Feb 2010 newsletter

Money Concerns Can Lead To Teeth Grinding

Stress and anxiety can lead many people to become occasional teeth grinders. The economic downturn may be exacerbating the problem. Many dentists found that their patients were anxious, stressed and very concerned about their financial futures, which resulted in tooth grinding at night.

Toothgrinding is known as “bruxism,” a condition characterised by constant grinding or clenching of teeth during the day or while asleep. In addition to stress and anxiety, bruxism can be caused by sleep disorders, an abnormal bite or teeth that are missing or crooked. Symptoms include a dull headache or a sore jaw. In severe cases, teeth may become fractured. That irritation can lead to sensitivity—particularly to temperature extremes. There are also indications of a relationship between bruxism and temporomandibular joint (TMJ) disorders.

Genetics can play a factor in bruxism, but stress is often a catalyst. As dentists, we can determine the extent of the problem and fit nightguards to protect teeth during sleep. If stress is the cause, relaxation techniques may be recommended, such as physical therapy, muscle relaxants,
counselling and even exercise to help reduce tension.


FREE LUMINEERS Information Evening

Want to know more about how you can hide your crooked, worn, chipped or stained teeth without removing your tooth structure?
If so, then come along to our Free Information Evenings to find out more about how you can achieve this using LUMINEERS.

LUMINEERS are porcelain veneers that offer the painless way to a permanently whiter and perfectly aligned smile. These contact lens- thin “smile shapers” can be applied to teeth without any grinding or shaving of sensitive tooth structure. LUMINEERS can even be placed over existing crown or bridgework without having to replace them.

LUMINEERS are made from patented Cerinate porcelain available only from accredited dentists. In just 2-3 visits, we can create a naturally beautiful smile that looks perfect for every individual - and it is completely reversible since your natural tooth structure is still intact! It is the permanent solution that has been clinically proven to last over 20 years. To book, please call: 9904 2880

Evidence Says Dental Sealants Improve Children’s Oral Health
Looking for an extra weapon to fight tooth decay in your child?

Thorough brushing and flossing helps remove food particles and plaque from the smooth surfaces of teeth, but toothbrushes can’t reach all the way into the depressions and grooves to extract food and plaque. Sealants can help protect these vulnerable areas by “sealing out” plaque and food. A dental sealant is a plastic material that is usually applied to the chewing surfaces of the back teeth — premolars and molars. This plastic resin bonds into the depressions and grooves of the chewing surfaces of back teeth and acts as a barrier, protecting enamel from plaque and acids.
In a recent study published in The Journal of the American Dental Association, school- based sealant programs were lauded as an effective public health approach to preventing dental disease.

Sealants take only a few minutes to be applied and are about one-fifth the cost of a conventional one surface filling.
The teeth that will be sealed are cleaned then the chewing surfaces are roughened with an acid solution to help the sealant adhere to the tooth. The sealant is then painted onto the tooth enamel, where it bonds directly to the tooth and hardens.
As long as the sealant remains intact, the tooth surface will be protected from decay. Sealants hold up well under the force of normal chewing and usually last several years before a reapplication is needed. While often recommended for children, at- risk adults also benefit for this very simple procedure.

 
Taking Care Of Your Gums Could Decrease Risk For Diabetes

Regular dental visits aren’t just good for your mouth—they could be helping you decrease your risk for diabetes.
A new study in the Journal of Public Health Dentistry has linked periodontal infections with an increased risk for diabetes.
The researchers determined that 93 percent of the subjects with periodontal disease were considered high risk for diabetes and should be screened for the disease, compared to the 63 percent without periodontal disease.
Given that patients with periodontal disease visit a dentist more often than they would a medical GP, it would be prudent for us to advise patients at risk to test for the disease


Want fresh breath all day, every day?

Use the mouthwash dentists recommend: CloSYS
With CloSYS, you get an oral health system that kills bacteria that causes plaque, eliminates bad breath, reduces bleeding and inflamed gums and provides many other benefits for optimum oral health.
Research links even mild gum diseases with a number of other serious illnesses, making oral health one of the most important and easiest measures to improve your overall health. Using CloSYS daily improves the health of your teeth and possibly your whole body!


Laser Frenectomies And Tongue Ties

Everyone has a muscle attachment (frenum) that connects their lips to their gums. However, when this attachment is too close to the teeth, it can cause a gap (diastema) in between the teeth, usually the front upper teeth and the front lower teeth. Braces or orthodontics will not be able to close the gap without the fibrous frenum being removed.

The frenulum is a piece of tissue that attaches the underside of the tongue to the floor of the mouth. When a baby has a restrictive or tight frenulum it is referred to as tongue tie, and can impair the ability of the tongue to move properly and may affect breast feeding. Your frenulum may look like a string that holds the tongue in place. You can see your frenulum in the mirror by opening your mouth and sticking your tongue out and up. Many babies can find it difficult to breastfeed if they are tongue tied.

A person with a tongue tie will commonly have a reduced ability to move their tongue and may not poke their tongue out as far as a normal person. It can also be the cause of speech problems. Lactation specialists, early childhood nurses and speech therapists will often see this and can advise if a laser frenectomy or tongue tie revision is
necessary.

The conventional surgery to release frenums/frenulums is quite traumatic, painful and can take a long time to heal. With lasers, we can precisely and almost painlessly remove the tissue making it more comfortable for you. There is minimal bleeding afterwards, no sutures and hardly any discomfort. Children go to school the day after and adults can go back to work the same day. Eating is normal and a baby will suckle immediately after the procedure! It truly is an amazing way to have surgery. To find out more, phone us on 9904 2880


Wisdom Teeth Extraction
Wisdom teeth are the third molars that are the last teeth to erupt in the back of your mouth.

They normally erupt between 18 and 21 years of age. Occasionally, they find their way out much later than that; some never erupt at all. Thanks to evolution, we’re evolving into the proud ownership of smaller jaws; unfortunately our teeth aren’t quite keeping pace. Most of our jaws only have room for 28 teeth; but with the wisdom teeth we have 32. This means that they have nowhere to go if there’s not enough room remaining. Impacted wisdom teeth are frequently food traps and breeding grounds for bacteria. Thus, maintaining their cleanliness is difficult and infection is very common. Research lately has shown that overall dental condition improves after removal of wisdom teeth.

Extracting wisdom teeth can be uncomplicated or it may involve surgery to remove bone surrounding the teeth. More importantly, the roots of these teeth can be closely involved with two nerves around that area of the jaw. It is important to know where these nerves are prior to extraction to give an accurate prognosis of the likelihood of trauma to these nerves.
A panoramic x-ray known as an OPG gives us information as to the proximity of the nerve to these teeth. However, as an OPG is a 2D representation of a 3D object it cannot always provide sufficient information.

To give these details, a CT scan is required. With the state-of-the-art PaX Uni-3D Cone Beam CT x-ray that is available at Cosmic Smile Dental, this 3D relationship can be accurately determined. Wisdom teeth extraction can thus be safely performed in our office, or if necessary referred to an Oral Surgeon with the CT scan. The procedure usually takes approximately 15 to 45 minutes. Most of it is preparation time. Most of our patients report they can get back to normal daily activities within a few days.
For more information, phone our surgery on 9904 2880.


Gummy Smiles

Some people smile with a little bit of their gums showing but for some others, a significant amount of gums can be seen when they smile. Their teeth appear short in proportion, giving rise to the term “gummy smile.”
Although people with gummy smiles may have healthy teeth and gums, they may be self-conscious about smiling, and thus reluctant to smile. The good news is that there are options available to correct gummy smiles.

Causes of Gummy Smiles
•    Excessive display of gums due to the abnormal eruption of the teeth;
•    Hyperactive lip muscles which causes the upper lip to rise higher than normal when smiling, showing more gum tissue;
•    Prominent upper jaw;
•    Prominent position of upper front teeth; or
•    Severely worn teeth, resulting in the teeth looking shorter relative to the gums.

Treatment Of Gummy Smiles
The main benefits of gummy smile treatment are an improved and enhanced smile which in turn, boosts self-confidence and social acceptance. There are several treatment options for those with gummy smiles:
•    Laser Gum lifts: Adjustment of the gums with the dental laser that requires no sutures and has no swelling.
•    Crown lengthening: procedure which adjusts excessive gum tissue and the underlying bone. This may be combined with crowns or veneers to give the teeth the final aesthetic look;
•    Orthodontics (realignment of the teeth): If the cause of the gummy smile is due to front teeth that are set too far forward, crowns and/or jaw surgery may be required
•    Some cases may require lip surgery

The most important aspect of treatment for gummy smiles is the cause of the imbalance. Laser gum lifts take about 1/2 hour to perform without the stitches of conventional gum surgery.
If crowns are indicated, then they can usually be prepared in 2 weeks compared with the usual waiting period of about 1-3 months. Where braces and/or jaw surgery is required, the treatment period will take longer, depending on the dental condition of the patient. You will always have teeth and look normal during the whole treatment period.

Gum surgery is NOT a temporary solution – with careful planning and execution, the results will last for years. Proper maintenance and professional follow-up will be essential for a successful long term treatment outcome.


Invisalign - A new way to straighten teeth without braces

Dr. Jason Pang is an Invisalign certified Sydney dentist and offers the Invisalign solution at Cosmic Smile Dental.
Invisalign uses a series of nearly undetectable aligners instead of brackets and wires. So even up close it’s really hard for people to tell you’re wearing Invisalign. This new treatment can give you the smile you’ve always wanted without the braces you’ve always avoided. No metal wires and brackets.

Because there are no metal wires and brackets, Invisalign is more comfortable than traditional braces. And because they are removable, eating, brushing and flossing are no problem. You can still enjoy your favourite foods and smile without holding back. With Invisalign, there’s nothing to hide.

Diagnosis and Treatment Plan
Our office will give you an initial examination to determine if Invisalign treatment is right for you. If it appears that Invisalign is an option, we will take photographs, x-rays, and an impression of your teeth, then complete further diagnostic analysis to verify that Invisalign will work for you and create a treatment plan that will determine exactly how the teeth are straightened. We will be able to let you know the estimated cost and length of treatment.

When the treatment plan is complete, your records will be sent to Invisalign. Using the latest advances in 3-D computer technology, Invisalign will translate our instructions into a series of precisely customised aligners. You will wear each set of aligners for about two weeks. Each set of aligners will gradually move your teeth closer and closer to the desired result. You will need to wear these aligners all the time except when you are eating, drinking, or cleaning your teeth.

Convenient treatment at our office
Throughout treatment, we will arrange for check-up appointments about every six weeks to make sure that treatment is progressing as predicted. As treatment nears completion, we will design a retention plan to help you keep your smile for life.
Call our office today on 9904 2880 to organise an obligation free consultation to see if Invisalign is right for you.

December 09 newsletter

Common Dental Myths

MYTH: There Is No Need In Seeing A Dentist If There Is No Visible Problem With My Teeth.
TRUTH: You must see your dentist twice a year, no matter what condition your teeth are in at the moment. If a problem has developed since your last visit, it can be resolved in the very early stages. Early de- tection and treatment of a problem is also more economical

MYTH: Not Brushing Causes Bad Breath
TRUTH: There are many other factors for bad breath( also know as halitosis). When the body ingests unpleasant smelling foods, such as garlic or onions, the odour remains until the body passes the food. Drinkers, smokers, dieters and sufferers of gastro- intestinal infections and sinusitis can also have chronic bad breath.

MYTH: Leave Wisdom Teeth In Until They Bother You
TRUTH: Once a wisdom tooth has become impacted, or misaligned, it can lead to problems such as an infection or periodontitis. A good rule to remember is to get them removed earlier as the procedure is easier and comes with less complications.

MYTH: Chewing Sugar-Free Gum After A Meal Is Just As Effective As Brushing
TRUTH: Although chewing gum can reduce plaque build-up and help to reduce acid levels in the mouth, it is not recommended in place of brushing and flossing to remove dental plaque and debris. Brushing and flossing are essential for removing bacteria building up on and in between teeth.

MYTH: Put Aspirin On An Aching Tooth
TRUTH: Only a good idea if the aspirin is taken orally. Placing it next to the tooth and gums can actually burn the gum tissue.

MYTH: Baby Teeth Are Not That Important
TRUTH: Baby teeth should be treated with the same care as adult teeth. If neglected, they can fall out sooner, resulting in crooked or malformed adult teeth.

MYTH: It’s Okay To Swallow Mouthwash
TRUTH: Mouthwashes are not meant to be ingested as they contain high levels of alcohol. The long terms affects of swallowing mouthwash can be dangerous and should be avoided.

MYTH: When The Gums Bleed, It Is Better Not To Brush The Teeth
TRUTH: Bleeding of gums is a sign that they are inflammed and are not healthy. This usually is a result of plaque and food particles accumulating around the teeth. Until this collection is removed, the gums continue to bleed. This is an indication that the individual needs to visit a dentist for treatment.

How a Dentist Can Detect an Eating Disorder

Dentists can be one of the first people to see the signs of an eating disorders in a patient.
Tooth erosion, sensitive teeth and bad breath are just a few of the signs that dentists use to identify whether a patient suffers from an eating disorder. These episodes bring stomach acids up through the mouth that are damaging to tooth enamel. Purging can damage the inside of the upper front teeth which weakens the tooth’s enamel causing sensitivity, thinning and chipping. Repeated exposure of these acids to the chewing surfaces of the lower teeth allows them to wear more easily and flatten or even concave causing further pooling.

Sometimes, eating disorders may not be discovered until too late, after irreversible damage has been done to the body as well as the teeth.
Although parents may not recognise that their children are anorexic or bulimic, they are often still taking the child to a dentist on a regular recall schedule.

Parents that suspect a child suffers from one of these disorders should consider visiting a dentist
An overview/snapshot of eating disorders today:

• Findings from a Victorian Adolescent cohort study revealed 8.8% of female adolescents had an eating disorder.
• 1 in 20 Australian women admitted to having suffered from an eating disorder while 1 in 4 individuals know someone who has an eating disorder.
• (http://www.eatingdisorders.org.au/ media/key-statistics.html)

Signs of an Eating Disorder:

• Bad breath
• Tender mouth, throat and salivary glands
• Eroded tooth enamel
• Teeth that are worn and appear almost translucent
• Mouth sores from excess vomiting
• Dry mouth
• Cracked lips
• Bleeding gums
• Sensitive teeth

Reducing stress can positively affect oral health

Earlier this year, the American Psychological Association concluded that over 80 percent of Americans rank money and the economy as significant causes of stress.
Chronic stress contributes to a number of health problems, including a weakened immune system and increased blood pressure, but it also takes its toll on periodontal health. If left untreated, periodontal disease may result in even more serious overall health complications.

Stress tends to make people more susceptible to harmful habits that negatively impact oral health, said Dr. David Cochran, president of the American Academy of Periodontology and chair of the Department of Periodontics at the University of Texas Health Science Centre at San Antonio.
“Stress may lead an individual to abuse tobacco or alcohol, and to possibly even neglect his or her oral hygiene,” said Dr. Cochran. “These lifestyle choices are known risk factors for the development of periodontal disease, which has been connected to several other chronic diseases, including heart disease and diabetes.”

In the February issue of the Journal of Periodontology, a study confirmed that stress interferes with oral hygiene. More than half of participants (56 percent) reported that stress led them to neglect regular brushing and flossing. Chronic stress is also associated with higher and more prolonged levels of the hormone cortisol, which can lead to a more destructive form of periodontal disease.

“During periods of high stress such as what we are currently experiencing in this economic climate, individuals should seek healthy sources of relief such as regular exercise, eating a balanced diet and getting adequate sleep,” said Dr. Cochran. “Doing so can help maintain a healthy mouth, and potentially help ward off other negative health concerns.”

Oral bacteria changes with obesity

Recent research published in the Journal of Dental Research suggest that oral bacteria may serve as a marker for the development of obesity.
The study’s researchers collected saliva from overweight women (those with a body mass index between 27 and 32). They identified and enumerated bacterial populations in the participants’ saliva samples by means of a DNA analysis, and they compared the levels with a control group.
Researchers found that seven species inves- tigated were present in measurably higher concentrations in the saliva of the over- weight women as compared to the control group. They also found that 98 percent of the overweight women could be identified by the presence of a single bacterial species at levels greater than one percent of the total salivary bacteria.

The results of the researchers’ analysis of these data suggest that the composition of salivary bacteria changes in overweight women. The investigators concluded that it seems likely that these bacterial spe- cies could serve as biological indicators of a developing overweight condition. Future research will investigate the role oral bacteria plays in the pathology but researchers believe in the possibility that oral bacteria may participate in the pathology that leads to obesity

Tongue stud ‘brain fatality risk’

Deadly brain abscesses should be added to the list of risks of having a tongue piercing, say doctors
In October, the BBC News reported how a 22-year-old man died in hospital following multiple brain abscesses weeks after getting his tongue pierced. His doctors warned that an infection in the bloodstream from the piercing reached his brain. More commonly, we see pain from swelling, prolonged bleeding, chipped or cracked teeth, gum recession and oral infections, though sometimes infections can reach the heart as well.

"The clear message is thatoral piercing is ill advised and should be avoided"
Professor Damien Walmsley Scientific adviser to the British Dental Association

Celebrities like Spice Girl Mel B and Princess Anne’s daughter Zara Phillips have had their tongues pierced.
But experts say people should think twice and put their health before fashion.
Problems associated with body piercing can be down to poor hygiene during the procedure or people failing to heed advice about follow-up care at home.

Look forward to your next clean with the Oraqix!

Probing and cleaning of the gums is vitally important in the diagnosis and maintenance of health. However, this can be a painful procedure for some people, meaning that an injection of local anaesthetic (LA) may be required. We know that this fear of injections means that sometimes appointments are cancelled or missed. This does not need to be a fear any longer as we now have the Oraqix non-injectable LA.

Made with lignocaine and prilocaine, it is placed into the pockets around teeth with a blunt ended applicator. And it works in 30 secs! In overseas studies, 69% of patients preferred the Oraqix LA compared to conventional injections even though the anaesthesia is not as deep. This makes sense as about a third of patients feel that the fear of the needle and its after-effects are the most distressing part of treatment.

The oraqix is easy to administer, safe and last for only 10-20 mins meaning that you won’t have that unpleasant numb feeling for hours afterwards. Best of all our sensitive patients that have had it so far love it and say that it makes their cleans a much more comfortable experience.

October 09 newsletter

Xylitol: The Sugar Substitute with Dental Benefits

With obesity at alarming levels, and decay in children still quite prevalent, finding a sweetener that is beneficial to your health is crucial. Xylitol is a naturally occurring sweetener that meets these requirements.It is a naturally occurring sugar found in all fibrous vegetables. Xylitol is made naturally within the body, but as a sugar substitute, birch wood or corncobs are the commercial sources. Foods, pharmaceuticals, natural health care, toothpastes, chewing gum and other oral health care products have contained xylitol since the 1960s, with more than 35 countries worldwide using xylitol-containing products.

Over 1500 published studies have shown xylitol to have health benefits and an unsurpassed safety record.
The main beneficial properties of xylitol as a sweetener are:

    • It equals the sweetness of sugar
    • It has 40 fewer calories than sugar
    • Its metabolism does not require insulin
    • It has a low glycaemic index (GI) of seven.

Unlike artificial sweeteners, xylitol has numerous health benefits. When consumed, it is absorbed very slowly without having any effect on insulin levels and therefore blood sugar (glucose) levels. This is highly beneficial in diabetics or those with blood sugar abnormalities.
Although it is a sweetener, xylitol has dental health benefits. Unlike other sugars, it does not cause dental caries (cavities). Bacterium uses sugar alcohols, sugars and other carbohydrates for food through fermentation. On doing so, it produces acids that eat through the enamel on the teeth, which leads to decay. The bacteria that cause decay cannot ferment xylitol. Additionally, xylitol causes the environment to become more alkaline inhibiting the bacterium’s growth.
In a recent issue in the Archives of Pediatrics & Adolescent Medicine, they found that children who consume a syrup containing the naturally occurring sweetener xylitol may be less likely to develop tooth decay. They found that a twice-daily topical oral syrup during primary tooth eruption could prevent up to 70 percent of decayed teeth.

We recently introduced the CariFree range of products that contains Xylitol and Fluoride in a pH+ solution to neutralise the decay causing acids in the mouth to maintain good health and create a balanced oral health environment. For patients with moderate to high risk of decay ie. fillings almost every dental visit, these rinses, sprays, toothpastes, gums and lollies can really make the mouth a healthy environment.

 
Do You Snore? Does Your Snoring Cause You Or Your Partner To Wake Up?
Do You Wake Up Gasping For Air? Do You Experience Excessive Daytime Sleepiness?
If the answer is YES, You may be suffering from Obstructive Sleep Apnoea

The use of Oral Appliances is a scientifically proven and effective method in the treatment of loud snoring and mild to moderate obstructive sleep apnoea. Dental appliances can help position the jaw and tongue to increase the volume of airflow and prevent soft tissues in the mouth from collapsing. The SomnoDent oral device has exceptional levels of patient acceptance and compliance and treatment efficiency are backed by a large body of clinical research and offers patients an alternative treatment to that of corrective upper airway surgery. The device is worn when you sleep and is very discrete, allowing you to close your lips so it is not obvious that you are wearing it.

Allow us to share some facts about snoring and obstructive sleep apnoea:

• An estimated 2 million – or one in ten Australians snore
• More Than 40% of adults over 40 snore
• Individuals who snore have a high likelihood of having (or developing) obstructive sleep apnoea
• Some 24 percent of men and 9% of women suffer from sleep apnoea
• Up to 50 % of sleep apnoea patients have high blood pressure
• Risk for heart attack and stroke alsomay increase among those who have sleep apnoea.
• Nearly 60 percent of sleep apnoea patients suffer from daytime sleepiness, a side effect of sleep apnoea.
• Snoring and mild-moderate apnoea is improved and often eliminated in many patients who use the SomnoDent oral appliance.

 
Dental Services Under Medicare

The Medicare EPC program is still in place. For those with chronic illnesses, Medicare can cover over $4000 of dentistry. A referral from a GP is needed to set this up. Let us know if you need help getting this organised.

To Maintain good oral health, you should take the following steps:

• Drink plenty of water. Keeping your mouth moist is important in warding off tooth decay and periodontal diseases because it washes away food and neutralises plaque.
• Eat a variety of healthy foods from the five major food groups
• Cut down on snacking in between meals
• Limit snacks and drinks that are high in sugar as the acid could lead to abrasion and possibly gum recession
• Do not smoke
• Brush twice a day
• Floss Daily
• Visit your dentist for regular check ups

October Newsflash

Beauty Therapist fined for teeth whitening

The Melbourne newspaper, The Age reported yesterday (1/10/09) that a beauty therapist was fined $2000 for injuring a patient by tooth whitening in August 2007. The board reported that the customer suffered severe mottling and marbled teeth, gum ulcerations and chemical burns.
http://news.theage.com.au/breaking-news-national/therapist-fined-for-whitening-teeth-20091001-gdew.html

The trial of the beauty therapist, held in March, was the first time the legality of teeth whitening by an unregistered practitioner was tested in Australia. The therapist was convicted and fined on Wednesday at the Heidelberg Magistrates' Court for practising dentistry while not being registered as a dental care provider.

Magistrate Jill Crowe said tooth whitening was an "invasive and irreversible procedure" and should only be performed by registered dental care providers. The Melbourne magistrate has effectively ruled that teeth whitening procedures must only be carried out by registered dentists.

The Dental Practice Board of Victoria brought the charge against the beauty therapist after a customer complained following a tooth whitening procedure in August 2007.
A board spokesman said the ruling set a precedent and would ensure that tooth whitening was only performed by people with dental training.

''Dentists have to comply with quite strict codes of practice around infection control and have their practices up to a certain standard. But the infection control practices of these people who are not registered and are not controlled, we would say could be a potential danger,'' the spokesman said.

The Cosmetic Physicians Society backs the Dental Association's view that only dentists have adequate dental training to diagnose oral health problems, such as gum disease or tooth decay, which increase the health risks of bleaching.

The most common chemical used in bleaching is hydrogen peroxide - considered hazardous in concentrations of 5 per cent or more. ''With the chemical there is also the possibility of damage to gums, it can burn ... There are various concentrations of this stuff and we say that the concentrations used by these bleaching clinics is potentially dangerous,'' the Dental Practice Board spokesman said.
The Age reported that the beauty therapist had applied a bleaching cream containing 6 per cent peroxide to a client's teeth as part of a whitening procedure.


Here are some facts about teeth and whitening:
- Adult teeth contain a mix of yellow, red and grey colours - there is no one correct colour. Healthy teeth darken and yellow with age.
- The gleaming teeth of models and TV personalities often are the result of digital manipulation or porcelain veneers.
- Discolouration stems from surface stains - tars in tobacco, tannins in tea and coffee or coloured food - or "internal" stains in the tooth structure.

Whitening is a very commonly used procedure with thousands of adults undergoing the procedure every year. However, there are precautions that must be taken during in-chair whitening and we are glad that no more patients will be injured by non dental trained operators.

The formulations that we use here at Cosmic Smile Dental for the take-home tray whitening are safe and will not damage the gums. They are a carbamide peroxide at 10% to 22% which is not damaging in the same way that 6% hydrogen peroxide is. Typically patients would wear the trays for two hours at a time with the worst side effect being sensitivity for a short time after.

The Zoom whitening treatment that we use is the most popular form of 'laser' whitening on the market and also one of the strongest. It uses 25% hydrogen peroxide which can make the teeth very sensitive temporarily and cause chemical burns when used incorrectly. This is why we are specially trained in the use of these solutions and there is an extensive protocol used to protect the eyes and completely isolate the roots surfaces, gums and lips and soft tissues.

The effects of whitening can be very dramatic and have profound effects on the wellbeing and self esteem of an individual. As dental professionals, your health is paramount with whitening just a part of the overall care. All whitening assessments include an exam before treatment, an explanation of the different options including tray or in-chair whitening, lumineers, crowns or veneers and a discussion of any potential contraindications.

The offers that we have at the moment include a complete exam, x-rays, cleaning and fluoride treatment with either tray whitening or in-chair Zoom whitening. And don't forget that if you are a member of our Whitening for Life program you will receive FREE top-up whitening gel if you maintain your regular recare appointments.

Please call Jacklyn on 9904 2880 if you would like more information on any of our whitening treatments.

September Newsflash

Secrets your dentist doesn't want you to know
http://www.ethiopianreview.com/articles/27624

Sleep apnea raises death risk 46 percent
http://mobile.reuters.com/mobile/m/FullArticle/CHLT/nhealthNews_uUSTRE57H0CP20090818

Dentists offer advice for the healthiest smile
http://www.dallasnews.com/sharedcontent/dws/fea/lifetravel/stories/DN-nh_healthysmilesecrets_0901g.ART.State.Edition1.2324c9b.html


We've been on Twitter for a while now and it seems that people are following our tweets. Twitter is all about social networking and letting people know what has been happening in the office on a daily basis. You can follow our feed at http://twitter.com/Jason_Pang

CSD Newsletter July 09

Laser Decay Detector – Available at Cosmic Smile Dental

Early detection and prompt treatment of tooth decay is essential for long-term oral health. This knowledge and intervention can help minimise the need for extensive restorative or costly treatment.

Using our Laser Decay Detector, known as the DIAGNOdent, we can measure the density of your tooth structure, ensuring decay in the grooves of your teeth can be detected with 90% accuracy.

This technology incorporates a pen-like device that emits a completely safe laser beam to individually test each tooth. More often, early decay can be treated without the need for anaesthetic and comfortably restored at the same appointment. 

More oral bacteria, higher risk of heart attack

Researchers are getting closer to defining the relationship between the organisms that cause periodontal disease and the development of heart disease. Several studies have suggested there is a connection between the two; however, few have tested the theory.
A study conducted by researchers at the State University of New York at Buffalo has now shown that two oral pathogens in the mouth were associated with an increased risk of having a heart attack, but that the total number of germs—regardless of type—was more important to heart health.

“The message here is that even though some specific periodontal pathogens have been found to be associated with an increased risk of coronary heart disease, the total bacterial pathogenic burden is more important than the type of bacteria,” said Dr. Oelisoa M. Andriankaja, who conducted the study in the UB School of Dental Medicine’s Department of Oral Biology as a postdoctoral researcher.
“In other words, the total number of ‘bugs’ is more important than one single organism,” said Dr. Andriankaja. Their analysis showed that the patients harboured more of each type of bacteria than the controls. However, only two species, known as Tannerella Forsynthesis and Preventella Intermedia, had a statistically significant association with an increased risk of heart attack. An increase in the number of different periodontal bacteria also increased the odds of having a heart attack, results showed.

Dr. Andriankaja emphasized that prospective studies that measure oral bacteria in participants who have had no heart problems when they enter the study, and again when a heart attack occurs in a participant, are needed to better assess this potential association.

Sports Drink Consumption Can Cause Tooth Erosion

While sipping on sports drinks all day may provide an energy boost, this popular practice is also exposing people to levels of acid that can cause tooth erosion and hypersensitivity.

In a recent study, it was found that prolonged consumption of sports drinks caused erosive tooth wear, in which acids eat away the tooth's smooth hard enamel coating and trickle into the bonelike material underneath, causing the tooth to soften and weaken. The condition affects about 5% of Australians causing severe tooth damage and even tooth loss if left untreated.

It is the citric acid in sports drinks that causes the wear. And brushing teeth immediately after consuming a sports drink can compound the problem of tooth erosion, because softened enamel is very susceptible to the abrasive properties of toothpaste and stiff toothbrush bristles.

To prevent tooth erosion, consume sports drinks in moderation, rinse with water and wait at least 30 minutes before brushing your teeth, to allow softened enamel to re-harden. Toothpastes such as Clinpro & Pronamel, and creams like Tooth Mousse / Pro can neutralise acids and help re-harden soft enamel.

Things to know:
-    People who drink more than 3 sugary carbonated drinks have 62% more dental decay, fillings and tooth loss
-    Enamel begins to demineralise at a threshold pH of 5.5 and exposed root surface at pH 6.5
-    A 560g Mountain Dew has 19 teaspoons of sugar and more than 93mg of caffeine
-    Recent studies have shown that energy sports drinks can be even more damaging that cola drinks due to the organic acids
-    Some bottled water and and flavoured water drinks are also highly acidic
-    Do NOT brush your teeth with mineral water when travelling in countries without potable drinking water!! 

Pregnancy Gingivitis

The surge in female hormones during pregnancy is associated with an increase in gum disease.
Many pregnant women find that their gums bleed easily during brushing because gums are more sensitive to plaque. The effect of this pregnancy gingivitis is first seen when the woman is about 12 weeks into her pregnancy and it may continue through the second and third trimesters.

If pregnancy gingivitis occurs, a visit to us is recommended. It is best to see us prior to pregnancy so that periodontal health is achieved before pregnancy. As well as careful attention to dental hygiene, it is important to visit the dentist more frequently during pregnancy so that plaque and calculus can be removed by professional cleaning. This will help prevent gingivitis. 

About Mouthguards

With more adults and children playing sports, injuries to the mouth and face have become more common. Mouthguards are flexible, plastic appliances worn over the teeth to protect them and can help to prevent injuries to the mouth, lips, cheeks and tongue. If you play sport, wear a mouthguard.

By helping to prevent the lower jaw being forced upward into the upper jaw, a mouthguard can sometimes help prevent other serious injuries such as concussions, jaw fractures and neck injuries. Even sports considered low contact such as netball could result in injuries to the face and teeth.
The most effective mouthguards are those made by a dentist from a mold of your teeth.
 

Considering tooth whitening? Start with a healthy mouth

If you want to whiten your teeth, the best place to start is with a healthy mouth.
Tooth decay, sensitive or cracked teeth, infections or periodontal problems should be diagnosed and treated before any tooth whitening procedure. Otherwise, you could experience discomfort. The whitening process may aggravate existing problems, or the whitening process simply may not be right for you.

Rather than heading to the local cosmetic counter or shopping mall in search of tooth whiteners, start with a dental checkup. We can evaluate, diagnose and treat any oral health conditions and advise you about different options to safely and effectively whiten your teeth.
We can determine whether whitening will work for you. The cause of the discoloration—injury, stains from food or tobacco, antibiotic treatment as a child or other causes— determines the whitening method or product that will be used. The diagnosis is important; otherwise, you could be wasting time and money because whitening treatments work only on natural tooth enamel, not on crowns, veneers, bonding materials or tooth-colored fillings.

Recently, tooth-whitening kiosks have appeared in shopping centres and salons. In other countries, these kiosks have been banned and we expect the same here. Although they may be staffed with people who may look like health care professionals, that often is not the case. Staff running the tooth-whitening kiosk may have no health care training and no license to provide health care services. However, they are dispensing chemicals that could permanently affect and damage your teeth and gums.

White, bright teeth are desirable, but having a healthy smile is more important. Give us a call if you would like to find out more about ZOOM! teeth whitening which will whiten teeth in an hour or tray whitening which is a take home system that will take about a week.

 You May Be Eligible for FREE DENTISTRY

The Medicare Enhanced Primary Care program provides up to $4250 of dental treatment rebates for chronically ill people who are being managed by their GP under an Enhanced Primary Care (EPC) plan. We have been supporting the scheme since it was introduced last year. To be eligible, you must have a chronic medical condition with complex care needs and your oral health must be impacting on, or likely to impact on your general health.

If you meet the eligibility criteria, you will need to be referred by a GP to us for assessment and treatment. The primary purpose of the dental treatment must be to improve oral health or function. Medicare rebates will not be paid for dental services that are purely cosmetic in nature. If you are eligible for the scheme, we recommend you start treatment as soon as possible as the program can cease without notice.

The Effects of Medication on Oral Health

A dry mouth is frequently due to medications. Some heart medicines, antidepressants, anti-allergy medicines, fluid tablets, sedatives and medications to help bladder problems can all cause a dry mouth. Attention to oral hygiene is important if you are taking any of these medications.

If you have a persistent dry mouth, pay close attention to oral hygiene as you will be prone to tooth decay. Please phone us if you have any concerns of a dry mouth. 

CSD Newsletter May 09

Teething: A step on the path to growing up

Although newborns usually have no visible teeth, most have at least a partially developed set of primary, or baby teeth that begin to appear generally about six months after birth. During the first few years of life, all 20 of the primary teeth will erupt through the gums. Most children have their full set of primary teeth in place by age three.

As their teeth erupt, some babies may become fussy, sleepless and irritable, lose their appetite or drool more than usual. Diarrhoea, rashes and a fever are unusual for a teething baby but if symptoms continue call your physician.

As a tooth erupts an eruption cyst may develop. The tooth will eventually rupture this watery sac as it pushes through the gums. Eruption cysts are usually harmless and should be left alone.

Some babies may have sore or tender gums when teeth begin to erupt. Gently rubbing your child’s gum with a clean finger, a small, cool spoon or a wet gauze pad can be soothing. A clean teething ring for your child to chew on may also help. Your dentist or paediatrician may recommend a pacifier, teething ring or a special “numbing” salve for the gums.

When the teeth begin to erupt, wipe them with a soft cloth or brush them with a soft- bristled toothbrush and a little bit of water to prevent tooth decay. Toothpaste is not recommended until a child reaches age two. At that time, supervise brushing to ensure that your child does not swallow the toothpaste.

It would be ideal to see your child once they have around 12-16 teeth which would be around the age of two (if their temperament
would suit), or by three at the very latest. This appointment would be a very gentle introduction to a dental practice and we would cover the basics of oral health care, diet and general safety with regards to teeth. 

Green tea may be good for periodontal health: study

Regular consumption of green tea may help promote healthy teeth and gums, according to a recent study conducted in Japan.
Japanese researchers analyzed the periodontal health of 940 male subjects aged 49 to 59 to determine what effect the regular intake of green tea had on the subjects’ periodontal health as compared to subjects that consumed less of the popular beverage. Previous research has shown weight loss, heart health and cancer prevention to be among the potential benefits of drinking green tea.

For this study, researchers examined three indicators of periodontal disease: periodontal pocket depth, attachment loss of gum tissue and bleeding on probing of the gum tissues. They found that for each cup of green tea consumed each day there was a decrease in all three indicators, pointing to a lower incidence of periodontal disease in the subjects who regularly drank green tea.

The presence of the antioxidant catechin in green tea may be responsible for its beneficial effect on periodontal health, researchers said. Periodontal disease is a chronic inflammatory disease that affects the gums and bones supporting the teeth; green tea and the catechin it contains may help promote periodontal health by interfering with the body’s inflammatory response to the periodontal bacteria.

“It has been long speculated that green tea possesses a host of health benefits,” said study author Dr. Yoshihiro Shimazaki of Kyushu University in Fukuoka, Japan, in a new release. “And since many of us enjoy green tea on a regular basis, my colleagues and I were eager to investigate the impact of green tea consumption on periodontal health, especially considering the escalating emphasis on the connection between periodontal health and overall health.”

The results of the green tea study were published in the Journal of Periodontology.

Complimentary Dental  Assessment for children under 18 years

Our goal is to prevent tooth decay in children from an early age.
 
At Cosmic Smile, we want your children to have the best dental health possible.
We would therefore like to invite your children to visit us for a FREE dental assessment carried out by our dental therapist Natasha.
 
Natasha aims to make a visit to the dentist a more comfortable experience for your children and is dedicated to encouraging as many children to adopt good habits in dental hygiene. Caring for a child's teeth from an early age will help them grow up with healthy teeth and gums. Diet, oral hygiene and visits to the dentist are all important in helping to care for a child's teeth.

The FREE dental assessment which is part of your child’s health care would:
    •    Determine the state of your child’s oral health
    •    Identify abnormalities or pathologies, including caries
    •    Provide instruction in how to prevent dental disease

The assessment of your child’s teeth will also create an opportunity for parents, caregivers, and children to learn about oral health.
To schedule an appointment for your child, please phone us on 9904 2880.

Dealing with dental accidents

Accidents happen in life, and knowing what to do when one occurs can mean the difference between saving and losing a tooth.
One way to reduce the chances of damage to your teeth, lips, cheek and tongue is to wear a mouthguard when participating in sports or recreational activities that may pose a risk. Avoid chewing ice, popcorn kernels and hard candy, all of which can crack a tooth. Cut tape using scissors rather than your teeth.

In the case of a bitten lip or tongue,clean the area gently with a cloth and apply cold compresses to reduce any swelling. If the bleeding doesn't stop, go to a hospital emergency room immediately.

If you have a toothache, rinse your mouth with warm water to clean it out. Gently use dental floss or an interdental cleaner to ensure that there is no food or other debris caught between the teeth. Never put aspirin or any other painkiller against the gums near the aching tooth because it may burn the gum tissue. If the pain persists, contact your dentist.

If a tooth is knocked out, hold the tooth by the crown and rinse off the root of the tooth in water if it is dirty. Do not scrub it or remove any attached tissue fragments. If possible, gently insert and hold the tooth in its socket. If that's not possible, put the tooth in a cup of milk and get to the dentist as quickly as possible. And remember to take the tooth with you.

Most dentists reserve time in their daily schedules for emergency patients. Call us and provide as much detail as possible about your condition. Pain is a sign that something is wrong, a problem that may not disappear even if the pain subsides.

What causes sensitive teeth?

Is a taste of ice cream or a sip of hot tea sometimes a painful experience for you? Does brushing or flossing make you wince occasionally? If so, you may have a common problem called "sensitive teeth."

Cavities and fractured teeth can cause sensitive teeth. However, worn tooth enamel, a cracked tooth or an exposed tooth root may be the cause.
A layer of enamel, the strongest substance in the body, protects the crowns of healthy teeth. A layer called cementum protects the tooth root under the gum line. Underneath the enamel and the cementum is dentin, a part of the tooth that is less dense than enamel or cementum.

The dentin contains microscopic tubules, which are small hollow tubes or canals. When the dentin loses its protective covering, the tubules allow heat and cold or acidic or sticky foods to stimulate the nerves and cells inside the tooth. This causes hypersensitivity and occasional discomfort. Fortunately, the irritation does not cause permanent damage to the nerve. Dentin may be exposed when gums recede. The result can be hypersensitivity near the gum line.

Proper oral hygiene is the key to preventing gums from receding and causing sensitive-tooth pain. Sensitive teeth can be treated by using a desensitising toothpaste, which contains compounds that help block transmission of sensation from the tooth surface to the nerve. Desensitizing toothpastes require several applications before the sensitivity is reduced. Home application of Tooth Mousse can also improve the quality of the enamel.

If you brush your teeth incorrectly or even over-brush, gum problems can result. If a large amount of dentine is removed, this can lead to permanent damage to the nerve. This can be easily corrected with a white composite filling that restores the contour and protects the tooth from both tooth brush abrasion and acid erosion.

We may also recommend in-office techniques involving the application of a desensitising agent, fluoride varnish or fluoride gel.

Sedation - Sleep Dentistry

If you fear the dentist, you're not alone! You can finally put all of your dental anxieties aside in our office. Here at Cosmic Smile Dental, we offer Sedation Dentistry which makes fear of coming to the dentist a thing of the past as the sedation technique completely removes all feelings of anxiety and apprehension.
 
 You will not be unconscious, just deeply relaxed and drowsy. You will be able to respond to the doctor and his team members. Sedation dentistry is for the anxious, fearful or very busy patient. This treatment has an amnesic effect and also a compression of time effect; meaning there is little or no memory of your visit and a two hour appointment seems like a 10 minute appointment. We can correct years of embarrassing problems in as little as one or two appointments!

Sedation dentistry really works and it's safe. Our registered anaesthetist will be there for the entire procedure.

Your total comfort, peace of mind and guaranteed satisfaction is our number one priority. With sedation dentistry you can kiss your fears goodbye and totally relax under our comfortable conscious anaesthesia and anxiety-free techniques. To see if sedation dentistry is for you, please call to schedule a complimentary consultation. We will gladly answer all your questions.

CSD Newsletter February 09

Dental Laser given a workout!

The Versawave dental laser has proven invaluable last month and was used practically every day. Many restorations would not have been possible without it. Many teeth were restored without the need for injections, and numerous gum procedures were performed with a topical anaesthetic. Feedback from patients has been very positive.
In the past, gum surgery was a painful and unpredictable procedure but now gumlifts to correct gum levels, and crown lengthening to restore teeth broken under the gumline can be done at the same appointment the teeth are being prepared.
Laser gum treatment can also be used for moderate to severe gum and bone disease (periodontitis) without cutting and sutures. Being less invasive it is painless with less swelling and healing is much quicker.
Surgery to remove swellings and soft and hard tissue growths in and around the mouth can be performed quickly and easily with a dental laser. Tongue ties and gingival overgrowth can be corrected without bleeding or sutures and hardly any discomfort.
Also, if you feel like you are getting a cold sore give us a call straight away as the laser can interrupt the disease process! The dental laser can stop it from becoming full blown by sealing the surface and stimulating tissue healing.

'Mouth Cancer Alert' - our viewpoint

The headlining story in The Sunday Telegraph on Jan 11 was "Mouth Cancer Alert" which investigated the risk that common mouthwashes have with oral cancer.
http://www.news.com.au/dailytelegraph/story/0,22049,24896583-5001021,00.html

For over 25 years, there has been debate of the link between oral cancer and alcohol-containing mouthrinses. Readily available mouthrines include Listerine, Cepacol, Savacol, Plax and others. While there have been articles suggesting caution with regard to these products, there have been more that show no link. This does not mean that these products are completely safe but rather that we should use these products judiciously.

Oral cancer is a multi-factorial disease with an absolute risk of around 40 per million in Australia and this includes all smokers and alcohol drinkers. Previous research has shown that alcohol and smoking together can increase the risk by over 50 times. This latest study may indicate a link between alcohol in a rinse form to the disease.

Another point of view is expressed here - http://news.smh.com.au/national/experts-divided-over-mouthwash-claims-20090111-7e4p.html. Both are leading experts in their field and there is no consensus but there certainly are some doubts over casual use and further investigation is needed.

Savacol is the only alcohol-containing product that we use and recommend because it contains chlorhexidine, a powerful antibacterial agent. We only recommend that this product be used for around two weeks as it can cause dark staining on teeth, change a persons' perception of taste and must be used in the absence of fluoride or be neutralised. However, we use it only on specific patients because it relieves the pain of acute gum infections, prevents mouth infections after oral surgery and has long lasting effects for periodontal care.

We have just invested in a water ozonater we now use for both pre- and post-surgery rinses as it has been shown to kill viruses, bacteria and fungi and improve healing. We will be using this prior to routine periodontal recare appointments as well. Our CloSys II mouthrinse product for bad breath (halitosis) is alcohol-free and highly recommended.

Please remember that brushing twice daily with a fluoride containing toothpaste and flossing are essential. With this routine, daily or multiple daily use of alcohol-containing mouthrinses, especially in smokers are best avoided. 

Your mouth offers many reasons to quit using tobacco

Smoking cigarettes can have many adverse effects on your oral and dental health. Among these effects are:

•         oral cancer;
•         periodontal disease, a leading cause of tooth loss and sensitivity;
•         delayed healing after a tooth extraction or other oral surgery;
•         fewer options for some kinds of dental care;
•         bad breath;
•         stained teeth and tongue;
•         a diminished sense of taste and smell.

Cigars are not a safe alternative to cigarettes. Even if you do not inhale cigar smoke, you are still at risk for oral and throat cancers. And like cigarette smokers, cigar smokers are at increased risk for periodontal disease and staining of the teeth and tongue as well as bad breath.

Like cigarettes and cigars, smokeless tobacco products contain a variety of toxins associated with cancer. Smokeless tobacco is known to cause cancers of the mouth, lip, tongue, and pancreas. Users also may be at risk for cancer of the voice box, esophagus, colon and bladder, because they swallow some of the toxins in the juice created by using smokeless tobacco.
Smokeless tobacco can irritate gum tissue, causing periodontal disease. Sugar is often added to enhance the flavor of smokeless tobacco, increasing the risk for tooth decay. Smokeless tobacco also typically contains sand and grit, which can wear down the teeth.

If you are a tobacco user, there’s no time like the present to quit. There are a number of strategies than can increase your chances of success, such as enlisting the support of family, friends and co-workers, consulting with your physician about nicotine replacement therapy, and seeking tobacco-free environments to curb your temptations.

Twins study confirms benefits of flossing

Flossing can significantly reduce periodontal disease and cavity-causing bacteria, researchers at the New York University College of Dentistry concluded following a recent study of twins. The research provides new data about the importance of a flossing regimen in addition to daily brushing of the surfaces of the teeth and tongue.

Researchers followed 51 well-matched twin pairs and their treatment responses to flossing over a two-week period. After that two-week period, periodontal pathogens and decay-causing bacteria were "overabundant" in the group that did not floss compared to the group that performed flossing.
"Twins who flossed had a significant decrease in gingival bleeding compared to twins who did not floss," the authors also noted. "Relative to baseline, bleeding scores were reduced by 38 percent over the two-week study period in the flossing group of twins."

Their study concluded that "In a well-matched twin cohort, tooth and tongue brushing plus flossing significantly decreased the abundance of microbial species associated with periodontal disease and dental caries after a two-week program."
Because they live together and have similar dietary habits and health practices, twins are considered excellent subjects for research that compares periodontal diseases and cavity development in people of the same age from similar environments.

Nature’s Tooth Decay Fighter

Fluoride is a mineral that may occur naturally in all drinking water sources—oceans, lakes, rivers and underground water. Extensive research has shown that optimal levels of fluoride not only reduce tooth decay in children and adults, but also help repair the early stages of decay.

The optimal fluoride level in drinking water is 0.7 to 1.2 parts per million (ppm). Sydney water fluoride level is around 1 ppm. Fluoride may be naturally present in some ground water supplies at these levels.

Community water fluoridation is an effective and inexpensive means of achieving the fluoride exposure necessary to help prevent tooth decay. Studies show that water fluoridation continues to be effective in reducing tooth decay by about 20 to 40 percent.

Prevention is better than the cure

Prevention is the basis of our dental care. It is our philosophy that a person can effectively control the factors causing dental disease of the teeth and gums. Part of this control is regular cleaning and a dental examination. If a problem has developed since your last visit, it can be resolved in the very early stages. Early detection and treatment of a problem is also more economical. If it has been over 6 months since your last dental checkup and cleaning, please give us a call to schedule an appointment at your convenience.
 
 

Helping you keep your teeth for life

Natasha Matronitsky is our experienced Dental Hygienist and is dedicated to helping you with the long-term maintenance of healthy teeth and gums.
 
Natasha is specially trained in the prevention and treatment of gum (periodontal) disease, which is the main cause of adult tooth loss and also gives advice on all aspects of oral health. She is responsible for helping patients keep their teeth and gums clean and disease free.
 
We constantly get comments from our patients about how great their experience with her has been. She believes in the highest level of patient care for both adults and children.
 
Natasha is available all day on Wednesdays and Fridays. Please phone 9904 2880 to reserve an appointment with her.