Keeping in touch by blog!

Thank you for spending a few minutes and checking out my blog!

This is a great way for me to keep you informed about what's new at Oakdale Dental.  You'll find stories about todays dentistry and how it can make your life better and healthier, and sometimes some random thoughts I hope you find interesting. 

If you are already one of my patients, let me know what you think.  Any topics you would like to read about or questions you have, just send me an email.There is lots of information already on this site and my other practice website: Oakdale Dental! 

For those of you who I have not had the pleasure to meet yet, I'm glad to have here and feel free to drop by and pay us a visit at Oakdale Dental in beautiful Oakville.

So, come back once in a while...I try to post regularly and have some interesting things for you to check out and maybe a story or two to tell.


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"Great things start with a smile!" Dr Rosenblat

Thoughts for you, from my blog...

 

Monday
Mar182013

Can I lose calcium from my teeth?

Being a dentist, I get to meet all sorts of interesting people.  We chat about all sorts of things.  It's especially fun for me when a patient is in a technology field because as all my patients know I'm into computers and photography.  And when a patient like Terry comes in my assistant Pam gets out of the way because she knows we'll be talking about cameras for 20 minutes.aging smile, theoakvilledentist.com

Terry said something interesting the last time he was in.  He was concerned about losing the calcium in his teeth as he ages and how that will result in the breakdown of his teeth.  It's a common thing I hear from many of my patients in their retirement years.  But it is a misconception.  People think teeth and bone are basically the same in how they get and store calcium.  But teeth and bone are two very different things.

Bone is a very dynamic "material".  It is alive and constantly reforming.  In bone itself there are cells that produce new bone and cells that tear down old bone.  Calcium can be added and lost. That is why a fractured leg can heal, new bone is produced to connect the broken parts.  But teeth are pretty static.  More like a crystal.  The living part of a tooth is in the centre only ( ie the "nerve") and the only new tooth structure that is produced thoughout a person's life is inside the tooth. When  the nerve is trying to protect itself from some irritant ( ie decay) it tries making more tooth (dentine) to keep away from the irritant- like the layering of the rings of a tree you see when it's cut. But this is very limited and no dentine is removed by the living nerve of the tooth.  So a broken tooth can't heal like as a broken bone can.

The damage to teeth as people age is due to wear and tear and changes in a persons health.  For example older people often have increasing amounts of decay because their protective saliva flow decreases due to age and medictions ( ie blood pressure medication) . Combine this and the recession of the gums that exposes the more cavity prone roots of the teeth.  The roots of the teeth are always more susceptable to decay ( no enamel) and with less saliva to wash away food the teeth can decay more easily.  Elderly people also have a harder time holding and using a tooth brush (ie arthritis...)so their brushing is less able to keep up with their increased suceptability to decay.  And of course, through the passing of time fillings have been replaced and gotten larger and therefore weaker and more easily fractured.

So as you can see, the refrain I often hear from elderly patients about their teeth losing calcium and falling apart is really an aging process.  To help our seniors keep their teeth and ability to eat comfortably they need increasing help: seeing a dentist and his or her team. And seniors are great patients, I love treating them!

Dr Steven Rosenblat

Great things start with a smile!

theoakvilledentist.com

Monday
Mar042013

Digital Dental Radiographs, you know..."X-Rays"

I'm happy to announce we have completed a couple major technological upgrades in our office.  Our computer infrastructure has been completely  updated ( including new computers) as well as our electronic dental claims system, to make information processing faster and more reliable.  theoakvilledentist.com digital x-rays

But the biggest news is that we have purchase and installed a digital x-ray system and it's up and running! This allows many  benefits for the patient, the environment and information security.  With the upgrade we are now able to lower the already low dose of x-ray exposure even further while the images I use for diagnosis are better, clearer and more diagnostic than ever.  You the patient will not really notice any difference in the way the images are taken, but they are ready much faster. The environment benefits greatly too.  Old style film needs chemical processing.  There is also lead in each old film packet and that lead as well as the chemicals used in developing the x-ray films need to be disposed of. Well not any more!  Now all x-rays go directly into the patients computer file and we have back-ups of all the radiographic images so we can't lose or misplace them.  Have you ever noticed me looking through the chart, trying to find the lastest film X-Ray?  The computer backups of all computerized dental information, including the X-Rays and digital photographs that I take of my patients are encrypted before they leave the office for privacy and security.  ( bacups need to be taken out of the office as a safety measure). And, incase you are wondering, when I send dental information via email to specialist ( say they need a report or x-ray) I send encrypted files.  So my patient's information is secure.

Dr Steven Rosenblat

Great things start with a smile!

theoakvilledentist.com

 

Wednesday
Feb132013

Kids are great patients!

I find treating children to be a very rewarding experience. When parents ask me about bringing their child in for a first visit it is a great opportunity for me to make sure the child is not overly "prepared" for the appointment.  As a father I understand how parents want to protect their youngster form unpleasant experiences and pain.  Remembering what may have unfortunately been an unpleasant experience when they were young, parents will often tell their children things like "it won' hurt".  Kids are really smart.  Saying it won'tparents love to photograph their kids visits @ theoakvilledentist.com hurt can trigger anxiety; "why are you telling me that? Might it hurt?".  As a new experience there are some good books and cartoons a child can see to show them what a dental visit is like.  But when a child is sitting with me I have the chance to show and tell them what I do and often let them hold the dental instruments I use.  I want to remove the mystery of this new experience and even have the child help me with their visit.  It's great to have a mom or dad  in the room with the child and I at each visit too.  I love it when parents take pictures of their kids in the dental chair, helping to celebrate a new milestone in their growing up! And if a cavity is found it's usually the parent that is the most anxious.  Let me let you in on a little secret:  I find the freezing is usually one of the easiest parts of a filling appointment for a child! And at the end of their visit a trip to the Treasure Box helps reinforce the message: a dentist appointment is OK!

 

Great things start with a smile!

Dr Steven Rosenblat

theoakvilledentist.com

Tuesday
Feb052013

Bonding, Veneer or Crown?

There are so many ways dentistry can help improve your smile it can be confusing for the average patient to know what to ask for.  As a dentist I am obliged to offer all options and help guide my patients to the one that suits the patients needs the most.

The patient in the photo, I'll call her Jen, was really unhappy with the old filling on her front tooth.  It's quite obvious what she doesn't like. The filling on the front tooth was unsightly.  Jen wasn't interested in changing the shape or overall colour of the tooth.  Jen had hear of veneers and crowns and wanted to know which would suite her best. A crown would need me to remove a fair amount of irreplaceable tooth.  Even a veneer in this kind of situation would need some enamel removal. So I suggested to Jen we just replace the "filling" the newer generation composite bonding and see if she likes is.  To do this I don't need to remove nealry as much enamel from the tooth as I would with  a crown or veneer and if the result isn't to Jen's liking we can always move up to a veneer or crown. Jen was thrilled with the result.  The cost was much less than either a crown or veneer and was completed in one appointment.

bonding white filling by theoakvilledentist.com

I find this kind of cosmetic correction a lot of fun because of the immediate improvement I can provide. I especially like the reactions I get when my patients look in the mirror the first time!

Sometimes simple easy solutions to cosmetic problems are the best.

(p.s.- the after photo on the right was taken immediately after I finished polishing the filling.  It is well known that while a patients mouth is open the teeth dry out and lighten so the difference in Jen's two front teeth will lessen and be more like the left photo in a short  while after she left my office.

Dr Steven Rosenblat

theoakvilledentist.com

905 827-0301

Thursday
Dec062012

Am I too old for dental implants?

 As people get into their 60's and 70's the dental work and teeth supporting them often start to wear out. Teeth can be lost and managing with fewer teeth gets tougher as we age.  Chewing is an important part of digestion not to mention that eating is a pleasure we all like to enjoy our whole lives.

 When I review all the options to replace missing or soon to be missing teeth with my patients, dental implants are always at the top of the list.  There are many reasons for this.  Dental implants allow people to chew as strongly as with natural teeth.  They don't cause damage to adjacent teeth by relying on support from those teeth as a denture or bridge might.  And no one has ever had a cavity or needed a root canal on a dental implant tooth.

But with all the advantages of dental implants one reason people often tell me they do not want to consider implants is that they are too old to make this investment in their dental health.

I think they are looking at this the wrong way.  Partial dentures are a good example of tooth replacement that patients will opt for instead of dental implants.  It replaces missing teeth, it's relatively inexpensive and can look OK when you smile. Depending on how many teeth are missing, a partial denture can give a reasonable chewing experience, but they do move around as you chew. And they make it much harder to keep remaining teeth healthy as they trap food and plaque against the teeth that support them. As a result new cavities can be rampant on teeth that partial dentures hold on to.   And the support teeth have to do the work of missing teeth in addition to their normal chewing load causing more damage.  Dentures need to be removed to be cleaned and to give the tissues in the mouth a rest. People have more and more difficulty handling dentures and cleaning them as they age.  It is a great deal harder for older people to put dentures in and take them out of their mouths.  It is not uncommon that the partial denture wire clips need tightening to keep the denture in place , but older patients sometimes have to settle for a looser, wobblier fit so they can get them out of their mouth. They just can't get a grip on the properly tightened denture. Many don't even wear them because of loseness and lack of comfort. And full dentures are worse.

So if you consider the long term ability to eat comfortably and keep replacement teeth firmly in place, if you are missing teeth, dental implants make a good investment in your dental health - especially as we age.

 Dr Steven Rosenblat

"Great things start with a smile!"

theoakvilledentist.com

 

 

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