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Edited by Dentaltown staff

DENVER—Dental Lifeline Network, a national dental nonprofit organization reached a significant achievement in September, exceeding $300 million in dental services donated to people with disabilities or who are elderly or medically fragile and have no other access to dental care.

Through its flagship Donated Dental Services (DDS) program, more than 100,000 vulnerable people have benefited from life-sustaining, and even life-saving, treatment—thanks to volunteer dentists and laboratories of DLN and its partner organizations in several states. Started 30 years ago in Colorado, DDS serves people in 50 states and Washington D.C. DLN is a charitable affiliate of the American Dental Association.

“The success of the DDS program is due to the tremendous generosity of our 15,000 volunteer dentists and 3,700 labs that willingly provide comprehensive dental therapies to people in critical need of care,” said Fred Leviton, DLN president. “Many thousands of people in the U.S. suffer from painful dental conditions including fractured teeth, advanced periodontal disease and the inability to eat normally. After years of being unable to afford treatment, these patients’ ages or disabilities can make the burden of added dental disease devastating for them. Their lives literally are transformed through the safety net provided by DDS volunteers,” he noted.

One such patient is Amanda, age 34, who uses a wheelchair and help from family members for mobility. A birth defect prevented her joints from fully developing. After working at a bank for many years, she now relies on disability benefits. Amanda types with her mouth. She cracked a tooth and, unable to afford dental care, postponed treatment until a much bigger problem developed. Eventually, she connected with the DDS program.

“Every single day that I have a healthy smile and a healthy mouth, I can do the things I need to do and feel confident,” Amanda said. “You guys (DDS) did that for me . . thank you!”

More volunteer dentists are always needed to meet the ever-growing demand. Chicago dentist Dr. David Gershenzon joined his father’s dental practice after completing his dental education, and began volunteering for DDS as his father and now partner, Dr. Richard Gershenzon, has done for many years.
 
“It’s really meaningful to me to see the look on a (DDS) patient’s face after they’ve completed treatment and you’ve really helped improve their lives,” Dr. David Gershenzon said. “It gives me more meaning as to why I’m a dentist.

“This is a call to action on my fellow professionals: DDS doesn’t require a lot of time. You can see one patient a year or you can see as many as you want,” he added.

Also a DDS volunteer, Dr. Tina Smith of Arlington Heights, Ill., noted, “A smile is such a big part of your face . . This is where your thoughts come out of. It’s important to restore a smile.” She encourages ADA members, “Get out there and volunteer. It’s easy. It’s rewarding. There’s no downside.”

Both Drs. Gershenzon and Smith and DDS patient Amanda are featured in a new video, Volunteer Today. Help Thousands Smile Again, produced for Dental Lifeline Network as a public service by the ADA, urging other dentists to join them as DDS volunteers.

The 3-1/2-minute video, features three additional patients: Diane, a grandmother who suffered an accident in a transit turnstile that resulted in permanent injury, and David who experienced a brain injury. A third patient, Jesse, was diagnosed as a child with osteoarthritis and joint distortion. Later employed as a high school teacher, he also was a video editor until his disability prevented him from working. All had severe dental problems until three DDS volunteer dentists changed their lives. (To view the video, visit DentalLifeline.org or ADA.org/en/member-center/volunteer-opportunities.

An increasing number of patients who are medically fragile are being referred to DDS, because dental disease prevents many with chronic health problems from receiving life-saving medical treatments. Dental health often is a prerequisite for cancer patients who need chemotherapy, candidates for organ transplants or kidney dialysis, people with autoimmune diseases who require life-saving medications, cardiac patients requiring surgery, and patients with crippling arthritis who need joint replacements.

Since DLN began, it has grown through collaboration with state dental associations and national strategic partners. Funding to support the volunteers comes from a variety of sources including state governments, foundations, dental organizations, some state Delta Dental plans and corporate and individual donors. Considerable support also comes from the dental trade industry including the Dental Trade Alliance and its member companies and the DTA Foundation through both financial contributions and donated materials such as teeth, alloy and dental supplies used by dentists and by volunteer laboratories for fabrications.

For information to become a volunteer dentist or laboratory or to make a donation, visit DentalLifeline.org or call (888) 471-6334.
 
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From Dental Town

Nominations underway; 4th annual celebration June 2-3, in Dallas, Texas, will honor women who inspire change from the laboratory to the operatory.

PITTSTON, Penn.—Revolutionary. Pioneer. Changemaker. Terms that define Dr. Lucy Hobbs, the first American woman to earn a degree in dentistry, also describe the modern women in today’s dental community who are recognized annually by The Lucy Hobbs Project.

Powered by Benco Dental, The Lucy Hobbs Project is a national, long-term program based on three pillars—networking, innovating and giving back.  Named after Hobbs, this project aims to bring women together from all facets of the dental industry—dentists, dental assistants, hygienists, receptionists, sales representatives and others. The project is free to join and offers networking opportunities, education programs and charitable events.

Today, Benco Dental invites nominations for 2016 The Lucy Hobbs Project Awards Honoring Exemplary Women in the Dental Community.

Benco Dental will host The Lucy Hobbs Project 4th Annual Celebration in Dallas, Texas, on June 2 and 3, 2016. The schedule will include one CE, a keynote speaker and lunch. Visit The Lucy Hobbs Project website for more information.

During the celebration, The Lucy Hobbs Project will honor women who are setting new benchmarks in the dental profession and beyond. Now, through the January 15, 2016 deadline, Benco Dental encourages people across the country to nominate women in dentistry who they view as inspirations to others. Six categories for consideration include:
•    Woman to Watch: An up-and-coming leader who utilizes her position to create positive change in the industry.
•    Industry Icon: A trailblazer who is consistently recognized and admired for her work in the dental industry.
•    Mentor: An advisor who recognizes the importance of supporting, educating and encouraging others.
•    Innovator: A groundbreaker who demonstrates a willingness to implement new technologies and business processes without fear of potential failure.
•    Humanitarian: An altruist who works tirelessly for a charity or cause that benefits the well-being of others.
•    Clinical Expert: A skillful practitioner who embraces advancements and adeptly integrates them into patient care.

Individuals and organizations may submit nominations and self-nominations are accepted. Contest entrants are directed to the 2015 Lucy Hobbs Project Awards Nomination Form: https://www.surveymonkey.com/r/LHP2016Nominations

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From Dentaltown.com

CHICAGO—This weekend at the American Public Health Association meeting, leaders in dentistry and public health joined together to launch the Canada-United States Chapter of the Alliance for a Cavity-Free Future (the Alliance). The Alliance aims to facilitate collaboration among the various professional groups who impact oral health with a specific focus on children under the age of six.

Worldwide, 60–90 percent of school children and nearly 100 percent of adults have tooth decay.(1) In fact, dental caries (which includes all stages of tooth decay) is the most common, yet preventable, chronic disease on the planet. The impact of this disease has a profound impact on children in North America. In Canada, an estimated 2.26 million school days are missed each year due to dental related illness.(2) In the United States, a child is five times more likely to seek emergency room treatment for dental problems than for asthma, often because they can’t see a dentist, are uninsured or can’t afford routine dental care.(3)

There are multiple steps in the formation of a cavity. First, bacteria that develop on the teeth between twice-daily brushing break down sugars in all the foods we eat and drink. These bacteria produce acid, which can attack and dissolve tooth enamel. Ultimately, calcium is lost from the enamel, resulting in a weak spot, the first stage of cavity development. If left unchecked or untreated, tooth decay continues and a cavity develops. With proper management and intervention, early forms of tooth decay—known as caries—can actually be stopped and reversed.

“Too often, we accept the occurrence of cavities as the status quo,” said Margherita Fontana, DDS, PhD, Professor, University of Michigan School of Dentistry and Chapter co-chair. “We know caries management is achievable by utilizing evidence-based approaches to reverse, stop and prevent tooth decay, and by establishing inter-professional partnerships that can help reduce disparities in certain populations of children.”

National Declaration to Elevate New Way of Looking at Caries As part of the launch event, national leaders signed a declaration committing to the goals of the Alliance. As an initial goal, the ACFF Canada-US Chapter will aim to facilitate inter-professional collaboration for caries prevention and management, by increasing the number of medical offices that routinely recommend brushing a child’s teeth with fluoridated toothpaste, a healthy diet and the use of fluoride varnish. “Collaboration is essential for comprehensive prevention and management of caries in both Canada and the U.S.,” said Alyssa Hayes, BDent(Hons), MSc, FRCD(C), Assistant Professor, University of Saskatchewan, and Chapter co-chair. “We need to commit to developing systems at various jurisdictional levels which encourage the policy makers and all health professionals to work together in addressing this disease. Collectively we can educate the public and encourage leaders in health care to take action.”

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From Dentaltown.com
By Eric Hanson, DDS

As dentists, almost all of us have encountered the patient who comes to our practice to get a new denture because the old one "just doesn't fit." This usually requires a few more questions to get an accurate idea of exactly what the patient means, but what it usually boils down to is this: the lower denture floats around when eating, gets food under it, creates sore spots, and is generally a nuisance.

Upper dentures rarely, in our experience, have these same issues. Lower dentures almost universally do. What do you do when this patient comes in your door? Making a new denture may or may not improve things, and a careful evaluation of the existing denture and the patient's oral condition is warranted as the first step in deciding on a solution.

During this evaluation, you may discover that the patient has worn a denture successfully in the past and has recently lost weight and now says it is "loose." Or you may find out the denture was originally an immediate denture that had never been relined and now, after months or years of osseous resorption, the denture is indeed very loose. In these cases, a new denture alone may improve things. Otherwise, simply making a new denture will result in frustration on your part and the patient's. It is important to take the time to recognize whether making that new denture is the only procedure needed to solve the patient's problem.

One thing is universal, however, and that is this: Securing the denture with dental implants will change your patient's life for the better, and whether or not you currently provide this service in your practice, letting the patient know it is an option is part of your obligation as his or her dentist. There are few procedures we offer that are truly life-changing, but helping a patient return from the land of the dental cripple is one of them.

Providing a service to denture-wearing patients that will eliminate the majority of their problems and allow them to return to a normal diet is a blessing most of them want—especially if it can be done at an affordable fee.

Denture retention options
The dental cripple (as we will refer to this patient) has many options. One option is to do nothing, of course. There are millions, perhaps many hundreds of millions of people worldwide who have few or no teeth and manage to ingest enough calories to survive. Teeth are not necessary for survival. However, in North America, the vast majority of people not only want to survive, but they also want to eat what they consider to be a normal diet and to look good doing it.

The second option is denture adhesive, a multi- billion-dollar industry. Most denture wearers will also tell you they would like to live without the mess and inconvenience of powder or paste and without the embarrassing possibility of coughing out a denture at a family party.

Dental implants are the third option listed here, but really should be the first option presented to patients because almost every edentulous patient can have his or her life improved with them.

Implants can be used to support or retain a denture, or to replace it. Denture replacement is an important option that involves several dental implants per arch and a fixed prosthesis to be fabricated. This should be presented to patients when biological limits allow. Denture replacement is beyond the scope of this article, but several overdenture systems are available that will be outlined below. The advantages and disadvantages of each will be presented, based on our personal observations.

The implant bar-supported denture
Implant bar-supported dentures have been in existence for several decades and have enjoyed a great deal of success. Dental implants are placed and allowed to integrate, then a bar is manufactured by a dental lab, and the denture fabricated afterward. Bars can be made with several attachment types, including the Hader Clip system, Locator-type attachments, and O-ball attachments. The bar can, in many cases, allow the denture to be fully supported, not just retained. Each has its own peculiarities and we won't try to cover all of them in this article.

Advantages
Denture is off the tissue so it can cause no irritation
Denture is usually completely supported
Denture is very stable
Patient chewing ability is very good
Can often be "upgraded" to a fixed prosthesis without additional implant placement
High patient satisfaction
Disadvantages
Expense
Cleanability
Complicated, multistep process to make or remake prosthesis
Technique-sensitive lab procedure
Technique-sensitive chairside procedure if attempting to reline denture or "pick-up" denture attachments
Bone height must be low enough to accommodate implants, bar, attachments, and denture material
Bone must be at least 7mm wide for a 3mm diameter implant

Four-Locator or Four O-ball system
Rather than placing two implants in the canine areas only, two more are placed distally, provided there is enough bone width to accommodate them. A variation on this is a three- implant system where one is placed at, or close to, the midline with two others in the posterior areas.

Advantages

  • Excellent denture retention
  • Cleanability
  • Upper denture can have palate removed
  • Little to no rocking or other movement of the prosthesis
  • Easier lab and chairside procedure than bar system
  • Can be upgraded to a fixed prosthesis, possibly without additional implant placement
  • High patient satisfaction
  • Replacing liners or O-rings is fairly fast and easy
  • Disadvantages
  • Patient expense
  • Sinus lift or mandibular bone grafting may be necessary for adequate bone height
  • Large O-balls require shorter bone to accommodate the O-ball and housing
  • Bone grafting may be necessary to accommodate 3mm-plus diameter implants



Mini dental implants
Mini dental implants, those described as being <3mm diameter, are used for overdenture retention. Four to six implants are usually placed and "loaded" six to 12 weeks later. Some practitioners load immediately when minimal torque requirements are met. Our experience is that a six-week waiting period results in a significantly higher success rate than immediate loading. Locators or O-ball systems exist, with the smallest diameter implants being O-ball type.

Advantages
Excellent denture retention when at least four are used
Cleanability
Lowest patient expense (when one-piece O-ball implants are used)
Can accommodate the most extensive variation in bone height and width
Bone grafting is almost never needed
Sinus lift procedures almost never needed
Low-trauma surgical procedure is simplest, requiring about an hour per arch.
Surgical armamentarium requirement is smallest
Chairside and lab prosthetic procedure is simple
Easiest procedure to replace a failed implant (if necessary)
Shorter healing (integration) period
Palate of upper denture may be removed in most cases
Lowest chair-time requirement
High patient satisfaction
Can be used for claspless partials in many cases
Replacing O-rings (on O-balls) is fast and easy
Fantastic opportunity to obtain experience in implant dentistry


Disadvantages
Individual implant failure rate may be higher than for root-form implants
Unchangeable abutment type, not as versatile for "upgrade" later
Lower denture will rock somewhat if resorbed posterior mandible is present
Periodontists and oral surgeons generally don't care for them, believing root-form implants to be superior, and mini implants being merely for use as Temporary Anchoring Devices in orthodontics

Discussion
We have performed all of the above procedures in our practice. We have also restored implants placed by other practitioners. To us, mini dental implants are the most sensible option for almost all patients when considering an overdenture. They require the least amount of trauma, which is advantageous for the fearful patient, and the least expensive, which gives the procedure wide appeal to the average Joe.

As far as we can tell, patient satisfaction with them is highest, especially when taking into consideration the fact that most of the time, a denture is more esthetically pleasing than a fixed bridge. Patients, even those with a badly resorbed mandible, are able to chew well and eat most foods with a bit of practice.

We have also observed that once the attachments are placed in the denture and the prosthesis adjusted, we rarely hear from our overdenture patients who have had minis placed. Mini implant retained overdentures appear to be the most problem-free system we have seen or personally used.

One question that frequently comes up is longevity. The first patient for whom I placed minis more than seven years ago had a severely resorbed mandible with no attached gingiva. Ten-

millimeter mini implants were placed. She did not come in to see us for five years and, as a result of poor oral hygiene, had some inflammation of the mucosa around the implants. I offered to remove the implants to relieve it and also offered to have her see the periodontist for soft tissue grafting. The patient refused both options and the hygienist has been providing implant maintenance every three months, with some improvement in the inflammation. The patient is in very poor health with an undiagnosed wasting disease. The point is, in spite of the imperfect situation, the patient doesn't want to return to life before minis!

Another example: a patient came in about a year ago with four mini implants in the mandible, placed by another practitioner. They were clean, in great shape, and had zero bone loss.

All I did was make a new overdenture, because the patient had paid the highest compliment a denture wearer could pay to the dentist who provided it: by chewing so many meals that the overdenture was worn out! Those implants had been in use for more than 11 years at the time. So much of the longevity of any implant is dependent on factors beyond the practitioner's control, the most important of which is the patient's oral hygiene.

In our practice, we have found Lew mini dental implants—manufactured by Park Dental Research—effective and reliable. The company's philosophy of producing implants at an extremely affordable price meshes very nicely with our practice mission of providing high-quality dental care at affordable fees. But whatever mini dental implant you choose, we believe that this method will help you effectively treat—and forever change the life of—the dental cripple.

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Sleep apnea is a common condition that affects nearly 22 million Americans. It is part of a range of sleep disorders. 80% of the people suffering from sleep apnea remain undiagnosed, which can compromise overall health.

Sleep apnea can add to conditions such as heart failure, high blood pressure, stroke, cardiovascular problems and diabetes. Sleep apnea can affect anyone, young or old, male or female.

Obstructive sleep apnea is caused by the airway being blocked during sleep. The soft palate collapses and blocks the throat during sleep, leaving patients gasping for air overnight and waking up tired.

Central sleep apnea causes the brain to quit signaling the muscles to breathe.

Complex sleep apnea is a combination of obstructive and central sleep apnea and causes the patient to suffer from an extreme lack of sleep and a reduced blood oxygenation.

Waking up hundreds of times during the night and not being aware of it can cause real distress to patients trying to lead a productive life. Patients may have severe fatigue during the day despite thinking they slept a full night. The reality is that they were in bed but their body did not get a chance to truly rest effectively due to the problems they may have unwittingly had breathing.

Sleep apnea is diagnosed by visiting with your primary care physician or getting tested using an electronic device you wear while you sleep.

Once your case is diagnosed and your case can be addressed by Dr. Vahid, he and the professionals at AV Dental can create a custom appliance worn at night like a retainer to help reduce sleep episodes. The dentists will make molds so it fits perfectly.

Depending on the severity of your apnea, a variety of other treatments may also be suggested.


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When Americans are polled regarding what they would you like to improve most about their smile, the most common response is to achieve whiter and brighter teeth.

Sometimes an otherwise beautiful smile can be diminished because of stained or otherwise yellowed teeth. There is no need to live with less than gorgeous teeth with today’s dental technology. By using the latest whitening and bleaching techniques, Dr. Vahid can dramatically whiten your teeth or simply remove years of aging.

Many factors contribute to the staining and yellowing of teeth. The primary culprit is the extremely harmful habit of cigarette smoking, which damages other organs invisibly but shows obvious detriment in yellowed or brown teeth. If you drink a lot of red wine or espresso you can be affected, as well.

In addition, some individuals are more prone to tooth yellowing and staining, primarily due to genetics.

Dr. Vahid will measure you original shade and use that as a starting point. He will then ask you what your tooth whitening goals are by showing you a color chart. Next you will discuss with him what is achievable given the characteristics of your teeth and create a whitening plan.

The whitening can be achieved with over the counter products that are commercially available.

More lasting professional results include in-office teeth whitening where stronger bleaches than what is available over the counter are applied. This method can allow your teeth to brighten up to ten shades in one hour. Other whitening techniques involve exposing your teeth to specialized spectrums of light.

You may be asked to abstain from common foods for a certain time period after whitening. Things to avoid may include: tobacco products, lipstick, coffee, tea, espresso, red wine, soft drinks, ketchup, berries, red sauces and soy sauce. You may experience tooth sensitivity.

Dr. Arash Vahid and the dental professionals at AV Dental Associates in Jersey City New Jersey are excellent at creating a dazzling smile for patients using the latest whitening techniques.

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Veneers, one form of cosmetic dentistry, is an easy way to improve your smile dramatically, leaving no reason to be self conscious about your smile. Many technologies exist to improve your appearance. Cosmetic dentistry simply refers to any procedure that makes your smile even more beautiful.

Veneers are thin porcelain plates that are cemented on the outside of mostly the front teeth to make them look white, straight and beautiful. They require minimal shaping of your teeth as opposed to crowns which require much more drastic shaping of your teeth.

If your teeth are stained, uneven, crooked, uneven, misshapen, too wide or too narrow or otherwise unsightly, you can greatly benefit from veneers. If they are chipped or worn from grinding or bonded with old, discolored filling material they can also help. Veneers are what Hollywood stars who began life with les than perfect teeth often turn to for adding extra oomph to their appearance.

Another advantage of veneers is that have a longer life expectancy and color stability than bonding. They last about 15 years and are highly resistant to permanent staining from coffee, tea and even cigarette smoking.

Opting for porcelain veneers can be a truly life-changing experience. However, it is important to remember that not everyone is an ideal veneer candidate. Dr. Arash Vahid and the professionals at AV Dental Associates in Jersey City can help you decide what will be the best option for your smile.

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The American Academy of Periodontology reports that more than half of Americans suffer from gum disease, which creates a significant epidemic and creates risk for tooth loss and complications. In fact, one out of at least every two Americans 30 or over suffers from gum disease and the incidence increases in adults 65 and over.

Periodontal disease is characterized as a “chronic inflammatory disease that effects the gum tissue and bone supporting the teeth,” the American Academy of Periodontology says.

The data comes from the national Center For Disease Control’s National Health and Nutrition Examination Survey, which took place 2009-10. This survey included an exam to judge whether the person effected was experiencing mild to severe periodontitis. Findings focused on gum disease and did not assess gingivitis, the mildest form, or precursor to true gum disease.

It was found that those living below the poverty line were more apt to suffer from gum disease. Predisposition to the disease was also found to be more prevalent among smokers and those with less than a high school education.

Because the findings were so illuminating, they may help public policy leaders decide on future public policy. The study determined that “periodontal disease is one of the most prevalent non-communicable chronic diseases in our population, similar to cardiovascular disease and diabetes,” according to Robert Genco, DDS, PhD, Distinguished Professor at The State University of New York at Buffalo and Past President of the American Association for Dental Research (AADR) and the International Association for Dental Research.

Based on these findings, comprehensive periodontal exams are recommended at least annually and more frequently for those who are at more risk. 

Dr. Arash Vahid and the dental professionals at AV Dental Associates in Jersey City New Jersey are well versed in treating all stages of gum disease and can provide preventative advice for those who are currently not suffering the effects of periodontal disease. Call our office today to schedule an annual cleaning and periodontal exam.

 

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Periodontal disease includes several conditions, some of which precede others. Gum inflammation (or gingivitis) is caused by bacteria in plaque build up.

Gingivitis is considered a plaque-induced inflammatory condition.

Gingivitis may or may not progress to periodontitis, but if left untreated can advance to periodontitis. Before periodontics is diagnosed, the gums may be irritated and sensitive but remain strongly entrenched in their sockets.

After periodontis sets in, the gums and bone pull away from the teeth. Small spaces are inevitably filled with bots of food and bacteria and decay sets in. This can eventually break down the bone and surrounding tissue. As the patient’s immune system attacks the bacteria and unfortunately, plaque continues to increase below the gum line. Pockets deepen and teeth loosen, causing significant problems for the patient.

Certain conditions such as pregnancy, menopause and hormonal fluctuation can exacerbate gum disease and should be monitored. Other serious diseases such as cancer, HIV and diabetes can also contribute, making regular cleaning essential.

Smoking, medications and other habits can also contribute to oral health and should be addressed at your regular healthcare provider. Family history may also contribute to excessive plaque formation.

If you are experiencing bleeding gums, bad breath, loose or shifting teeth, swollen or red gums, deep pockets or receding gums, you may be experiencing periodontal disease.

The good news is mild periodontal disease can be caught and corrected in order to preserve your smile. Regular brushing and flossing, specially formulated rinses and other tactics can reduce bacteria and are an essential part of combatting periodontal disease.

Dr. Arash Vahid and his team of trained dental professionals at the office in Jersey City, New Jersey can also help by providing regular professional cleaning. In addition, they can recommend strategies to keep your teeth cleaner and healthier between visits.

 

 

 

 

 

 

 

 

 

 

 

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Media Contact:
Dr. Arash Vahid
(201) 484-7759
arash@avdds.com

Dental Expert’s New Book Puts the Power of Information in Patients’ Hands 

Dr. Arash Vahid simplifies everything from the latest technology to finding a dentist that provides an exceptional experience

Jersey City, New Jersey – July 17, 2015 – Proper dental care is essential for maintaining an attractive smile and staving off health-threatening infections. A new guide from renowned dentist Arash Vahid unlocks the secrets to transforming dentistry as most patients know it.

Arash Vahid, DDS, doesn’t believe in dentistry. He believes in exceptional dentistry. That’s why he created an easy-to-understand guide that not only explains how to obtain and preserve oral health, but also the wildly popular (and amazingly affordable) area of cosmetic dentistry.

Think there’s nothing new to learn about dentistry? Think again. Dr. Vahid shares surprising facts, new breakthroughs and vital information most dentists can’t—or won’t— reveal.

Some of the topics he covers:
•    How sedation dentistry can eliminate anxiety and even phobias
•    The link between gum disease and whole-body disease
•    Questions to ask a prospective dentist
•    New options for straightening your teeth
•    Getting the smile of your dreams through easy, painless makeovers

Though he’s passionate about each topic, Dr. Vahid believes it all begins with finding the right dentist. “Whether you have dental anxiety—which is very common, by the way—or are looking for a dentist who uses cutting-edge technology, identifying your perfect dental match is crucial to maintaining oral health,” he explains. “After all, if you like and trust your dentist, you’re less likely to skip appointments.”

Dr. Vahid, a prodigy who became one of the youngest practicing dentists ever, also includes a list of simple “do’s” and “don’ts” that can prevent cavities, disease and damage while maximizing the health and beauty of your smile. His goal is nothing less than fully informed, empowered patients who demand—and receive—the best dental care of their lives. And it all starts with Everything You Need to Know About Your Smile.


About Dr. Arash Vahid
Arash Vahid, DDS, developed a passion for dentistry from his parents. Raised in Iran by a pediatric dentist father and an orthodontist mother, he immigrated to the United States in time to finish his last year of high school. Dr. Vahid was accepted to the University of Michigan, Ann Arbor, and completed his undergraduate work with honors in just three years. He graduated from dental school in 2003 and, following a year of residency, became one of the youngest practicing dentists ever at age 24. Over the years, Dr. Vahid has developed a unique ability to explain dental treatments to patients of any background, using an easy-to-understand approach that puts them at ease. His practice includes general dentistry as well as specialties like cosmetic dentistry and full-mouth restoration with implants or crowns.
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What is a Crown?
A dental crown is simply a tooth-shaped "cap" that is placed over a damaged tooth to cover the tooth and restore its shape and size, integrity, and appearance. Crowns, when cemented into place with state-of-the-art dental adhesives, fully enclose the entire visible portion of a tooth that lies above the gum line.

Dr. Arash Vahid and his dental professionals at AV Dental provide many patients from all walks of life with crowns every day. If you are advised by the dental professionals at the Jersey City office that crowns are necessary for you, rest assured we can help.

Crowns are used to:
• Cover and support a tooth with a large filling when there isn't a lot of viable tooth left
• Protect a weak or decayed tooth from breaking or to hold together parts of a cracked tooth
• Restore a broken tooth or a tooth that has been severely worn down
• Secure a dental bridge
• Cover unattractive, misshapen or severely discolored teeth
• Enclose a dental implant
• Make a cosmetic modification or improve appearance of teeth

Crowns (caps) are also ideal for restoring teeth with larger fractures where a filling falls short. A crown can be considered a more substantial dental option than a filling.

Decay also causes Dr. Vahid and his team to recommend crowns. The crown replaces the decayed area and gives the remaining natural tooth protection.

Call us today at (201) 484-7759 to see how crowns can help you.

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The days of being called “brace face” are over. Today’s technological advancements in cosmetic braces make being embarrassed about straightening your teeth a thing of the past. Gone too are the metal squares that compromise your appearance and may make you feel self conscious.

Why Six Month Smiles Shine
•    Average treatment of only about six months
•    Six Month Smiles clear brackets and tooth-colored wires are less visible than traditional hardware
•    Provides the most conservative and predictable final orthodontic result
•    Six Month Smiles Patient patented “tray kits” ensure that your appointments are quick and easy
•    Comfort, safety, and hygiene are improved with low forces and short overall treatment times 
•    Six Month Smiles is typically less expensive than traditional braces

Because Six Moth Smiles braces are so unobtrusive, they are the chosen product for adults who have always wanted their teeth straightened but did not want to look unprofessional while doing so.

Dr. Arash Vahid and the professionals at the Jersey City office specialize in helping you make the most of your smile. Part of their strategy is often Six Month Smiles.

First. Dr. Vahid or one of his associates will assess your teeth to determine is Six Month Smiles are the right fit for you. By answering a series of simple questions, Dr. Vahid can get you on the path to straight teeth and more confidence with effective, safe and affordable Six Month Smiles.

Then they can fit your for Six Month Smiles and begin treatment. You may be surprised at how quickly the process gives you positive results. Often, the duration is less than half the time of traditional metal braces.

Call the dental professionals at Dr. Arash Vahid’s Dental Associates to see how Six Month Smiles can improve your personal and professional life.

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Clear Correct invisible braces are clear tooth straighteners designed to properly align teeth and improve your smile. Clear Correct does not use wires or brackets to straighten teeth like traditional metal braces but rather a series of clear, custom, removable aligners. Each aligner moves teeth slightly until patients eventually get the straight teeth they were hoping for.

Dr. Arash Vahid and the dental professionals at AV Dental Associates in Jersey City routinely provide this effective alternative to metal braces for many of their patients. Most people won’t notice you’re wearing them and you can go about your business, improving your smile invisibly and under the radar.

If you’re a good candidate for clear aligners, Dr. Vahid will take photos and x-rays, use a scanner or plan to take a series impressions to capture the unique shape of your teeth. Molds are taken and then Dr. Vahid and his team make a series of aligners customized to apply pressure to the teeth that you want to straighten.

Dr. Vahid and the team will then check in on your teeth’s progress periodically. Based on what they find, they will create and provide you with new sets of aligners every four to six weeks.

Patients are expected to wear the aligners for at least 22 hours per day, which is essential to create a perfectly aligned smile. You will progress through each step until your treatment is done and your smile is as perfect as you had dreamed.


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Dental small-diameter implants are also referred to as mini implants. They are ideal for patients who may not be able to receive root-form implants due to medical, anatomical or fiscal reasons.

Mini implants can anchor loose dentures back into position or replace individual or many missing teeth. They can even be used to replace a full arch of teeth – sometimes in just one visit. This relatively new technique can significantly improve patients’ lives because they can be placed and used immediately. Gum tissue and sutures are not necessary.

Essentially, mini implants are very small screws, which are anchored into the bone of your jaw. Replacement teeth are then threaded onto them and affixed permanently.

Benefits
The benefits of mini implants include a minimally invasive surgery, immediate loading and lower cost. Mini implants can accommodate new or existing dentures, giving patients new levels of comfort and confidence.

•    Mini implants can help to preserve or restore bone and facial appearance.

•    Mini implants can renew your confidence in eating smiling, and speaking with confidence.

•    Mini implants are placed using a less invasive approach than more traditional solutions.

•    Mini implants often cost less than half the cost of old, conventional-style implants.

•    Mini implants allow you to gain immediate denture-like stability without experiencing costly, full-size dental implant methods.

•    Mini implants can be made to anchor dentures, crowns and bridges.

After placement, the tooth or teeth is treated just like a regular tooth. Cleaning and flossing is normal and patients feel relief from missing teeth almost immediately.

Dr. Vahid and the professional dental associates in Jersey City are experts with mini implants and have fitted many patients with them.

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Dental bridges simply close the gaps between created by missing teeth. Bridges are comprised of two or more false teeth or crowns for either side of the gap. These anchor teeth are called abutment teeth while the ones in between are called pontics. They can be made from gold, porcelain, alloy or some of each of these dental materials. Dr. Arash Vahid and the dental professionals at the Jersey City office create and install bridges on a regular basis with tremendous success.

Types of bridges:

• Traditional bridges
This type of bridge is the most common type. A crown is created for the tooth or implant on either side of the missing tooth, with a pontic in between.

• Cantilever bridges
A less common bridge type, cantilever bridges are commonly used when there are adjacent teeth on only one side of the missing teeth. This type of bridge is not recommended in the back of the mouth where it can do possible damage to other teeth due to excess force.

• Maryland bonded bridges
Also referred to a resin-bonded bridge, this type of bridge is typically made of porcelain, porcelain fused with metal, or plastic teeth and gums supported by a metal or porcelain framework. Metal or porcelain “wings” on each side of the bridge are bonded to your existing teeth.

Bridges have many benefits:

•    They can fill gaps between teeth, restoring your smile to its fullest potential
•    Reverse difficulty with chewing and speaking
•    Maintain or restore the shape of your face from missing teeth
•    Correct and redistribute the force your teeth cause when you bite
•    Ensure that remaining teeth maintain their position and do not drift

Dr. Vahid and the staff at AV Dental are happy to consult with you regarding whether a bridge can help solve your dental concerns.

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Dr. Vahid and the team of dental professionals in Jersey City may decide you need dentures if you are missing many of your own natural teeth or they are so compromised that they nee to be removed.

If you have been advised you need dentures, you are not alone. Surprisingly, a 2009 Fixodent Beauty & Aging Survey discovered that about 20 million women age 40 and over wear full or partial dentures. That is 19% of the women polled. The number of adults who need dentures is expected to reach 37.9 million in 2020. 

Dentures can improve quality of life for many of our patients who no longer have the option of natural teeth. If you are missing some or most of your teeth, a partial or full denture can allow you to more easily chew again and to restore your smile.

Rest assured that Dr. Vahid and his skilled staff will make sure you get the best custom care available anywhere to restore your smile and make sure you are comfortable from start to finish.

Candidates for partial dentures include people who are missing just a few teeth due to oral disease, trauma or malnutrition. The denture will be designed to fit your remaining natural teeth and will look seamless to an outsider. In other words, it will appear that you have all of your natural teeth and no one will be the wiser.

A full set of top or bottom dentures may be necessary if you are missing the majority of your teeth or if you have been informed they must be removed. Full dentures may be needed due to periodontal disease, bone loss or tooth decay.

Complete dentures are built especially for you which allows you to once again eat, speak and chew easily. Full dentures can also restore facial features that may suffer with tooth loss.

The denture process takes approximately one month and five appointments, depending on each individual’s needs. 

An impression of your teeth, mouth and jaw is first made to determine vertical dimensions and proper jaw position. Dr. Vahid will fit you with a "try-in," a denture temporarily placed to assure proper color, shape and fit.

Your custom dentures fit is of paramount importance and we will work with you to ensure comfort and functionality.

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A very common reason teeth become stressed or damaged is a direct result of something you might not even be aware of. At night, many people grind or clench their teeth to the point that it jeopardizes their dental health and their smiles.

Bruxism is defined as forceful clenching of grinding of teeth. Patients who suffer from bruxism often wake with tooth or gum pain and no memory of having any problem during the night. Others experience jaw muscle pain and tension. Headaches and symptoms mimicking lockjaw are also common.

Allowed to continue, grinding and clenching can cause patients to experience pain temperature sensitivity. Pain occurs when tooth wear gets down to the nerve, tooth cracks, receding gums and even lost teeth. To alleviate these symptoms, patients will need crowns, bridges, veneers, implants, extractions or even root canals. Grinding can also cause migraine headaches and pain in the shoulders, neck, back and even the ears.

Dr. Arash Vahid and the dental professionals at the Jersey City office can determine if your body is being damaged as a result of nighttime stress.

Custom fitted night guards (or nocturnal bite splints) are made by first taking an impression of your teeth and then creating a small, comfortable dental appliance to be worn while you sleep to prevent damage.

These simple, small appliances can make a big difference in how you feel on a day-to-day basis and can also prevent more costly medical treatments. Most importantly, they can stop current damage to you teeth and prevent future detrimental wear and tear.

While you can buy night guards at the drug store, not all are created equal. To genuinely protect your teeth, gums and overall health, it is wise to invest in a custom fitted, professional night appliance.

Many patients are extremely grateful that they made the choice to have Dr. Vahid and his staff create a custom night guard. Many of the complaints they have initially disappear entirely after just a short period of wear. Relief often comes from a simple solution: the night guard.

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While it may surprise you that Dr. Vahid and the dental professionals at AV Dental Associates in Jersey City can administer BOTOX® injections, this practice is becoming more common at dentist offices across the country.

This extremely popular aesthetic treatment is the most commonly performed minimally invasive cosmetic procedure in North America.  However, in dental applications, it is used differently than in the more common aesthetic applications.

BOTOX® is a trade name for botulinum toxin which is delivered in the form of a purified protein. It is injected into the facial muscles where it attaches itself to the nerve endings of the motor muscles after a few hours. This affects the nerve transmission to muscles and takes effect anywhere from two to ten days to block the nerve transmitters which move the muscles where it was injected. Once the nerve endings are interrupted, the muscles are unable to contract. When the muscle does not contract, the motion that causes wrinkles in the skin cannot occur and your frown lines smooth.

It can also greatly diminish TMJ and bruxism symptoms when administered in roughly half the dose for facial wrinkle smoothing treatments. It works the same way, clinically. 

BOTOX® can help greatly with the intense muscle contractions associated with TMJ and bruxism (or grinding and clenching of the teeth). BOTOX® can play a very important role in reducing or eliminating this tenacious facial pain.

The injections often also eliminate headaches from teeth grinding, and, in cases of severe stress, BOTOX® can even reduce or eliminate lockjaw. Although BOTOX® treatment for these conditions is currently experimental, clinical evidence indicates that it can be extremely effective.

Injections are administered at the office in a quick, straightforward and painless non-surgical procedure. Most patients experience relief within one or two days but it may take a week to feel improvement in symptoms.

Now there is just one more reason to smile when you visit Dr. Vahid’s office.

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Wisdom Teeth
Most adults have four wisdom teeth but it is possible to have fewer or more. Wisdom teeth are used to grind plant tissue in preparation for the digestive tract. Originally, they would have been used to break down a great deal of plant cellulose that today we do not ingest in the same large quantities now. In fact, the modern diet is considerably softer than the ancient human one, making the function of wisdom teeth less important.

Many young people find themselves with problem wisdom teeth that need to be extracted. Some wisdom teeth affect other teeth negatively as they come in if they are impacted or erupt sideways. Sometimes wisdom teeth are removed before they can cause any dental problems, as a preventative measure.

Interestingly, some populations, such as Tasmanian aborigines in Australia and many indigenous Mexicans do not develop these teeth at all due to a specific gene.

Dr. Vahid and his team of dental professionals are well versed in the extraction of wisdom teeth. He and his team can complete the removal of your teeth while keeping you calm and comfortable. All you need to do is follow recovery instructions after the procedure.

First, you will receive a local anesthetic to numb the area where the tooth or teeth will be removed. Then general anesthetic will be used to keep and you quiet and sedated while the dental professionals remove your wisdom teeth quickly and efficiently.

Dr. Vahid will open your gums and remove bone covering the tooth then separate and remove the tooth or teeth. In some cases, teeth must be cut so that the smaller pieces are easier to remove. Stitches are often needed to close the wound and bleeding should subside 24 hours after surgery.

You should plan to have someone drive you home and remain quiet and rest for a few days. An ice pack may help reduce swelling and the dentist will advise you regarding pain pills. Avoid physical exercise, smoking and all but the softest foods as you recover. Continue to brush your teeth as usual but do so carefully.

In the event that you have questions or concerns, Dr. Arash Vahid and his Jersey City staff will be happy to take your call, responding to any emergency that may arise immediately.

 

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A composite filling is a white, tooth colored glass and plastic material used to restore decayed or damaged teeth. Composites can also be used to improve the look of your teeth by changing their color or reshaping disfigured or hurt teeth.

Dr. Arash Vahid and his professional dental associates can help you improve your smile with composite fillings with little to no pain. They are well versed in making sure their valued clients are minimally inconvenienced and leave the office looking better than they came in.

Many clients replace traditional metal fillings with composite fillings for a variety of reasons; to improve appearance, to remove heavy metals from their mouths and help to prevent breakage and insulate the tooth from large temperature changes. They are also helpful in withstanding moderate pressure from the constant stress of chewing. 

Composites can be used on either front or back teeth and they are a good choice for people who prefer that their fillings look more natural than amalgam fillings.

Your teeth will be prepped and then the dentist will place the composite in layers using a light specialized to harden each layer in turn. The dentist will then shape the composite to fit the tooth and polish the composite to prevent staining and wear.

It generally takes a bit longer to place a composite filling than it does for a metal filling because composite fillings require that the tooth be kept dry while the cavity is being filled.

Also, composites should be protected somewhat from color changing drink such as, coffee, tea or other potentially staining foods. The dentist can put a clear plastic coating over the composite to prevent the color from changing if a patient is particularly concerned about tooth color. Composites tend to wear out sooner than silver fillings in larger cavities, although they hold up as well in small cavities.

After having new composites added, a patient may experience slight sensitivity.
Composite fillings are currently used more often than amalgam or precious metal fillings because they are so much less noticeable.