SecondHand Smoke Ups NonSmokers Risk For Gum Disease

In 2004, the Surgeon General concluded that there was sufficient scientific evidence to show a relationship between tobacco and periodontal (gum) disease. As research  continued along these lines, exposure to secondhand smoke has been shown as an additional risk factor when it comes to the susceptibility of gum disease.

A study conducted at the University of North Carolina - Chapel Hill used data from nearly 2,400 non-smokers, ages 53-74, who had exposure to secondhand smoke for a few hours each day. The conclusion showed that this exposure can double a person's risk of severe periodontal disease. Those exposed to secondhand smoke for 25 hours or less each week had a 29% increase.

The findings of the study were released in December 2011 in the American Journal of Public Health.

Sweet Indulgences While Keeping A Healthy Smile!

Valentine’s Day, Easter, Mother’s Day … so many holidays and so many goodies, with adults often indulging in sweet treats as much as children! Yet, it’s not necessarily an occasional indulgence that takes its worst toll on adult tooth enamel.

Plaque, which is a sticky film of bacteria in the mouth, is continually forming on teeth and gums. When these bacteria come in contact with sugar or starch, they produce an acid that attacks teeth for 20 minutes or longer. Repeated attacks can expose tooth enamel to decay. Cough drops, hard candy and breath mints that linger in the mouth subject teeth to acid attacks for the duration the product is in the mouth. Sweet beverages are equally as harmful. Sipping cola or sweet tea over an extended time creates the same effect.

Plus, the stickier things are, the more difficult it is for saliva to cleanse the sugar out of the mouth. For example, a piece of hard butterscotch candy that sticks to your teeth can be more harmful than a chocolate bar that is more easily rinsed out of the mouth through saliva.

How do you enjoy these treats and minimize harm to your teeth? First, try to treat yourself to these items along with mealtime. Saliva production increases during meals and helps to neutralize acid production and rinse the mouth. Another tip is to chew sugarless gum after you indulge if brushing your teeth is not possible. Sugarless gum increases saliva flow to wash away decay-producing acid.

Drinking lots of water, particularly fluoridated water, is another good way to help prevent tooth decay. And, of course, stay committed to your brushing and flossing routine at home and keep your regularly scheduled hygiene exams and cleanings. These are easy, inexpensive ways to prevent problems from occurring in the first place or catch those at their earliest stages, which minimizes treatment needs.

Follow these tips and you’ll still be able to enjoy occasional sweet treats and have a smile that shows you also indulge in good oral health!

Menstrual Cycle Affects Gum Health
According to findings published in the Journal of Periodontology, many women report increased inflammation and discomfort of the gums associated with their menstrual cycle. Symptoms include a slight burning sensation, bleeding with minor irritation, redness to the gums, oral ulcers and general pain and discomfort in the gums.

In this study, researchers compared the gingival and periodontal status of premenopausal women between the ages of 20 to 50 years at different times in their menstrual cycles. Researchers measured plaque index, gingival index, probing depth, gingival recession and gum attachment levels. Gingival inflammation was lower during menstruation than during ovulation and pre-menstruation, which may be attributed to hormonal peaks and drops.

Further studies may determine whether these transitional changes have lasting negative effects on gum health. In the meantime, our female patients in this age bracket should relay symptoms experienced on a cyclical basis to us for notation in their charts. This also includes any prescription or over-the-counter medications being taken.

Does A Cold Drink Cause A Jolt In A Tooth Or Two?
Gum recession is often caused by rigorous tooth brushing, which can expose the dentin in the neck of the tooth. However, there are also other causes to gum recession.

Teeth have a protective coating of enamel that covers a porous layer called dentin. The dentin layer is made up of microscopic bulbs that surround a nerve center. The nerve center is sensitive to things like high or low temperatures or jolts. If the dentin is exposed, the nerve center responds with pain signals. When the bristles of a tooth brush or hot or cold beverages hit these sensitive areas, the common response is pain.

Poor oral hygiene can ultimately lead to gum recession as well. When bacteria in the mouth are not removed on a daily basis, plaque forms around the teeth. This plaque is toxic and causes irritation to the gums, which can develop into gingivitis. As the gums become more inflamed, gingivitis progresses to periodontitis (gum disease). With gum disease, the gums lose their attachment to the teeth, giving the appearance of long, unsightly teeth. Even worse, this allows for easy entry of bacteria to penetrate bones and tissues that support teeth. Gum disease is the nation’s leading cause of adult tooth loss.

Another cause of gum recession may be from trauma resulting from teeth clenching or bruxing (tooth grinding). This action can break down gum tissues and lead to recession. When gum recession is causing this, it is typically accompanied by worn or chipped teeth.

For minor gum recession, use a soft bristle tooth brush and lighten up on your brushing stroke. Rather than a back-&-forth ‘scrubbing’ motion, use a swipe from the base of each tooth to its end. Then, clean the tops of teeth with a circular motion. Also, use a  ‘sensitivity’ toothpaste with potassium nitrate to block the nerve endings.

In more severe cases of gum recession, surgery of a cosmetic or restorative nature may be recommended.  Gum tissue regeneration and gum grafting are excellent ways to protect the gums and make the smile look more attractive. Gum grafting is a common periodontal procedure. We perform this procedure with a laser for excellent results and optimal patient comfort.

HPV Causing Alarming Rise In Mouth & Throat Cancers

Approximately 20 million Americans are already infected with HPV, or the human papilloma virus. It's growth rate is such that the word 'epidemic' is now being used and a Centers of Disease Control advisory committee has recommended that 11 and 12 year olds be vaccinated against it. So, how does this relate to your oral health?

In the 1980's, HPV was attributed to around 16% of mouth and throat tumors. By the 2000's, that jumped to nearly 75%. It's been predicted that HPV-related mouth and throat cancers will outnumber cervical cancer (presently, the focus of HPV vaccination) by 2020.

Oropharyngeal cancers are malignancies of the tonsils, soft palate, base of the tongue and throat. While its well-known that HPV spreads through genital contact, which increases the risk of cervical cancer and genital warts, it is not so well known that HPV can be spread through oral sex. It is this type of transmission that is linked to mouth and throat cancers.

In addition to keeping your 6-month dental exams (which should include oral cancer screenings), alert us immediately if you have difficulty swallowing, have lumps in the neck, or experience pain in the mouth or ear. Do NOT wait until your next check-up to have these evaluated. Call (843) 871-6351 for an immediate appointment.

Jaw Joint Disorders (TMD) Can Lead To Many Problems!

When you were young, did you ever hear the song, "The ankle bone's connected to the leg bone and the leg bone's connected to the hip bone, and the hip bone's connected ..." and so on? The temporo-mandibular (jaw) joint is much like that. There is an intricate connection to these joints, which hinge the lower jaw to the skull at both sides of the head, to our facial bones, teeth, and muscles of the face, head and neck.

Fortunately, I have advanced training to diagnose TMD issues, which also allows me to provide the proper therapy with minimal treatment time required.

Below are typical symptoms. If you are experiencing one or more, call our office at (843) 871-6351 to arrange a consultation appointment.

•Do you grind or clench your teeth during sleep?

•Do you wake up with sore, stiff muscles around your jaws?

•Do you have frequent headaches or neck aches?

•Does the pain get worse when you clench your teeth?

•Does stress make your clenching and pain worse?

•Does your jaw click, pop, catch, or lock when you open your mouth?

•Is it difficult or painful to open your mouth, eat or yawn?

•Have you ever injured your neck, head or jaws?

•Do you have teeth that no longer touch when you bite?

•Is it hard to use your front teeth to bite or tear food?

•Are your teeth sensitive, loose, broken or worn?

During the consultation, I'll discuss our evaluation methods. Remember, your symptoms will not improve without treatment, and will likely worsen. The sooner you look into resolving TMJ Disorder, the easier it will be to overcome the symptoms you're experiencing.

Replace That Tooth As It's Removed!

Sometimes, no matter how well you care for teeth, there are occasions when a tooth requires removal. This could be the result of a sports injury or, perhaps from grinding or clenching, a tooth cracks below the gum line and eventually breaks.

When removal is necessary, replacing the tooth with a dental implant at the same time is the ideal solution for several reasons. First, the former tooth root's angle and shape make insertion of the dental implant a simple process, eliminating drilling that would normally be required.

Secondly, a replacement tooth is immediately attached in most cases. You're advised to avoid biting or chewing directly on that tooth for a time while the bone grows around the implant, securing it in place. However, you'll never be without a tooth.

Also, the gum contours around the tooth and the gum 'points' between the teeth on each side can be preserved. These tend to flatten out when teeth are removed and require gum recontouring by laser dentistry to truly reshape to a natural appearance. Immediate placement of implants after tooth removal preserves this, giving you a beautiful result.

Dental implants also mean you avoid having to use neighboring teeth as supports as with crown-&-bridge combinations. And, because dental implants are designed to last a lifetime, they make an excellent investment.

If you find yourself dealing with a tooth removal, chin up! Dental implants give you a terrific tooth replacement option!

Make A Change That'll Get Truly Noticed!

Ask any Personal Trainer. They're busy as bees in January. In April, however, things have slowed down. By June, they've dropped off significantly. Resolutions to improve appearance by working out require a major commitment of hard work and time. And, while it's something we should strive to do, the slow pace of getting fit is hard for some of us impatient folks to stick with for the duration it takes.

If you remember the once popular television program "Extreme Makeover," the producers quickly realized that the ideal candidates were those with the worst smiles. The reason they zeroed in on this criteria was the 'after' result could have such a dramatic difference in a person's overall appearance. They knew some weight loss and toning could give a nicer frame. Breast implants, a tummy tuck and even a nose job would create a better look. Yet, it was the person's smile that seemed to grab everyone's immediate attention, show after show!

Want to make a positive change in your appearance? Call to schedule a free consultation so we can sit down and discuss the appearance of your smile. I'll listen to what you want to change and make suggestions as to the procedures that can create the smile you want. I'll answer your questions and then you can make the decision you feel is best.

While you work to get yourself in shape this year, you could be doing so with a smile that is your best feature! Imagine ... a smile that boosts your confidence and says, "I feel good about myself!" That's an attitude a Personal Trainer would say will keep you going all year!

Tips To Help Those Who Made "Quit Smoking" Resolutions!

For those who once smoked cigarettes and can now proudly say they're 'Quitters,' they'll also tell you the stop-smoking process was no easy row to hoe! Some even tell us that what kept them from picking up another cigarette was remembering how difficult it was to quit, and not wanting to repeat the process!

As a Dentist, I see firsthand the damage from smoking by drying oral tissues, discoloring teeth, and greatly extending the healing time of most treatments involving oral tissues. It is not uncommon to hear of cases that fail when heavy smokers cannot decrease their intake long enough to allow gum tissues to heal.

Even smokers agree that smoking is a terrible habit that won't let go. Yet, it's the smoker who must release the habit, not the other way around. The proverbial New Year's Resolution is often the starting point for many who claim, "This is the year I'm kicking the habit!" with every intention of never picking up another cigarette. Yet, by the time you read this, you may be weakening or have even given in to one or two.

Below are some powerful statistics to remind you of why you should quit along with tips to keep you on track.

• Cigarette smoke contains more than 7,000 chemicals; hundreds are toxic and about 70 of these can cause cancer. Smoking harms nearly every organ of the body and is a leading cause of cancer, including cancers of the lung, esophagus, larynx, mouth, throat, kidney, bladder, pancreas, stomach, and cervix, as well as acute myeloid leukemia.
• Smoking also causes heart disease, stroke, aortic aneurysm, chronic obstructive pulmonary disease (COPD), asthma, hip fractures, and cataracts. Smokers are at higher risk of developing pneumonia and other airway infections.
• Men who smoke are at greater risk of erectile dysfunction. A pregnant smoker has a higher risk of having her baby born too early and with an abnormally low birth weight.

When it comes to your heart, many factors contribute to heart disease. Smoking, being overweight, having high cholesterol or high blood pressure, and being inactive all contribute to cardio problems. However, it's known that gum disease bacteria can enter the bloodstream through tears in gum tissue. These bacteria cause inflammation to blood vessel walls, which can lead to a heart attack. With every 1 in 4 Americans having some form of heart disease, coupled with the fact that 1 in 3 adults between 30 and 54 have some form of periodontal disease, an enormous health care challenge exists. It has also been shown that gum disease contributes to infective endocarditis. This is when the interior lining of the heart and heart valves become inflamed due to bacterial build-up. For those who have been diagnosed with heart disease or high blood pressure, the medications they take for these conditions can even create greater potential for gum disease. Some commonly prescribed medications for these conditions can cause dry mouth. If you smoke, that's a double-whammy on oral tissues!

The benefits of quitting are almost immediate. Your circulation improves, your blood pressure starts to return to normal, your sense of smell and taste return and breathing becomes easier. In the long term, your risk of getting cancer decreases with each year you stay smoke-free.

Fortunately, people who stop smoking greatly reduce their risk for disease and premature death.

Smoking cessation is associated with the following health benefits:
•Quitting smoking lowers the risk for lung and other types of cancer.
•Quitting smoking reduces the risk for coronary heart disease, stroke, and respiratory problems like coughing and shortness of breath.
•Quitting smoking reduces the risk of developing chronic obstructive pulmonary disease (COPD).
•For women, quitting smoking reduces the risk for infertility. Women who stop smoking during pregnancy reduce their risk of having a low birth weight baby.

The reasons to quit are endless, such as:
• Nonsmokers live about 10 years longer than smokers.
• Quitting at age 60, 50, 40 or 30 adds, respectively, 3, 6, 9 or 10 years to life expectancy.
• Life expectancy of ex-smokers is about the same as it is for those who never smoked if they quit between the ages of 35 - 44.

If you have tried to quit in the past, you may have become frustrated by short-term effects such as weight gain, irritability and anxiety. Today, there are many ways to quit smoking. Because tobacco dependence is a chronic condition, it may require repeated interventions. However, smokers can and do quit smoking through effective treatments and helpful resources. In fact, there are now more former smokers than current smokers.

Here are extra benefits you'll enjoy as a result of giving up smoking:
- Saving a bundle on cigarettes.
- You'll save time checking out without a Cashier hunting for your cigarettes.
- You won't feel awkward smoking in a roped off area for smokers.
- No more glares or lectures from others about the hazards of smoking.
- Your clothes and hair will smell fresh.
- Your mouth will taste fresh and 'kissable' again!
- Your car and furniture will smell nice again.
- You won't become winded easily.
- Your teeth and fingers won't have a 'stained' appearance.
- You'll be able to call your health insurance company to say you're no longer a smoker, to earn lower rates!
- You won't have to stand outside when it's cold or rainy because you need a cigarette.
- You won't feel guilty around children or others about your second-hand smoke.
- Your employer will appreciate knowing you no longer need smoking breaks.

Just think, once you've quit FOR GOOD, your smile will even thank you by being healthier and looking brighter!

Telling A Co-Worker She Has Bad Breath

“How do I tell a co-worker she has bad breath?”
This is a question I am asked from time to time and its sensitive nature is always one where I am truly sympathetic for the person asking. We’ve all been there. And, for those of us who are rather meticulous with our oral hygiene, it’s rather irritating when we encounter others who subject us to this offensive odor. Especially, as you describe, their unpleasant breath is emitted our way on a regular (and seemingly constant) basis. Let’s try to establish, first, if the odor is just ‘basic’ bad breath or a form of periodontal disease. This is important because it will determine how we will be able to approach your cohort.

Is the breath odor ‘stale,’ such as how a mouth may be after sleeping? Without saliva moving through the mouth to prevent oral bacteria from building up, the mouth needs cleaning (brushing, swishing, etc.). Or, does the breath odor have a ‘rotten’ smell, like the person has eaten food hours before and some is still caught between teeth?

If either of these seem to be the problem, poor hygiene is more than likely the source. Set a good example by discussing how great your mouth feels after dental cleanings. Also, take your tooth brush to work and brush after lunch. About once a month, bring up a topic on good oral health. For example, mention that you’ve learned how the bacteria of gum disease is linked to heart disease and diabetes.

However, if the breath odor is ‘different’ than typical bad breath, it may be periodontal (gum) disease. I had one person describe this as an ‘ash’ smell. Another told me it smells dried blood. This didn’t surprise me because gum disease is oral tissue under attack by bacteria. This causes an inflammation, which is the body’s reaction to a bacterial infection. If this is your coworker’s problem, you may have noticed her gums are red in color rather than a healthy pink. She’s likely having problems eating due to sore, swollen gums. If you’ve notice this, you may want to ask if she’s having gum tenderness. If she says yes, you can suggest she call our office for an exam.

If she denies discomfort, your only recourse is to wait it out until she reaches that stage. It’s only a matter of time. Sadly, by then, she may be at the stage where tooth loss is inevitable. Gum disease only worsens without treatment. In the meantime, continue to be a good example to her and take care of your own oral health and well-being.

Even TV's 'The Doctors' List Hygiene Visits Among Resolutions To Keep!

While reading through the December 30, 2011 - January 1, 2012 issue of USA Weekend, an article entitled "New Year. New You!" suggested "high impact, low cost ways to feel great." Since it featured fitness guru Jillian Michaels and TV's "The Doctors" (comprised of a panel of various physicians), it was a definite read for me.

Of course, the first two recommendations made perfect sense: Exercise More and (for those who smoke) Quit Smoking. The next one was wise for a number of reasons: Volunteer. And, as a Dentist, the fourth was of no surprise: Get Your Teeth Cleaned. Yet, this is still one many feel is of minor importance to their overall health.

However, the article does remind readers that people who have their teeth cleaned lower their risk of a heart attack by 24% and stroke by 13%. This is because professional cleanings reduce bacteria that create inflammation.

Thanks, USA Weekend! Great article and the other tips are terrific, too! Let this New Year's list be one that brings you lasting health!

Why More & More Adults Are Saying 'YES' To Dental Implants!

When a patient comes to us with one or more missing teeth, we explain all their options for replacing the tooth or teeth. However, we feel patients deserve to know their choices as well as the advantages and disadvantages of each so they can intelligently select the one they feel is right.

Although dental implants are initially more expensive, more and more adults are selecting them for tooth replacement - and for excellent reasons. First, dental implants are designed to last a lifetime. They are made from a material that successfully bonds with living bone, do not decay and will never need a root canal. With proper care. dental implants can last throughout the life of every patient.

Another benefit of dental implants is their stability. Because dental implants are held by the jaw bone, just as natural tooth roots, replacement teeth have the same stable foundation and sturdy backing for biting and chewing. Unlike dentures or partials, there are never uncomfortable slips or rubbing. Seeds or food particles won't become trapped to make tender gums miserable, either.

While the treatment fees of dental implants are higher than that of dentures, partials or crown-&-bridge combinations, it is a one-time expense. Plus, our patients enjoy knowing that their implant-supported teeth are secure and they can smile and laugh without worry!

We also emphasize the added benefit of how dental implants help to halt bone loss. We explain this by showing radiographs of jaw bones of patients who've been missing teeth for long periods. It's apparent how much bone loss has occurred when tooth roots no longer exist to stimulate the jaw. Dental implants recreate the presence of tooth roots and help to halt bone loss.

Overall, dental implants are an excellent investment and good for your health and well-being. More and more adults are rapidly becoming fans by replacing uncomfortable, clunky dentures and partials with dental implants. If you'd like to join this growing trend of in-the-know adults, we offer a Free Consultation so you can learn more. Call us at (843) 871-6351 or toll free 1-877-966-9009.

It's 2012! Overcome Dental Fears, FOR GOOD!

It's a new year. This message is for those who have dental fears, and there are many! It is estimated that nearly 75% of American adults have some level of fear when it comes to dental visits, and a third of those are 'dental phobics,' or adults with such high levels of fear they avoid dental visits altogether until an emergency need makes it a necessity.

Dental fear can be as uncontrollable as shivering in the cold. Many can pinpoint the source of their fears to a traumatic experience as a child while others aren't sure what caused their fear.

What you need to know is this: We will NEVER do anything to hurt you. Today's dentistry is designed to provide you with treatment in total comfort. Our staff is highly sensitive to fearful patients and we move them at a pace that is best for their unique needs. We also offer I.V. and Oral Sedation as well as other relaxation options.

Even though sedation relaxes you, overcoming your fear isn’t solved with medication. Your first call, your first visit and our first conversation is how you’ll begin to overcome your dental fears and achieve a healthy, confident smile at a pace you control.

If fear of dental treatment is keeping you from the smile you desire, your first step is to call our office at (843) 871-6351 to learn more. Make 2012 a year to have a great smile!

SOFT Drinks Can Be HARD On Teeth!

A study published in General Dentistry warns that diet colas can cause just as much harm to teeth as those sweetened with sugar. Tooth decay, it explains, occurs from acid attacks, not just sugar. Acidic flavor additives in both versions of colas attack enamel. Highly acidic beverages such as Sprite and Mountain Dew were cited as most harmful. Root beer seems to be less harmful than most.

The recommendation for those who love their colas and just can’t give them up? Drink them with food rather than between meals. This helps to decrease the amount of acid attacks your teeth endure during the day.

Quick Action For Dental Emergencies!

Accidents happen. Knowing how to react when a tooth has been broken or knocked out can mean saving the tooth or losing it forever. Read on so you'll know what to do should this happen to you or someone nearby.

FOR A KNOCKED OUT PERMANENT TOOTH: Handle the tooth by the top portion rather than the root. Rinse the tooth, but do not clean or handle the tooth unnecessarily. Try to reinsert the tooth into the socket and have the injured person hold the tooth in place by biting on a clean gauze or cloth. If you cannot reinsert the tooth, place the tooth in a cup of milk or water and call us immediately. We have an after-hours number on our answering machine if our office is closed. Time is a critical factor in saving a tooth.

FOR A BROKEN TOOTH: Rinse dirt from injured area with warm water. Place cold compresses over the area of the injury. Save any broken tooth fragments and call us at 843-871-6351 immediately.

Extra Oral Health TLC For Those With Eating Disorders

An estimated 10 million or more Americans have an eating disorder. While eating disorders can deplete the body of minerals, vitamins, proteins and other nutrients, they can also take a terrible toll on one's oral health. Without proper nutrition, the gums and other soft tissue of the mouth can bleed easily. The glands that create saliva may swell, contributing to chronic dry mouth. When strong stomach acid repeatedly flows over teeth from throwing up, the enamel of the edges of teeth become thin and break easily. Hot or cold food or beverages may become uncomfortable.

While eating disorders seem to focus on body image, food and weight, they are often related to many other issues. Referral to health professionals and encouragement to seek treatment is critical as early diagnosis and intervention greatly improve the opportunities for recovery. During this time, it is imperative for these individuals to maintain meticulous oral health care related to brushing and flossing. Also, it is advised to NOT brush immediately after throwing up - but rinse with baking soda dissolved in warm water, which will help neutralize the effects of the stomach acid.

Protecting teeth and gums are imperative for any individual. However, because people with eating disorders are already at high risk for gum problems and tooth decay and breakage, we advise more frequent check-ups than every six months. You may be scheduled for exam and hygiene visits every 3 or 4 months so we can provide you with the support you need during your treatment and recovery.

A Cracked Tooth Needs Immediate Repair!

A cracked tooth can occur from a variety of causes, such as:

• Grinding or clenching

• Uneven chewing pressure

• An accident, such as a blow to the mouth

• Tooth exposure to extreme hot or cold

• Chewing hard items such as ice or hard candy

• Teeth that have become brittle

A crack in teeth is often invisible to the eye and sometimes even hard to detect in dental radiographs (x-rays). However, the pain typically occurs when you bite down and feel a sharp jolt of pain. This occurs because the pressure of biting causes the crack to open. When it opens, the interior of the tooth that hold nerves and blood vessels become irritated. Other symptoms include sensitivity to heat, cold, sweet, sour and sticky foods. When people have a cracked tooth, they tend to chew on the opposite side or avoid certain foods.

Repairing most cracks can be done through bonding or crowning the tooth. If the interior pulp has been damaged or become diseased as a result of the crack, a root canal will be necessary prior to crowning the tooth. A crack that extends below the gum line will require extraction.

Small cracks in teeth are not uncommon and typically do not cause problems. However, it's important to make us aware of oral symptoms that may indicate a problem. Like anything, tending to problems while they're small is much wiser (and less costly) than waiting until it becomes a major ordeal. The sooner the problem is repaired, the more likely you'll avoid more extensive treatment in the future.

Some Hard Facts About Tooth Loss

As the wealthiest country in the world, it's surprising that tooth loss is so prevalent. For example, 10% of American adults are missing all of their teeth and 63% are missing more than one tooth. For those over the age of 65, this jumps to 98%.

Once tooth roots are no longer present, the jaw bone begins to shrink. Pressure on the gums from wearing a denture actually accelerates bone loss. Eighty percent of denture wearers wear their dentures day and night. Bone loss progresses more rapidly due to this 24/7 pressure.

This bone loss is a far greater problem to one's health than many people suspect. For instance, take someone who has recently lost all his or her teeth.  One year after the extraction of teeth has occurred, a denture wearer experiences about a 25% bone loss. Three years later, 60% of the bone is gone. The biting force with teeth is 250 pounds. The denture wearer bites with only 5 to 6 pounds of force.

On the average, when dentures are first placed, the fit can be satisfactory for one to five years.  However, once bone loss begins to progress, it continues so that the fit lasts at less-frequent intervals each time. While this contributes to difficulty with eating and digestion, statistics show that, on average, people without teeth die at an age that is ten years younger than those with teeth.

As the jaw continues to shrink, facial muscles detach and "jowls" form. As the bone thins, a pointed chin and deep wrinkling around the mouth begins. When the denture is in place, it fills out the face but does nothing to maintain bone. For a realistic picture of the extent of bone loss, a denture wearer should look in the mirror without their dentures in place.

The psychological repercussions are equally as harmful. There is a dramatic decrease in one's self-esteem, self-confidence, and peace of mind when dentures take the place of natural teeth.

Bone loss occurs without the presence of tooth roots. When the tooth root is replaced with Dental Implants, the process is halted and biting strength is restored. With your jawbone as a foundation for teeth rather than a denture that balances on the gum, the function of natural teeth can be restored.

 The success rate for Dental Implants is better than a hip, knee, or other implant attached to bone. Unlike natural teeth, implants won’t break or decay. A properly placed and maintained implant can last a lifetime. For a free consultation to discuss Dental Implants, call our office at (843) 871-6351.

Add This To Your 2012 Resolutions

"I Resolve To Protect My Teeth & Gum Health!"

This is an important resolution to add to your list for the coming year! Why? Research  shows that your oral health has an impact on your overall health. The bacteria of gum disease has been linked to coronary artery disease, stroke, memory loss, diabetes, and preterm babies. It is also the number one cause of tooth loss in this country. Once tooth loss begins, an entirely new set of ordeals begins.

For those who are missing natural teeth, most are familiar with the associated discomfort, inconvenience and embarrassment dentures or partials cause. But the problems don't stop there. When natural tooth roots no longer exist in the jaw, the bone begins to shrink. As this occurs, the denture or partial has an ever-changing foundation. And, while denture adhesives lessen the amount of movement, they are typically helpful for only brief periods.

Other repercussions occur as a result of bone loss. Changes in facial appearance begin, including deep wrinkling and a sunken-in appearance of the mouth. Jowls form from the detachment of facial muscles. Often, the corners of the mouth turn downward, even in a smile. The chin becomes pointed and the nose moves closer to the chin. The result is a look that is far older than your actual age.

Today’s dentistry provides options in tooth replacement that are stable, attractive, and comfortable. They restore appearance, chewing strength and stability, and confidence in speaking and laughing.

If you have experienced tooth loss, investigate the latest options to replace teeth. If you have all your natural teeth, do all you can to protect them as well as the health of your gums. The best way to begin is to have a thorough oral examination to learn your current oral health status and vulnerable areas. Then, get treatment to repair, protect, or implement a daily regimen to maintain healthy teeth and gums.

You’ll be rewarded with a smile that's at its best – for 2012 and for your lifetime!

Accepting New Patients? ALWAYS!

Occasionally we are asked if we are accepting new patients. The answer is always, "YES!"

We are always happy to accept new patients. As a matter of fact, most of our new patients come to us from the recommendations of current patients. This is quite the compliment to us, and we appreciate those words of praise so much!

If someone you know desires optimal dental care in total comfort, please invite them to call (843) 871-6351 for information to introduce our office.

Making a decision on a dental office is just as important as selecting your primary physician. The relationship should be one that is comfortable to you as well as beneficial to your long-term oral health and appearance. We look forward to providing you and your recommendations with a lifetime of healthy, attractive smiles!

What Is A Root Canal & Why It's Needed

We begin by thoroughly numbing the affected tooth. When you assure us that you are fully comfortable, we  remove a small part of the top of the tooth to reach the pulp. The tooth's pulp is made up of nerves, blood vessels and tissue, all of which connect to the jaw bone. Pulp supplies blood to a tooth and enables you to feel sensations such as hot coffee or cold ice-cream.

The infected pulp is removed and the canals inside the tooth are cleaned. The repaired tooth is then sealed and a permanent crown is placed to cover and protect the tooth.

Saving a tooth and keeping it in its natural position is important. Each tooth has a necessary role in your mouth. Losing one has a domino affect when it comes to the vulnerability of other teeth in your mouth. Should you ever need one, you'll find that today's root canals are performed quickly and comfortably.

PROTECTING THE ORAL HEALTH OF ADULT DIABETICS

Nearly 8% of the American population have diabetes with 1.6 million new cases diagnosed yearly for ages 20 and over. Diabetics may have problems with the eyes, kidneys, heart and nerves as well as lower resistance to infection and a slower healing process.

If diabetes is not controlled, oral bacteria thrive in high glucose levels in saliva. Without proper brushing and flossing, the bacteria form a sticky film called plaque, which hardens into tartar. This leads to periodontal (gum) disease. It’s not unusual for diabetics with inadequate blood sugar control to find themselves dealing with gum disease. Typically, they develop gum disease more often and more severely. It has also been shown that they lose more teeth than those who have good control over their diabetes. The most common oral health problems of diabetics are: tooth decay, periodontal disease, salivary gland dysfunction, fungal infections, inflammatory skin disease, delayed healing, and taste impairment.

Dry mouth, common among diabetic adults , greatly increases the risk of tooth decay and periodontal disease without adequate saliva to help wash away food particles. Using a fluoride mouthwash can help. These are sold over-the-counter at drug stores. Sugarless gum, sugarless mints and taking frequent sips of water may help alleviate a dry mouth. Limiting caffeine and alcohol also help.

An oral condition that appears more frequently among diabetics is oral candidiasis, a fungal infection in the mouth, which occurs especially with denture wearers. An antifungal medication can be prescribed to treat this. Another is Lichen Planus, which is a skin disorder that produces lesions in the mouth. A severe type causes painful ulcers that erode surface tissue. Although there is no cure, a topical medication can relieve the condition. And, while some diabetics feel their taste is diminished, taste impairment is usually not severe. Altered taste sensations are barely perceptible to most diabetic patients and hopefully do not negatively influence food choices.

Not only for oral health, but for good overall health, diabetics should maintain good blood sugar levels, a well-balanced diet according to specific needs, proper oral care at home and regular dental checkups. Preventive oral health care, including professional dental cleanings, is important to avoid gum disease and other oral health problems.

In dentistry, the sooner the better. Problems in the mouth do not repair on their own. For a custom approach to your oral health and wellness, call (843) 871-6351 to arrange a free consultation to discuss your needs. Together, we can help you avoid the most common oral health problems of diabetics and enjoy a healthy, happy smile.

Dental Implants Have A Long, Interesting History

For those who are considering dental implants for tooth replacement, they may be surprised that modern implants have been around for decades. And, even more interesting, primitive forms of dental implants have been discovered dating back to early civilizations.

Archeologists have found ancient skulls with cast iron and carved shells in the place of removed teeth. Although their methods and materials were primative, these first attempts at dental implantation successfully show implant bonding with the jaw bone, referred to as osseo-integration. This process is what prevents the jaw from shrinking, or 'resorb,' when tooth roots no longer stimulate the bone.

In the 1970's, a lightweight material developed by NASA called Titanium was found to be bio-compatible, meaning it would not be rejected by the body. From then on, dental implants were made from Titanium and have the highest success rate of any implanted surgical device.

Today, there are many shapes and sizes of dental implants to accommodate various needs. The type that is best for you should be selected by a Doctor who is experienced in placing all types so they are able to choose the best one for your specific needs.

When The Ringing In Your Ears Isn't From Jingle Bells ...

Tinnitus involves hearing sound when no external sound is present. While a number of health conditions can cause or worsen tinnitus, in many cases, an exact cause is never found.

Tinnitus can be the result of age-related hearing loss, over-exposure to loud noise, ear wax blockage or stiffening of the bones in your middle ear. If these are ruled out as your source of tinnitus, another common cause is TMJ disorder (TMD). Problems with the tempero-mandibular joint, (the joint in front of your ears where your lower jawbone connects to the skull), is another cause for ringing in the ears.

Typically, TMJ disorders will be accompanied by other symptoms in addition to ringing ears. These include:

• Frequent headaches or migraines

• Jaw joint pain, clicking or popping

• Facial or neck pain

• Worn, chipped or sensitive teeth

• Limited ability to open the mouth

• Jaw tenderness when chewing

• Vertigo (feeling ‘off-balance’ and dizzy)

• Earaches

If you feel your jaw joint may be the source of that sound in your ears, it's likely it is also contributing to other problems, or will in the future. Our office provides a thorough examination and diagnostic process to help determine if TMD is a problem for you. If so, we can make recommendations to help alleviate your symptoms and correct the problem.

To learn more, call our office at (843) 871-6351 for a complimentary consultation. We'll be happy to answer your questions and explain the diagnostic process.

Floss Like A Pro!

People who floss their teeth on a regular basis seem to perform the task effortlessly, often without looking in a mirror or feeling they'll lose fingers from lack of circulation! With the right technique and a few practice rounds, you can become a Floss Master!

First, use about 18 inches of floss. Nylon floss (waxed or unwaxed) is inexpensive but can shred between teeth with tight contact points. If this occurs, try the single filament floss (although higher-priced), which slides easily between teeth and is shred-resistant.

Use a mirror with good lighting so you can see the inside of your mouth. Now, wind the floss around the middle fingers of each hand with a couple of inches hanging loose to work with. Stretch the floss between your thumbs and index fingers and slide it in-between your teeth, curving the floss around the base of each tooth and beneath the gumline. Avoid popping the floss down between the teeth. This can tear tender gum tissue. Remove the floss using the same back-and-forth motion, moving it up and away from the teeth.

About every 3-4 teeth, loosen the floss from fingers and retighten to use clean sections. This will also keep your fingers from becoming uncomfortable.

Do this every night for one week. After seven nights, this should be easy enough to do in about half the time it took the first night. You may also find you no longer need the mirror!

What's most important, however, is the tremendous advantage you're having on your oral health! Flossing is a preventive health measure you'll be glad you mastered!

Smokers - Here's What It's Doing To Your Mouth

Many smokers are unaware of the numerous oral health issues when it comes to tobacco use. For example, research shows that smokers lose more teeth than nonsmokers. According to the Centers for Disease Control & Prevention, while only about 20% of people over 65 who've never smoked are toothless, over 41% of smokers over 65 are toothless.

Studies also show that tobacco use may be one of the most significant risk factors in the development and progression of periodontal disease. Plus, it’s no surprise that following periodontal treatment or oral surgery, patients who smoke typically have longer healing times and treatment results are less predictable.

Too, smokers have greater increase for periodontal disease versus nonsmokers. One reason is increased susceptibility to calculus, which is the plaque that hardens on teeth and can only be removed during a cleaning. If not removed, the bacteria in calculus can destroy gum tissue and cause gums to pull away from the teeth.

When this happens, pockets form and fill with disease-causing bacteria. As gum disease progresses, deeper pockets between teeth and gums fill with bacteria that destroy tissue and supporting bone. As a result, the gums may pull away from the teeth, making them look long. Eventually, the teeth become loose and require removal.

Other tobacco products are also harmful to your periodontal health. Smokeless tobacco can cause gums to recede and increase the chance of losing the bone and fibers that hold teeth in place. Cigar and pipe smokers have it just as risky. The Journal of the American Dental Association revealed that cigar smokers experience tooth and bone loss at rates equal to those of cigarette smokers. Pipe smokers have tooth loss at a pace similar to that of cigarette smokers.

Time after time, research has shown the following occurs more often in those who use tobacco: oral cancer; bad breath; stained teeth, tooth loss; loss of taste; gum recession; mouth sores; and facial wrinkling.

I’m not about to lecture people when it comes to quitting smoking. However, I hope they realize it takes a terrible toll on their oral health, as with most other parts of their bodies.

Replacing Back Teeth Is Important!

If you lose a back tooth, why replace it since the tooth isn't visible?

Your teeth are arranged in a carefully balanced configuration to provide proper support and stability. Losing a tooth can start a vicious cycle of ongoing oral and structural problems. Typical oral problems include drifting, shifting, and an increased risk of gum disease and decay.

In a normal, healthy mouth, there is a natural balance of teeth. Each tooth has three or four companion teeth. These include the adjacent teeth on either side as well as upper or lower teeth that meet them. Upper and lower teeth work together to provide comfortable chewing function.

When a tooth is lost, statistics show its the companion tooth that will likely be lost next. Then, the next closest tooth is subjected to the same conditions. With each tooth lost, the problems are magnified and the cycle of tooth loss continues.

The best time to replace missing teeth is immediately after the tooth is lost. During a consultation, your questions will be answered and I'll explain tooth replacement options so you can select the preferred treatment.

Gingivitis Is Early-Stage Gum Disease, And Nothing To Ignore!

Periodontal (gum) disease, including Gingivitis, are infections in the mouth. Periodontal disease is a chronic bacterial infection that begins when the bacteria in plaque (the sticky film that constantly forms on teeth) causes inflammation on gum tissue.

Gingivitis is a mild form of periodontal disease. It causes red and swollen gums that bleed easily although there is minimal discomfort at this stage. Gingivitis is often the result of inadequate oral hygiene. Gingivitis is reversible with professional treatment and a proper oral home care regimen.

If not treated, Gingivitis will develop into full-blown Periodontitis. Eventually, plaque spreads and grows below the gum line. Toxins from bacteria in plaque irritate the gums and create inflammation. This attacks the tissues and bone that support the teeth, causing gums to separate from the teeth, forming infection pockets between teeth and gums. Over time, the pockets deepen and more gum tissue and bone are destroyed even though you may experience only mild symptoms. Unfortunately, teeth will loosen and require removal in the latter stages of gum disease.

Bleeding or tenderness of gum tissue is not normal and the beginning of periodontal disease. We provide non-surgical therapy to combat periodontal disease comfortably. We also offer laser dentistry for certain stages of gum disease. Since the bacteria of gum disease has been linked to other serious health problems, including coronary artery disease, diabetes, preterm babies and stroke, tending to your oral health is a sound way to enhance your overall health and well-being!

Our Staff Has Staying Power!

In our office, we have a very talented team and I'm proud to say all but one has been with me for over ten years!

People ask me what keeps a team so happy at a dental office. I believe it is respect for our patients, each other and the quality of care we deliver. I recently asked Jeannine, a Hygienist here for 16 years. She shared, “We think of one another like family and feel the same about our patients. We have opportunities to grow through educational courses and training in new technology. As far as a dental practice, we feel this is an ideal environment!”

I'm very proud to be surrounded by such a terrific team. More than that, I'm pleased that our patients feel the benefits of their commitment, too!

Act On Warning Signs Of Gum Disease Early!

Millions of people don't know they have this serious infection that can lead to tooth loss if not treated. Still today, so many of American adults are unfamiliar with the warning signs of periodontal (gum) disease. For example, many people perceive that gums that bleed when they brush their teeth is normal. Yet, bleeding gums is one of the warning signs of gum disease. Think of gum tissue as the skin on your hand. If your hands bled every time you washed them, you would realize something was wrong.

Other warning signs of gum disease include: red, swollen or tender gums; sores in the mouth; gums that have pulled away from the teeth; persistent bad breath; pus between teeth and gums; loose or separating teeth; a change in the way the teeth fit together; and a change in the fit of partial dentures.

Neither is gum disease a minor infection. Its result, tooth loss, leads to a very different lifestyle - dentures. Dentures result in dramatic changes in your appearance, breath, and ability to chew and enjoy food. Although many people assume that cavities are the leading cause of tooth loss, gum disease is actually the nation’s main cause of tooth loss. According to the 1996 American Dental Association/Colgate survey, U.S. dentists claimed that gum disease is a more pressing oral health concern than tooth decay by a 2-to-1 margin.

Just as alarming is how research has linked periodontal disease to other major health problems including heart and respiratory diseases; preterm babies; stroke; osteoporosis; and diabetes. And, because gum disease is a bacterial infection, antibiotics cannot be used to treat it.

Treating periodontal disease in its earliest stages is often performed with basic numbing. However, when treatment is delayed, anesthesia is typically involved and requires more treatment time. In our office, we use a dental laser, which helps combat gum disease bacteria and seal the tissue. This minimizes bleeding and speeds healing while providing a greater degree of comfort. Most patients are back to their normal routines the day following treatment.

Not All Crowns Are Created Equal

Our staff members who handle the main telephone lines occasionally get calls from people asking, “How much do you charge for a crown?”

This is similar to calling a shoe store and asking, “How much are a pair of shoes?” Like shoes, this question is too complicated to answer with a figure, since crowns can vary greatly in quality, size and complexity.

In our office, many crowns, inlays and onlays are created in one appointment through the advanced technology of CEREC 3D. This computerized imaging and milling equipment uses exceptionally fine ceramic materials that provide patients with a natural look and feel.

We have completed advanced training in the utilization of CEREC and stay updated as new features are added. This means we are able to create restorations that fit superbly on treated teeth that also align perfectly with adjacent teeth, ensuring a healthy bite.

In addition to the look, feel and function of your crown is the longevity. An inexpensive crown may save you some money up front, but eventually, you’ll understand why it was so cheap. Crowns are constructed of materials that must able to withstand years of heavy-duty wear and tear. The less-expensive ones are typically made of less-expensive materials. Thus, they tend to wear down sooner from cracks, fractures and breaks.

In some cases, we have a high-quality dental lab make crowns. For these, a temporary is created for the patient to wear while the lab creates the restoration according to our specifications. Once completed, the patient returns and I place the restoration and ensure the fit and shade is a precise match.

Remember, you get what you pay for. Crowns are no exception. We are proud of the beautiful, quality smiles we create. Visit our web site’s Smile Gallery to see just a few examples.

Sores In The Mouth

They are annoying and painful! Mouth sores may be symptoms of a disease or disorder. Any mouth sore that lasts a week or longer should be examined. Among the most common are:

Canker sores: Small ulcers with a white or gray base and red border. Unlike cold sores, canker sores appear inside the mouth. They are not contagious but their exact cause is uncertain. Some experts believe that immune system problems, bacteria or viruses may be involved. Fatigue, stress or allergies can increase their likelihood. A cut caused by biting the cheek or tongue, or reactions from hot foods or drinks may contribute to canker sore development. Intestinal problems, such as ulcerative colitis, seem to make some people more susceptible. Canker sores usually heal on their own after a week. Over-the-counter topical anesthetics, steroid preparations, and antimicrobial mouth rinses can provide temporary relief. If preferred, our dental laser can painlessly heal these with a pass or two.

Cold sores: Also called fever blisters, these groups of fluid-filled blisters often erupt around the lips, under the nose or around the chin. Cold sores are caused by a virus and are very contagious. The lesions look like tiny fluid-filled blisters that are commonly around the edge of the lips. An outbreak may follow a fever, sunburn, skin abrasions or emotional upset. Cold sores usually heal in a week. Over-the-counter topical anesthetics can provide relief.

Leukoplakia: This is a thick, whitish-color patch that forms on the inside of the cheeks, gums or tongue. These patches are caused by excess cell growth and are common among tobacco users. They can result from irritations such as an ill-fitting denture or the habit of chewing on the inside of the cheek. A danger is that leukoplakia can progress to cancer. If suspected, we will determine the need for a biopsy.

A sore or spot in or around the mouth that doesn't heal within two weeks definitely needs to be examined. If you're not sure what you have or if your sore persists, call our office to arrange a time to be seen promptly.

Need A Crown? They Are Spelled C-E-R-E-C!

There are many reasons we provide CEREC 3D all-ceramic crowns, including:

• It saves patients time - Being able to prepare your tooth, create the final restoration while you wait, and place the restoration in just one appointment prevents you from having to come for an additional visit, as the traditional method requires when a dental lab makes the restoration.

• It cuts numbing requirements by fifty percent - Since we can do everything in one visit, a second injection for numbing to place the restoration is not necessary.

• It prevents dental lab re-do's - Occasionally, instructions for shading, etc. to the dental lab are not always as exact as we expect. This means that your restoration has to be redone, which means yet another appointment, another numbing, etc. When we create your restoration in our office with CEREC 3D, there are no errors.

• You avoid having to wear a 'temporary' - Oh, the dreaded Temporary! For the 2 - 4 weeks the dental lab requires to make your final restoration, a temporary is placed over the prepared tooth. While this is secured with an adhesive, it is one that is meant to loosen without difficulty. This may result in the temporary coming off, usually while eating. The CEREC 3D process means you avoid the stage of wearing a temporary altogether.

Crowns and inlays created on CEREC 3D are beautiful and durable. We have taken many advanced courses to ensure optimal utilization of its features and find this technology a tremendous asset to our patients. If you'd like to know more about CEREC 3D, ask at your next visit or call (843) 871-6351 to arrange a consultation.

SCHEDULE YEAR-END TREATMENT NOW TO USE INSURANCE COVERAGE

It's October, and patients are already discussing treatment they’d like to complete before the year’s end. Many wish to use dental insurance coverage and some want procedures performed during year-end holiday or vacation days off.

Let us help you maximize your insurance benefits for the treatment you desire through proper scheduling! Keep in mind that some procedures require several appointments and necessary time for lab restorations. Additionally, some treatments can be started at the end of one year, and completed after the next one begins, providing two year's coverages on one treatment. By pre-planning with us, we can schedule your treatment to make the most of your coverage and time off.

And, for those interested in financial plans, this is a good process to begin now for year end treatments. We offer CareCredit, which is available for online completion through our web site or we can assist you with the application process. Just call (843) 871-6351 and ask Chris!

Remember, NOW may be your best time to begin year-end treatment!

October Is National Dental Hygiene Month!

What better time to re-dedicate yourself to your oral health and wellness than October, which is National Dental Hygiene Month! Here are ways to avoid problems, minimize (or avoid) treatment costs and keep dental visits short and sweet!

- Thoroughly brush teeth (minimum of 3 mins) twice a day. Use a medium or soft bristle toothbrush. Electric toothbrushes do an even better job of vibrating food particles out of hard to reach places between teeth, so use one of those if possible.

- Floss daily! There is no substitute for this action. Once you're in the habit of it, it will take just a couple of minutes and you'll wonder why it was such a big deal.

- If you've been especially prone to cavities in the past, use with a non-alcohol mouthwash once a day. This helps to keep bacteria levels down.

- Use a tongue scraper daily to remove additional bacteria from the grooves of the tongue. Bacteria embed themselves here and reproduce all day, contributing to bad breath and the sticky film on teeth that becomes plaque if not removed.

- Each time you eat or drink (anything other than plain water), an acid attack begins, which is harmful to tooth enamel. After eating, brush, swish with water or chew sugarless gum to counteract this.

- See us for your 6-month check-up and dental hygiene cleaning to remove any plaque build-up. This visit can also catch problems while they are still small and easy to repair, or even note areas that are at-risk so you can pay special attention to them to prevent further damage.

Like putting oil in your car and having your tires rotated and aligned periodically, keeping your smile in good condition helps you prevent problems and saves you from costly repairs down the road! Devote time each day to your smile, as well as twice a year in our office, to ensure all is well. Your smile is a special part of YOU, so give it the attention it deserves!

Repairing A Gap Between Front Teeth.

When adult teeth emerge, some people find their two front teeth fail to come together, leaving a gap. This is called diastema (dy - as - te - mah). Repairing this with today’s exceptional techniques and materials in dentistry is typically done in just one or two visits with excellent comfort levels.

Depending upon the width of the gap, bonding may be the easiest method to close the space. In this process, a tooth-colored resin material is applied to the teeth. Shading is carefully matched and the surface is polished to give a natural appearance. This is the least expensive method; however, bonding, particularly on front 'biting' teeth, is more vulnerable to chipping or breaking than with porcelain veneers.

Porcelain veneers are custom-designed 'shells' that are attached to the front of teeth. Veneers give the most durable, natural feel and appearance possible, even reflecting light as a natural tooth. This method also requires minimal disruption to the natural tooth, although the design of the veneer can reshape or resize the tooth for a more flattering look.

If teeth are badly turned or shaped, porcelain crowns may be the best way to close the space. This method requires the existing tooth to be reshaped to accept a custom-designed crown. The crown covers the top and sides of the tooth, while protecting the natural tooth portion underneath. Crowns, like veneers, give excellent longevity and have natural appeal.

If the space is wide, other front teeth may need to be involved in treatment. This keeps the teeth visible in your smile to balanced proportions. Otherwise, you could end up with two, very wide front teeth that close the gap but fail to achieve an appealing smile.

After an examination, we explain the option that will give the best results to each patient. Once you understand the choices, you will have taken the first step to regain a smile you’ll love!

Missing Teeth Create Bigger Problems Than A Gap In Your Smile.

Tooth loss leads to many problems. Not only do missing teeth ruin the appearance of your smile, dentures or partial dentures contribute to discomfort, reduced confidence, decreased ability to eat the foods you love, and inconvenience. Unfortunately, tooth loss leads to greater problems with even more severe, long-term repercussions ... bone loss.

Bone loss contributes to the inability to chew comfortably and a severe reduction in biting strength. When tooth roots are missing from the jaw, the bone begins to shrink. This continues over time and is even accelerated by the pressure of wearing dentures or partials.

Today, many adults are choosing dental implants to replace missing teeth. Dental implants recreate the presence of tooth roots, halting bone loss and restoring the strength of your bite. Often, one implant can support several replacement teeth. For those who are missing a full arch of teeth, several strategically placed implants can often support an entire arch of upper or lower teeth.

Dental Implants are designed to last your lifetime.  When properly selected, placed, and cared for, they will bring you as much pleasure and satisfaction as natural teeth. To discuss your options in tooth replacement, call (843) 871-6351 to schedule a free consultation.

Too Fearful For Dentistry? Let's Talk.

We often hear from adults who haven't seen a dentist in years, sometimes for over ten years. Some aren't sure what triggered their dental fears but the mere thoughts of walking into a dental office causes them to break out in a sweat. Others remember an experience when they weren't fully numb, yet the dentist continued the treatment in spite of their pleas.

No one should be uncomfortable during dental procedures, but to convince someone that we won't hurt them requires that they feel trust while in our care. This takes a series of small steps for most. We begin by encouraging high fear patients to make a consultation appointment first. During this time, they are seated in a comfortable chair in our Consultation Room. This room is not in the treatment section of the practice where noises or smells could make them uncomfortable.

We begin by explaining our comfort options, including I.V. and Oral Sedation. This time is just a chat, however. If the patient desires, we can set up a time to show them our treatment rooms where procedures are performed while patients relax comfortably under the effects of I.V. and oral sedation. At the next visit, we do a painless examination to determine what treatment should be performed.

Each step is done at a pace that is comfortable to the patient. We make sure that they understand that each member on our staff is respectful of their concerns and will treat them with all the care and compassion it takes to help them overcome their fears.

Our goal is to help you achieve a healthy, confident smile. You'll achieve this at a pace that is right for you because we respect you as an individual. Let's begin with a private in our Consultation Room. Call (843) 871-6351 to request this no-cost Consultation today.

As Your Dentist, I'm Never Too Busy For YOU!

I recently had a new patient come to our office because she felt her former Dentist was always so rushed. She told me that every time she saw him, he seemed too busy to discuss her concerns or answer questions in a way she could understand.

This is not only frustrating, it's disrespectful to the patient. This is why we are so committed to providing patients with ample time at each appointment so we can give you our full attention during that time.

On the other hand, if you have issues to discuss and you are running behind, simply request a no-cost Consultation or call to schedule one. In our Consultation room, we'll go over areas you'd like addressed and I'll answer your questions thoroughly.

I believe dentistry goes much deeper than teeth, gums, and the supporting bones and muscles. Dentistry is also a relationship between our care and your needs, needs that are not always obvious. By adding your communication to the process, your involvement here should be as wonderful as your smile!

The Origin Of Your Dental Fears

For adults who have dental phobia, most can recall that their fear began after a traumatic or painful dental experience. Although painful or traumatic experiences alone don't necessarily cause people to develop dental phobia, the patient's relationship with their dentist plays an important role.

Most of today's Dentists are sensitive to the concerns of fearful patients. Patients should feel an element of trust and confidence in their Dentist and that their Dentist respects their needs. Dentists who were once considered rough, uncaring, hurried or cold were found to actually contribute to high dental fear in patients, even in the absence of painful experiences. On the flip side, it has been found that those who had painful experiences did not develop dental fear if they felt their Dentist was caring and concerned about their well-being.

A traumatic experience in the past or an uncaring Dentist are not the only instances that can cause dental phobia, however. Other causes can be just hearing about the experiences or negative views of others who had painful dental ordeals; the negative portrayal of dentistry in the media, such as references to something being as painful as a root canal; association with other bad experiences that included doctors or environments with antiseptic smells; people who have been physically or emotionally abused may find the confining chair threatening; people who fear helplessness and lack of control, perhaps from an incident when a dentist wouldn't stop even when they were in obvious pain.

Your comfort is always a priority in our office. We offer many options for relaxation, including Oral and I.V. sedation. But first and foremost, we respect you as an individual and understand that you want a pleasant experience during every visit. That's what we strive to give you!

Brush & Floss To Turn Back The Clock On Your 'Real Age!'

Some people seem to look younger, have more vitality and age with vigor rather than the ebbing tide.

The 'YOU Docs,' Dr. Mehmet Oz and Dr. Michael Roizen, also the authors of YOU: Staying Young. The Owner's Manual For Extending Your Warranty, offer a way you can actually calculate your 'real age.' (www.realage.com) Here, you can see if you are living a lifestyle that contributes to a long, healthy life. You may also discover you have a few habits that need changing in order to turn back the clock on Father Time!

We found it VERY exciting that these wise Doctors listed the following among their top three Real Age tips for a younger 'real age' calculation: 

FLOSS & BRUSH THE TEETH YOU WISH TO KEEP. Do it also for the heart you wish to nurture, the wrinkles you wish to prevent and the sexual satisfaction you wish to enjoy. And see a dental professional every six months.

This tip was listed as number two, second only to "Walk 30 Minutes A Day." Brushing, flossing and keeping your hygiene appointments twice a year add tremendous benefits to your overall health and well-being.

Take the Real Age test online and let us know how you did!

Get The Power Of Ancient Greek Athletes In A Mouthpiece!

What's this about MouthWear that can ...

Lower your golf score, put more stamina in your run, add more power to your tennis swing, power you up in about any non-contact sport!

Ancient Greek athletes bit down on a leather strap for a competitive edge. Viking and Roman warriors would clamp down on leather bits for more focus on the battlefield. Something worked here, but it never evolved.  Until now.

Armour Bite® is designed to unlock your body’s instinctive reflex system – teeth clenching – to give you an athletic edge, from running to golf to tennis or nearly any sport.

When you train and compete, your natural reaction is to clench your jaw. This compresses the TMJ (jaw joint), which releases excess performance-sapping hormones (like cortisol) to produce stress, fatigue and distraction.

Armour Bite is a member of the Under Armour® line of products, famous for their innovative performance apparel and moisture wicking fabrics, in particular. It is designed to prevent your teeth from clenching and pivot the jaw forward. This relieves pressure on the jaw joints and eliminates the excess negative hormones and energy-draining effects so you can achieve your full athletic potential.

If you're looking to excel competitively, or just knock some strokes off your handicap, call (843) 871-6351 to discuss Armour Bite during a complimentary consultation appointment.

Helping Fearful Patients Overcome Their Fears - FOR GOOD!

It is estimated that one-third of American adults experience anxiety associated with dental visits. Many are so fearful that they avoid dental visits altogether. This, in turn, relates to the many adults who develop a number of oral problems, including periodontal disease, which is the nation's leading cause of tooth loss.

With many adults unsure of what sparked their fears in the first place, high-fear patients realize they are not always able to overcome these issues without putting themselves in the hands of the right doctor. We understand these patients often need a slower pace until they are more confident about having treatment without the addition of sedation. Until that time, we offer Oral Sedation and I am also Certified to provide I.V. Sedation.

While sometimes referred to as ‘twilight sleep,’ I.V. Sedation allows patients to be totally relaxed before, during and after treatment, leaving little or no memory of the procedure. Oral Sedation is administered in pill form for those who need a lighter level of relaxation, but many people find it has  an amnesiac effect as well. For many, Oral Sedation is sufficient in allowing patients to complete care comfortably, which is preferred because it requires no needles and recovery is quick.

We make comfort a priority for all patients at every visit. When adults realize they can complete dental care without overwhelming fear, they are able to have necessary treatment, many for the first time in years. This allows them to achieve a healthy, confident smile with many treatments completed in just one appointment.

Patients Hold Guarantee To Life Of Dental Implants

Rarely, we hear of a case where dental implants have ‘failed.’  But, yes, they can require removal for several reasons. When I hear of these cases (or see them), it's very concerning since I know what an investment the patient had to make, which is now lost. And, as a dentist experienced in implant placement and restoration, I'm well-versed in the careful planning and surgical skills necessary for successful implant treatment.

Dental implants are an excellent investment and designed to last a lifetime. While the success rate of dental implants is one of the highest of any implant-to-bone procedure performed in the body, why do dentists not guarantee them?

Dental implants are made from a material that is biologically compatible to living bone, called titanium. Implants serve as tooth root replacements and held by the jaw bone. Once placed, the bone grows around them, securing them into position. While the titanium implant itself is not vulnerable to decay, the bone and tissues that support the implant remain very much so.

When a patient has dental implants placed and leaves our office, they are given specific instructions on caring for their implant sites and keeping their mouth clean during the ‘healing process.’ Once the final teeth are attached to the implants, they are shown how to brush and floss, which is a daily requirement. Keeping the mouth clean and free of bacteria is important so the supporting bone and tissue do not become at risk for periodontal (gum) disease.

Many implant patients are scheduled for hygiene visits every 3 to 4 months rather than every 6 months. This helps the patient maintain his or her optimal oral health at the highest level.

Unfortunately, when a patient fails to maintain a daily at-home regimen of brushing and flossing as instructed, or they do not keep their scheduled hygiene visits, they put themselves in a high risk category for implant failure. It would be very unlikely that a doctor would guarantee dental implants when their success is out of their control once the patient leaves their office.

Additionally, if the patient is a smoker, this increases the chances of implant failure. Smoking dries out the tissues of the mouth significantly. This lengthens healing time and can hamper the body’s ability to combat bacteria efficiently. If the patient is also not complying with their oral care instructions, implant failure rates jump.

Unfortunately, there are also a few dentists out there who place dental implants with only minimal skills, accepting cases that are ‘over their heads.’ Patients should always ask questions about both training, experience and sedation during implant consultations. Having implants removed and going through the process a second time should never happen.

Having dental implants should be a positive experience, from start to finish. It can be with the right dentist and your commitment to your oral health.

Repairing A Chipped Tooth

Depending on the location of the chip and its size, repairing a chipped tooth can be done with tooth bonding or a porcelain veneer.

Tooth bonding is used for different needs  but most commonly for repairing chipped teeth. Today's bonding materials are made from high-density plastics called composite resin and have a far more natural look and feel than materials used in years past.

In some cases, a porcelain veneer may be advised due to the location of the chip, which has the veneer covering the entire front of the tooth like a thin shell. Porcelain is a durable, hard material, yet provides a highly natural look and luminosity, reflecting light even as a natural tooth. Each is created to Dr. Andrews' precise specifications of shape and shade so it is an exact match to surrounding teeth.

Chipped teeth are vulnerable to decay and need protection. Discuss your options with Dr.Andrews  in a consultation appointment so he can answer your questions.

Radiographic Imaging (Dental 'X-Rays') Are Powerful Tools

Although radiographic images (or dental 'x-rays' as some people still refer to them), add to the expense of certain appointments, they are necessary since they provide valuable information the human eye cannot see. This imaging reveals the condition inside and between your teeth, its roots, jaw placement and the overall composition of your facial bones. Radiographs also help us determine the presence or degree of periodontal (gum) disease, abscesses and many abnormal growths, such as cysts and tumors. They can also show the exact location of impacted and unerupted teeth and pinpoint the location of cavities and other disease that may not be possible to detect visually.

New patients require a full set of radiographs to evaluate their complete oral health status, including any underlying signs of gum disease, and for future comparison. Follow-up patients require periodic radiographs to monitor their gum condition and risk of tooth decay.

Poor Posture Can Lead To Poor Bite Plus Jaw Problems!

Not standing up straight? The Academy of General Dentistry (AGD) recommends you check your posture and consult your dentist about temporomandibular disorder (TMD) if you experience frequent headaches and pain in your lower jaw. Poor posture tips the lower jaw forward and moves the head back on the spinal column. This contributes to an improper fit of the upper and lower teeth.

This misalignment also places stress on head and neck muscles, jaw joints and bones. Over time, opening and closing the mouth and even chewing becomes painful.

When poor posture has contributed to misaligned teeth, Dr. Andrews can create a custom-fitted oral appliance to help realign your teeth in a position to reduce facial pain. The appliance can also prevent future damage to teeth, particularly if misalignment is causing you to clench or grind your teeth during sleep.

If you have jaw joint soreness, frequent headaches, or feel you clench or grind your teeth, call (843) 871-6351 to arrange a consultation with Dr. Andrews.

Dental Implants VS Dental Insurance

Dental insurance policies are typically written to cover basic health needs. Keeping in mind that these companies are in the business to make a profit and not to ensure your overall health and well-being, Dental Implants are not a feature of most insurance policies provided by employers.

Dental Implants are an upfront expense, which means the total cost is incurred all at once. Those who opt for Implants versus a three unit crown & bridge, for example, have a higher treatment fee for Implants. However, Dental Implants are designed to last your lifetime. Therefore, future expenses are not incurred.

When insurance covers the lesser expense of crown & bridge, they realize there is a liklihood you will change insurance companies and they won’t have to cover a broken bridge, root canals, replacement crowns and other dental work that may occur down the road.

Another underlying issue you’ll be dealing with is bone loss from missing tooth roots. When a tooth is lost, the tooth root no longer provides stimulation to the jaw bone where it was positioned. Therefore, the jaw bone begins to melt away, or ‘resorb.’ This resorption is the reason why people are bothered by dentures that move around while trying to chew.

As the jaw bone continues to shrink, there is less of a foundation for the denture to adhere. Eventually, denture creams and pastes are of little use and even relines don’t help. In desperation to get their denture to stay in place, some people use so much denture adhesive that they have become victims of zinc poisoning, an ingredient of the product that can have devastating effects when too much is absorbed in the system.

However, dentures are less expensive than Dental Implants, so naturally insurance companies would much rather cover them. The fact that Dental implants are not covered by insurance has nothing to do with their effectiveness. It has to do with what gives the insurance companies the best deal. And what is best for you has nothing to do with what is best for them.

Until we take our health care decisions back from the insurance companies and make them based upon what is in our own best interests, we only allow our well-being to be sacrificed by corporations who are seeking only profits. Don’t assume what is covered by insurance is what is best. Learn all your options thoroughly.

What Dental Implants Are - And Are Not!

When a patient is not totally familiar with the concept of Dental Implants, I like to take the time to educate him or her as to what they are and how they work since I've found there is still much that separates truth from fiction!

Dental implants are actually tooth root replacements and can replace one, several or an entire arch of missing teeth. Although several, strategically-placed implants can replace a full denture, the teeth are attached to posts that are secured inside the implanted portion.

Implants are made of titanium, which is a metal proven to be biologically safe, meaning it is not rejected by the body. Once implanted in the jaw, the bone grows around the implant, securing it in place. This gives you the same, strong foundation that natural teeth have.

Some implants are designed to hold one tooth while others can support a bridge of several teeth. For patients without teeth (either upper or lower), a full arch can be attached to several, strategically placed implants to bear the load of biting and chewing pressure.

Typically, for a full arch of teeth, non-removable teeth require more implants. However, new implant systems like the All-On-4, use only 4 implants on the upper or lower. This is because of a unique angle in placement that also makes implant placement possible for those who have experienced bone loss.

Generally, bone loss occurs in people who have worn dentures for a number of years. Without the stimulation of tooth roots, the jaw bone begins to shrink. Over time, this bone loss can be seen in facial changes by deep wrinkling around the mouth, a sunken-in appearance of the mouth and a pointed chin. Bone loss also makes eating difficult. As the bone continues to shrink, denture pastes, adhesives and even relines don’t help much.

One of the best reasons for selecting dental implants for tooth replacement is their longevity. Once placed and properly maintained, they should last your lifetime. To discuss Dental Implants, call our office at (843) 871-6351 for a Free Consultation. I'll be happy to answer your questions.

Pregnant? Trying To Conceive? Have Your Gums Checked!

Why would Ob-Gyns recommend periodontal (gum) evaluations to pregnant patients or those who are trying to conceive?
It has long been known that the inflammation of gum disease can become bloodborne through tears in the gum tissue. Studies have shown this plays a significant role in heart disease, kidney disease, diabetes, and preterm low birth weight babies as well as miscarriage.

A recent study now shows that gum disease also makes conception more difficult. The findings, published in Medical News Today, explained that women with gum disease took longer to conceive than those without. While being over the age of 35, overweight or smoking were negative influences for conception, periodontal disease can now be counted as a risk factor.

The study included over 3,400 participants, all with some level of gum disease. It found socio-economic status and the time it took the women to get pregnant were not linked.

It is estimated that about 10% of the population have some form of periodontal (gum) disease. This is especially troubling when gum disease can be easily prevented with daily brushing and flossing.

Since the symptoms of early stage gum disease are ‘silent,’ patients postpone recommended treatment. This is unfortunate, since most early stage gum disease is easy to treat and requires a minimal investment of time and expense.

When patients delay treatment for gum disease, it requires more involved therapy. When symptoms become obvious, they include persistent bad breath, tender gums that are red rather than a healthy pink and swollen areas around teeth.

Soft Drinks Can Be Hard On Teeth!

A  study published in General Dentistry magazine warns that diet colas can be just as harmful to teeth as those sweetened with sugar. Tooth decay, it explains, occurs from acid attacks, not just sugar. Acidic flavor additives in both versions of colas attack tooth enamel. The brands cited as most harmful were the highly acidic beverages such as Sprite and Mountain Dew. Root beer seems to be less harmful than most others.

What does Dr. Andrews recommend for those who love their colas and just can’t give them up? "Drink them with food rather than between meals, which decreases the amount of acid attacks your teeth endure during the day," he states, "and swish with water afterwards, if possible."

Reasons To Tackle Early-Stage Gum Disease

Because the initial symptoms of periodontal (gum) disease are silent, telling patients they have early stages of the disease can be surprising since they don’t feel anything is wrong. Yet, this is the ideal stage to combat the disease since treatment here requires minimal time and expense.

Unfortunately, some people wait until the symptoms of periodontal disease become obvious. These include tender and swollen gums that bleed easily when brushing, consistent bad breath, and gums that recede and are red rather than a healthy pink. In the latter stages of gum disease, teeth begin to loosen and need to be removed. Treatment at these stages requires more extensive therapy.

Periodontal disease is a chronic inflammatory disease, which has been associated with other inflammatory diseases in the body. The bacteria of periodontal disease can enter the bloodstream through tears in gum tissue and create inflammatory reactions in other parts of the body. Gum disease bacteria has been linked to cardiovascular disease, diabetes and arthritis, to name a few.

The attitude of ‘if it doesn’t hurt, then nothing’s wrong,’ has been to the detriment of many in the American population. It was Ben Franklin who said, “A penny saved is a penny earned.” Early-stage periodontal therapy should be thought of as a penny saved, along with saving your good health.

Receded Gums - Sensitivity, Cavity Risk (And Worse!) & Smile Killer

When gum tissue recedes, it exposes the root portion of the tooth. This leaves the sensitive nerve center of the tooth open and vulnerable to pain.

The bristles of a tooth brush or the chill of ice-cream can easily induce pain in these sensitive areas, which are not meant to be exposed in the first place. This is also why they are darker than your teeth. They are blood- and nerve-filled centers and not designed as the shiny, enamel-covered tooth surfaces that are meant for use in biting, chewing and to aid in speech.

We begin by first addressing the nature of the problem that caused the recession. Some common causes are:
•Over-aggressive brushing: Brushing too hard or using a hard-bristled tooth brush can erode tooth enamel at the gum line, causing irritation or inflammation of the gum tissue.
•Poor oral hygiene: When brushing and flossing are performed improperly or not at all, a build-up of plaque can begin to affect the teeth. This, in turn, destroys gum tissue.
•Chewing tobacco: Any kind of tobacco has devastating effects on the entire mouth. Chewing tobacco, in particular, causes gum recession if used continuously.
•Periodontal disease: Periodontal disease can be a result of improper oral hygiene or caused by systemic diseases, such as diabetes.  
•Crooked teeth or grinding and clenching: When teeth do not meet properly, too much strain is placed on the gums and bone, forcing gums to recede. By the same token, clenching or grinding your teeth can also strain teeth.

Recovering exposed tooth roots can be performed surgically or non-surgically. For surgical procedures, we often use a dental laser. While the patient relaxes under sedation, we numb the areas receiving treatment and then use the laser's thin optic fiber for grafting. In some cases, non-surgical gum regeneration may also be an option.

Regardless of the procedure, it is important to protect these areas. In addition to discomfort, these exposed areas are highly vulnerable to cavities and gum disease. Treatment restores a natural symmetry to the gums, protects the sensitive areas and gives you a more pleasing smile.

Long Teeth & Exposed Roots

Sometimes, gum recession causes tooth roots to become exposed, which makes your teeth look long. This can happen as a result of several causes, including periodontal disease. Whatever the reason, exposed roots are unappealing and leave teeth at risk for developing cavities.

I use a dental laser to recover exposed roots, reduce further gum recession and protect vulnerable roots from decay. Laser dentistry makes the process far more comfortable than traditional methods of the past and recovery is quick.

Don't let gum recession spoil the appearance of your smile, or put your oral health at risk. Ask how we can repair receded areas and prevent further recession by asking for a private, no-cost consultation.

Why Dentures Make A Bad Situation Worse

For those who've lost their upper or lower teeth and opt for a denture rather than Dental Implants, it's typically because a denture is the least expensive choice. When a denture is first made, the fit is fairly secure since it's designed to conform to the gum ridge that exists at the time. This is the jaw bone arch that held natural tooth roots.

Without the presence of tooth roots, however, the bone begins to 'resorb,' or shrink in height and width. This is even accelerated by the pressure of wearing dentures. For those who sleep in their denture, resorption is a 24/7 process. This is why dentures that fit well when they were first made begin to slip, causing uncomfortable rubbing or sore spots on the gums. Relines may help at first, but eventually, so much resorption will have occurred that there will be too small of a ridge for the denture to 'grip.'

This is why so many adults are selecting Dental Implants for tooth replacement in the first place. Dental Implants recreate the presence of tooth roots in the jaw bone, halting (or greatly minimizing) bone loss. They provide dependable biting and chewing stability and are designed to last a lifetime.

Discuss the benefits of your tooth replacement options with Dr. Andrews in a private consultation. He'll answer your questions so you can decide what is best for your individual needs. Call (843) 871-6351 for this no-charge visit.

Is Dental Insurance Ruining Your Smile?

Dental insurance is a nice benefit. However, when it prevents people from having necessary dental treatment on a timely basis because their "dental insurance doesn't cover it," then it's no longer beneficial, but detrimental.

Primarily meant to help with expenses for basic services, dental insurance is not meant as a guardian of your overall oral health. To delay treatment or forgo it because there is no insurance coverage simply makes no sense. Your teeth do not repair on their own, and putting off treatment typically means greater treatment needs in the future.

A patient recently wanted to wait until her insurance would cover a portion of a much-needed crown. When she bit down on a pecan, the tooth broke below the gum line, which meant the tooth had to be removed. She then had to decide whether to have a dental implant or have two neighboring teeth crowned for a crown-&-bridge. Had she proceeded earlier with the recommended crown, she could have preserved the tooth and avoided the more costly and time-involved process required.

Remember, insurance companies are in business to make money. They are not in business to watch out for your smile's health and appearance. They don't care if you wake up in the middle of the night with a toothache or if a tooth breaks while you're having dinner out. They have set fees for certain procedures during the calendar year - period.

Let your dental insurance help you when it's practical, but not dictate your decisions when it comes to taking good care of your smile!

Been Told You Don't Have Enough Bone For Dental Implants? The Solution May Be All-On-4!

One of the requirements for successful dental implant treatment is having sufficient bone mass to support the implanted portion. Since the jaw bone serves to hold the implant just as it does a natural tooth root, the dental implant must have adequate width and depth for the bone to grow around to secure it in place.

Bone loss occurs when people have been missing natural teeth for a lengthy period. The pressure of wearing dentures actually accelerates the pace of bone loss. For those who sleep in their dentures, this becomes a 24/7 process.

A fairly recent implant system is getting rave reviews and works fabulously for those who've even experienced severe bone loss. The All-On-4 implant uses unique angles that distribute the load so only 4 implants are needed to support a full arch of teeth. The teeth can also be attached at the same time as the implants, so you'll never be without your smile!

Another bonus of the All-On-4 system is their affordability. Because dental implant treatment is based largely on the number of implants placed, this keeps the cost to a minimum while preserving the patient's goals for dependable chewing stability and comfort.

If you're interested in dental implants but have been told you don't have enough bone to support them, please call us at (843) 871-6351 and request a free consultation. We'll be happy to answer your questions and explain the procedure, all in the comfort of a private consultation room.

Medications & Your Smile

Because your overall health and dental health are truly integrated, it's important to make us aware of any change in your health history or medications at every visit.

For example, Coumadin, a blood thinner, can cause a greater degree of bleeding during extractions and other procedures. More seriously are some bisphosphonate medications. Some are taken orally (such as Fosamax, Actonel, Boniva) to help prevent or treat osteoporosis. Others, (such as Aredia, Bonefos, Didronel, Zometa) are given intravenously as part of cancer therapy to reduce bone pain and high calcium levels in the blood.

In rare instances, some patients receiving the IV bisphosphonates have developed severe loss, or destruction, of the jawbone. The damage has occurred when dental procedures involving the jaw bone have been performed, such as dental implant placement.

Although rare, we feel it is in your best interest to make you aware that some medications can have adverse effects when your dentist is not informed of all current medications. Keep a list of all medications, as well as herbal supplements, and the dosage of each and bring with you to each appointment. We want your dental visits to ensure you are worry free!

Laser Dentistry Repairs “Gummy Smile” With Ease

When someone smiles and shows too much gum above the upper teeth, this is referred to as a “gummy smile.” For many with this trait, they often ‘hold back’ rather than smile fully or even cover their mouths when smiling or laughing.

Repairing a gummy smile is through gum recontouring called a gingivectomy. This procedure removes excess gum tissue around the teeth.

Because we use a laser to repair and recontour gum tissue, we can correct a gummy smile quickly and without sutures (stitches) needed. The laser also seals the tissue as it works, so bleeding is either eliminated or minimal. Recovery time is typically a week or less.

Once the tissue has been removed, most people want to enhance the appearance of their teeth with porcelain veneers or crowns. This completes their new smile with a beautiful line, shade and shape of teeth.

If you know someone with a gummy smile, suggest they call us at (843) 871-6351 for a no-cost consultation. We’ll be happy to answer their questions and discuss the specifics of treatment during that time.

Dental Tips For Arthritis Sufferers

If you are an arthritis sufferer, you are twice as likely to develop periodontal (gum) disease. Findings published by the Journal of Periodontology found patients with Rheumatoid Arthritis (RA) had an average tooth loss of 11.6 teeth compared to 6.7 of others. Because RA causes physical limitations, the following tips can make oral hygiene at home easier to maintain.

• Use water irrigators to remove food particles and plaque between teeth.

• Electric toothbrushes and floss holders can reduce the effort required by hands.

• Wrap toothbrush handles with a sponge hair roller for a more comfortable, thicker grip.

• Replace knob-type faucets with levers, which are easier to turn on and off.

• Insufficient saliva increases the risk of bacterial growth. Drink plenty of water to keep your mouth moist. If you take medications that are drying, oral rinses can help maintain oral moisture. Minimize caffeine, alcohol and smoking, all which are drying to oral tissues.

With a good oral care commitment, RA sufferers should be able to keep their smile healthy and prevent tooth loss.

Men More Likely For Tooth Loss!

Although this doesn't apply to all men, the following statistics don't read well when it comes to men in general when it comes to caring for their oral health. I hope you're not one of them, but if you are, don't be embarrassed to admit it. Just come in and let's get you in 'worry-free' shape!

According to studies, men generally tend to their oral health less than women. Men are also less likely to have regular check-ups and cleanings and often neglect their oral health, seeing a dentist only when there is a problem.

Statistics show that the average man brushes his teeth 1.9 times a day and will lose 5.4 teeth by age 72. For those who smoke, they’ll lose 12 teeth by age 72, on average. Not surprisingly, men are more likely to develop periodontal (gum) disease.

For men who wear a partial denture, you can add even higher bacteria growth to their challenges. The surface material that holds the tooth portions, mimicking gum tissue, is porous. Bacteria, which are living and therefore, eating and waste-producing creatures, thrive in these tiny ‘homes’ in your partial. Soaking overnight may reduce the number of bacteria, but your mouth is an ideal warm, moist and dark place for their continual breeding.

For men with exposed tooth roots, there is yet another risk for cavities. Aging, brushing too rigorously, or having a misaligned bite can cause gums to pull away from teeth, exposing tooth roots. While this distracts from the appearance of your smile, it also increases your risk for decay.

And, regardless of gender, for adults who are on medications that cause dry mouth, salivary flow is often insufficient, increasing the risk for cavities. Saliva helps to reduce the cavity-causing bacteria found in the mouth.

Then again, some are merely more susceptible to cavities. While all people have bacteria in their bodies, two kinds (abbreviated as SM and LB) are especially harmful to teeth. Those who have higher levels are naturally at greater risk for tooth decay.

We advise brushing with a fluoride toothpaste twice daily, flossing daily and twice a year cleanings to avoid problems. However, some people need more frequent visits. We'll recommend a rotation that fits your unique situation and create a home-care regimen. Our goal is to help you avoid problems!

Smiles Get Help Through Smoking Reality-Check!

Oral health and appearance got a powerful advocate recently through the Food & Drug Administration.

Smoking is a horrible habit, and once addicted, horribly difficult to kick. With the unveiling of new graphic cigarette warning labels by the Food & Drug Administration, the agency is hoping to impact smokers with “frank, honest and powerful depictions of the health risks of smoking ," according to President Obama, who supported the effort.

Cigarette packages will feature vivid color images and warnings that cover the upper portion of the pack on both sides. This is the first change to packages in 25 years. For smokers, it's a visible reminder that smoking can harm them, harm people around them, including children.

The color images include lips and teeth of an oral cancer victim. Warnings are direct, such as "Cigarettes are addictive"; "Tobacco smoke can harm your children"; "Cigarettes cause cancer"; "Cigarettes cause strokes and heart disease"; "Smoking during pregnancy can harm your baby"; and "Smoking can kill you."

According to the Centers for Disease Control and Prevention, about 443,000 people in the U.S. die from smoking or exposure to secondhand smoke each year. With this move, the United States will be the 40th country to have picture warnings on cigarette packs. Countries such as Canada, Brazil and Australia have long been leaders in tobacco control with graphic art on their packaging for years.

Your check-ups include an annual oral cancer screening. If we see anything suspicious, we use Velscope, which can detect cancerous leisons at their earliest stages. Velscope catches these spots far earlier than a visual screening, allowing you to have the most minimal treatment needed.

Smoking also dries out gum tissues, so it creates havoc of all types in the mouth. When we perform any type of procedure where gum tissue is involved, the healing time of a smoker is far lengthier than that of a non-smoker. Let's hope these changes to cigarette packages will help some to take the steps needed to kick the habit, for good!

Smile Enhancements Make A BIG Difference!

Can a new smile make you appear more successful and intelligent? While it's obvious that a beautiful smile will make you more attractive, research has shown that a flattering smile will make you appear more intelligent, interesting, successful and wealthy to others as well. An independent study on behalf of the American Academy of Cosmetic Dentistry asked 528 Americans to quickly rank two sets of photos based on their being attractive, intelligent, happy, successful in their career, friendly, interesting, kind, wealthy, popular with the opposite sex, and sensitive to others.

Two sets of photos were created, with each set showing four individuals before undergoing cosmetic dentistry, and four after treatment. Half of those surveyed viewed Set A, the other half Set B. While all subjects had varying degrees of cosmetic dentistry, respondents were not told the smiles were a component of the rankings but asked to make snap judgments rating each on a scale of one to ten (1 being “not at all” and 10 being “extremely”).

While the change was most dramatic for Attractive, Popular with the opposite sex, Wealthy and Successful in their career, the change was statically significant in all areas. Dr. Andrews is a member of the AACD, the world’s largest cosmetic dental organization dedicated to advancing excellence in the art and science of cosmetic dentistry. Discuss your smile goals with him during a complimentary consultation. Just call the office at (843) 871-6351 to arrange a time.

All-On-4 Implants Gaining Popularity!

In the past, some of the obstacles with dental implant treatment were cost, having sufficient jaw bone mass to support the implants, and the dread of having to wait between placement and having the teeth attached, which could take from 4 to 6 months. With the All-On-4 system, those issues have been overcome!

Because All-On-4 uses only 4 strategically-angled implants to adequately bear the load of a full arch, it is a more affordable option than traditional types since fees are largely based on the number of implants placed. Additionally, the unique angles of the implants can be placed in patients who've even experienced severe bone loss. This means that costly bone rebuilding procedures are not necessary prior to treatment, saving these patients time and money. Making All-On-4 even more appealing is the fact that replacement teeth can be attached as soon as the implants are placed. Imagine leaving our office and meeting a friend for lunch!

If you've avoided dental implants due to the obstacles mentioned above, call our office at (843) 871-6351 and ask for a no-cost consultation to discuss the All-On-4 dental implant system.

Those 6-Month Check-Ups & Cleanings Can Save You $$$!

Your six-month check ups are designed to help you avoid or minimize time and expense for dental repairs. But if you think it doesn’t hurt, then nothing is wrong – right? Wrong! Especially when it comes to periodontal (gum) disease. Like other diseases that form in the body, gum disease begins silently. When symptoms become obvious, they include bad breath, bleeding gums, soreness in the mouth, and gum recession. Often, symptoms are assumed to be temporary, enabling the disease to progress.

While periodontal disease is the number one cause of adult tooth loss in the country, it can also impact your overall health and make you more susceptible to serious problems. Research has linked gum disease bacteria with heart disease, diabetes, stroke, preterm babies, and memory loss.

Easy Payment Options

The confidence and health benefits of a flattering, fit smile are unsurpassed. Dr. Andrews wants everyone to enjoy a healthy, appealing smile but understands that some dental treatments can be a challenge when it comes to the fee.

Chase Advance, Wells Fargo, and Care Credit are available to provide financial support to dental patients with many advantages, including:

   • NO down payment

   • NO prepayment penalty

   • LOW monthly payments

   • LOW fixed interest rates

   • Monthly payments that fit your budget

   • Possible tax advantages 

With each, the application process is fast, confidential, and easy. These options are available to allow you to enjoy a terrific smile NOW with easy payments that keep you smiling! Call (843) 871-6351 to inquire or request an application by mail.

Appointment Reminders Via Text or Email!

A feature our patients now enjoy is the ability to receive appointment reminders on email or cell phones (in a text message). This helps those with busy schedules keep up with their dental appointments rather than through a phone call.

If we don't have your email address or mobile number and you'd like to receive appointment reminders this way, call us at (843) 871-6351 or mention this at your next visit. We can also send reminders to your email address ONLY for those who do not have unlimited text messaging as part of their plan. If this applies to you, be sure to request an "Email Only" reminder.

Enjoy Eating Again With Dental Implants!

 Are you avoiding social events that include food because you're afraid your dentures will embarrass you? Because so many gatherings with friends and family include food, it's sad to have to turn down invitations because of an ill-fitting denture. What's worse is the fact that your denture is compromising your ability to eat a healthy diet of protein rich meats, fresh fruits and fiber rich vegetables -- all necessary for a healthy digestive system.

People who have selected Dental Implants are not limited to what they can or cannot eat. Plus, they can eat, laugh and even sneeze without worry - so social settings are a pleasure! And because Dental Implants are designed to last your lifetime, they are a wise investment.

If you're tired of suffering with a denture and want to eat foods you love again and enjoy social outings without worry, discuss Dental Implants with Dr. Andrews in a Free Consultation. You'll be seated in a comfortable consultation room during this time without having to sit in a treatment chair. You can ask him questions and even speak with his Financial Coordinator if you like. Call toll free 1-877-966-9009 to arrange a time convenient to you.

Why A Dental Laser?

Dr. Andrews uses the CO2 laser in the treatment of gum problems as well as gum recontouring, biopsies, and removal of oral lesions. The CO2 laser is also used in procedures involved in the removal of soft oral tissue such as gum contouring associated with esthetic procedures or uncovering dental implant sites. The CO2 Laser is another state-of-the-art feature that Dr. Andrews feels enhances patient comfort and treatment outcome. This is in keeping with his commitment to providing his patients with advanced features and the very latest techniques.

Dr. Andrews Offers I.V. Sedation!
If you have avoided dental care due to fear of dentistry, you are not alone. It is estimated that over half of the American population has some level of fear when it comes to dental visits. And, nearly a third of these are categorized as 'dental phobics,' or people who are so scared of going to the dentist that they are unable to even get into the dental chair. Dr. James Andrews understands that these people are unable to control these fears, yet they need dental care. He has help many receive the treatment they need through I.V. Sedation, also known as 'twilight sleep.' This provides a totally relaxed state so the patient can doze through treatment and has little or no memory of treatment afterward. All numbing is given after the patient is under the effects of the sedation. Plus, the patient is monitored by a trained staff member at all times. Most patients find they only need oral sedation after they experience Dr. Andrews' care under I.V. Sedation! It is truly a first step to a confident, new smile and overcoming dental fears for many adults!

“I broke a tooth that holds my bridge. Can dental implants hold a bridge?” 
Definitely. Dental implants can support one tooth, a bridge of two or more teeth or a full arch. And, unlike crown-&-bridge combinations that use bordering natural teeth for support, dental implants stand on their own. Natural teeth that support a bridge are more susceptible to fractures. When fractures occur, the entire bridge often needs replacing along with removing the tooth that supported the bridge. Then, the tooth next in line must be crowned to support yet a new, longer bridge.

For most, implants are a better choice to support a bridge. Since they are held in the jaw, just as natural tooth roots, implants give the same, strong foundation as natural teeth. They restore chewing stability and biting strength and recreate the presence of tooth roots, which stimulates the jaw bone. This halts bone loss and helps to preserve facial appearance. Another benefit is the longevity of implants. Properly selected, placed and maintained implants should last a lifetime. As one of the safest, most precise and predictable dental procedures, it’s easy to see why they are becoming the preferred tooth replacement option.


“My teeth have thinned and gotten shorter over the years. I don’t want to lose my teeth. Is there a long-term solution to save them?” 

Keeping your natural teeth is very important, for appearance and your overall health. When tooth roots are no longer present in the jaw bone, the bone begins to shrink. This bone loss leads to changes in facial appearance that causes you to look far older than your actual years. It also creates challenges for chewing a diet of protein and vitamin rich foods. What you’re experiencing seems to be from years of grinding or clenching your teeth. This wears the teeth down and causes thinning of teeth.  Grinding and clenching is often the result of a misaligned bite. Some people bite and clench at night without even being aware of its occurrence. Depending on the extent of wear thus far, a long term solution to restore a younger looking smile and protect teeth are procelain veneers or porcelain crowns. Your new smile will have a natural appearance and exceptional durability as well. Begin with a complete exam to learn how proper bite alignment can be achieved at the same time as enhancements to your smile.


“My denture seems to need relines more often. Was it not made correctly?” 
Without knowing how long you’ve worn a denture, I take it you’ve worn one for quite some time because of the frequency needed for relines.What is happening has less to do with your denture and more with your jaw bone. When tooth roots no longer exist in the jaw, the lack of stimulation to the bone causes ‘resorption,’ or bone shrinkage. Pressure from wearing dentures actually accelerates the rate of bone loss. For those who wear their dentures while they sleep, this 24/7 pressure speeds up the rate of bone loss even more. When your denture was first made, it was designed to conform to the ridge where teeth were held. As the ridge declined, your denture has had less of a foundation on which to balance. Adhesives and pastes don’t help much and, as you’re experiencing, relines don’t last very long. Dental implants can halt bone loss and restore stability and chewing comfort. If you’ve lost too much bone to support implants, bone rebuilding procedures can be performed.