5/1/2017 2:12:37 PM
Taking a deeper look at sleep…
Have you ever taken such an interest in something that you have wanted to learn all you can about it?
At Mitchell Dentistry, we were among the first in our community to talk to our patients about the dangers of sleep apnea and how we might be able to help with this life threatening disorder. For several years, we have worked with area physicians, and have introduced ever evolving oral appliances to ease the situation for many patients. We’ve talked with many who are relieved about breathing better – and many more who are excited that their loved ones have stopped snoring all night!
All three of us, Dr. Yolanda, Dr. Joe and I, are excited about a three-day conference we will soon be attending in Arizona. We will amp up our education with the latest courses on aberrant breathing – when awake and asleep – and its impact on our patients’ health. This seminar will help us move beyond sleep appliances and into a new realm of sleep medicine.
We will learn to recognize breathing-disturbed sleep and the associated anatomic “choke points” of respiration. The world’s leading experts on this issue will help us enhance our solid foundation and give us even more tools for controlling and resolving airway issues with the newest techniques in restorative dentistry.
According to Spear Education, among the things we will learn to bring back to our patients include:
Those of you who know us know how much we love learning, and applying our newfound knowledge in our practice. We can’t wait to share ideas with you when we return from the conference.
As always, please call us with any questions or concerns. We love your feedback, so feel free to send your comments our way.
Best wishes from our Mitchell Dentistry family to yours!
All the best, Dr. Jim
3/13/2017 5:01:30 PM
At Mitchell Dentistry, one of our top priorities is educating our patients. A critical challenge is how to provide sometimes technical information that is clear, concise and easy to understand. Perhaps that’s why the American Dental Association (ADA) has a contest for dental students in health literacy. This year’s winner, Ida Gorshteyn, was just announced, and we understand why. Her essay entitled “The Truth About Sugary Drinks and Your Smile” does an excellent job of presenting important information in an entertaining, informative way.
Ms. Gorshteyn says, “This essay was actually one of my first experiences with health literacy. It was eye-opening and educational to see firsthand how nuanced and actually difficult it is to write with a public health targeted audience and goal in mind.“
We congratulate Ida Gorshteyn and hope you find her article helpful:
The Truth About Sugary Drinks and Your Smile
By Ida Gorshteyn
UCLA School of Dentistry student
Winning Essay 2017
Sweetened beverages have become a treat that many Americans have every day. The truth is that these drinks are not healthy, especially for our dental health and smiles. Everyone has harmful bacteria in their mouths that eat the sugars we consume. The bacteria get energy from the sugar, but in the process produce acid. The acid they make can damage teeth, causing cavities to form or erosion to occur.
Some of the most common beverages that Americans drink actually have loads of sugar, even drinks that are marketed as “healthy” or “all natural”. If you think you’re safe with drinks like juice, think again! A glass of apple juice can contain a similar amount of sugar to glass of soda. According to the USDA, sugar should make up no more than 10% of your daily calories. For women, that is 10-15 tsp. per day. For men, it’s 12.5-18.75 tsp. Just one glass of that apple juice would put many people at (or just under) their entire daily limit.
Eliminating sugary beverages from our diets would be best, but reducing the number of sugary beverages you consume and substituting healthier options with less sugar is already a step in the right direction. Here is a list of drinks that are full of sugar and drinks that are better choices.
All of the drinks in the better choice column have little or no sugar. That means they won’t give the bacteria in your mouth a chance to cause trouble and make acid that can damage your teeth. Water can also contain fluoride, which protects teeth against cavities. The calcium in milk also helps keep your teeth strong. If you or your children are allergic to cow’s milk, try unsweetened milk substitute (such as almond, soy, rice) with added calcium.
If you find you can’t resist your morning cup of sweetened coffee, tea, or juice, there still are some things you can do to help protect your teeth. Here are some suggestions to consider.
Knowing what drinks contain sugar and that sugar-sweetened drinks can hurt your dental health is a good start. Set some goals for your family to follow these tips. Good habits begin at a young age, so help your kids make healthy decisions about what they choose to drink. Set a positive example, and you will all have healthier smiles and a healthier future.
All of us at Mitchell Dentistry hope you take these suggestions to heart for your healthier, happier smile. As always, we are here for your questions and concerns. Let us know what you think about this essay, and if there are other topics you would like us to share with you.
All the best,
1/17/2017 5:41:02 PM
Working together, we can achieve your most natural, beautiful, unique smile through Digital Smile Design, a process founded and taught by Dr. Christian Coachman. At Mitchell Dentistry we have trained to use the techniques and digital technology of Dr. Coachman to bring you non-invasive procedures and a custom treatment plan to help accomplish your goals.
Our first step is to ensure that we have open and honest communication before any work is done. By using advanced digital technology, we can create multiple different models to simulate the intended results specifically for you.
Following Dr. Coachman’s guidelines and letting you know what to expect has benefited our patients in the following ways:
Most patients report that they like having greater control over the outcome of their cosmetic treatment. We work together with a systematic approach for diagnosis, communication, treatment planning, execution, and case maintenance. Here is how the Digital Smile Design process works:
Step 1: Our team will take digital photos of your teeth and entire mouth from multiple angles
Step 2: You and Dr. Jim, Dr. Yolanda or Dr. Joe will review the photos using special software that allows us to begin demonstrating potential changes via a PowerPoint presentation
Step 3: A simulation of your smile after treatment will be rendered in a “digital mock-up” that reflects the proper height to width ratio of your mouth
Step 4: Our team takes impressions of your teeth and Dr. Mitchell translates the digital design onto the physical model to predict how you will look
Step 5: We will create a resin model to see how well the modeled treatments fit your teeth and your needs
Once you are happy with the final mock-up, our dentists will perform any necessary treatments according to the roadmap you and Dr. Mitchell developed through the Digital Smile Design process.
The bottom line is that you are the co-designer of your own treatment.
Dr. Coachman’s team explains it this way:
The concept is based upon the analysis of the patient’s facial and dental proportions, using a predetermined series of high quality digital photographs and videos understanding the relationship between teeth, gums, lips, smile with the facial features in motion and with emotion.
Digital drawings are easily made on the pictures to precisely communicate with the dental technician and team when designing the smile. Resulting in a clear, attractive and understandable treatment presentation for patients.
We love working with all the newest technology, and hope to continue this discussion with you very soon. As always, please call us with any questions or concerns. We love your feedback, so feel free to send your comments our way.
Dr. Joe, Dr. Yolanda and Dr. Jim Mitchell of Mitchell Dentistry, Fort Myers
More about Dr. Coachman from http://www.DigitalSmileDesign.com
Dr. Christian Coachman received his DDS degree from the University of Sao Paulo Dental School in 2002. Before the DDS degree, he obtained his technician certificate in in Dental Prosthesis.
He participated in the ceramic specialization program at Ceramoart Training Center, mentored by Dr. Dario Adolfi. For his remarkable performance, he was invited to become instructor at this same school. In 2004, he was invited by Dr. David Garber, Ronald Goldstein, Maurice and Henry Salama (Team Atlanta/USA) to be the master ceramist in their laboratory, where he stayed for over four years.
Recently he has been working with renowned dentists around the world as Drs. Eric Van Dooren (Belgium), Galip Gurel (Turkey), Nizan Bichacho (Israel), Mauro Fradeani (Italy) and Marcelo Calamita (Brazil). Currently, he keeps a part time practice in Sao Paulo and make consults for companies developing products and implementing concepts. He developed the concept of the Digital Smile Design and has been invited to give hundreds of lectures around the world in the last few years on the topics of smile design, esthetic dentistry, and oral rehabilitation.
He has published several articles on esthetic dentistry, smile design, pink restorations, and implant rehabilitations.
12/20/2016 3:47:54 PM
As we set our goals for 2017, I have taken a look back at 2016 to reflect on all we have accomplished, and all we have to look forward to. It has been a fulfilling and successful year both personally and professionally for many reasons. Following are Mitchell Dentistry’s top five highlights shared with the hope that you too can look back positively on the past 12 months. Please let us know what your experience has been and share some of your accomplishments with us – we would love to know more.
We recently added 3D dental imaging (known as Cone Beam Computed Tomography, or CBCT) to our practice. The high quality, low radiation x-rays allows us to understand more about each patient’s diagnosis and treatment plan than ever before.
CBCT works with a focused x-ray beam that reduces scatter radiation, resulting in an enhanced visualization of teeth, bones, and surrounding hard and soft tissue. The technology is manufactured by Dentsply Sirona.
We have invested in this technology to see more of each patient’s teeth and surrounding structures. Traditional dental x-rays are cumbersome and may cause a gagging reflex. 3D scans take about 14 seconds and are much more comfortable, much less invasive, and provide a more relaxed and enjoyable treatment experience.
We have been getting a fabulous response to our All-On-4 plan, an excellent solution for patients who have unwanted dentures or failing teeth in need of upper and or lower restoration. Typically, the procedure only requires four dental implants per jaw to support a fully customized set of replacement teeth – hence the name. The best part is that while the patient is comfortably sedated, we work side by side with board certified oral surgeons to attach a restoration created right here in our Fort Myers office, resulting in a brand new beautiful smile in just one day. Plus, there’s an almost immediate sense of well-being and improved self-esteem.
Did you know that sleep apnea is independently associated with an increased risk of stroke, cancer and death? A study by The American Academy of Sleep Medicine shows that people with moderate to severe obstructive sleep apnea were four times more likely to die, nearly four times more likely to have a stroke, three times more likely to die from cancer, and 2.5 times more likely to develop cancer.
At Mitchell Dentistry, the goal of sleep apnea treatment is to achieve healthy sleep.
The good news is that there are ways to prevent such horrifying statistics and we have launched one method that is helping many of our patients. A customized dental medical solution helps resolve one of the nation’s most serious, yet overlooked, health issues: obstructive sleep apnea (OSA). Apnea literally means “cessation of breath,” an often life-threatening issue that can be resolved with oral appliance therapy.
To diagnose OSA, we first administer a home sleep test that is read by a certified sleep physician. A copy of the report, along with a recommendation, is sent to each patient’s regular doctor. For mild to moderate cases, and even for some serious cases when the CPAP (continuous positive airway pressure) is not tolerated, we customize a sleep appliance manufactured by DynaFlex that has demonstrated evidence-based positive results. Dr. Yolanda introduced a new alternative, a comfortable device.
“It’s actually very user friendly because it comes in two pieces,” she explains. “No mold involved, it’s created from a digital scan and electronically sent to the laboratory with a prescription. They have a 3D printer that actually makes the models.”
Thousand attended the three-day educational festival that combined ground-breaking general
sessions, track-specific and innovative breakout sessions, unsurpassed entertainment and
unlimited networking opportunities. The first event of its kind, SIROWORLD was designed to not
only attract dentists practicing or interested in CEREC, but this event shined a spotlight on all aspects
of dentistry including CAD/CAM (CEREC), extraoral and intraoral imaging, implantology,
orthodontics, endodontics, hygiene, restorative, lab, practice management and much more.
The docs were also treated to appearances by Jerry Seinfeld, OneRepublic, and Sir Richard Branson.
Remember our fun-filled, action packed video feature, “The M Team”? Watch for the new version, coming soon, that features new staff members and brings some humor into our dental world. We will send you the link as soon as the editing is complete – you will be among the first to preview our fabulous new production!
Watch for our updated “M Team” video…coming soon: a lighthearted look at our staff and office!
As you can see, it was a great year! As always, please call us with any questions or concerns. We love your feedback, so feel free to send your comments our way.
Wishing you very merry holidays and a happy New Year!
11/23/2016 2:56:09 PM
Thanksgiving is almost here! This is the time of year to catch up with family, and to reflect on all you have to be grateful for. Plus, it’s a time to feast on a variety of delicious foods, some of which are not the healthiest choices. You don’t have to sacrifice an enjoyable holiday to still pay attention to your dental care. Here are five tips to maintaining your healthy smile while enjoying a happy holiday.
Having beautiful, healthy teeth is certainly something to be thankful for this holiday season. And we are very grateful to all of you, our wonderful patients!
10/6/2016 5:15:58 PM
Yes, you’ve heard it all before: watch those sugary treats your children gorge on every Halloween, and all the other caveats that come around this time of year. But as a dentist for more than 30 years, I cannot help but use this opportunity to remind parents, grandparents and caregivers of the top 10 tips from the American Dental Association . It’s our chance to weigh in with our expertise. We want you to have fun and to enjoy the occasion, but please be mindful of the following to protect your children’s healthy smiles:
Time It Right
Eat Halloween candy (and other sugary foods) with meals or shortly after mealtime. Saliva production increases during meals and helps cancel out acids produced by bacteria in your mouth and helps rinse away food particles.
Choose Candy Carefully
Avoid hard candy and other sweets that stay in your mouth for a long time. Aside from how often you snack, the length of time sugary food is in your mouth plays a role in tooth decay. Unless it is a sugar-free product, candies that stay in the mouth for a long period of time subject teeth to an increased risk for tooth decay.
Avoid Sticky Situations
Sticky candies cling to your teeth. The stickier candies, like taffy and gummy bears, take longer to get washed away by saliva, increasing the risk for tooth decay.
Drink More Water
Drinking fluoridated water can help prevent tooth decay. If you choose bottled water, look for kinds that are fluoridated.
Maintain a Healthy Diet
Your body is like a complex machine. The foods you choose as fuel and how often you “fill up” affect your general health and that of your teeth and gums.
Stay Away from Sugary Beverages
This includes soda, sports drinks and flavored waters. When teeth come in frequent contact with beverages that contain sugar, the risk of tooth decay is increased.
Chew Gum with the ADA Seal
Chew sugarless gum, preferably with the ADA seal, for 20 minutes after meals helps reduce tooth decay, because increased saliva flow helps wash out food and neutralize the acid produced by dental plaque bacteria.
Brush Twice a Day
Brush your teeth twice a day for two minutes with an ADA-accepted fluoride toothpaste. Remember, replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won’t do a good job of cleaning your teeth.
Clean Between Your Teeth
Floss your teeth once a day. Decay-causing bacteria get between teeth where toothbrush bristles can’t reach. Flossing helps remove plaque and food particles from between the teeth and under the gum line.
Visit Our Office
Regular visits to our office can help prevent problems from occurring and catch those that do occur early, when they are easy to “treat.”
9/9/2016 5:50:57 PM
The month of September brings our attention to back-to-school, football season and for those up north, autumn leaves. But did you know that September is also National Gum Care Month? Don’t laugh…caring for your gums is as important as caring for your teeth, and at Mitchell Dentistry, we’re excited that there is a whole month dedicated to creating awareness about this topic.
Healthy Gums Matter
We all tend to be more attentive to what we can see: are my teeth white enough? Are my teeth straight enough? But remember that it takes healthy gums to support your healthy smile. Many people are at risk of gum disease, or suffering from it already, and they may not even know. During the month of September, learn what to look for to keep your gums healthy.
Protect Your Body
Unhealthy gums can lead to many afflictions, all over the body. Through periodontal disease, bacteria and inflammation can enter the bloodstream, which can cause problems with
Your overall health depends on healthy gums. Learn what the signs of gum disease are so you can recognize them and take action:
Symptoms to Watch For
Here are some symptoms to look out for so that you can take the next steps, and make an appointment with our office. Hopefully we can address some of these symptoms early on, before it is necessary for us to recommend a visit to your periodontist for further evaluation.
The most common signs of gum disease are tenderness, swelling, or redness in the gums. If your gums are receded from the teeth or your teeth feel loose, it is also a signifier that your gums may be unhealthy. Of course, if you notice bleeding, you should make an appointment with our office immediately.
Knowledge is Power
Our goal is to help spread awareness about healthy teeth and gums throughout the year. Because September is National Gum Care Month, this gives us an extra opportunity to pass on helpful information to our patients.
8/11/2016 1:43:44 PM
At Mitchell Dentistry, we encourage you to floss. In light of the latest news reports suggesting that there is little evidence that flossing works (http://www.nbcnews.com/nightly-news/video/new-report-suggests-there-is-little-evidence-that-flossing-works-736960579572), we are compelled to let our patients and friends know that indeed flossing serves a very specific, and necessary, purpose.
According to the American Dental Association (ADA), using an interdental cleaner (like floss) is an essential part of taking care of your teeth and gums. The U.S. Department of Health and Human Services also reaffirmed flossing as “an important oral hygiene practice” in an August 2016 statement.
The American Dental Association recommends cleaning between your teeth once a day. This is important because plaque that is not removed by brushing and flossing can eventually harden into calculus or tartar. Flossing may also help prevent gum disease and cavities.
For a lighthearted look at what you can do with your floss should you decide that it might be useless, take a look at NBC’s follow-up story here:
After you’ve finished with a little chuckle, here are some great tips from the ADA on how to floss correctly and effectively, along with a helpful video:
Please take our advice and continue to floss – our team at Mitchell Dentistry only wants the best for you, and would never “string you along.”
As always, please call us with any questions or concerns. And we love your feedback – how do you feel about flossing?
The above post cites information from NBC-TV News and the American Dental Association (ADA).
7/18/2016 4:47:20 PM
At Mitchell Dentistry, we continue to learn about the science-based connections between oral health and overall health. Paying attention to the whole person has often helped us notice many of the warning signs that have led us to advise patients to seek further diagnosis, in some cases culminating in life saving results.
That’s why we were interested in a recent research study published in Science Daily describing how patients entering the hospital for acute stroke displayed an association between certain types of stroke and the presence of the oral bacteria (cnm-positive Streptococcus mutans).
The Link between Stroke and Oral Bacteria
Co-authored by Robert P. Friedland, M.D., the Mason C. and Mary D. Rudd Endowed Chair and Professor in Neurology at the University of Louisville School of Medicine, researchers at the National Cerebral and Cardiovascular Center in Osaka, Japan, observed stroke patients to gain a better understanding of the relationship between hemorrhagic stroke and oral bacteria. Among the patients who experienced intracerebral hemorrhage (ICH), 26 percent were found to have a specific bacterium in their saliva, cnm-positive S. mutans. Among patients with other types of stroke, only 6 percent tested positive for the bacterium.
Strokes are characterized as either ischemic strokes, which involve a blockage of one or more blood vessels supplying the brain, or hemorrhagic strokes, in which blood vessels in the brain rupture, causing bleeding.
The researchers also evaluated MRIs of study subjects for the presence of small brain hemorrhages which may cause dementia and also often underlie ICH. They found that the number of these was significantly higher in subjects with cnm-positive S. mutans than in those without.
The authors hypothesize that the S. mutans bacteria may bind to blood vessels weakened by age and high blood pressure, causing arterial ruptures in the brain, leading to small or large hemorrhages.
Oral Health is Important to Brain Health
“This study shows that oral health is important for brain health. People need to take care of their teeth because it is good for their brain and their heart as well as their teeth,” Friedland said. “The study and related work in our labs have shown that oral bacteria are involved in several kinds of stroke, including brain hemorrhages and strokes that lead to dementia.”
The cnm-negative S. mutans bacteria is found in approximately 10 percent of the general population, Friedland says, and is known to cause dental cavities (tooth decay). Friedland also is researching the role of oral bacteria in other diseases affecting the brain.
“We are investigating the role of oral and gut bacteria in the initiation of pathology in the neurodegenerative disorders Alzheimer’s and Parkinson’s with collaborators in the United Kingdom and Japan.”
Extending a healthy life with a healthy mouth
Why are we sharing this information? Because our Mitchell Dentistry team is concerned for our patients – not just from the standpoint of their oral health, but for their health in general. Based on science, we know that helping you maintain a healthy mouth can extend your healthy life.
As always, please call us with any questions or concerns. In the meantime, enjoy a safe and healthy summer!
The above post is reprinted from materials provided by University of Louisville. Note: Materials may be edited for content and length.
6/8/2016 8:06:58 PM
Summer brings longer days, weekend barbecues, and July 4th fireworks – at Mitchell Dentistry, it also brings a bevy of dental appointments with our patients who are college students. Home on summer break, they can catch up on all their obligations at home, including taking care of their oral health. For most, an exam, x-rays and a professional cleaning are all they need to go on their way. Others have more serious needs. One issue that comes up time and time again is the question of bad breath, or halitosis. Whether a summer romance has blossomed, or time is spent in close proximity to their friends, this is a concern shared by many teens and college students. The good news is that bad breath can often be prevented with some simple steps.
Bad breath is caused by odor-producing bacteria that grow in the mouth. If you do not brush and floss regularly, bacteria accumulate on the bits of food left in your mouth and between your teeth. The sulfur compounds released by these bacteria make your breath smell.
Certain foods, especially ones like garlic and onions that contain pungent oils, can contribute to bad breath because the oils are carried to your lungs and out through your mouth. And in addition to several other negative effects, smoking is also a major cause of bad breath.
Based on our experience here at Mitchell Dentistry, and some helpful tips from the University of Florida’s School of Dentistry, here are some mythbusters that might help freshen your breath.
Myth #1: Mouthwash will make bad breath go away.
Mouthwash only gets rid of bad breath temporarily. If you do use mouthwash, look for an alcohol-free, antiseptic (kills the germs that cause bad breath) and plaque-reducing one with a seal from the American Dental Association (ADA). Also, remember to ask us for recommendations.
Myth #2: As long as you brush your teeth, you shouldn’t have bad breath.
The truth is that most people only brush their teeth for 30 to 45 seconds, which just does not suffice. To thoroughly clean all the surfaces of your teeth, you should brush for at least two minutes at least twice a day. Remember to brush your tongue, too — bacteria love to congregate there. It’s equally important to floss because brushing alone won’t remove harmful plaque and food particles that become stuck between your teeth and gums.
Mitchell Dentistry emphasizes the importance of brushing your tongue to prevent bad breath.
Myth #3: If you breathe into your hand, you’ll know when you have bad breath.
We all do this, right? However, when you breathe, you don’t use your throat the same way you do when you talk. When you talk, you tend to bring out the odors from the back of your mouth (where bad breath originates), which simply breathing doesn’t do. Also, because we tend to get used to our own smells, it’s hard for a person to tell if he or she has bad breath.
If you’re concerned about bad breath, make sure you’re taking care of your teeth and mouth properly. Some sugar-free gums and mints can temporarily mask odors, too.
If you brush and floss properly and visit our office for regular cleanings, but your bad breath persists, you may have a medical problem like sinusitis or gum disease – so please call us if you suspect a problem. We are here to answer your questions, and help you take care of it.
Enjoy your summer!
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