Tooronga Family Dentistry in Glen Iris

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98227006
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Suite 1.02, 1 Crescent Rd., Glen Iris 3146
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Archives for July 2019

Is tooth paste needed for good oral hygiene?

Posted on 07.30.19

What Is In the Toothpaste?

Standard (non-organic) toothpaste usually contain:

  • Abrasives to clean bacterial film and debris from your teeth. The common abrasives used are, Calcium carbonate, dehydrated silica gels, hydrated aluminum oxides, magnesium carbonate, phosphate salts and silicates. Silica is usually the whitening ingredient in most whitening toothpastes.
  • Detergents for cleaning and the foamy sensation we expect from toothpaste. The common ones are, sodium lauryl sulfate, sodium N-Lauryl sarcosinate.
  • Fluoride – in different concentrations, toothpaste for children will have less fluoride than in the adult toothpaste.
  • Flavoring compounds including sweeteners such as saccharine.
  • Special ingredients that are aimed at different oral conditions, such as tetrasodium pyrophosphate for tartar control, potassium nitrate or strontium chloride to reduce tooth sensitivity, Stannous fluoride and triclosan for reducing gum inflammation and removing plaque.
  • Moistening compounds to keep the toothpaste moist and easy to extrude from the tube. The common ones are, glycerol, propylene, glycol and sorbitol.
  • Binders to prevent the various ingredients from separating. The common ones are, mineral colloids, natural gums, seaweed colloids or synthetic cellulose.

Organic toothpaste tends to be paraben free, sulfate free, and do not contain Sodium Lauryl/Laureth Sulfate, and artificial colors or flavors or sweeteners. It may contain natural preservatives. If you tend to get of small pimples or rashes around your lips, or canker sores inside your mouth you may want to try an organic toothpaste that does not contain Sodium Lauryl/Laureth Sulfate. There are people with an allergy to these compounds.

Do I have to use tooth paste to clean my teeth?

Dental plaque is a sticky, colorless biofilm of bacteria and sugars that is constantly being formed on our teeth. Dental plaque is acidic, it will break down tooth enamel and dentine to cause cavities. Dental  plaque can also irritate your gums, causing gingivitis, infections and eventually tooth loss. Brushing your teeth with a product designed to make your mouth feel fresh is a pleasure. But from a practical standpoint, that tasty paste is unnecessary. You can remove food debris and plaque from your teeth without using toothpaste.  Just a soft toothbrush and good brushing techniques will remove plaque. Flossing, limiting sugary food and drinks, and regular checkups and professional cleanings should keep your teeth in top shape.

 

What Adults Should Know About Orthodontics

Posted on 07.23.19

It’s never too late to for a perfect smile, even when you’re a grown-up! If you want a confident beautiful smile, straightening your teeth or fixing a bite issue is a great idea. Adults have a variety of options to consider, when choosin to make their teeth straight.

The easiest way to find out what is the right way for you is make an appointment with Dr. Kaufman. After a thorough examination he can tell you if braces or aligners are the best option for your condition and he can address any other concerns you may have.

How much will it cost? In general traditional metal braces will likely be the less expensive option, but there are other choices that are more costly and less noticeable. You can look into clear ceramic braces, which are still worn on the front of teeth, but blend in with the color of your teeth. Or invisible aligners, where a series of clear removable aligners are worn.

How long will the treatment take? Treatment for adults typically takes longer than it does for children. On average, most adults will have the orthodontic treatmen for a year and a half to three years.

If you want to start on your way to a straight smile this year, make an make an appointment with Dr. Kaufman to learn about the best option for you!

3 Reasons to Get an Oral Cancer Screening

Posted on 07.19.19

Next month, we honor Oral Cancer Awareness week by educating patients about the reality of this disease. The important message is that with 5-year survival rates at only 50%, it is important to detect oral cancer early for the best chance of successful treatment. Here are the reasons why you should get a screening at our office today:

  • Oral cancer is on the rise among young people. , Previously, oral cancer was thought to affect only smokers and those who drink much alcohol. However, more and more young women and men are being diagnosed with oral cancer. It is thought that this is linked to the human papillomavirus, or HPV, which can lead to oral cancer. If you are between ages 25-50, you could be at risk.
  • Screening is quick and painless. An oral cancer examination takes less than 5 minutes and consists of a simple visual check of your mouth, lips and face for signs of cancer or precancerous conditions. If symptoms are discovered, further diagnostic tests will be done. It is important to get screened at least once a year, Dr. Kaufman performs this examination routinely during your annual dental check up and cleaning.
  • Prevention and early detection is key a good outcome. Lifestyle choices are the main reason oral cancer develops. Smoking, using chewing tobacco, excessive alcohol consumption, prolonged sun exposure, and contracting HPV can all increase your risk. The good news is that when detected and treated early, the oral cancer survival rate increases to about 80%.

Schedule an appointment to get an oral cancer screening today!

Cosmetic Bonding

Posted on 07.18.19

Cosmetic bonding is the professional name for the dental treatment in which composite, a resin material, is applied on the tooth to enhance it’s appearance or function. Before the procedure is done, Dr. Kaufman will make an appliance to shown you how the teeth will look after the cosmetic bonding is done. This way you can have a peace of mind, knowing what the final outcome will be.

Who can benefit from Cosmetic Bonding?

Cosmetic bonding can be used to treat a variety of problems including, tooth decay, discoloration, chipped and cracked teeth, misshapen teeth, and more. It’s an ideal solution for teeth that cannot be whitened any further using the whitening gel. Cosmetic bonding is also great for patients experiencing receding gums, because the composite can protect the exposed portions of the root and close the black holes created between the roots.

How is Cosmetic Bonding Done?

The treatment can be done in 1-2 dental appointments. It begins with polishing and roughening the tooth surface. This surface allows the resin material to properly bond to the natural tooth. The next step is applying a solution that will attach the composite to the tooth and curing it with a special light. Then composite is layered in different shades to achieve a beutiful natural outcome.

Are There Any Risks Associated with Cosmetic Bonding?

Creating a beautiful smile with composite is similar to having a tooth restoration. There are no serious medical risks in having dental cosmetic bonding done. Since the composite is not as strong as your tooth, the bonding may chip. For this reason, composite restorations are mainly recommended for those seeking small repairs. For larger, fractures we may suggest a more sturdy solution such as a veneer or crown.

There is no special treatment required after receiving the composite veneer. Regular flossing and brushing are needed to maintain a good oral hygiene. It is recommended that one does not bite into hard objects like ice or candy for example, or chew on pens or fingernails.

If you have more questions or you think cosmetic bonding may by the right option for your dental needs, please ask Dr. Kaufman or schedule an appointment for an examination.

The 3 Best After-School Snacks for Your Kids

Posted on 07.16.19

After a long day of learning and playing your kids run home with a big apetite and may be looking for snacks to hold them over until dinnertime.

Here are three teeth-friendly snacks that can double up as perfect after-school treats:

Berry and yogurt smoothie:

Yogurt is great for the teeth and the body. It’s high in calcium and the bacteria that created it act as probiotics to help you digest food, fight bad breath, and keep gums healthy. Plain, full-fat yogurt sweelened with a little Stevia and berries, would be delicious for the whole family.

Homemade veggie chips:

Baked veggie chips are healthy and very easy to make. Try kale, spinach, sweet potatoes or carrots. Cut the sweet potatoes and carrots into thin slices, mix the veggies with enough olive oil to coat them. You can add salt, spices, such as garlic or pepper. Bake in the oven at 180 degrees for about 12 minutes, flip them once, then bake until crispy.

Fruit and cheese squares:

Choose some favorite sliced cheeses and fruit, and eat them with a toothpick, skewer them on bamboo sticks or just use a fork. To make it more entertainig you can use a cookie cutter to make shapes in the cheese.

We hope you have a great time prepareing and eating these great snacks.

Tips to Help You Floss Like a Dentist

Posted on 07.16.19

Flossing may not be your favorite thing to do, but it is one of the most important things you can do for the health of your teeth. Flossing clears away food and other debris that can get stuck between teeth. Without flossing, bacteria can build up and cause cavities and gum disease. While it may seem simple, there is actually a bit of technique to flossing like a pro.

How to floss:

When flossing, start with about 30 cm of floss. Wrap one index finger with enough floss so it does not slide when you pull, wrap the extra length around your other index finger and leave a few centimeters between them. Gently work the floss between each pair of teeth by sliding it up and down in a rubbing motion. When you reach the gum line, gently slide the floss into the space between the root and the gum line.

What floss to use:

Waxed floss is easier to use because it glides over your teeth better than un-waxed floss. On the other hand unwaxed floss is better since the fibers can trap more bacteria on their way. When you’re choosing a floss material, look for PTFE floss instead of nylon floss, because nylon versions can shred more easily.

When to floss?

Ideally brushing and flossing would happen after every meal. But if you can only floss once a day, we recommend doing it at bedtime. When you’re asleep, saliva production slows down and bacteria can easily multiply, so flossing before bed can decrease the bacteria growing at night.

How to floss on the go?

Floosing at idle times during the day is a good strategy to get the bacteria numbers down. Keep single-use, disposable “flossers” with you at all times. You’ll be thankful, especially if you have a piece of food stuck in your teeth that distracts you.

If you discover pain or bleeding in your gums when you floss, these are signs you need to see your dentist, since it could be a sign of gum disease. If you would like to schedule an appointment for an examination please call 98227006.

 

How to protect your teeth when scuba diving

Posted on 07.12.19

Forget sharks, barracudas or the bends. A big worry of scuba diving may be the dental bill.

A new survey of recreational scuba divers found that 41 percent had dental problems related to diving. Most of the problems had to do with pain from the increased pressure underwater or from holding the air regulator too tightly in their mouths. But a few people experienced loosened crowns or cracked fillings.

The survey suggested that people should have their teeth checked to make sure they are in good shape before they go deep.  Since an unhealthy tooth underwater would be much more obvious than on the surface and underwater is the last place you want to be with a fractured tooth or a tooth ache.

Underwater toothache

The professional term for underwater tooth ache is “barodontalgia,” a condition familiar to many divers. Barodontalgia is a toothache caused by the increase in pressure felt underwater.  The pain is usually due to an underlying dental condition, like a cavity or poorly completed filling. The high- or low-pressure environment, leads the tooth damage to become evident.

Protecting your teeth

Divers are required to meet a standard of medical fitness before certification, but there are no dental health prerequisites. This is one of the main reasons for the unpleasant surprise the divers have when a toothache starts underwater. It is important for divers to protect themselves by visiting the dentist before scuba diving to check for decay and other problems. While having the examination, they should mention that they will undertake diving, so the dentist can make the right suggestions for their conidition.

Dr. Kaufman is a liscensed diver and he is familiar with the prerequisites for underwater activities. If you plan to go diving or if you would like more information about the impact of diving on your teeth please ask Dr. Kaufman or schedule an appointment for an examination.

What is the difference between Scaling and Deep Cleaning of the teeth?

Posted on 07.12.19

What is tooth scaling?

The bacteria inside our mouth form a layer that coats the teeth and roots. This layer is referred to as plaque or dental biofilm. It is relatively easy to remove this soft layer with brushing, flossing and interdental appliances. But if the layer remains undisturbed for a while it begins to calcify and form hard deposits that are called calculus. The dental biofilm and calculus need to be removed as soon as possible, otherwise the toxins that the bacteria secrete, cause a periodontal disease. In the early stages of periodontal disease a routine dental procedure commonly referred to as scaling can remove the bacteria and restore health.

What is deep cleaning?

As the deposits increase in size and penetration down the root surfaces, specific dental instruments are required to properly remove them. The process of scaling and polishing the root surface is commonly referred to as “deep cleaining”. The deep cleaning, scaling and root planing help ensure that any existing bacteria is removed to prevent any future disease from appearing. Only after the teeth and roots have been scaled, can the periodontal disease be cured without invasive surgical measures.

We use the newest proven techniques to perform the scaling and deep cleaning so the procedures Dr. Kaufman prefoms can help patients maintain oral health and minimize the presence of periodontal disease. In addition to the necessary cleaning to adequately remove all plaque and other debris built up on the teeth and gums, Dr. Kaufman provides patients with the right at-home care tips to help prevent further disease.

Living with Diabetes-Preventing complications-Oral Health*

Posted on 07.10.19

Dental health

The mouth is often overlooked as an area of the body with complications associated with diabetes.

The most commonly recognised oral complication related to diabetes is periodontitis (advanced gum disease).

Other oral complications can include:

  • Dental caries (tooth decay)
  • A decrease in saliva production causing a dry mouth (xerostomia)
  • Oral thrush (fungal infection)
  • Delayed or poor healing of wounds in the mouth, such as mouth ulcers
  • Altered taste

Periodontitis

Periodontitis is a chronic disease that requires life-long care and professional treatment. It causes recession of the gum and/or bone surrounding affected teeth. These changes are irreversible. A dentist or periodontist (gum specialist) can check for signs of periodontal disease and provide treatment. Severe untreated disease can result in teeth becoming loose, painful and eventually being lost.

The risk of developing periodontitis is greater in people with diabetes, particularly when blood glucose levels are not within the recommended range of 4-7 mmol/L. However, with optimum blood glucose management the risk of developing periodontitis is the same as for a person without diabetes.

There is increasing evidence of a two-way relationship between periodontitis and diabetes.

Periodontitis may negatively affect blood glucose levels. Studies have shown that people with periodontitis exhibit a higher chance of developing prediabetes and diabetes. People with periodontitis have poorer glycaemic status (higher level of HbA1C), compared to people without periodontitis.

Professional periodontal treatment has been shown to create a mild improvement in blood glucose levels. However, these results lasted for only a short three-month period of time (longer term studies are ongoing).

These relationships can differ for people with type 1 diabetes compared to type 2. It is important that people continue to remain in control of their oral health and their diabetes management over time.

Tooth decay

The root of a tooth anchors the tooth in the mouth and is covered by the bone and gums. Periodontitis can cause the bone and gum around the tooth to recede. This uncovers and exposes the root surface, which is not as strong as the white enamel covering the tooth crown.

Decay of the tooth’s root surface can occur more often in people with diabetes. This decay is influenced by factors associated with diabetes including gum recession from periodontitis exposing the root surface and a decrease in saliva flow. Saliva helps to protect the teeth against decay, therefore, a decrease in saliva can cause a person to become more prone to decay.

Xerostomia (Dry mouth)

People with diabetes more commonly experience a decrease in saliva production which can cause a dry feeling within the mouth. This is reported to be more common in patients with diabetes complications, in particular diabetic neuropathy.

Oral thrush

Oral thrush is an oral fungal infection, often called oral candidiasis (caused by Candida bacteria). It appears as creamy white patches in the mouth, often on the tongue or inside of the cheeks. It can occur in people with diabetes due to multiple reasons:

  • A decrease in saliva being produced
  • High blood glucose levels cause increased glucose in saliva which can cause more Candida bacteria to live and grow.
  • A poor immune system

Delayed or poor wound healing

Due to changes in blood flow and a poorer body immune system in people with diabetes, this can cause delayed healing of wounds in the mouth.

Altered taste

The ability to taste foods and drinks can be affected in people with diabetes. The underlying cause for this is not clear. It may be related to the taste receptors in the mouth renewing at a slower rate or is suggested to be associated with the presence of diabetic neuropathies.

Disease symptoms

Diabetes can lead to multiple complications in the mouth. These complications can increase in severity when a patient has poor control of their blood glucose levels. Patients with complications of diabetes, particularly diabetic neuropathy, can be more likely to develop oral complications.

Signs of periodontal disease can include bleeding from gums, bad breath, sensitive teeth, loose teeth, recession of the gums (or longer looking teeth) and gaps developing between the teeth which may lead to food becoming stuck.

You may think you do not have any of the listed conditions because you are not experiencing any pain or discomfort. Many of these diseases are often painless, however, in cases of advanced disease or sudden flare-up, pain can occur. At this stage, it may be too late for treatment to save the tooth. This shows why it is important to look after your oral health.

Looking after your oral health

To look after your oral health and decrease the risk of complications:

Brush your teeth twice-a-day using a soft toothbrush with a pea-size amount of fluoride-containing toothpaste

  • Fluoride combines with the white enamel surface of the teeth to strengthen the tooth structure and prevent tooth decay.

Clean between your teeth daily using floss or interdental brushes

  • Ask your dentist if interdental brushes can help you in caring for your teeth and gums. These brushes look similar to a toothpick but have bristles at the end to clean away food and bacteria when placed in the spaces between the teeth.

Eat a diet low in sugar

Drink fluoridated tap water where available

  • Water fluoridation is the safest and most effective way to reduce tooth decay. It has been shown to reduce tooth decay by 26% to 44% in children and adolescents, and by 27% in adults.

Chewing sugar-free gum can help to stimulate saliva flow

See a dentist regularly for a check-up of your teeth and gums. The dentist will advise you how often to return for check-ups and treatment. This may be more often if you have any of the above complications from diabetes. Oral health education should be provided to all patients with diabetes.

Avoid smoking

  • Other than diabetes, cigarette smoking is another important risk factor for developing periodontitis. If you are a current or previous smoker, it is recommended you tell this to your dentist.

After treating hypoglycaemia with fast acting carbohydrates, such as jellybeans, soft drink, fruit juice or sugar directly, drinking water once you feel well again helps to rinse the sugar and acids from your mouth. If you would like to brush your teeth, try to wait 60 minutes before doing so.

Who can help you care for your oral health?

Your general dentist can help you in caring for your oral health. In cases of advanced periodontitis, specialist referral to a periodontist (gum specialist) may be beneficial.

It is important to tell your dentist if you have diabetes and how well the condition is controlled. Ensure your dentist knows the names of all prescribed and over-the-counter tablets and medicines you take as well as if you are a current or past smoker.

For more information: contact the Australian Dental Association.

*This article has been published by Diabetes Australia, www.diabetesaustralia.com.au/dental-health

When is the best time to start orthodontic treatment?

Posted on 07.8.19

It’s a good idea to get an orthodontic evaluation by the time a child is 7 years old. Dr. Kaufman is a dentist with additional training, in aligning and straightening teeth. In his orthodontic evaluation Dr. Kaufman will examine the position of the upper and lower jaws, the way the teeth function and if there are any abnormalities. An early orthodontic assessment doesn’t mean your child will get braces right away. It just means that Dr. Kaufman will be able to find problems and decide the best time to start treatment. Since the best time to start an orthodontic treatment depends on the severity and the cause of the misalignment of your child’s teeth. In general there are three developmental stages orthodontic treatment can be started at:

Early Treatment or orthopaedic treatment:Open bite

Early interceptive treatment, referred to as Phase 1, is performed before all of the permanent teeth have erupted—often between the ages of 7 and 10. The main advantage of the early treatment is the opportunity to guide the development of the jaws as your child is growing. If this opportunity is missed, the only way to make these changes later on are with orthognathic surgery. Many times the early assessment can detect problems that happen after losing baby teeth too soon, accidents, or habits like thumb sucking. The early detection call allow for an interceptive treatment that will prevent the transition of the malocclusion to the permanent dentition.

Orthodontic treatment for Teens:

Adolescents typically start full orthodontic treatment between the ages of 12 and 16 once most of their permanent teeth have erupted. This treatment is referred to, as Phase 2 if they received early treatment. During the phase 2 treatment all the permanent teeth will be brought into the correct position to maximize their appearance and function.

Adult Treatment:

Orthodontic treatment can be done during adulthood. It can help solve problems that relate to crowding and difficulty to maintain good oral hygiene, it can dramatically improve your personal appearance and confidence. For adults there are several treatment options including discrete treatment with aligners, treatment with traditional braces or a combination of the two.

If  you have some questions and concerns about braces, clear aligners or orthodontic treatment please don’t hesitate to contact us.

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