extraction can vary depending on your dentist’s fees and the scope of work. In some instances, extractions (such as wisdom teeth that are impacted) may need to be handled by a dental surgeon under anesthesia.

According to Member Benefits, who tracks the cost of dental work throughout the country, the cost of dental extraction (per tooth) can range from $75-$300 for a non-surgical extraction, and upwards of $650 for a single surgical extraction. Additional costs could include x-rays and exam fees.

If you have dental insurance, it will take a bite (no pun intended) out of your bill. Depending on your policy, it may cover up to 50% of the cost. At Carolina’s Dental Choice, we work with a variety of Dental Insurers, as well as, Medicaid. Our staff will help you understand the costs involved and file the insurance paperwork for you. If you don’t have insurance, we offer an In-House Dental Savings Plan that allows patients to receive treatment at a discounted price.

Carolina’s Dental Choice also welcomes new patients. Whether you have just moved to the Monroe/Charlotte area, are transferring your care from another practice, need to establish care with a dentist, or find yourself suddenly in need of dental service, we look forward to partnering with you for the benefit of your oral health.

As we’ve explored, the reasons for a dental extraction are varied. There is no need to be in pain or discomfort, or even embarrassment, if you feel you need help with dental issues. Our staff is ready to help you find solutions for your dental needs.

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