Choose Dental Health NOT Insurance

Health insurance is a topic familiar to many, and varies from individual to individual. Providers are different, coverage fluctuates, and co-pays change as well. However, it is always important that the health of you and your family remains our number one priority.

Dental Emergency Care

An injured tooth, like any emergency situation, often presents an unexpected expense and financial hardship. It’s important to keep perspective and ensure your primary focus remains the danger it places on your body and health, not your wallet. Dental complications, like many health conditions, are degenerative; meaning, they get worse the longer you ignore treatment. Failing to address an ailment stresses the body and almost always increases the financial cost of treatment as the severity of the damage escalates. Using the example of a broken tooth, what may originally be a quick dental restoration can easily turn into an infection, decay, or cause a loss of the tooth entirely. A lost tooth results in replacement costs, and if those are ignored, can spiral into the migration or infection of the surrounding teeth. It’s easy for simple injuries to spiral into much more serious situations when treatment is neglected.

“An ounce of prevention is worth a pound of cure.”

You’ve likely heard this before, but clichés are clichés for a reason. The ounce of preventative and immediate treatment can save you a pound of further health problems, and a pound in your wallet. We care about your health and cost effective treatment options. Our office will never surprise you with unexpected bills, and we will always work with you to ensure you understand your treatment, the significance of receiving it, and the costs. If you require a treatment that presents a financial hardship, talk to us. Where possible, we will explore alternate treatment plans or discuss other solutions to ensure you are not placed in a difficult position. We do this while always keeping your health as our number one priority.

When it comes to ensuring the longevity of your health, communication is key. Don’t stay quiet about concerns of any kind – health, financial, or other: we are your health care partner and here to serve you.

Dr.Malkemus

2 Padre Pkwy #200, Rohnert Park, CA 94928

Phone | (707) 585-8595

http://www.malkemusdds.com

Choose Dental Health NOT Insurance

This Is How To Pick A Toothbrush & Floss

We all know to brush our teeth. Check. We all know to floss our teeth. Check (okay, we know some of us skip this step but we’ll let it slide this time). But do we know which type of toothbrush and which dental floss is the best to keep our pearly whites, well, pearly and white? Today we clear the air on this important topic.

Toothbrushes & Brushing

Before getting into all your purchasing options, let’s do a quick brush up (pun intended) on proper brushing techniques to ensure your dental labors are as effective as possible.

When brushing, you don’t want to apply a lot of pressure; plaque is removed with gentle and thorough cleaning. By being too aggressive you are more likely to damage your gum tissue than clean properly. To start, place the head of the brush at a 45-degree angle and point the bristles just into the gum line. This helps disrupt buildup gathering at the base of the tooth. Avoid brushing all your teeth at once; rather, target a group of 3-4 and gently clear the surfaces before moving on to the next set. Be sure to clean all surfaces of the tooth: fronts, backs, chewing surfaces, and the sides of those hard-to-reach molars. Perfect!

Which Toothbrush Is Best?

Electronic toothbrushes are a fantastic option and do a lot to help agitate food particles and really cleanse your teeth. Manual toothbrushes also work well provided they are used effectively with our above tips. For bristles, many make the mistake of purchasing them too tough. The flexibility and gentleness of soft bristles is precisely what you want to clean without damaging. For toothbrush size, just ensure it isn’t too large that it prevents access to those back molars that can be tricky to reach. There is no single toothbrush that is perfect for everyone, so be sure you’re using the one that feels the best to you and will encourage regular use – if you have any questions, we are always here!

Dental Floss & Flossing

Onto floss – but first, the brush up:

When it comes to flossing, you make a C-shape to curve around each tooth as you bring the floss down. The point is not to drag the line straight up and down, which can irritate the gums, but rather to hug the surface of each tooth and clean from the top to the root with a gentle motion. Use about 18” of floss for a fresh portion each pass. Remember to clean both neighboring teeth each time you bring the floss down, and don’t miss any teeth!

Which Floss Is Best?

There are a few variables to keep in mind when finding your ideal floss. First is the thickness of the floss – some people have larger gaps between teeth, and others have very tight spaces that can make it hard to floss. The ideal thickness is one that is comfortable to use, but still thoroughly cleans between each tooth – for tight spaces, try a flat, ribbon-like floss. There are also options like the material the floss is made of, and then waxed versus unwaxed floss. Some suggest waxed floss may be slightly more effective, but whichever choice is most comfortable for you is the choice we recommend. Yes, a lot of our advice is related to your preferences, but if you find a dental product you like with the ADA Seal of Acceptance, you can be sure you’ve found a winner!

In fact, that is our biggest suggestion for when it comes to both brushes and floss: the right option for you is the one you will actually use. If you have more questions, give us a call – we are always happy to ensure our patients feel confident with their oral health and have all the facts.

 

Dr.Malkemus

2 Padre Pkwy #200, Rohnert Park, CA 94928

Phone | (707) 585-8595

http://www.malkemusdds.com

This Is How To Pick A Toothbrush & Floss

Keep Calm and Floss On

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On August 2nd, this New York Times article was published and caused quite a bit of controversy in both the dental community and with the general public. While it is not conclusive in its findings, the overarching claim is that flossing may not be as beneficial as once thought. As dental professionals, we take very seriously the responsibility we have ensuring our patients receive the best possible education and care regarding the health of their smiles. For this reason, we feel compelled to express our disagreement with the suggestion that flossing may be overrated, and why that’s a harmful position to propagate.
Let’s first look at the article, which uses a lot of language such as:
• “…flossing may be overrated.”
• “…most of the current evidence fell short…”
• “That flossing has the same benefit is a hunch that has never been proved.”
• “…there is some mediocre evidence that flossing does reduce bloody gums and inflammation known as gingivitis.”
There is a stark difference between something ‘not having been proved’ and something being ‘disproved’. Please know that there is no evidence remotely close to suggesting the latter. In fact whether the evidence is “mediocre” or not, the only evidence the article does mention (quoted above) is in favor of flossing. A lack of ability to prove something is not cause to discourage an entire population from participating in a highly beneficial component of their health care. This is particularly true because evidence is acquired by conducting large-scale studies, which are extremely costly. It would hardly be economical to spend the research funding to prove something we already have no doubt offers a variety of benefit for your oral and overall health.
We do not agree with the article’s brash call to action, or more accurately, call to inaction, and we fear how this may increase the number of people inflicted with preventable damage to their smile. Looking again at the line “…there is some mediocre evidence that flossing does reduce bloody gums and inflammation known as gingivitis.” Gingivitis is the first stage in periodontal disease – the very condition flossing aims to combat. To reduce gingivitis is to reduce your chances of progressing into advanced gum disease, a condition more than half of Americans already suffer from (CDC).
It is unfortunate the scale of damage this article has the potential to incite; too many readers will take this “lack of evidence” as being evidence to the contrary, and feel it gives them permission to neglect a very essential part of their oral health care.
We can only do our best to keep our patients like you educated and on the path to a lifelong happy and healthy smile – a path that certainly includes consistent flossing.
CDC: “Periodontal Disease.” Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 10 Mar. 2015. Web

Dr.Malkemus

2 Padre Pkwy #200, Rohnert Park, CA 94928

Phone | (707) 585-8595

http://www.malkemusdds.com

Keep Calm and Floss On

Dental Deep Cleaning for Healthy Gums

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What is scaling and root planing? When is it recommended?

As with many aspects of general dentistry, scaling and root planing is a treatment related to keeping your mouth free of gum disease. Your routine appointments and your home care are preventative measures to maintain your oral health; but as nice as it would be to keep your oral health in perfect condition all the time, sometimes that just doesn’t happen. When we identify the onset of gum disease, we work quickly to reverse the condition and get you back on a healthy track. This is where scaling and root planing treatments play a critical role.

Often referred to as periodontal cleaning or deep cleaning, they are all the same form of treatment. The procedure removes dental plaque and tartar, specifically below the visible gum line. The spaces between your gums and teeth are prime breeding ground for bacteria and infection, so without treatment they can deepen and compromise your oral health. There are a variety of tools and methods available for periodontal cleaning, and each is designed to finely clean the dental pockets the gum disease is attacking and deepening. Successfully completed, the build-up collected around the teeth and gums will be removed, and the gums will heal tightly around the teeth for a secure and healthy fit.

Post-Treatment Follow-Up

Scaling and root planing are advantageous procedures if gum disease is present, but what about the importance of following up after you’ve been treated? Despite the fact healing and improvements will be seen immediately following treatment, the actual procedure is only the first step in arresting the periodontal disease. The true efficacy of scaling and root planing is contingent upon a number of variables, including patient compliance.

It is imperative the patient and our office collaborate to prevent the infection from recurring. Infection is often the result of negligent oral care, which will need to be excellent and diligently preformed following treatment. As it takes a significant period of time for the infection and bacteria to build-up, the remedial steps taken after scaling and root planing will not be an overnight solution – time and consistency will be necessary for a full recovery.

Subsequent appointments are often necessary in order to monitor and track the healing progress, and we will discuss the frequency and importance of these with you to ensure your understanding and comfort. Our office will be there to help through each and every step of this process with respect to your unique needs, as well as offer any resources or information necessary to restore your smile to a happy and healthy state.

 

Dr.Malkemus

2 Padre Pkwy #200, Rohnert Park, CA 94928

Phone | (707) 585-8595

http://www.malkemusdds.com

Dental Deep Cleaning for Healthy Gums

Amalgam Fillings: Should They Be Replaced?

What is a filling?
Receiving a dental filling is a common procedure that many people have personally experienced. As a bit of a background, a filling becomes necessary when a tooth is damaged by decay and needs to be restored and protected. The function of a filling is to both seal off any spaces where bacteria could enter, and to reshape the tooth to its original form and function. Fillings are an invaluable part of dental work because they offer both a solution for present damage, and act as preventative guards against potential future damage.
A variety of materials are used to create fillings: gold, porcelain, a composite resin, or an amalgam (commonly referred to as silver fillings) are all common choices. There is no ‘best’ type of filling, and the right option for you is truly dependent on your individual case and personal preference.
Why remove a filling?
There are a few different reasons one may want to replace a filling, including a more natural look. Porcelain and composite resins look the most natural and are placed to match your tooth color, and it is not uncommon for those with gold and silver fillings to request these more subtle options. Each type of filling has its own lifespan, which can range from just a few years to several decades, so sometimes a routine replacement may also be in order.
However, in addition to appearance and time, there is also a debate surrounding the use of amalgam fillings.
What is the amalgam filling debate?
By definition, the word ‘amalgam’ is synonymous with the words ‘mixture’ or ‘blend’. As an example, a smoothie would be considered an amalgam of fruits!
In the dental world, ‘amalgam’ as it is used to describe a filling indicates it is a mixture of materials – this means that silver fillings are not pure silver, they have other similar materials in them as well. The proposed problem with these fillings is that the material could contain toxic or harmful matter that could negatively affect your health.
Unfortunately, it isn’t so simple. The biggest concern expressed by those opposed to amalgam fillings is the potential exposure to mercury, and patients potentially being poisoned as a result. That does sound awful, until you consider that we are all exposed to some level of mercury. Mercury is present in fish! A person would have to eat a lot of fish before there was any risk of poisoning, and the same could be said about a small tooth filling that is mostly made of silver. On the other hand, we understand if you have concerns about the material used in your filling.
If you already have an amalgam filling, it’s important to note that removing a filling when not completely necessary is an extra procedure, and with any medical procedure there are always risks involved. If you are getting a new filling and are uncomfortable with the idea of amalgam, just let us know and we can find an option that is right for you. There are many choices when it comes to your filling material, and we want you to walk out of our office feeling confident with your smile and your health.

Dr.Malkemus

2 Padre Pkwy #200, Rohnert Park, CA 94928

Phone | (707) 585-8595

http://www.malkemusdds.com

Amalgam Fillings: Should They Be Replaced?

Pre-Medication for Dental Work After Joint Replacement

What is pre-medicating? What do artificial joints have to do with dental treatment? Why is this related to my oral health and not just overall health?
Good questions! Although artificial joints can seem like a far cry from concerns with your dental health, the two are more related than one may think. When it comes to artificial joints, there is an increased risk of infection due to the inorganic material in the body that should be taken into consideration. This is true from the time of placement, but it may also play a role with future medical treatments. It has long been suggested that pre-medicating should be a standard prerequisite to dental and other procedures, but what is pre-medicating and why would it help?

Pre-Medication Before Dental Procedures

Pre-medicating is the act of giving medication prior to a medical or dental procedure, which is done with the intention of staying ahead of potential infection problems. The theory is that bacteria from the mouth can enter the blood stream, and those with artificial joints are already more susceptible to infection. Pre-medication is meant to help mitigate this risk prior to the procedure to keep your overall health in check from start to finish.

Sounds simple – what’s the dilemma?

Your replacement joints may not affect treatments at all! Many question pre-medication as it does not appear to be necessary. In fact, the ADA directly states “In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection.” There is evidence that dental procedures are not associated with prosthetic joint implant infections, along with the fact that there is evidence to suggest that there are potential harms in taking medication when not completely necessary. As such, the risks do not outweigh the benefits of pre-medication. In individual cases, there may be exceptions; however, as a rule pre-medication is not a necessary prerequisite for effective dental treatments.
Please be sure to let us know if you have artificial joints, or any out of the ordinary medical circumstances. We will be sure to take them into consideration when it comes to developing your treatment plan. For the most part, your artificial joints will not require special treatment on your end – we can treat you as we would any other patient to keep your smile looking sharp!

Dr.Malkemus

2 Padre Pkwy #200, Rohnert Park, CA 94928

Phone | (707) 585-8595

http://www.malkemusdds.com

Pre-Medication for Dental Work After Joint Replacement

Easter Hard Candy

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Easter means many things to different families everywhere, but one thing that remains consistent is the appearance of candy! Whether it’s hidden in eggs or just passed around, it comes at a nice nearly halfway mark in the year from Halloween. Sweets make for some excellent treats, and there is no reason not to indulge (in moderation of course)! However, all candies are not created equal, and it may be worth knowing which ones you can have relatively guilt free, and which could spell trouble for your wonderful smile.

When it comes to Easter indulgences, chocolate may make it onto the nice list – we know, this is great news to many of you. The less forgiving candies are the ones that make that all-too-familiar CRUNCH! Hard candies, like lollipops or jolly ranchers, can be an awfully tempting treat to bite. But best case scenario is they can pack hard-to-reach pieces of sugar into your gums that end up sitting there, as saliva can have a difficult time breaking them down. Worst case scenario, that crunch sound may be coming from a broken tooth, and sending you straight from your Sunday activities into our office. We do love seeing our patients, but not at the expense of their healthy smile! It happens more often than you think, and it’s not just because of the sugar – even some who are prone to absentmindedly crunching on ice have discovered the dangers of biting down on crunchy munchies when they find a piece of their tooth broken off. Your teeth are durable for normal eating and chewing, but anything that causes too much stress can run the risk of chipping or breaking one of your pearly whites. Before you try to impress your friends with breaking that jaw breaker in half, remember that it’s earned that name for a pretty good reason.

Even if you resist that satisfying crunch, there are still a few other points of concern for hard candies that you don’t run into with other options (like chocolate!). Hard candies that you suck on tend to spend a concentrated period of time in a single location, which over-exposes particular areas of your mouth to sugar and lead to a very concentrated build-up of acid, which can be a quick way to damage the enamel. Consider this next time you find yourself unwrapping that tootsie pop or after-meal mint, and perhaps enjoy a stick of gum instead. It’s not often that the solution for a sweet treat is yet another sweet treat, but you’re in luck because this time it is! After enjoying your holiday treats, consider enjoying a piece of sugar-free gum – the increased saliva productions while chewing can actually help dislodge and break down the remaining sugar in your mouth.

Overall, we don’t want to take the enjoyment out of candy-filled holidays – enjoy your time with your friends and family, and definitely don’t be afraid to pop open that plastic egg and see what treats hide inside. If you do find yourself going crazy for the crunchy candies, we hope you chew safely…and if things go wrong, you always have your friends at our office to set things straight (:

Easter Hard Candy