Saturday, December 7, 2013

Taking A Bit of A Blogging Break

Hi everyone – just wanted to let you know that I will be slowing down on the blogging as my new website is being redone. You can still catch up with me on Twitter and on Facebook. I will still...

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Fremont Dentist Entertains Patients With Dental Pins On Pinterest!

Dr. Gayatri Sakhrani is excited to add to her online presence by becoming a Pinterest user! Read the story below for more information.

Source: http://www.dentalprnews.com/medical_dental_articles/2013/12/fremont-dentist-entertains-patients-with-dental-pins-on-pinterest-370928.htm

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NADL’s Thoughts on Medical Device Tax for Dental Offices

Dental offices have been waiting to hear if crowns, partials and dentures will be subject to the Medical Device Tax that takes effect in January 2013. The National Association of Dental Laboratories...

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Can Dental Anesthetic Really Make Your Heart Beat Faster?

Back when I was in dental school, the instructors told us to always pull back on the anesthetic syringe before injecting. By doing this, we would make sure that we weren't injecting the anesthetic into a blood vessel, which would cause the epinephrine in the anesthetic to make the patient's heart feel like it was beating out of their chest.

They called this the epinephrine reaction, and I blindly believed it. I even wrote a post about why dental anesthetic makes your heart beat faster. Until one day, this belief was questioned by a comment on that article (which actually caused Gavin to post a rather entertaining comment).  I realized that I'd blindly believed what I'd been taught without doing any research of my own.

In this follow-up article, I'll answer the question: Can dental anesthetic really make your heart beat faster?

A Dental Injection Can Make Your Heart Beat Fast

A few weeks ago, a woman told me that she hates getting injections because it makes her heart beat really fast.  I asked her if a dentist had ever offered her the anesthetic brand Carbocaine (a type of dental anesthetic without any added epinephrine).  She told me that she'd never heard of it.  I tried it on her and she told me that it was the first injection she could remember where she didn't feel like her heart was beating out of her chest.

Naturally, this (along with other similar experiences) made me a believer that regular dental anesthetic with epinephrine can indeed make your heart beat faster.  As a dentist I realize that stories, while fun and exciting, may not be a very good source of evidence, so I decided to do some more in-depth research.

Can Dental Anesthetic Really Make Your Heart Beat Faster?

The main question here is whether or not the small amount of epinephrine inside the dental anesthetic makes your heart beat faster or if it's simply caused by the epinephrine your body releases in response to being afraid of the crazy dentist that's about to poke you.

Many years ago, it was thought that the tiny amount of epinephrine in the dental anesthetic made no difference in your heart rate, and any change in your heart rate was simply caused by the "fight or flight" response.

Many studies have since confirmed that the epinephrine in dental anesthetic can cause an increase in your heart rate.

One study states that "intravenous administration of 0.015 mg of epinephrine with lidocaine results in increase in the heart rate ranging from 25 to 70 beats per minute, with elevations in the systolic blood from 20 to 70 mm Hg."  For your information, one cartridge of dental anesthetic contains 0.018 mg of epinephrine — that's even more than the amount that has been shown to increase the heart rate by 25 to 70 beats per minute.  Here's a link to one of those studies that discusses this.

Malamed's dental textbook on anesthetic even confirms what I'd discovered.  It says, "Contrary to a previously held position that the intraoral administration of "usual" volumes of epinephrine produced no cardiovascular response and that patients were more at risk from endogenously released epinephrine than they were from exogenously administered epinephrine, recent evidence demonstrates that epinephrine plasma levels equivalent to those achieved during moderate to heavy exercise may occur after intraoral injection."

That simply says that the epinephrine in dental anesthetic can make your heart beat very fast, even tricking it into beating as fast as it would if you were exercising.

The author goes on to state that even if your dentist does inject slowly and "pull back" to ensure that they don't inject into a blood vessel, your heart can still beat faster: "However, even following usual precautions (e.g. aspiration, slow injection), sufficient epinephrine can be absorbed to cause sympathomimetic reactions such as aprehension, tachycardia, sweating, and pounding in the chest (palpitation): the so-called "epinephrine reaction."

More Evidence That Dental Anesthetic Can Make Your Heart Beat Faster

Dental Anesthetic Can Cause Your Heart to Beat Faster

Even more evidence that dental anesthetic can make your heart beat faster comes from the American Heart Association.  They recommend that any patients with heart disease receive a maximum of 0.04 mg of epinephrine from dental anesthetic.  That's usually the equivalent of just two cartridges of dental anesthetic.  For comparison's sake, a normal person without heart disease can receive up to eleven cartridges of anesthetic.

This shows that the AHA believes that the epinephrine in dental anesthetic can have an effect on the heart, and that's why they recommend limiting it so strictly.

The textbook Dental Management of the Medically Compromised Patient confirms this by stating "If [a vasoconstrictor] is considered essential, use cautiously (maximum 0.036 mg epinephrine or 0.20 mg levonordefrin)."  Levonordefrin is similar to epinephrine, but it is mostly used in European countries, not in the U.S.

Lastly, the American Acamedy of Pediatric Dentists even has guidelines for dentists telling us what to do when a patient has a reaction to the epinephrine in dental anesthetic.  They say to reassure the patient, ensure they're breathing well, and to check their vital signs if necessary.

Dental Anesthetic Can Make Your Heart Beat Faster

In summary, the most recent studies and evidence all point to the fact that the epinephrine (or levonordefrin for my European friends) can definitely make your heart feel like its beating out of your chest!

Do you have any questions about dental anesthetic and how it affects your heart?  Feel free to leave them in the comments section below.  Thanks for reading!

Image Credits: First Image © Diego Cervo/Shutterstock.com, Second Image © beerkoff/Shutterstock.com

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Fear of Dentist and Common Dental Phobias

Fear or phobia of the dentist is nothing new. A search on Google.com for “dental fear” provides over seven million results with websites dedicated to everything from diagnosing dental fear to helping patients overcome it.

Source: http://worldental.org/dentists/fear-dentist-common-dental-phobias/12749/

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What Is Debridement?

GentleDental-WhatIsDebridementIn short, debridement is the removal of large amounts of plaque and tartar from your teeth. People who have not visited a dentist in several years may experience heavy plaque and tartar (calculus) build-up. Before a dentist can do an exam, the plaque and tartar has to be removed with a deep cleaning, referred to as debridement.

If you are very sensitive to pain, you may need local anesthesia for this procedure.

Debridement is performed by using a combination of hand instruments and an ultrasonic device. The ultrasonic device uses high-frequency vibrations and water to eradicate plaque and tartar from the teeth.

Usually debridement is the first step in a comprehensive dental treatment. When the teeth are clean, the dentist can then evaluate the teeth to begin a course of therapy which may include scaling and root planing or sometimes periodontal surgery.

If you have inflamed gums, they may bleed during the procedure. After your procedure, you may notice sensitivity to hot or cold. This may mean that the roots of the teeth are more exposed following the removal of plaque and tartar.

If you have had a debridement and experience bleeding that doesn’t stop, what appears to be an infection, excessive swelling or discharge or your lymph nodes beneath your jaw or in your neck become swollen, call your dentist.

The post What Is Debridement? appeared first on Gentle Dental.

Source: http://www.gentledentalgroup.com/2013/10/what-is-debridement/?utm_source=rss&utm_medium=rss&utm_campaign=what-is-debridement

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Friday, December 6, 2013

Smile: Gingivitis bacteria manipulate your immune system so they can thrive in your gums

A new research report shows how the bacteria known for causing gum disease -- Porphyromonas gingivalis -- manipulates the body's immune system to disable normal processes that would otherwise destroy it.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/health_medicine/dentistry/~3/cOp4xnvnVO0/130103114215.htm

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'The Scars of Human Evolution': Physical fallout from two-footed walking

From sore feet to backaches, blame it on human evolution.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/health_medicine/dentistry/~3/8e7nD64e4eY/130217084335.htm

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Congrats to Ultradent Valo as Pride Best in Class

Source: http://feedproxy.google.com/~r/dentaltechnologyblog1/~3/_FJFO3C5K5A/congrats-to-ultradent-valo-as-pride.html

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Patient Support Sites for Medical Tourism

Happily, I chose well. PSJourneys.com and ObesityHelp.com, among other web site forums for patients, have not just survived but thrived. MedRetreats remains among the leading medical travel companies.

Source: http://feedproxy.google.com/~r/BeautyFromAfar/~3/0GaNIJe9ZWw/

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Patterson Dental Introduces Eaglesoft Clinician – an EHR Solution

Eaglesoft Clinician is fully certified for federal EHR incentive programs ST. PAUL, Minn. – (November 1, 2012) – Patterson Dental Supply, Inc., introduces Eaglesoft Clinician, a fully certified...

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Dental Implants Could be Grown in The Patients Mouth

There are few things more damaging to the positive impact of a persons’ smile than a tooth which has, through decay, infection or accidental damage, been dislodged altogether from the jawbone.

Source: http://worldental.org/gums/dental-implants-grown-patients-mouth/13002/

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Thursday, December 5, 2013

Food Shortage And Oral Health

PrintPeople who are in need of nourishment tend to have oral health issues as well. The thought process of “since I am not eating, I don’t need to brush my teeth” or, even worse, “I don’t have the money for a good toothbrush and toothpaste” tend to overtake those in need of food. Those who suffer from repeated hunger sometimes grind their teeth (known as bruxism) and wear down the enamel. Food and water stimulate the saliva glands, which also break down the cavity-causing bacteria in the mouth. Without that stimulation, saliva glands are dormant, which causes dry mouth, leading to caries as well.

Join Gentle Dental and Feeding South Florida in helping end hunger in your community. From October 1st through November 15th, we will be collecting non-perishable items at all of our 24 offices.

The post Food Shortage And Oral Health appeared first on Gentle Dental.

Source: http://www.gentledentalgroup.com/2013/09/food-shortage-and-oral-health/?utm_source=rss&utm_medium=rss&utm_campaign=food-shortage-and-oral-health

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Atlanta Dentist Shares Patient Testimonials For Increased Confidence In Dental Health Care

Dr. Thomas Kauffman, dentist in Atlanta, invites patients to share their experience with his office through online testimonials.

Source: http://www.dentalprnews.com/medical_dental_articles/2013/12/atlanta-dentist-shares-patient-testimonials-for-increased-confidence-in-dental-health-care-370548.htm

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Ritter Dental USA Launches Redesigned Instrument Line During The Greater New York Dental Meeting

Source: http://feedproxy.google.com/~r/dentaltechnologyblog1/~3/vwx_GKs5czM/ritter-dental-usa-launches-redesigned.html

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How to Connect with Your Dental Team

How do dentists connect with their employees?. One easy way to stay connected and keep the lines of communication open is to conduct daily starters. Hold daily morning huddles at the same time...

Source: http://blogohj.oralhealthjournal.com/uncategorized/how-to-connect-with-your-dental-team

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Creative Walking!

-By Hertha J. Woodruff, A.M.L.S., M.A. The American Heart Association states that walking has the following benefits: - Reduces the risk of coronary heart disease - Improve blood pressure and blood sugar levels - Improve blood lipid profile - Maintain body weight and lower the risk of obesity - Enhance mental well being - Reduce [...]

Source: http://www.omfdental.com/blog/2013/walking/?utm_source=rss&utm_medium=rss&utm_campaign=walking

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How Your Dentist Knows You’re Not Flossing

Woman Flossing Before Dental Exam

A recent survey by the American Dental Association found that just under half of all Americans floss their teeth daily.

What about the other half?

My guess is that they're the ones who floss twice a year — right before their dental checkups.  They think they can pull a fast one on us, but here's a little secret: dentists can tell when you've been  flossing and when you haven't.

How Dentists Can Tell When You're Not Flossing

The way we can tell if you're not flossing is if your gums are bleeding.  Although there are other, less common conditions that can make your gums bleed, gingivitis is the main cause.  Gingivitis is when the gums are inflamed due to all of the bacteria in your mouth collecting right between the gums and the teeth.

The problem is that it takes about a week of daily flossing for gingivitis to go away and make it so your gums don't bleed when they are cleaned.

The most authoritative book on the gums — that's 1,328 pages dedicated to your gums! — states the following:

The presence of plaque for only 2 days can initiate gingival bleeding on probing, whereas once established, it may take 7 days or more after continued plaque control and treatment to eliminate gingival bleeding.

So, if you end up brushing and flossing really well right before your dental cleaning and exam, your teeth will be clean, but your gums will still show the main sign of inflammation: bleeding.

If you really want to trick your dentist into thinking you're brushing and flossing regularly, you'll have to do it for at least seven days before your visit. And if you're gonna do that, why not simply brush and floss every day?

Image © Cheryl Casey/Shutterstock.com

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Wednesday, December 4, 2013

Common food preservative may slow, even stop tumor growth

Nisin, a common food preservative, may slow or stop squamous cell head and neck cancers, a new study found.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/health_medicine/dentistry/~3/tW4u4D5dkgQ/121030161232.htm

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Alligator stem cell study gives clues to tooth regeneration

Alligators may help scientists learn how to stimulate tooth regeneration in people, according to new research. For the first time, a global team of researchers has uncovered unique cellular and molecular mechanisms behind tooth renewal in American alligators.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/health_medicine/dentistry/~3/wQ35cAR38m0/130514101457.htm

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Goodbye Stained Teeth! | KöR Whitening

A survey conducted by the American Academy of Cosmetic Dentistry revealed that 80% of Americans would love to have whiter teeth. We are excited to announce that we now offer KöR® Whitening System, widely regarded by cosmetic dentists around the world as the most effective and reliable professional whitening system on the market. Not only [...]

Source: http://www.omfdental.com/blog/2013/kor/?utm_source=rss&utm_medium=rss&utm_campaign=kor

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Smile! New nanotube surface promises dental implants that heal faster and fight infection

A surface of TiO2 nanotubes could reduce the failure rate for dental implants, both by encouraging bone growth around the implant and by serving as a drug-delivery system for antimicrobial and anti-inflammatory substances.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/health_medicine/dentistry/~3/PfJtFAn4tGE/130923093128.htm

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2013 ERNEST C. MANNING INNOVATION AWARD WINNERS

BRITISH COLUMBIA, ONTARIO, NOVA SCOTIA. YOUNG CANADIAN AWARD WINNERS FROM ONTARIO AND QUEBEC. Winners of 2013 Ernest C. Manning Innovation Awards were announced today by Ernest C. Manning Awards Foundation President Jennifer Diakiw....

Source: http://blogohj.oralhealthjournal.com/uncategorized/2013-ernest-c-manning-innovation-award-winners

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Richmond VA Dentist Helps You Identify Sleep Apnea

Does your partner shake you awake at night because of your snoring? Do you feel that no matter how long you sleep, you never wake feeling rested? If so, snoring could be only a symptom of a much larger problem. To learn more about this problem and its treatment, read below as your Richmond VA [...]

Source: http://www.richmondsmilecenter.com/blog/2013/10/09/richmond-va-sleep-apnea/

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Tuesday, December 3, 2013

Richmond VA General Dentist Quizzes You on Gum Disease

Cavities are not the only things we fight against when brushing and flossing our teeth. If oral bacteria are left to their own devices, they may also devastate the mouth by causing gum disease. But just how much do you know about gum disease and its symptoms? To find out, take the following quiz from [...]

Source: http://www.richmondsmilecenter.com/blog/2013/10/14/richmond-va-general-dentist/

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Papandreas Orthodontics in North Royalton Celebrates 10th Anniversary of Halloween Candy Buy-Back

Orthodontist Dr. Sam Papandreas buys Halloween candy from orthodontic patients with braces. All the candy is given to a Women's shelter in Cleveland.

Source: http://www.dentalprnews.com/medical_dental_articles/2013/11/papandreas-orthodontics-in-north-royalton-celebrates-10th-anniversary-of-halloween-candy-buyback-369546.htm

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Waterford Dentist's Dental Special Boosts Oral Health and Patient Satisfaction

Drs. Bruce Roach and Hyden Choi look forward to meeting new patients through their andquot;Refer a Smile Program.andquot; It's a win-win for everyone. Read below for more details!

Source: http://www.dentalprnews.com/medical_dental_articles/2013/11/waterford-dentists-dental-special-boosts-oral-health-and-patient-satisfaction-369456.htm

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British Columbia’s ‘basement dentist’ finally behind bars in B.C.

The phony dentist who put hundreds of patients at risk by running an illegal practice out of his Burnaby basement suite is now behind bars in B.C.Wu Tung Sheng, 62, appeared in B.C. Supreme Court on Friday before beginning his three-month sentence. He did not have a lawyer.After bringing in a Mandarin interpreter, Associate Chief Justice Austin Cullen read Mr. Wu, also known as David Wu, the reasons for judgment first announced in October, when he was convicted in absentia for continuing to practise without a licence despite a 2003 court order.

Source: http://www.dentapress.com/headlines/5443-british-columbia%e2%80%99s-%e2%80%98basement-dentist%e2%80%99-finally-behind-bars-in-b-c.html

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What are the Available Teeth Whitening Options?

There is no way that you can guarantee yourself of white teeth even if you floss and brush regularly. If you really want your teeth to remain white, you may consider using a variety of teeth whitening products which are available in the market.

Source: http://worldental.org/teeth/teeth-whitening-options/12360/

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Edimer Initiates Phase 2 Trial of EDI200 in XLHED-Affected Male Newborns

– First neonate subject with X-linked hypohidrotic ectodermal dysplasia completes dosing with the novel ectodysplasin replacement protein EDI200 – Cambridge, Mass. – Edimer Pharmaceuticals, a biotechnology company focused on developing an innovative therapy...

Source: http://blogohj.oralhealthjournal.com/clinical/edimer-initiates-phase-2-trial-of-edi200-in-xlhed-affected-male-newborns

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Monday, December 2, 2013

Improving the performance of titanium implants

Researchers in Japan and China tested a novel urease fabrication process for coating titanium implants with bioactive CaP/gelatin composites. The research suggests that titanium implants coated with CaP and gelatin have great potential in clinical joint replacement or dental implants.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/health_medicine/dentistry/~3/va-KUpuvnho/131003142214.htm

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Is Invisalign Right for You?

Invisalign is a type of orthodontic braces, the chief difference between traditional braces and Invisalign braces being the fact that the Invisalign are translucent. (Thus saving you the embarrassment of wearing braces.)

Source: http://worldental.org/teeth/is-invisalign-right-for-you/11415/

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CAD-Ray Imaging Centers Offer Advanced 3D Technology

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Have high blood pressure? Tell your dentist about it

A few years ago, Mearlin Griffin was at her dentist’s office, all set to have a tooth extracted.”I was sitting in the chair and before they numbed me up they took my blood pressure,” she recalled. “I was shocked that it was high. Too high.”She felt fine, but accepted her periodontist’s recommendation that she get her blood pressure resolved before having the tooth pulled.Many people think dentists are only interested in teeth and gums. The idea of a dentist asking about blood pressure and medical history may surprise some…

Source: http://www.dentapress.com/headlines/5447-have-high-blood-pressure-tell-your-dentist-about-it.html

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ADA’s 2013 Dental Code Check App Available for Apple, Android Mobile Devices

CHICAGO, Nov. 15, 2012 – Dental codes are now available at the touch of a button with the  2013 Dental Code Check app.  The app is available for $19.99 for Apple via the iTunes Store and Android...

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Olympians say poor oral health is impairing performance

Many of the elite sportsmen and women who competed at the London 2012 Olympic Games had poor levels of oral health similar to those experienced by the most disadvantaged populations. 18 per cent of athletes surveyed said their oral health was having a negative impact on their performance.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/health_medicine/dentistry/~3/R7utsbtNOtQ/130930093722.htm

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Sunday, December 1, 2013

Western Digital Launches New Hard Drive Filled with… Helium

Source: http://feedproxy.google.com/~r/dentaltechnologyblog1/~3/BJjaoKdK6OU/western-digital-launches-new-hard-drive.html

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Gains made towards treatment of rare bone disease

Diagnosed in toddlers, X-linked hypophosphatemia (XLH) is the most common form of heritable rickets, in which soft bones bend and deform, and tooth abscesses develop because infections penetrate soft teeth that are not properly calcified. Researchers have identified that osteopontin, a major bone and tooth substrate protein, plays a role in XLH. Their discovery may pave the way to effectively treating this rare disease.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/health_medicine/dentistry/~3/rcXqmBfolTU/130220123419.htm

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Chapter 5: Researching Medical Tourism

I really did have the notion that I *might* get enough of a book advance for Beauty from Afar to take a budget tour of the world's best hospitals. As it turned out, I didn't get quite that much and the advance payment mostly went for things like food and shelter.

Source: http://feedproxy.google.com/~r/BeautyFromAfar/~3/N2-WSr3iONw/

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Do You Know The Basics?

Recently the American Dental Association did a survey to see if typical Americans knew some basic facts about dental health. Here are some of the questions – play along and see how you do! What type of bristles should you have on your toothbrush – soft, medium or hard? Most people chose either medium or [...]

Source: http://www.omfdental.com/blog/2013/basic/?utm_source=rss&utm_medium=rss&utm_campaign=basic

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Richmond VA Dentist: A Reminder for Halloween

With Halloween approaching quickly, now is a good time to examine the impact that sugar consumption can have on the mouth. This is by no means a reprimand if you are intending to partake of the festivities of the upcoming holiday. Instead, it is an exploration of how the habitual consumption of sugar-filled products can [...]

Source: http://www.richmondsmilecenter.com/blog/2013/10/10/richmond-va-dentist/

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23235 Dentist Offers a Cosmetic Dentistry Quiz

A beautiful smile can boost your confidence and help make a great first impression. In fact, a recent Kelton Research study shows that people with beautiful smiles are considered more attractive and successful. At Richmond Smile Center, we offer natural looking smile transformation with cosmetic dentistry. In today’s blog, your Richmond dentist, Dr. Charles Martin, [...]

Source: http://www.richmondsmilecenter.com/blog/2013/10/21/23235-dentist-cosmetic-dentistry/

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