Conservative Esthetic Dentistry and You!

The California Dental Association meets twice a year in order for dentists and other personnel to sharpen their clinical skills and meet continuing education requirements.

The fall convention is always in San Francisco and usually promises fantastic weather! This year I concentrated on one subject -conservative esthetic dentistry.

Our goal is to give clients what they want in porcelain veneers and composites while saving as much tooth structure as possible. With good planning and new materials, we can now deliver a great smile with a minimum or no loss of enamel.

If you are considering veneers or white fillings, there is a new method of in- office bleaching that requires only 20-25 minutes. No impressions, no custom trays and you will be in and out quickly.

“Another great visit…  just like family.”
- Paul

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Dentistry and Rotary International

Being a dentist and being a fairly new member of Healdsburg Sunrise Rotary, I decided to look up projects Rotary might be doing in my field.

I found that there are manydental projects being partially if not totally supported by Rotarians around the world.

In the US, Green Bay Rotarians helpeddevelop a mobile van serving youth in Green Bay, WI. Area. Other Rotarians around the US sponsor dental projects within their own local communities.

American based Rotary clubs have an impressive number of dental projects around the world especially in Mexico, Central America and cooperate with projects with other clubs in India, the Cook Islands and even Azerbaijan.

A Canadian Rotarian writes, “We live in a disconnected word.  Rotary helps us to CONNECT…..to our local community and those on the other side of the world. Above all, Rotary helps us connect to the very best within ourselves.”

“Always professional and cheerful- very knowledgeable” 
- Francesca

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The Healthy People Vision

Healthy People 2020 was launched by the national government with a vision to have a society whose people live long healthy lives.  Some of the subjects being tackled include arthritis, blood disorders, cancer, diabetes, family planning, global health, hearing, immunizations, mental health, oral health, physical activity, respiratory, and sleep health, tobacco use and vision.

In my field, the goal of increasing the number of adults who receive preventive interventions in the dental office is most interesting.

The three parts to this goal include:

1.help patients with tobacco cessation

2. provide increased awareness and vigilance for oral and pharyngeal cancers. These cancers are increasing due to the involvement of a strain of the HPV virus.

3. to increase the number of patients referred for glycemic control.

For more detailed information, contact my office or Healthy People 2020 online.

Testimonial: “I find Dr. Everson and her entire staff to be exceptionally skilled, professional and warm and engaging…” – Mary

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Introducing Healthy People 2020

Healthy People 2020 launched a 10-year national program with objectives for improving the health of all Americans. It covers many health objectives for the American people including Genomics, Dementias, Diabetes. Sleep Health, Substance Abuse and Preparedness among a few.

For dentists, the Oral Health objectives are broken down into 17 separate areas and those are broken into goals for each objective.

  Sealants is goal #13 under oral health and the target is to increase the number of children, up through age 15 who receive sealants on their teeth.

The goal is to increase the number of children receiving sealants by 10%.  Right now only 25.5% of U.S. children aged 6-9 receive sealants on one or more of their permanent molars. The goal is to increase the amount 10% or up to 28.1% over 10 years.

Personally, that seems like such slow progress. Next time, more on Healthy People 2020.

Testimonial: “I no longer feel anxiety before going to my appointment at your office” – Bonnie

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Aging Dental Work

Today a patient said “I had many of my teeth worked on and completed in my 20’s and 30’s and now in my 60’s some of it has to be redone.  I thought once it was all done, it was done! It’s frustrating.”

Well, I agree with the frustration but let’s look at it another way. These restorations (fillings and crowns) have worked well for 30 to 40 years.

Think of the ways and how often you use your teeth and the abuse we sometimes put them through. They have been exposed to hot, cold, erosive and hard foods, and high pressure.

How many items exposed to this of kind use would not need refurbishing in 30 or 40 years?

Natural teeth are meant to be used but they do wear and break,  and so do man-made dental restorations.

Testimonial:

“Dr. Everson put my dental health first… Very informative, thorough and caring.  Staff is great.” – Tricia

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Saving Tooth Structure

We know that sports drinks are highly implicated in erosion of tooth enamel and dentin. There are other ways to lose tooth structure including brushing too hard, especially after drinking a soda or sports drink, grinding your teeth and acid exposure from gastric reflux disease.

How can we help our patients? Many times we see patients that has lost enamel as a result of several of these causes.

If we identify the problem early, we can educate the patient on how to brush, prescribe a soft tooth brush and fluoride toothpaste and possibly advise a mouthguard.

We suggest that a patient not brush right after drinking or eating acidic food and perhaps drink through a straw. Also, using chewing gum and a saliva substitute help if one has dry mouth.

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Your Teeth, Acid Erosion, and Sports Drinks

Sports drinks have an increasing  allure for many of us especially the younger population. These drinks, originally designed for athletes, contain a large amount of sugar, salt, and citric acid.

Believe it or not, these drinks are not as acidic as a cola but the sports drinks dissolve enamel 3 to 11 times more that a cola drink. Why?

Studies show that the citric acid added to these drinks maintains an acid level closer to the tooth surface over a longer time and binds up the calcium in the protective coating on the tooth.

Without the coating of calcium on the tooth surface, the citric acid can dissolve more tooth structure (erosion) and possibly leave the tooth susceptible to decay.

What our patients say: “Always responsive, incredibly thorough, follow up even when I drop the ball” – Anonymous

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Sports Drinks and Your Teeth

Want to lose a lot of the enamel on your teeth and make them sensitive? Just drink a few sports drinks everyday! And even better, you could sip them slowly or swish them around your mouth.

Recently the CDA Journal dedicated a complete issue to the erosion of teeth-  the loss of tooth structure due to exposure to acids.  These acids can come from our own bodies such as in gastric reflux or bulimia or from the foods and drinks that we consume.

Sports drinks were originally formulated for athletes involved in prolonged and intense exercise.  But my concern is for all the other young people that consume them every day and don’t understand the long-term effects on tooth structure and future comfort. Next time, we will examine the effects and their causes.

Here is what our patients say: “I am very happy that my neighbor recommended your office…everyone has been very nice and professional” – Enrique

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Give Kids A Smile

In February, I was lucky to participate in the ADA program, Give Kids A Smile program in Sonoma County. For one day, dentists, hygienists and assistants volunteered in many different locations. We conducted exams, sometimes took x-rays, and occasionally treated needy kids in the county.

It was an upbeat day with lots of volunteers and lots of kids with follow up treatment scheduled.

It seems a crime that in these times, dental decay is still the single most chronic childhood disease and that 90 percent of it is preventable.

The American Academy of Pediatric Dentistry recommends children be seen no later than one year.  Your child’s first dental visit in an investment in his/her future.

Here’s what our patients say: “Dr. Everson and staff are exceptional, their friendly professionalism and expertise is top notch…” Sam

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Temporary Anchorage Devices

Ellen wanted some new teeth on the bottom jaw but she had been missing bottom teeth so long that a couple of upper teeth had moved partway into the empty space.  We were going to have to compromise and make a very wavy shape to the new smile or come up  with something else.

Luckily, our orthodontist suggested temporary anchorage devices. TADs are a type of implant not meant to be permanent. Instead they provide a temporary hook to help orthodontic wires move teeth up back into the bone or straighten up tipped teeth.

Ellen’s case straightened up nicely and TADs are a great way to help some adults who thought that they needed  jaw surgery to get that new smile.

Here’s what our patients say “Dr. Everson and staff are exceptional, their friendly professionalism and expertise is top notch…” Sam

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