Is Minimally Invasive Dentistry Right For You?

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Minimally Invasive Dentistry has become quite popular recently. Dentists around the world have encouraged their patients and shared their positive opinions about this interesting technique. Minimally Invasive Dentistry is recommended for everyone, but especially for those of you who believe it is better to prevent than to treat illnesses and diseases. For today’s blog, we have chosen to talk about the importance of Minimally Invasive Dentistry and what it means for our patients. Hopefully, Dr. Galaif’s blog will encourage you to take steps toward this amazing dental procedure in the future.

Minimally Invasive Dentistry, or Microdentistry,  is the application of “a systematic respect for the original tissue.”   The goal is to conserve healthy tooth structure. It focuses on prevention, remineralization, and minimal dentist intervention. Using scientific advances, Minimally Invasive Dentistry allows Dr. Galaif to perform the least amount of dentistry needed, while never removing more of the tooth structure than is required to restore your teeth to their normal condition. In addition, in Minimally Invasive Dentistry, dentists use long-lasting dental materials that conserve the maximum tooth structure, so the need for future repairs is reduced.

What is Minimally Invasive Dentistry?

It is a term that includes numerous procedures, all of which are performed with the single aim to conserve and improve the patient’s oral health, providing healthy tooth structure. The term itself – Minimally Invasive Dentistry explains how dentists who use this approach focus on removing as little as possible when it comes to the tooth structure, while at the same time getting rid of the problem and improving your oral health in general.

How does it work?

Minimally Invasive Dentistry not only prevents common dental issues, it also analyzes and evaluates any possible risks and identifies problems in early stages.  Dr. Galaif will first evaluate your risk for tooth decay. The presence of bacteria, quality and quantity of saliva, and your diet all contribute to potential tooth decay. Dr. Galaif and his team will then use strategies to prevent or reduce your risk for tooth decay. For instance, if you have a high level of oral bacteria, you might be advised to use mouthwash daily, limit the intake of certain carbohydrates, and practice good oral hygiene.  With Minimally Invasive Dentistry, Dr. Galaif and his staff provide a chance to reduce the need for future dental repairs, achieved by using long-lasting materials and the least amount of dentistry which is also highly efficient at the same time. In order to do so, Dr. Galaif will perform series of tests in order to determine important highlights, such as the number of healthy bacteria in your saliva and the presence or absence of tooth decay and caries.

Here are some of the Minimally Invasive Dentistry options:

Air abrasion

Air abrasion is a drill-less technique used to remove tooth decay, and it can perform other procedures too. The technique uses a stream of aluminum oxide particles generated from compressed air, or helium. These abrasive particles use a high velocity to act on a tooth and remove a small concentration of its structure. Hardness of the material or tissue being removed influences efficacy of air abrasion. Parameters of the device used to perform air abrasion also contribute to effectiveness of the procedure. This Minimally Invasive technique can be used for the removal of pit and fissure surface stain on enamel before placing veneers, and can also detect caries, and remove other defects.

Remineralization

Remineralization is a process of restoring minerals, the damage that has been done due to demineralization. Demineralization is a chemical process wherein minerals, mainly calcium and phosphate, are removed from enamel, dentine, and other tissues in your mouth. Studies show that demineralization of teeth is caused by acidic attack through dietary acids consumed through food and beverages and microbial attack from bacteria present in the mouth.

When not addressed properly, demineralization can lead to caries and other problems. The gold standard in a process of remineralization is fluoride, which is why dentists recommend it to their patients, but other methods are also useful such as the use of toothpaste containing casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), gums, mouthwash and other products containing xylitol.

Sealants

Dental sealants are plastic coatings used to protect the teeth from the harmful bacteria that lead to the process of tooth decay. Sealants are a safe, effective, and fast way to protect your teeth from damage, caries, and other problems. The plastic coating is applied onto the biting surfaces of the back teeth (molars and premorals). Once applied, the sealant forms a hard shield that prevents bacteria and food in small grooves in your teeth. The reason why sealants are put on molars and premolars specifically is because these teeth have small pits where food can get stuck. The process is fast, it takes only a few minutes to position a sealant on each tooth. And the entire procedure is typically pain-free.  Dentists have been using sealants to cover the grooves on chewing surfaces, and now they are using them to close up lesions developing between teeth. They apply the resin onto the tooth’s surface, and a network of pores within the enamel force the resin deep into the tooth.

Bite Splints

Bite splints are created to prevent damage from teeth grinding, especially at night. Bite splints are hard plastic wafers specifically designed to fit over upper teeth. The primary purpose of bite splints are to stop you from grinding the teeth or bruxism, which is something that most people do while they sleep. This habit wears down tooth enamel and makes it prone to damage. At first, wearing a bite splint may be unusual or awkward, but you’ll get used to it. Proper care is mandatory so always make sure you keep the bite splint in a container with a little cold water to prevent it from drying out.

Inlays and Onlays

Inlays and Onlays are used to restore the form of the teeth after a certain procedure has been performed, such as removal of caries. These restorations are generally used to repair back teeth with mild to moderate decay. They also prove to be useful when addressing cracked or fractured teeth that aren’t damaged to a degree that requires a crown. Patients with too much tooth damage and decay that can’t be fixed with a filling are ideal candidates for Inlays and Onlays. A major benefit of these restorations is their durability as well as the ability to strengthen teeth.

What are the advantages of Minimally Invasive Care?

Minimally Invasive Care has many benefits, especially for patients, as it includes simple treatment options that can reduce anxiety and result in better long-term outcomes. Minimally Invasive Care treatments, which are often less expensive, include diagnostic solutions, fluorides, antimicrobials, regeneratives, and therapeutic fillings and sealants. For patients, these options are far more desirable and accessible than expensive and painful needles, drills, and extractions. Minimally Invasive options can also help patients (and providers) avoid the cycle of repairs and procedures that are often needed with other restorative work.

Minimally Invasive Dentistry focuses on not only treating common dental issues, but also on preventing and reducing the risks of these issues. By using high quality, long lasting materials, sharing basic tips on how to take care of your oral health, reminding you to check in with Dr. Galaif regularly and discover any problems while it still in their early stages, Minimally Invasive Dentistry is a very positive option and approach which is valued by dentists and accepted by patients who have enjoyed successful results.

Give Dr. Galaif a call at (818) 789-6789 to learn more about Minimally Invasive Care options that we offer.

You can also visit the appointment page on our Web site:

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The Truth about Root Canals

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A Root Canal treatment (also known as an endodontic treatment) is a dental procedure to remove inflamed or infected pulp inside of your tooth, which is then cleaned and disinfected, filled and sealed.  The goal is to repair and save a badly damaged or infected tooth, instead of removing it.  Root Canal treatment is designed to eliminate bacteria from an infected root canal, prevent reinfection of the tooth, and try to save your natural tooth.  The term “Root Canal” comes from cleaning of the canals inside a tooth’s root.  You don’t need to be overly worried if Dr. Galaif prescribes a Root Canal procedure to treat your damaged or diseased tooth.  Millions of teeth are treated and saved this way each year, relieving pain and helping make teeth healthy again.  Decades ago, Root Canal treatments were sometimes painful and often caused anxiety for some patients. With dental advances and local anesthetics, most people have little if any pain during their treatment.  In reality, it’s typically much more painful to live with your decayed or decaying tooth.

Inside your tooth, beneath the white enamel and a hard layer called “dentin” is a soft tissue called “pulp.”  The pulp extends from the crown (the visible part of your tooth) to the tip of the tooth’s root in the jawbone. This pulp tissue contains blood vessels, nerves and connective tissue, which help grow the root of your tooth during development.

 When a tooth is cracked or chipped, or has a deep cavity, bacteria can enter the pulp. Injury to the tooth can also cause pulp damage and inflammation.  A tooth’s nerve and pulp can become irritated, inflamed, and infected due to deep decay, and also because of trauma to the face.  You might injure a tooth if you get hit in the mouth, and the pulp can still be damaged even if the injury doesn’t crack your tooth.  Left untreated, bacteria and decaying material can cause a serious infection or a tooth “abscess,” leading to pulp death, bone loss and ultimately loss of the tooth itself.  An abscess is a pus-filled pocket that forms at the end of the roots of the tooth, and happens when the infection spreads all the way past the ends of these roots.

A fully developed tooth can survive without the pulp, because the tooth continues to be nourished by tissues surrounding it.  A tooth’s nerve is not vitally important to a tooth’s health and function, after your tooth has come through the gums.  Its main function is sensory – to allow the sensation of hot or cold.  The absence of a nerve won’t affect how your tooth works.

How to Know if You Need a Root Canal

A Root Canal treatment may be needed for a cracked tooth from injury or genetics, a deep cavity, or issues from a previous filling.  Patients generally may need a Root Canal when they notice their teeth are sensitive, particularly to hot and cold sensations.

Here are potential symptoms that might indicate your need for a Root Canal procedure:

  • Toothache or tooth pain, often severe pain while chewing or biting
  • Swollen or tender gums
  • Swelling that may spread to other areas of the face, neck, or head
  • Lingering sensitivity to hot or cold, even after the sensation has been removed
  • Pimples on the gums
  • A chipped or a cracked tooth
  • Bone loss around the tip of the root
  • A hole through the side of your tooth, with drainage into your gums
  • Drainage problems extending outward from the root, sometimes through the cheek with drainage into your skin
  • Deep decay or darkening of the gums

A modern Root Canal treatment is actually pretty similar to a routine filling, dental specialists handle them every day and can usually complete the procedure in a single appointment, depending on the condition of your tooth and your personal circumstances.

Getting a Root Canal can be relatively painless, and extremely effective.  In the majority of cases, Dr. Galaif performs Root Canals while you’re under local anesthesia.  The root canal itself is generally a bit sore or numb after your procedure is completed, so you may experience mild discomfort for a few days.  We will try to have you once again pain free as soon as possible – back to smiling, biting and chewing with ease in a timely manner.

Dr. Galaif is usually able to complete most Root Canal procedures within one office visit.  In fact, we recently had a patient fly down from the Bay Area for his treatment.  Dr Galaif was able to do a one visit root canal and build up, prepare the tooth for a crown, mill the crown and then cement the crown at the same time.  Dr. Galaif was able to have this patient back on his flight home the same day!

Saving your natural tooth with Root Canal treatment has many advantages:

  • Efficient Chewing
  • Normal Biting Force & Sensation
  • Natural Appearance
  • Protection of Your Other Teeth from Excessive Wear or Strain

The Root Canal procedure will follow these steps:

  1. Dr. Galaif’s team will take an X-ray to see the shape of the root canal(s) and determine if there are any signs of infection in surrounding bone.
  2. Dr. Galaif will typically use local anesthesia to numb the area near the tooth.
  3. To keep the area dry and free of saliva during treatment, we will place a rubber dam (a sheet of rubber) around the tooth.
  4. The next step is drilling access into the tooth.
  5. The pulp, bacteria, and decayed nerve tissue are then removed from the tooth, and the area is cleaned out using a series of root canal files.
  6. As the work is done, water or sodium hypochlorite will be sprayed in the area to flush away the debris.
  7. Once the tooth is thoroughly cleaned, it will be sealed.  If there is an infection, Dr, Galaif may put a medication inside your tooth to help clear that up.
  8. Once the pulp has been removed, Dr. Galaif may coat the area with a topical antibiotic to ensure the infection is gone, and to prevent reinfection.
  9. Dr. Galaif may also prescribe you oral antibiotics.
  10. If the root canal is not completed on the same day, a temporary filling is placed in the exterior hole in the tooth to keep out saliva and food between appointments.
  11. The final step is further restoration of the tooth –a crown, crown & post, other restoration to protect your tooth, prevent it from breaking, and restored to full function.
  12. Dr. Galaif will discuss the need for any additional dental work with you.

Recovery from a Root Canal

You will most likely be numb for 1 to 2 hours following your Root Canal treatment, and most of our patients are able to return to school or work directly following the procedure.  We do advise against eating, until the numbness is completely gone.

After the procedure, your restored tooth with the new crown should work just like a natural tooth, and look cosmetically pleasing.  If you follow good dental and oral hygiene, your restored tooth could last a long time. The first few days after your Root Canal treatment, the tooth may be sensitive due to tissue inflammation, especially if there was pain or infection prior to the procedure.  This can usually be eased with over-the-counter pain medications such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin) or naproxen (Aleve).  If pain or pressure becomes extreme or lasts more than a few days, be sure to reach out to Dr. Galaif or someone on our team.

It may take several weeks for you to get used to how the tooth feels after your procedure.  This is normal, and no cause for concern.

The Cost of a Root Canal

The cost of a Root Canal treatment varies depending on how complex the problem is, and which tooth is affected.  Molars are more difficult to treat; so the corresponding fee is usually more.  Most dental insurance policies provide some coverage for endodontic treatment.  Generally, Root Canal treatment and restoration of your natural tooth will be less expensive than the alternative of having the tooth extracted.  An extracted tooth must be replaced with an implant or bridge, to restore chewing function and prevent adjacent teeth from shifting.  These procedures tend to cost more than endodontic treatment and necessary restoration.

Saving your natural teeth is always best option, if possible.  Your natural teeth allow you to eat a wide variety of foods, necessary to maintain proper nutrition. The Root Canal procedure can help save your natural teeth.  Alternatives include extracting the damaged tooth, no further treatment, or replacing the tooth with a dental implant, bridge or removable partial denture.  These other options are typically more expensive than a Root Canal procedure, require more treatment time, and do not tend to have as positive a result for our patients.

Root Canal treatment is highly successful – the procedure has more than a 95% success rate.  Many teeth fixed with a Root Canal can last a long time.

Root Canal Prevention

Since some of the reasons the nerve of your tooth and its pulp may become inflamed and infected due to deep decay, repeated dental procedures or large fillings, there are steps you can take to help avoid the need for a Root Canal:

 

  • Brush your teeth at least twice every day.
  • Floss at least once per day.
  • Wear a mouth guard to avoid sports-related injury.
  • Make regular appointments to see Dr. Galaif.
  • Wear a night guard if you clench or grind your teeth.

Just as the rest of your teeth depend on good oral hygiene habits, your restored tooth requires regular brushing and flossing as well.

If you experience symptoms of a potential Root Canal, or any other oral health concerns or issues, please give us a call at (818) 789-6789 to make an appointment.

You can also visit the appointment page on our Web site:

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Do You Or Someone You Know Suffer From TMJ Pain?

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The temporomandibular joints (TMJ) are the 2 joints that connect your lower jaw to your skull, one on each side.  They are the joints that slide and rotate in front of each ear, and consist of the mandible (the lower jaw) and the temporal bone (the side and base of the skull).  You can feel them by placing your fingers in front of your ears and opening your mouth.

The TMJ’s are among the most complex joints in the body, which along with several muscles allow the mandible to move up and down, side to side, and forward and back. When the mandible and the joints are properly aligned smooth muscle actions, such as chewing, talking, yawning, and swallowing are able to take place. When these structures (muscles, ligaments, disk, jaw bone,  temporal bone) are not aligned, or synchronized in movement, problems may occur.

Temporomandibular disorders (TMD) are disorders of the jaw muscles, temporomandibular joints (TMJ), and the nerves associated with chronic facial pain. Any problem that prevents the complex system of muscles, bones, and joints from working together in harmony may result in temporomandibular disorder (TMD).

There are three main classes of TMDs:

  1. Disorders of the joints, including disc disorders
  2. Disorders of the muscles used for chewing (masticatory muscles)
  3. Headaches associated with a TMD

The National Institute of Dental and Craniofacial Research classifies TMD by the following:

  • Myofascial Pain (the most common form of TMD), resulting in discomfort or pain in the fascia (connective tissue covering the muscles), and muscles that control jaw, neck and shoulder function.
  • Internal Derangement of the Joint – which means a dislocated jaw or displaced disk (cushion of cartilage between the head of the jaw bone and the skull), or injury to the condyle (the rounded end of the jaw bone that articulates with the temporal skull bone).
  • Degenerative Joint Disease, which includes osteoarthritis or rheumatoid arthritis in the jaw joint.

It is possible to have one or more of these conditions at the same time.  The exact cause of a person’s TMJ disorder may be difficult to determine. Your pain may be due to a combination of factors such as genetics, arthritis or jaw injury. Sometimes the main cause is excessive strain on the jaw joints and the muscle group that controls chewing, swallowing, and speech. This strain may be a result of habitual, involuntary clenching or grinding of your teeth (bruxism), although some people who clench or grind their teeth never develop TMJ disorders.  Trauma to the jaw, the head, or the neck may also cause TMD. Arthritis and displacement of the jaw joint disks can cause TMJ pain. In other cases, another painful medical condition such as fibromyalgia or irritable bowel syndrome may overlap with or worsen the pain of TMD. The National Institute of Dental and Craniofacial Research has identified clinical, psychological, sensory, genetic, and nervous system factors that may put a person at higher risk of developing chronic TMD.

A recent study found that about 11 to 12 million adults in the United States have had pain in the region of the temporomandibular joint (TMJ).  Temporomandibular disorders (TMD) are twice as common in women than in men, especially in women between the ages of 35 and 44 years old.  In most cases, the pain and discomfort associated with TMJ disorders is temporary and can be relieved with self-managed care or nonsurgical treatments. Surgery is typically a last resort after conservative measures have failed, but some people with TMJ disorders may benefit from surgical treatments.

The following are the most common signs and symptoms of TMD:

  • Jaw discomfort or soreness
  • Headaches or migraines
  • Pain spreading behind the eyes, in the face, shoulder, neck, and/or back
  • Pain in and around your ear, earaches or ringing in the ears (not caused by an infection of the inner ear canal)
  • Aching facial pain or swelling on the side of your face
  • Toothache
  • Pain or tenderness of your jaw
  • Painful clicking, popping, or grating in the jaw joint when opening or closing your mouth
  • Locking of the joint, making it difficult to open or close your mouth
  • Limited mouth motions
  • Difficulty chewing or pain while chewing
  • Clenching or grinding of the teeth
  • Dizziness
  • Sensitivity of the teeth, without the presence of an oral health disease
  • Numbness or tingling sensation in the fingers
  • A change in the way the upper and lower teeth fit together

TMJ disorders can cause a clicking sound or grating sensation when you open your mouth or chew. But if there’s no pain or limitation of movement associated with your jaw clicking, you may not need treatment for a TMJ disorder.  The symptoms of TMD may look like other conditions or medical problems.  Make an appointment with Dr. Galaif for an accurate diagnosis.

The best treatment will based on how old you are; your overall health and medical history; how well you can handle specific medicines, procedures, or therapies; how long the condition is expected to last; and your opinion or preference.  Dr. Galaif will note your symptoms, and take a detailed medical history.  He will ask questions about your pain, including its location, when it occurs, what makes it better or worse, and if it stays in one area or spreads to other parts of your body. Dr. Galaif will also ask if you have other pain conditions such as headache or back pain, and examine your head, neck, face, and jaw for tenderness; jaw clicking or popping; or difficulty with movement. He may also suggest imaging studies such as an X-ray, Magnetic Resonance Imaging (MRI), or Computed Tomography (CT).

Treatment(s) may include:

* Resting the Temporomandibular Joint (TMJ)

* Medicine or pain relievers

* Moist heat or cold packs

* Relaxation techniques and/or stress management

* Physical therapy, ultrasound or biofeedback

* Acupuncture

* Diet changes (soft foods to rest the jaw muscles, avoiding hard and crunchy, or chewy foods)

* Behavioral changes (including things like improving posture, not holding a phone between your shoulder and ear)

* Limit extreme jaw movements (keeping yawning and chewing, especially gum or ice to a minimum, don’t yell, sing, or do anything that forces you to open wide)

* Trigger point injections

* Transcutaneous Electrical Nerve Stimulation (TENS, using low-level electrical currents to relax your jaw muscles)

* Surgery

Dr. Galaif may also recommend an intraoral appliance to reduce teeth grinding (a device that fits over your teeth, but does not change the teeth or your bite). These appliances are also known as nightguards, splints, occlusal splints, interocclusal splints, or bruxism splints.

TMJ Implants are artificial devices that are used to replace part of the jaw joint or the entire joint. Implants might be considered when:

  • There is an injury to the joint
  • There is a condition you’re born with (congenital condition) that needs to be repaired
  • The joint is frozen (ankylosis), commonly caused by injury or infection
  • There’s severe damage to the joint
  • There’s ongoing pain
  • All simpler treatments have been tried, and have failed

In certain cases, TMJ implants can improve function and quality of life.

There are several types of over-the-counter (OTC) and prescription medications that can ease TMJ symptoms, including:

* Pain relievers like acetaminophen

* Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen

* Muscle relaxers (particularly helpful for people who clench or grind their teeth)

* Antidepressants (which can change how your body interprets pain)

 

If you are concerned about TMJ or TMD issues, or if you have other oral health concerns,

give us a call at (818) 789-6789 to make an appointment for the highest quality dental care.

You can also visit the appointment page on our Web site:

Contact Us

Is Bad Breath an Issue for You?

Is Bad Breath an Issue for You?

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Halitosis is the medical term for bad breath, which can be embarrassing and may cause anxiety.  Everyone gets bad breath from time to time — especially after eating garlic, onions or other strong foods.  However,  Chronic Halitosis doesn’t go away, and could indicate an oral health issue or a condition that’s affecting another part of your body.  Halitosis may be a symptom of many different conditions, a warning message from your body.  Finding the root cause of Halitosis is the first step in treating the problem.

As consumers we are constantly bombarded with products and marketing for gum, mints, mouthwashes and other products designed to counteract our bad breath.  But most of these products are only temporary measures, because they don’t address the cause of the problem.  Mints and gum do little to mask the powerful stench of garlic, onions, or fish. Drinking plenty of water will wash away some odor, but Volatile Sulfur Compounds, or VFCs, are a common cause of bad breath. VFCs are the natural byproduct of bacteria, and bacterial overgrowth leads to foul mouth odor.

You should be able to improve bad breath with consistent proper dental hygiene.  If simple self-care techniques don’t solve the problem make an appointment to see Dr. Galaif, to be sure a more serious condition isn’t causing your bad breath.

Symptoms

Bad breath odors vary, depending on the source and/or the underlying cause. Some people worry a lot about their breath, even though they have little or no mouth odor, while others may have extreme bad breath and not even know it.  Because it’s difficult to assess how your own breath smells, you can ask a close friend or relative to confirm bad breath questions.

Potential Causes

The most common cause of Halitosis is poor oral hygiene.  Without proper oral hygiene — which includes brushing, flossing and routine dental cleanings, harmful bacteria invade your mouth and can multiply out of control.  This may lead to a variety of oral health issues such as Halitosis, cavities and gum disease.

While poor oral hygiene is the most common cause of Halitosis, it is not the only one. There are several other conditions that can cause bad breath, including:

  • Dry Mouth: saliva helps wash your mouth, so if your body isn’t making enough saliva it can lead to Halitosis.  Smoking can cause Dry Mouth, and it also increases your risk for gum disease.  Certain medications may also lead to Dry Mouth.
  • Infections in your Nose, Throat or Lungs: People with pneumonia, for example, cough up liquid that smells bad.  Seasonal Allergies and Postnasal Drip may also cause Halitosis.
  • Head and Neck Cancers:  Symptoms of oral or oropharyngeal cancer (your oropharynx is between your nose and mouth) include sores that don’t heal, mouth pain, difficulty swallowing, a lump in your neck and unexplained weight loss.
  • Gastroesophageal Reflux Disease (GERD):  Commonly called “Acid Reflux,” a digestive disorder in which stomach acid or fluid leaks back into your esophagus, the tube that takes food from your mouth to your stomach.
  • Tonsil Stones: When food gets stuck in your tonsils (located in the back of your throat), it sometimes hardens into calcium deposits called Tonsil Stones or tonsilloliths.
  • Gum Disease: Gingivitis is an inflammation of your gums that can cause redness, swelling and bleeding. It’s caused by plaque, a sticky film that builds up on your teeth and can be removed by brushing and flossing. Untreated Gingivitis can lead to Periodontitis, which damages gum tissue and can lead to tooth and bone loss around your teeth. Trench Mouth is an advanced form of gum disease that can involve intense pain, bleeding, fever and fatigue. (It’s called “Trench Mouth” because it was a common illness for soldiers in the trenches during World War I).
  • Diabetes: People with Diabetes have an increased risk of gum disease, which can make it harder to manage Diabetes because it may increase blood sugar.
  • Liver Disease or Kidney Disease: When your liver and kidneys are working properly, they filter toxins out of your body. If not, these toxic substances aren’t being cleared out, which can result in Halitosis.
  • Sjögren’s Syndrome: This autoimmune disease can lead to muscle pain, dry eyes, dry skin and dry mouth (often linked to Halitosis).

Proper Oral Hygiene is the best way to keep your breath smelling clean and fresh. Here are some general guidelines:

  • Brush twice a day, for at least two minutes at a time, and floss at least once every day. Remember to clean your tongue with your brush or a tongue scraper, which you should be able to find in the dental care products aisle of your local supermarket. The tongue’s surface is covered in tiny bumps called Papilla (where bacteria accumulate).  This twice-daily practice removes harmful pathogens, including those that cause gum disease, cavities, tooth infections, and bad breath.

  • Use an antibacterial, therapeutic mouthwash regularly.  Look for a mouthwash with the ADA Seal of approval.
  • See Dr. Galaif regularly, for checkups and a professional cleaning. For some people, this may be every six months and some patients may need more frequent visits to keep your oral health in check.  In contrast to your at-home brushing and flossing, professional dental cleanings remove calculus between teeth, at the gum line, and beyond if necessary.
  • Drink a lot of water to help prevent dry mouth.
  • Boost the production of saliva by using sugar-free chewing gum, sucking on sugar-free candy or eating healthy foods that require a lot of chewing. Dr. Galaif might recommend or prescribe products that can produce artificial saliva or help your body produce saliva.
  • Avoid caffeine and tobacco products because they can dry out your mouth, along with excessive alcohol use. If you’re considering making a positive change, you might explore options like home alcohol detox to help you on your journey. For more information, check out this site at www.anormed.com.

If you suffer from chronic Halitosis on a regular basis, don’t be embarrassed!  Take the necessary steps for oral hygiene, and give us a call at (818) 789-6789 to make an appointment for the highest quality dental care.

You can also visit the appointment page on our Web site:

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learn about insurance options

In-network vs Out-of-network dentists

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It can be difficult to understand the real differences between In-network and Out-of-network dentists, with regards to dental insurance coverage you may have.  In-network dentists agree to terms and conditions set forth by insurance companies.  The insurance company can actually decide what types of procedures the In-network dentist can do for patients covered under their plan.  The insurance company can deny payment, or require the dentist to downgrade treatment as diagnosed for the patient because the insurance company deems it unnecessary (even if the dentist believes it is the best line of treatment, and will result in the best outcome for their patient).  In addition, In-network providers agree to fees for their services set forth by the insurance company.  They agree to take whatever payment the insurance company is willing to provide.  Most often, this insurance “reimbursement” is far less than the value of the procedure, the dentist’s time, and materials used.

Out-of-network dentists refuse to allow insurance companies to dictate how they will treat their patients.  They choose not to sign up with insurance companies, because they do not want the restrictions In-network dentists must conform to.  Out-of-network dentists are free to do what is best for the patient.  They diagnose and treat with only the patient’s best interest in mind.  They don’t have to stop and wonder if the insurance will allow a certain procedure.  They are unencumbered by stipulations set forth by insurance companies.  Therefore, Out-of-network dentists are able to use the best materials and techniques, ensure the best cosmetic outcome for your smile, and spend much more time with patients.  Only you, the patient, and your dentist, know the issues you have, the sensitivity you may be feeling, and the look you want to achieve, so only you and your dentist can determine what line of treatment is best for you.  Out-of-network dentists provide a one-of-a-kind experience.  In-network providers tend to lean toward more of a cookie-cutter, one-size-fits all experience for their patients, because that is least time consuming, and cheapest for the insurance company.

If you visit a dental practice that is In-network, you will probably pay as little out of pocket as possible. That’s because the dentist has contracted with your insurance company to controls prices.  The disadvantages are that this contract tends to control the methods and materials these dentists use for treatment, which can contribute to less-than-ideal care.  In-network dentists may take on quite a few patients in order to meet financial goals. This might mean they are very busy, and do not always have time to spend necessary time with patients one-on-one, to provide the best treatment possible.

You will probably pay slightly more at an Out-of-network practice. However, Out-of-network dentists are free to provide the care that they feel is best for patients, not the care an insurance company tries to dictate.  Out-of-network dentists are able to provide more personalized, comfortable care.

Most consumers believe that if you see an In-network dentist, you pay nothing for your appointments.  This is not always the case – every insurance plan has many rules and stipulations for coverage.  For example, some work on a fee schedule meaning that they will pay only a percentage of a service.  Others provide annual benefits, meaning that they have a set maximum amount they will pay toward dental care in one year.  Some only provide coverage for preventative appointments, and most have deductibles that have to be met before the insurance company pays for any services.  Always read the fine print and ask questions before signing up for dental insurance, so you understand the coverage and can be prepared.

Insurance companies sometimes use scare tactics to make consumers think Out-of-network providers are “bad” and more expensive.  Their websites use language like, “beware of out-of-network providers,” and “avoid paying high out of pocket costs.”  They don’t explain that even with insurance, you will still have out of pocket costs, and that your treatment could be downgraded or even denied by your insurance company.

Many patients do not realize that their In-network Dentist is accepting less money for doing their dental work.  Many of these In-network dentists use less expensive labs and/or materials.  High quality dental offices like Dr. Galaif do not make purchasing decisions based on a dollar amount – if materials, equipment and/or labs and other referred doctors are good for our patients or our practice, then we make the purchase, contract with the lab or offer a referral.  Dr. Galaif uses the highest quality materials and the best labs.  The dentistry we provide to all of our patients is the dentistry we would want in our own mouths, those of our children, parents, relatives and friends.  We use the latest and most cutting-edge technology to enhance our patient’s experience and comfort, which can be very costly in some cases.  We use computers to deliver anesthetics.  We have an air abrasion machine to do small fillings, without drilling or Novocain.  We have a CAD CAM system so we can make crowns right in our office, during a single visit, which eliminates the need for temporary crowns to be replaced later on subsequent visits, after waiting for labs to prepare and deliver them.

Planmeca Laptop, Scanner & Mill

Dentist who accept lower fees are not able to purchase these items or utilize such technology.  Some In-network dentist use a less expensive lab for their low fee insurance patients, and a higher fee lab for their higher fee patients.  We use the same lab for all of our patients, contracting with specialty labs for each and every procedure need – we have separate implant labs, night guard labs and denture labs.  Some dentists buy off-market implant parts.  We only buy parts directly from manufacturers.

When you visit Dr Galaif for your appointment, you will notice that we always spend quality time with our patients – from the front office staff who greet you, assistants, hygienists and Dr. Galaif himself.  We work very hard on our schedule to ensure that our patient’s do not have to wait.  We do not run from room to room.  Dr. Galaif schedules new patient exams and consultations so that he can spend at least an hour with you.  In-network dentists cannot afford to offer this level of service, nor spend this amount of time with each patient because they are getting paid much less and need to do more volume.

 

Dr. Galaif only hires the best staff available, and the highest quality staff comes with associated costs.  We have amazing people who answer the phones, incredible assistants, and the best, most well-trained hygienists.

For any dental needs, especially complex or cosmetic procedures, it’s a good idea to choose a dentist who will suit your needs and is an expert in the field.  With that in mind, you may want to see an Out-of-network provider to ensure the highest quality treatment.  You can also find out if you might still be able to use your insurance plan, to get your insurance company to reimburse certain payments to you.

Please be aware when making insurance decisions that you are going to get what you pay for.

Call us to make an appointment for the highest quality dental care at (818) 789-6789, or visit the appointment page on our Web site:

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toothbrush and water

Do you know what Sleep Dentistry is?

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Most patients think Sleep Dentistry refers to Sedation of patients during complex dental procedures, but it is actually what dentists do to help people who have sleep problems.  Dr. Galaif can work with you to help ease sleep apnea and/or snoring symptoms. About 50 to 70 million Americans have ongoing sleep disorders, including about 18 million with sleep apnea.

Dental sleep medicine is an area of dental practice that focuses on the use of oral appliance therapy to treat sleep-disordered breathing, including snoring and sleep apnea.   Obstructive sleep apnea (OSA) happens when tissue in the back of the throat collapses and blocks the airway while you’re sleeping, cutting the amount of oxygen delivered throughout the body.  As air attempts to pass through this collapsed airway, tissues vibrate and cause you to snore. Sometimes this collapse prohibits airflow so severely that you briefly stop breathing; your body automatically responds and wakes you up, allowing airflow to resume.  You may wake up so briefly that you don’t even know it.  Snorers also tend to lose sleep, sometimes because their own loud noise rouses them, not to mention their bed partner, who may be bothered (sometimes to a critical point in a relationship) by the noise.

In addition to the nightly annoyance, the pattern of air deprivation and breath resumption known as OSA can also cause more serious complications, including:

  • Chronic fatigue
  • High blood pressure
  • Depression
  • Heart failure and other Heart-related issues

There are only 2 products approved by the FDA to eliminate or reduce OSA:  An oral appliance or a CPAP machine. Both the oral appliance and CPAP eliminate or reduce sleep apnea by opening the blocked airway in the back of your throat. A CPAP opens the blocked airway by forcing air down your throat through a mask. Consequently, your airway remains open, thus eliminating or reducing sleep apnea.  An oral appliance moves the position of the jaw, preventing muscle collapse and keeping the airway open, eliminating or reducing sleep apnea.

Dentists trained in dental sleep medicine use oral appliance therapy to treat sleep-disordered breathing, including snoring and OSA. Oral appliance therapy is a proven, effective treatment for OSA provided by Dr. Galaif – a custom dental appliance we create for you to wear at night while you sleep. These plastic devices pull the jaw forward, which advances the tongue and helps open the airway, cutting down on snoring and the tissue collapse that causes OSA. They’re like night guards and retainers with a top and bottom.

During your first visit, Dr. Galaif will take molds of your teeth and bite, and sends them out to a manufacturer.  At the next visit, he’ll adjust the appliance, show you ho

w to put it in, and modify it to make it more comfortable.

For many people with OSA, appliances are a better choice than CPAP (Continuous Positive Airway Pressure) machines prescribed to help nighttime breathing. The bulky masks aren’t for everyone and almost half of people stop using them. Oral appliances are a welcome alternative that people are more likely to use.  A 2013 study confirmed that oral appliances can successfully treat apnea cases of all levels of severity.

Look for these other warning signs of sleep apnea, other than snoring and waking:

Weight and Collar Size

Sleep apnea is more often diagnosed in people who are overweight, and may have a large neck; excessive tissue in the throat contributes to less airflow.

Coffee Consumption

Are you constantly drinking coffee because you’re always tired, despite getting to bed early enough?  People with sleep apnea may log plenty of hours in bed, but the quality of sleep is so poor they’re always fatigued.

Jaw Pain

ear pain from upper airway resistance

If you wake up with jaw pain or soreness, Dr. Galaif can help identify what’s causing this discomfort during your sleep.

Cracked/Worn Teeth

 

If you have sleep disorder, chances are that you grind your teeth, wearing off the enamel.

According to the Department of Health, 80% of people prefer an appliance over a CPAP.  Sleep dentistry caters to a whole range of sleep disorders that can be treated using oral appliances. If you identify with any of the above, you should make an appointment with Dr. Galaif for a consultation as soon as possible.

Call us to make an appointment at (818) 789-6789, or visit the appointment page on our Web site:

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COVID and your teeth

Effects of COVID on Oral Health

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According to the CDC, Populations disproportionately affected by Coronavirus Disease 2019 (COVID-19) are also at higher risk for oral diseases, and experience oral health and oral health care disparities at higher rates.  The increase in stress and anxiety levels in response to the COVID-19 outbreak impacted health-promoting behaviors, including oral hygiene.  There is worrying research regarding the link between gum disease and COVID-19.  It has been indicated that those with gum disease are more likely to experience severe COVID-19.   A study published in the Journal of Clinical Periodontology revealed that gum disease is a significant risk factor for coronavirus, which is worrying when you consider the fact that as many as half of the adults in America have this condition.  Research found that patients with COVID-19 were nine times more likely to die if they had gum disease.  Researchers found a close connection between the severity of dental disease, and the severity of COVID-19.  About 75% of those with severe dental disease were hospitalized with COVID-19.

In this context, seeking regular dental care from experienced professionals becomes imperative for individuals to safeguard their oral well-being and potentially mitigate the risk of severe COVID-19 outcomes.

In Leeds, individuals can rely on the expertise and dedication of dentists in leeds to address their oral health needs effectively. With decades of collective experience, they stand as a trusted dental clinic in Leeds, committed to delivering personalized care tailored to individual needs. By prioritizing patient satisfaction and offering comprehensive dental services, including preventive care and treatment for gum disease, they play a crucial role in supporting the oral health and overall well-being of the community, especially during challenging times like the COVID-19 pandemic.

The oral cavity is a potential reservoir for respiratory pathogens. Previous trials have linked poor oral hygiene with increased inflammation and cardiovascular disease.  According to researchers, COVID-19 severity has also been linked to an inflammatory response.

There was a widespread decline in children’s oral health status and access to oral health care during the COVID-19 pandemic.  SARS-CoV-2, the virus that causes COVID-19, gets into your bloodstream via a receptor called ACE2. This receptor is like the front door that allows the virus into the cells.  Where there are lots of cells with ACE2 receptors?  Your mouth, tongue, and gums!  People who have poor oral health also tend to have more ACE2 receptors, further linking the connection between COVID-19 and oral health.

Although COVID-19 is predominantly a respiratory disease, many people have reported symptoms that go beyond the respiratory system, including those affecting the mouth.  The delay of preventive oral health care, and the stress caused by COVID19, resulted in a higher incidence of adverse oral conditions for many.

The Coronavirus Pandemic has caused many people to increase Teeth Grinding and Clenching.  The COVID-19 pandemic caused a significant adverse effect on the emotional well-being of many.  Loss of income, loss of loved ones, fear of Coronavirus, and illness all contributed to a condition called Bruxism or teeth grinding and clenching, in many people.

This condition can result in:

  1. Cracked teeth
  2. Loose teeth
  3. Temporal Mandibular Joint  (TMJ) pain
  4. Headaches
  5. Wear on Teeth
  6. Increased Sensitivity to Hot and Cold

In order to prevent these possible side effects from grinding or clenching your teeth, consult with Dr. Galaif to determine if having a Mouth Guard made could be the best solution for you.  Dr. Galaif and his staff may also recommend warm compresses and pain relievers.

 

In 2000, the first and only Surgeon General’s Report on Oral Health made clear that oral health is part of overall health and well-being. The mouth is indispensable to eating, speaking, smiling, and quality of life.  The most prevalent oral conditions and periodontal diseases are largely preventable.  Poor oral health is one of the most prevalent non-communicable diseases (NCD’s) worldwide, consuming one-fifth of out-of-pocket health expenses.

 

Oral health should be a priority for everyone. There are many, simple day-to-day habits that will help you maintain your Oral Health:

  1. Brush twice daily for two minutes with a fluoridated toothpaste.
  2. Properly floss and brush/clean your tongue once daily.
  3. Never share a toothbrush.
  4. Change your toothbrush every three months, or sooner if you are sick.
  5. Drink plenty of fluoridated water.
  6. Limit starchy, or sugary foods and drinks.
  7. Resist unhealthy habits to manage stress (smoking, consuming alcohol, biting fingernails).

If your gums bleed while brushing or flossing, continue to brush and floss gently and thoroughly.  When gum health improves, bleeding often decreases.

If you are concerned about the effects of COVID-19 on your oral health, or for any other dental-related concerns, call us to make an appointment at (818) 789-6789 or visit the appointment page on our Web site:

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cracked tooth illustration

Cracked Teeth

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When facing the challenges of cracked teeth, understanding the potential causes and recognizing symptoms becomes paramount in ensuring timely and effective treatment. Various factors, such as extreme tooth grinding, large fillings, or even a forceful blow to the jaw, can lead to the unfortunate cracking of teeth. In such instances, seeking professional guidance from a trusted dental expert, like the skilled professionals at a reputable dental office queens, is crucial. The expertise of the nearest dentist plays a pivotal role in evaluating the type, location, and extent of the cracked tooth, paving the way for appropriate and tailored treatment. Whether it’s addressing erratic pain during chewing or sensitivity to temperature changes, the skillful hands of a nearby dentist become a reassuring ally in navigating the nuances of cracked teeth and restoring both comfort and oral health.

Amidst the challenges of dental health, the specter of tooth decay lawsuits looms large, emphasizing the importance of understanding the legal ramifications of dental injuries. Within this landscape, individuals facing complications such as tooth decay stemming from various factors, including negligent dental care or defective products, may find themselves embroiled in legal proceedings. Websites like https://lawsuitlegalnews.com/ have become instrumental in disseminating information and resources related to such legal proceedings, ultimately facilitating the journey towards resolution and closure. Particularly in cases involving dental issues arising from medications like Suboxone, individuals experiencing tooth loss, gum injuries, or other dental complications while under treatment may find support in pursuing compensation through legal channels.

Why do teeth crack?

Many things can cause teeth to crack, such as extreme tooth grinding – which can put the teeth under enormous pressure – large fillings that weaken the tooth, chewing or biting on something hard, a blow to the chin or lower jaw and gum disease, if there has been bone loss. This could make the teeth more likely to suffer from fractures.

Symptoms of cracked teeth

Cracked teeth show a variety of symptoms, including erratic pain when chewing, possibly with the release of biting pressure, or pain when your tooth is exposed to temperature extremes. It is important to know how to treat a cracked tooth, and therefore you need to know the type, location, and extent of the cracked tooth.

Craze Lines

Craze lines are tiny cracks that affect only the outer enamel. These cracks are extremely common in adult teeth. Craze lines are very shallow, cause no pain, and are of no concern beyond appearances. They typically don’t require any treatment.

Fractured Cusp

When a piece of a tooth’s chewing surface breaks off, often around a filling, it’s called a fractured cusp.

 

A fractured cusp rarely damages the nerve, and usually doesn’t cause much pain. Dr. Galaif can place an onlay or crown over the damaged tooth to protect it. A cracked tooth means a crack extends from the chewing surface of your tooth vertically toward the root. The tooth is not yet separated into pieces, though the crack may gradually spread.

 

 

Cracks that extend into the gum line

A tooth that has a vertical crack that extends through it but hasn’t yet reached the gum line is generally savable. However, if the crack extends into the gum line, that tooth may need to be extracted. Prompt treatment offers the best chance of saving the tooth.

Split Tooth

A split tooth is often the result of the long-term progression of a cracked tooth. The split tooth is identified by a crack with distinct segments that can be separated.  A split tooth cannot be saved intact. The position and extent of the crack, however, will determine whether any portion of the tooth can be saved. In some cases, root canal treatment may be performed to save a portion of the tooth.

Vertical Root Fracture

Vertical root fractures are cracks that begin in the root of the tooth and extend toward the chewing surface. They often show minimal signs and symptoms and may, therefore, go unnoticed for some time. Vertical root fractures are often discovered when the surrounding bone and gum become infected. Treatment usually involves extracting the tooth.

Complications of a cracked tooth

Perhaps the biggest complication of a cracked tooth is an infection that can spread to the bone and gums.  Some symptoms of a dental infection (also known as a tooth abscess) include fever, pain when chewing, swollen gums, sensitivity to heat and cold, tender glands in the neck, and bad breath. Dr. Galaif will then prescribe an antibiotic to kill the bacteria. If you think you’ve cracked a tooth, rinse with warm water to clean your mouth and use a cold compress on the outside of your cheek to prevent swelling. Anti-inflammatory painkillers, like ibuprofen (Advil, Motrin IB), can reduce swelling and pain. And make an appointment to see Dr. Galaif as soon as possible. Delaying treatment puts your mouth and health at even greater risk.

Treatment for Cracked Teeth

Early diagnosis is important in order to save the tooth. If the crack has extended into the nerve, the tooth can be treated with a root canal procedure and a crown to protect the crack from spreading. However, if the crack extends below the gum line, it is no longer savable, and will need to be extracted.

That’s why early treatment is so important. A cracked tooth that is not treated will progressively worse, eventually resulting in the loss of the tooth. Early diagnosis and treatment are essential in saving these teeth. The treatment you receive for your cracked tooth is important because it will relieve pain and reduce the likelihood that the crack will worsen. Once treated, most cracked teeth continue to function and provide years of comfortable chewing. Depending on the type of crack in your tooth, there are a few different methods of treatment. Some patients maybe required to get a retainer. And if you already have one, here is how to make your retainer fit again at home.

Bonding

In this procedure, Dr Galaif uses a plastic resin to fill the crack, restoring its look and function.

Crown

A dental crown is a prosthetic device usually made of porcelain or ceramic.

 

It fits over the damaged tooth or caps it. To fit a crown, Dr. Galaif removes some enamel from your tooth to make room for the crown in your mouth. He then scans the tooth, picks out a color that matches your teeth, and makes the crown in the office.

 

 

Root Canal

When a crack is so extensive it extends into the nerve, Dr. Galaif will recommend a root canal to remove damaged nerve and restore some integrity to the tooth. This procedure can prevent the tooth from becoming infected.

Extraction

When the structure of the tooth, and the nerves and roots that lie below it, are much damaged, removing the tooth may be the best option.

How to prevent a cracked tooth

While cracked teeth are not completely preventable, you can take some steps to make your teeth less susceptible to cracks. Strong teeth are less likely to crack, so be sure to practice good dental hygiene. Brush twice a day, floss daily, and visit Dr. Galaif every three to six months for preventive care. Don’t chew on hard objects such as ice, unpopped popcorn kernels or pens. Don’t clench or grind your teeth, and if you do, talk to Dr. Galaif about getting a retainer or nightguard to protect your teeth.

To find out if you may have a Cracked Tooth, call us to make an appointment at (818) 789-6789 or visit the appointment page on our Web site:

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image showing applicaton of sealant on a tooth

The Benefits of Sealants

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A dental sealant is a thin, plastic coating painted on the chewing surface of your tooth, usually on the back teeth (premolars and molars).  Sealants can prevent tooth decay and cavities for many years, protecting the chewing surfaces from cavities by covering them with a protective shield that blocks out germs and food.  Once applied, sealants can protect against up to 80% of cavities, according to the American Dental Association.  Sealants quickly bond into the depressions and grooves of the teeth, forming a protective shield over the enamel of each tooth.  Although thorough brushing and flossing can remove food particles and plaque from smooth surfaces of teeth, they cannot always get into all the smaller openings in back teeth to remove all the food and plaque that may be lodged there over time.

A cavity is a permanent hole in your tooth.  If not treated, it will get bigger, can cause discomfort and extreme pain, and may get infected. The most common place for cavities is in the grooves of the back teeth.  Sealants are a quick, easy, and painless way to prevent cavities.  A tooth without a cavity is obviously stronger and healthier than a tooth with a filling or untreated decay.  Sealants are also less expensive and easier to apply than fillings.  Fillings are considered restorative applications. Sealants, on the other hand, are preventive.  A filling is used to repair damage that has already occurred to a tooth, usually from dental decay.  A sealant is used to cover a portion of a tooth to prevent damage from occurring in the future.

Dental Fillings

A filling is necessary to restore a tooth after a cavity or hole has formed from tooth decay.  Tooth decay is damage to a tooth’s enamel from oral acids.  The acids dissolve the minerals that make up the enamel, such as phosphorous and calcium.  This dissolution weakens the tooth enamel and causes holes or cavities to form in the material.  Once a cavity has formed and in order to treat the tooth, Dr. Galaif removes the decayed portion of the enamel, cleans the area, and fills in the hole.  This filling prevents additional damage to the tooth by blocking the entry of oral bacteria that could cause an infection or greater decay.

Dental Sealants

Sealants may be applied to a tooth that has not suffered any decay.  They are usually added to the chewing surfaces of the molars.  These areas are deeply grooved and allow food and plaque to easily settle on the teeth. The sealants help fill the grooves, while simultaneously forming a barrier to protect the teeth from oral acids.  Since oral acids are byproducts that are released by the bacteria of the mouth after digestion, the deep grooves of the molars are the perfect setting for decay.  Bacteria feed on carbohydrates that are left in the mouth, and the deep crevices trap leftover debris from meals and snacks. The bacteria mixes with the debris to form plaque, which sticks to the teeth and allows the acid to make direct contact with the enamel before the acid is significantly diluted by saliva.  As a result, tooth decay is more likely.  Dental sealants shield the tooth enamel from the oral acid and plaque, thus your teeth are protected from decay.

Who Should Get Sealants?

Because of the likelihood of developing decay in the depressions and grooves of premolars and molars, children and teenagers are typical candidates for sealants – applying them to their permanent molars and premolars as soon as these teeth come in.  In this way, the sealants can protect the teeth through the cavity-prone years of ages 6 to 14.  In some cases, dental sealants may also be appropriate for baby teeth, such as when a child’s baby teeth have deep depressions and grooves.  Because baby teeth play such an important role in holding the correct spacing for permanent teeth, it is critical to keep these teeth healthy so they are not lost too early.  When the first adult molars come into your child’s mouth (around age 6), most parents do not realize their children have these molars because they usually come in at the back of the mouth, behind the baby teeth.  The most likely location for a cavity to develop in your child’s mouth is on the chewing surfaces of those back teeth. If you run your tongue over this area in your mouth, and you will feel the reason why – these surfaces are not smooth as other areas of your teeth are.  Instead, they are filled with tiny grooves referred to as “pits and fissures,” which trap bacteria and food particles. The bristles on a toothbrush can’t always reach all the way into these dark, moist little crevices. This creates the perfect conditions for tooth decay.  What’s more, a child’s newly erupted permanent teeth are not as resistant to decay as adult teeth are.  The hard enamel coating that protects teeth changes as it ages to become stronger.  Fluoride, which is found in toothpaste and some drinking water — and in treatments provided at Dr. Galaif’s office — can strengthen enamel, but again, it’s hard to get fluoride into those pits and fissures on a regular basis.  This is why sealants are such an important, preventative measure in children.

Adults without decay or fillings in their molars can also benefit from applying sealants to their teeth.

How Are Sealants Applied?

Applying a sealant is a simple and painless process.  It takes only a few minutes for your dentist or hygienist to apply the sealant and to seal each tooth.

The application steps are as follows:

  • First, the teeth to be sealed are thoroughly examined and cleaned.
  • If any minimal decay is found, it is gently removed.
  • Each tooth is then dried, and cotton or another absorbent material is put around the tooth to keep it dry.
  • An acid solution is put on the chewing surfaces of the teeth to roughen or “etch,” which helps bond the sealant to the teeth.
  • The teeth are rinsed and dried.
  • The sealant is then painted onto the tooth enamel, where it bonds directly to the tooth and hardens.  Sometimes a special curing light is used to help the sealant harden.

Dr. Galaif also has an air abrasive machine that uses a powder to clean the grooves before we place the sealants, which can get the sealants to last twice as long.  We seal the 6-year molars when they come in and then seal the 12-year molars when they come in, resealing the 6-year molars which can keep your child cavity free until they are 18.

How Long Do Sealants Last?

Sealants can protect teeth from decay for up to 10 years, but they need to be checked for chipping or wearing at regular dental check-ups.  Dr. Galaif can then replace sealants as necessary.

Does Insurance Cover the Cost of Sealants?

Many insurance companies do cover the cost of sealants, but often only for patients younger than 18.  Check with your dental insurance carrier to determine if sealants are covered under your plan.

Taking Care of Your Sealants

Sealed teeth require the same conscientious dental hygiene as unsealed teeth.  Your child should continue to brush and floss his or her teeth daily, and have regular professional cleanings.  Checking for wear and tear on the sealants is important, and they should last around 3 years.  During this time, your child will benefit from a preventive treatment proven to reduce decay by 80%.

While the incidence of cavities in children remains quite high, preventing cavities is always better than treating them, and it’s also much cheaper!

Can Sealants Be Placed Over Cavities?

Sealants can be used over areas of early decay to prevent further damage to your tooth.  Because some sealants are clear, your dentist can keep an eye on the tooth to make sure the sealant is doing its job.

Are There Any Side Effects?

With the exception of an allergy that may exist, there are no known side effects from sealants.

Is There BPA In Sealants?

Yes, there is a tiny amount of BPA in sealants but not enough to cause you or a loved one any harm.  In fact, you get more exposure to BPA by simply touching a receipt, using cosmetics or coming in contact with dust.

To find out if your child or children could benefit from Sealants, call us to make an appointment at (818) 789-6789 or visit the appointment page on our Web site:

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gum disease illustration

The Dangers of Gum Disease

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Many people aren’t aware that they have gum disease.  The following can be symptoms:

  • Gums that are red, tender, or swollen
  • Gums that bleed when you brush or floss your teeth
  • Gums that have pulled away from the teeth
  • Loose teeth
  • A change in how your teeth fit together when you bite (malocclusion)
  • Pus between teeth and gums
  • Pain when chewing
  • Sensitive teeth
  • Partial dentures that no longer fit
  • Foul-smelling breath that doesn’t go away after you brush your teeth

Gum disease can be diagnosed during your dental exam, as your gums are probed as a way to check for inflammation. It also measures any pockets around your teeth (a normal depth being 1 to 3 millimeters). Your dentist may also order X-rays to check for bone loss, in case of which taking Invisalign services is a good option. You can get in touch with my dentist for more information on this. The following methods and symptoms and signs are very useful in the diagnosis of gum disease during your routine checkup:

  • Measuring the Gums.  A dentist or dental hygienist will use a periodontal probe to measure the depths of the pockets around all of your teeth. The deeper the pockets, the more severe the disease.
  • Taking X-rays.  Dental X-rays, particularly bitewing X-rays, will help show the level of the underlying bone and whether any bone has been lost to periodontal disease.
  • Examining Sensitive Teeth.  Teeth that have become sensitive around the gum line may indicate areas of receding gums.
  • Checking for Loose Teeth.  Teeth may become loose due to bone loss or an incorrect bite.
  • Checking the Gums.  A dentist or hygienist will look for red, swollen, or bleeding gums.

The following are risk factors for gum disease – smoking or chewing tobacco; diabetes; consuming certain medications such as oral contraceptives, steroids, anticonvulsants, calcium channel blockers, and chemotherapy; crooked teeth; dental appliances that fit poorly; broken fillings; pregnancy; genetic factors; compromised immunity such as with HIV/AIDS.

Gum disease can also be associated with an increased risk for – diabetes, heart disease, stroke, lung disease, increased risk of a woman giving birth to a premature or low birth weight infant.

You must practice proper oral hygiene to treat gum disease. You should also cut back on any smoking, and manage your diabetes. Other treatments include:

  • Deep cleaning your teeth
  • Antibiotic medications
  • Surgery

There are several techniques that can be used to deep clean your teeth without surgery, in an attempt to remove plaque and tarter and prevent gum irritation – Scaling removes tartar from above and below the gum line.  Root Planing smooths rough spots and removes plaque and tartar from the root surface.  A number of medications can also be used to treat gum disease.

Proper and consistent oral hygiene can prevent gum disease:

  • Visiting the dentist regularly
  • Brushing your teeth twice daily with fluoride toothpaste
  • Flossing your teeth every day
  • Eating a balanced diet is also important to achieving and maintaining good dental health.

The potential for early diagnosis of gum disease and other oral health issues is one of the reasons that ongoing, regular dental visits are so important for maintaining your overall health.  When you come see Dr. Galaif regularly, we can hopefully catch issues early before they become major problems.

We understand the concerns many of you have about going out during the current pandemic, however you can be assured that dental offices have actually been found to be among the safest places to visit:

https://www.fastcompany.com/90516328/mit-researchers-say-these-are-the-unsafe-businesses-to-avoid-during-covid-19-and-these-are-okay

Our practice has always maintained a commitment to your safety, with infection control a top priority at our practice. Our cleaning processes are designed and implemented so that when you receive care it’s always both safe and comfortable.

To make an appointment, please call our office at (818) 789-6789 or visit the appointment page on our Web site:

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