10/30/2018 2:58:37 PM
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A new study released this week (Oct. 22, 2018) indicates that gum disease may interfere with high blood pressure, or hypertension, control. (https://www.reuters.com/article/us-health-dental-hypertension/gum-disease-linked-to-higher-blood-pressure-idUSKCN1MZ2L3)
Lead author Dr. Davide Pietropaoli, doctor of dental surgery at the University of L’Aquila in Italy, reported that researchers reviewed medical and dental records of more than 3,600 people diagnosed with high blood pressure. In comparison to people with good oral health, those with gum disease were less likely to respond to high blood pressure medications and 20 percent less likely to achieve healthy blood pressure targets.
At Mitchell Dentistry, we take these reports very seriously and will be even more vigilant when caring for our patients who are receiving treatment for hypertension. We urge our patients who have loved ones with high blood pressure to make sure they are also receiving good oral healthcare.
And on behalf of our Mitchell Dentistry dentists and hygiene team, we will continue to reinforce our daily routine recommendation to help prevent gum disease:
We recommend brushing with an electric toothbrush at least two minutes in the morning, two minutes at night. The best regimen also includes flossing every night, and the optional water pick which will rinse everything out.
Knowledge is Power
Our goal is to help spread awareness about healthy teeth and gums throughout the year, and we always appreciate an extra opportunity to pass on helpful information to our patients.
As always, please call us with any questions or concerns. We love your feedback, so feel free to send your comments our way.
All the best,
10/4/2018 3:33:09 PM
Have you ever wondered what all those numbers mean when we are conducting your periodontal exam at Mitchell Dentistry?
You’ll hear us saying, “1…2…1…3…2, etc.” with a little frown if we get to “4.” What we are doing is measuring the collar that borders the tooth and the gum, testing the depth. A 1, 2, or 3 is fine, but if a case of gingivitis turns a 3 into a 4, we are concerned that this could lead to bone deterioration and ultimately tooth loss.
Such is the stuff that’s been on our minds all September – National Gum Care Month, and into October and beyond. The good news? Better home care can definitely have positive results.
Here’s what we recommend:
All of us at Mitchell Dentistry agree that when there’s a choice between electric and manual brushing, there’s no contest – electric is the way to go for a thorough cleaning. We prefer Sonic Care with Oral B as a close second, and find that the battery versions are just not strong enough. The Sonic Care and Oral B have timers with intermittent pauses to let you know when to change quadrants.
We recommend two minutes in the morning, two minutes at night. The best regimen also includes flossing every night, and the optional water pick which will rinse everything out. Try this, and you will see those gum measurement numbers go down. Plus , you’ll get a gold star from your hygienist.
I was speaking with one of our patients about the importance of brushing with an electric toothbrush, and he responded that has already has it covered. In fact, he added, to accommodate his busy schedule, he brushes with his Sonic Care while he is in the shower. How’s that for multi-tasking? For those of our patients who remember the Seinfeld sitcom, it reminded me of the one where Kramer makes a salad while taking a shower – see the clip here!
P.S. Both Sonic Care and Oral B say their devices are safe to use in the shower, just not immersed in water.
8/16/2018 8:47:54 PM
As proponents of oral healthcare, we do our best to stay current on cultural trends that may or may not affect the health of our patients. Over the past decade or so, the use of smokeless and non-combustible tobacco has gotten more popular, especially among those who believe that this habit is less dangerous than smoking real tobacco. With this practice on the rise, even among teens and children, the healthcare community has found that it’s time to develop strategies to address this important issue. In October, a Summit will take place in California with a good part of the agenda specifically devoted to the effects of smokeless tobacco on oral health.
At Mitchell Dentistry, we are concerned about the marketing and the use of “dissolvable tobacco” products – appealing to both smokers and children. Little is known about the long-term health implications of these products already introduced to the public. Furthermore – research, knowledge and public awareness of the health implications of smokeless and non-combustible tobacco use lags, while the known dangers of these products continue to increase.
We will pay close attention to the discussions at The Summit to see how the experts plan to face the unique challenges brought forth by smokeless and non-combustible tobacco use. It will serve as a motivating force for community action on this important, contemporary public health challenge.
Chewing, Vaping and Smoking…oh, no
In our own practice, we have seen patients who have been negatively affected by chewing tobacco – they tend to place it in the same area between cheek and gum, increasing their risk of oral cancer in that spot. In addition, the fiberglass in these products can abrade the gums, making it easier for toxic chemicals to be absorbed.
And what about e-cigarettes? We all know the negative effect of smoking cigarettes on oral health – and on all other aspects of your health. Now we have the rising popularity of vaping, (the action of inhaling the vapors produced by e-cigarettes). While there isn’t much research yet on vaping’s actual effect on oral health, the evidence that’s out there should make us skeptical.
While more research is definitely needed, our counsel to our patients is to abstain from all forms of tobacco use to maintain good oral health, and overall wellbeing.
As always, please ask us for further education on this topic, or bring us any of your concerns on your oral healthcare – our goal is to keep you healthy and safe!
All the best from our family to yours,
7/23/2018 3:54:22 PM
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When you pack for your summer vacation, we’re pretty sure you’ll remember your bathing suit, flip flops and sunscreen – but how about your electric toothbrush? The handy case that comes with it makes it perfectly portable, and we hope you’ll take note. At Mitchell Dentistry, we want your smile to stay beautiful all year round, and with a few helpful tips you can stay in your dental hygiene routine without sacrificing any vacation time.
Here are the top 7 vacation tips from Mitchell Dentistry’s hygiene team:
Show Your Toothbrush a Little Love
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Use a clean, ventilated toothbrush container for your toothbrush. Choosing a holder with ventilation helps dry the toothbrush and reduce the growth of bacteria. Once you arrive at your destination, if you’re staying in one spot, leave the toothbrush out on the counter to give it ample drying time.
Pack a Dental Kit
Stock your kit with must-haves like floss or floss picks, toothpaste, and mouthwash. If you’re flying with just a carry-on bag, then you can buy travel-size versions of your favorite supplies. Or, you can fill other small, reusable containers that contain no more than three ounces. Be sure to ask for on our toothpaste samples which are just the right size for the airport security.
Limit Your Sugar Intake
Although vacation is the perfect time to indulge, try to balance sugary treats with healthy options, especially if you know you won’t be able to brush soon after. On a long airplane flight, for example, skip the soda on the beverage cart, and opt for bottled water when you can.
Stick to Your Routine
No matter where you go and how busy your schedule is, make sure you keep up with your regular dental routine. If you take a vacation from good oral care habits, then it might be harder to pick them back up after returning home.
Skip the Gum
While many suggest that “4 out of 5” dentists recommend sugarless gum, we seem to be the rare ones who do not recommend this habit. Gum chewing is tough on the mandible (jaw joints), and can exacerbate TMJ. That said, a once-in-awhile chew is acceptable.
Whether you’re “roughing it” or experiencing luxury stay in a far off land, pay attention to the water quality and research whether it’s safe to drink. If it’s not, stick to bottled water – even when brushing. On a side note, remember to close your mouth in the shower too!
Emergency Calls Accepted
While we hope you don’t need us while you’re away, please note that we are available for a phone call if you are
Most important, have a wonderful, happy, and safe vacation!
6/15/2018 7:51:47 PM
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We are always delighted when our patients share their good news – especially when there’s a new baby on the way. Lidiana, one of our fantastic hygienists, just went out on maternity leave, bringing us a real life reminder about the importance of dental care during pregnancy.
While some might lean towards postponing routine dental care until after giving birth, the right course is really quite the opposite – in fact, oral care is extremely important for your healthy teeth and your overall wellbeing.
Here are some suggestions I have gathered from Dr. Yolanda, Dr. Joe, and our assistants:
Let us know if you are pregnant. We can offer you a great deal of education about extra attentive home care, as well as what procedures we would recommend taking care of or postponing until post childbirth.
Before coming in for your appointment, check in with your obstetrician to see if he/she has any special instructions for you or for us.
Fill us in our what medications or prenatal vitamins your ob/gyn has prescribed. We may alter any treatment based on this information.
You may be surprised to know that routine dental x-rays can be done during pregnancy. Rest assured that you will be well shielded, and advances in x-ray technology have made them much safer than in the past. And of course, if they’re not absolutely necessary, we can hold off if you prefer.
Please keep your regular dental checkup appointment. Now more than ever, regular periodontal (gum) exams are so important because pregnancy causes hormonal changes that put you at increased risk for periodontal disease and tender gums that may bleed easily – a condition called pregnancy gingivitis.
If you notice any changes in your gum or teeth, for example tenderness, bleeding or gum swelling, please let us know.
Finally, continue to be vigilant about your oral hygiene routine to prevent or reduce oral health issues during your pregnancy.
Oh, one more thing – please keep us in the loop when your baby is born! As a member of our extended Mitchell Dentistry family, we love to hear your good news and to see your photos.
And as always, please contact us with any questions about caring for your teeth, mouth, and gums during your pregnancy or any other time.
5/1/2018 8:59:37 PM
At Mitchell Dentistry, we get a special thrill out of helping wedding couples and their families ensure that they feel great about their smiles as they lead up to the big day. We start hearing the wedding bell buzz as the summer months approach, but we always advise our patients to get a head start in case they want to proceed with any special treatments or procedures. We have had a lot of experience with brides, grooms, their families, and their wedding parties, so we’ve put together a few suggestions here along with some recommendations from the American Dental Academy:
Schedule a Dental Appointment Early On
Regular dental appointments go a long way to making sure you have a healthy smile in time for the wedding. Schedule an appointment a few months out to see if you might require any restorative or cosmetic dentistry. We also want to check wisdom teeth, any indication of infection, or trouble spots to avoid a dental emergency at the last minute.
Many couples want to make sure they have sparkling white smiles to accompany the white dress. We provide several options for sparkling smiles and would be happy to share all the details. For some, teeth whitening may cause sensitivity, so we recommend getting that done about one month before the wedding day. If patients prefer to whiten more gradually, we have a tray system that can be done at home.
Worry-Free Wedding Day
We recommend that if your wedding party is putting together an emergency kit that they include dental floss, a compact mirror and travel toothpaste/toothbrush. That way you can rest assured no one has anything in his/her teeth, and that you can keep your breath fresh. Some sugarless gum can also give you a boost, as well as avoiding onions or garlic on that day.
Say” I Do” to a Daily Dental Routine
Even after your wedding, you will want keep your smile white and bright. Commit to a lifelong dental routine that includes brushing and flossing at least twice a day. It’s also nice to have someone to remind you to schedule your regular dental appointments and cleanings.
Let us know if a wedding is in your near future – there may be some surprises in store for our patients. And as always, please contact us with any questions about caring for your teeth, mouth, and gums.
4/16/2018 4:14:59 PM
Everyone should feel confident when it comes to their smile, but this might not always be the case if they have missing teeth. Other than just appearance, lost teeth affect other aspects of your dental anatomy as well, which is why it is so important to replace them. At Mitchell Dentistry, our Fort Myers dentist provides patients with the following information to why it is essential to restore missing teeth and the best treatments for their dental issues.
When a tooth is completely lost, the root is no longer within the jaw to maintain healthy density. A process known as resorption may begin to occur, where the adjacent bone is used to close the gap left by the missing tooth root. This can cause a patient to look prematurely aged, as the jaw may appear shrunken.
One of the best long-term treatments for jawbone resorption is dental implants. Implant-supported prosthetics are surgically placed into the jaw, mimicking a natural tooth root and preserving patient’s dental anatomy.
Patients who have had missing teeth for a long period of time are at risk for the domino effects that occur due to the dental concern. When a lost tooth is left unaddressed, the empty space in your dental anatomy cause surrounding teeth to shift to fill the gap. This causes complications such as crowding, gaps, and crooked teeth. These malocclusions can affect your bite, interfering with your ability to properly chew foods, resulting in poor digestion.
Depending on the number of missing teeth, our dentists will recommend a teeth replacement option that best meets your needs. A crown and bridge address one or more missing teeth and partials or dentures have the ability to restore full arches of teeth. These prosthetics do well to help patients gain a stronger bite and eat the foods they enjoy.
Patients with missing teeth may feel self-conscious about their smiles as they feel it may not be aesthetically pleasing. Replacing lost teeth may boost patient confidence and allow them to seize the opportunities that they come across.
Dental implants or traditional prosthetics do well to restore the visual aspects of the smile, giving patients the opportunity to live out their daily lives with improved self-esteem.
To learn more about why you should restore missing teeth contact Mitchell Dentistry today! Our Fort Myers dentists want to help you regain a healthy, beautiful smile so you can showcase it to others, and feel like your natural self.
4/5/2018 12:27:21 PM
At Mitchell Dentistry, we don’t wait for April to come around to create awareness about the dangers of oral cancer. In fact, every time you come in for a cleaning or a treatment, we are taking a good look inside your mouth to make sure all is well. And if it is not, we provide you with guidance on the next steps for further investigation.
But since April is Oral Cancer Awareness Month, we want you to be even more vigilant. More than 21,000 men and 9,000 women in the United States annually receive oral cancer diagnoses, according to the National Cancer Institute.
Oral cancer can strike in the mouth and throat with most of these cancers beginning in the flat cells—squamous cells—that cover the surfaces of the mouth, tongue and lips. Some of the risk factors for oral cancer include tobacco use, heavy alcohol consumption, infection with human papillomavirus, sun exposure, diet, betel nut use, and personal history of oral cancer.
Symptoms to watch for include patches inside the mouth or on the lips, a sore on the mouth or lips that doesn’t heal, bleeding in the mouth, loose teeth, pain or difficulty swallowing, lump in the neck, numbness of lower lip and chin, difficulty wearing dentures and a persistent earache.
Call our office or your physician for an appointment immediately if you have any of these symptoms.
We are very concerned about the prevalence of oral cancer and we are involved in the community’s fight to end this insidious disease. Throughout the year, I am a guest speaker at local support groups, providing guidance to those who are suffering with head and neck cancers.
And for the past five years, our entire staff has created a team to participate in the annual Head & Neck Cancer 5K – this year it takes place on Saturday, April 28. Please call our office if you would like to join our team (T-shirt included!).
As always, please contact us with any questions about caring for your teeth, mouth, and gums.
We welcome your feedback, so feel free to send your comments our way.
3/5/2018 11:05:11 PM
An aligned smile has multiple cosmetic and functional advantages. Our Fort Myers dental team wants to educate patients on how certain dental issues, such as malocclusion, impact their oral health.
Misalignment can put stress on a patient’s jaw and surrounding facial structures, causing discomfort. Straightening teeth helps prevent this issue and avoids complications with the temporomandibular joint (TMJ).
Those with a TMJ disorder have frequent headaches and limited movement of the jaw. Problems with your temporomandibular joint also consist of tension in the neck, back, and temples, as well as occasional dizziness and vertigo.
Since pressure is distributed unevenly, misaligned teeth are more susceptible to damage when chewing food. This can lead to teeth becoming prematurely worn and chipped, while an inability to properly chew food can also inhibit a person’s digestive system. Receiving orthodontic intervention protects patients’ smiles and helps stop future issues from arising.
Gums are also vulnerable to developing periodontal disease when teeth are not in their correct position. Misaligned teeth can be more difficult to effectively clean during your daily dental care routine, making it easier for harmful bacteria to spread. Depending on the severity of misalignment, those with very crooked teeth are susceptible to periodontal pockets forming beneath the gum line.
Invisalign® clear aligners allow you to improve and maintain your oral health, as well as preserve your smile’s beauty.
These clear braces are known for their ability to go unnoticed by others. The Invisalign orthodontic system is a series of invisible trays that gradually shift teeth into improved positions. The clear aligners are custom-made to fit the unique contours of your teeth and require you to wear them for 22 hours a day. Invisalign trays do not place any dietary restrictions on patients as they are conveniently removable, simply take them out before eating.
If you would like to know more information about how straight teeth benefits you, contact Mitchell Dentistry! Dr. Mitchell enjoys helping patients enhance their smiles with treatments that bring them closer to reaching their dental goals. Call or visit our Fort Myers dental practice today!
2/16/2018 4:23:44 PM
Braces are typically the best way to correct tooth alignment problems and most often kids and teens are seen wearing them. However, even though many adults would benefit from having straighter teeth, they feel they’re too old to wear braces. The truth is, you’re almost never too old to wear braces, and definitely not too old to enjoy the benefits of having straighter teeth.
One reason why children are seen wearing braces more often than adults is because it’s easier to correct tooth alignment problems in childhood rather than in adulthood, as alignment issues tend to become worse over time. The main reason, however, is that it’s better to prevent orthodontic problems in childhood than it is to treat those problems—and the oral health issues they cause—later on. Wearing braces as a child or teen means that teeth are properly aligned, and aren’t overcrowded upon entering adulthood. This prevents bite problems and makes it easier to keep teeth and gums healthy.
While it’s definitely better to receive braces earlier rather than later, health is also a major factor that makes a patients a good candidate for braces.
If you want to have orthodontic work, it’s important that your teeth and gums are in good shape. This means no tooth decay, gum disease, or missing teeth. If you have problems with decay or gum disease, it’s necessary to treat those problems first before having orthodontic treatment. And unfortunately, if you’re missing several teeth, orthodontic work is unlikely to provide much benefit.
So, it’s not age that is the limiting factor for wearing braces, it’s your oral health. If your teeth and gums are in good condition, you can be a good candidate for braces at almost any age.
Modern braces are much more comfortable than they used to be. Thinner wires and smaller brackets make them easier to wear, and much less obtrusive. There are also options for tooth-colored or clear ceramic braces that are even less noticeable, so there are plenty of options for adults who want to correct tooth alignment problems.
While children generally wear braces, teens and adults have an additional option—clear aligners. These are customized oral devices that you wear around 22 to 23 hours a day. This treatment gradually straightens teeth over the course of 6 to 18 months. Clear aligners are suitable for correcting minor to moderate alignment problems and preferred by many people because they’re almost undetectable when worn.
No matter what your age, there is likely to be an orthodontic treatment that will work for you. For more information about orthodontic treatment and your options for braces or aligners, talk to your dentist today.
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