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Elliot A Weinstein

periodontics | implants | esthetics

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Fear Not! Dental Anxiety is Common and Treatable

October 12th, 2012

If you suffer from dental anxiety, a visit to our office might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our office, there is nothing to be afraid of. We understand you may be anxious about receiving dental treatments, and we’re here to help you have a comfortable, pain-free experience that will put your fears to rest.

You’re not alone!
A 1984 study that appeared in the Journal of the American Dental Association reported that up to 75% of all adults in the United States have some degree of dental anxiety. This includes five to ten percent whose dental anxiety is so severe that they try to avoid a dentist’s office at all costs.

Treatment
If you experience dental anxiety, it is important to let our office know in advance, so we can provide you with the dental care you need with an added touch of TLC. We can assist by explaining behavioral techniques for relaxation, by administering nitrous oxide (laughing gas), or by prescribing a relaxing medication prior to your dental procedure.

Are Dental Implants Right for You?

September 19th, 2012

If you have missing teeth, it is crucial to replace them. Without all your teeth, chewing and eating can destabilize your bite and cause you discomfort. Dental implants are a great option for replacing missing or badly diseased teeth. A dental implant offers comfort, support, stability, and is as close to a natural tooth that a restoration can be.

There are many benefits to dental implants:

• Dental implants restore your ability to chew food properly.
• They fill out a face that may otherwise look sunken in because of missing teeth.
• They don’t need to be removed for overnight cleaning and soaking.
• No adhesives are needed.
• You’ll feel more confident to show off your smile to the world.
• Each implant is created to fit in perfectly with the look of the rest of your teeth.

Dental implants would be an appropriate treatment for you if you’re in good health, have healthy gums, and have enough bone structure to support an implant. A simple visit with our office will reveal if a dental implant is the best option to restore your smile to its absolute best.

Does Oral Health Affect Your Heart?

July 26th, 2012

Brushing your teeth every day keeps them cleaner, improves your breath, and reduces plaque buildup. But did you know that there may be a connection between your dental health and chronic illness? Some scientific evidence suggests that poor dental health may be linked to cardiovascular disease. Although more research is needed to explore this association, it provides yet another reason to brush your teeth twice per day, floss daily, and visit your dentist regularly.

Over 2,400 people die from cardiovascular disease each day, making it an immense public health problem. Cardiovascular disease occurs when arteries become harder, making it more difficult for blood to easily pass through your circulatory system. Plaques also build up in your blood vessels, further restricting blood flow. Periodontal disease, also known as gum disease, affects nearly 75% of the U.S. population, according to the American Academy of Periodontology. It is a chronic inflammatory condition that can cause bone and gum tissue to deteriorate, causing bad breath, swollen or bleeding gums, sensitive teeth, and loose teeth.

If periodontal disease affects your teeth and cardiovascular disease affects your heart, what’s the connection between the two? Scientists have known for years that the two conditions share several risk factors. Increasing age, cigarette smoking, and type 2 diabetes increase your risk of developing both periodontal disease and cardiovascular disease. None of these risk factors, however, explain the causal mechanism connecting the two conditions.

According to a 2009 review article by the editors of the American Journal of Cardiology and the Journal of Periodontology, one possible explanation is inflammation. Moderate to severe periodontal disease triggers chronic systemic inflammation, affecting not only your mouth but also your circulatory system, leading to cardiovascular disease. Another hypothesis is that bacteria from your mouth can cause heart disease. People with periodontal disease have billions of bacteria and other microorganisms teeming in their mouths. Chewing food and brushing your teeth release these bacteria into the bloodstream. The Harvard Heart Letter reports that the types of bacteria that cause periodontitis have been associated with plaque buildup in your arteries.

Not all scientific findings have shown a relationship between the two conditions. In April 2012, the American Heart Association published a scientific statement in the journal Circulation denying that gum disease causes heart attacks or stroke. The American Dental Association’s Council on Scientific Affairs and the World Heart Federation also endorsed the statement, agreeing that there is no conclusive evidence that the conditions are related. More scientific research needs to be performed to determine the exact relationship between periodontal disease and cardiovascular disease.

Although the scientific evidence has been mixed, periodontal disease can be very harmful to your health even if it does not lead to cardiovascular disease. It is important to reduce your risk of gum disease by careful tooth brushing, frequent flossing, and regular trips to the dentist.

What, exactly, is a root canal?

July 20th, 2012

Our team knows one thing no patient likes hearing when visiting our office is “root canal.” But what, exactly, is a root canal, and when might you need one?

A root canal is a treatment uses to repair and save a tooth that is infected or badly decayed to the point where the nerve is involved. In the past, if a patient had a tooth with a diseased nerve, dentists in most cases would recommend an extraction. Today, however, with a procedure called root canal therapy, available at our office, you may save that tooth—and your beautiful smile—after all!

Here are some symptoms that indicate a decayed or infected tooth, courtesy of WebMD:
• Severe toothache pain upon chewing, biting or application of pressure
• One tooth consistently more sensitive to hot or cold than other teeth
• Pain that hurts without any stimulus, keeps you awake or wakes you up at night
• A tooth that feels loose
• Discoloration (a darkening) of the tooth
• Pain that persists weeks following a filling or replacement of a filling
• Chronic pain and/or pressure that may extend to the ear, eye or neck

If any of these symptoms apply to you, we recommend you schedule an appointment with us right away.

The best way to avoid a root canal is to practice good oral hygiene at home, and that includes brushing at least twice a day and flossing to reduce plaque and bacteria. For more tips on how to avoid root canal therapy or for general questions about your dental treatment, we invite you to ask us during your next visit to our office! We also invite you to ask us on Facebook!

Smile! June is National Smile Month!

June 13th, 2012

Can you believe it’s already June? Today, our team thought we’d tell you June is National Smile Month, and a good time to remind all our patients to practice good oral hygiene between your visits to our office!
Below are a few simple steps you can take to improve your oral health so that you may celebrate National Smile Month for many, many years to come:
* Brush at least twice a day with fluoride toothpaste.
* Floss everyday to clean between your teeth.
* Reduce your intake of sugary foods and drinks
* Visit us regularly!
If you have questions about any of these tips, we encourage you to give us a call, ask our team during your next visit or ask us on Facebook!

"I've been diagnosed with gum disease. What now?"

April 16th, 2012


If you've been diagnosed with gum disease, there are a variety of treatment options depending on the particulars of your situation and the severity of the problem. We always start with the least invasive options, which are non-surgical. However, in more serious cases, surgery may be necessary.

The first line of defense against the presence of gum disease is a unique type of cleaning called “scaling and root planing.” In this procedure, an ultrasonic cleaning device is used to remove plaque and tartar from your teeth where regular cleaning devices can't reach: under the gum line on the tooth and the root. Then, the rough surface of the tooth and the root are smoothed out (planed). This provides a healthy, clean surface that makes it easier for the gum tissue to reattach to the tooth.

If you address your gum disease before it becomes severe, scaling and root planing may be the only treatment you need. However, as with any dental procedure, after-care is vital. In order to keep your teeth in good shape, and resist future occurrences of gum disease, you must follow your customized daily oral hygiene instructions provided by our office, eat a healthy diet, avoid tobacco use and have regular periodontal checkups with Dr. Weinstein. Even after a successful scaling and root planing, if you don't attend to your teeth properly, it's quite likely that you'll develop gum disease again.

If the tissue or bone surrounding your teeth is too damaged to be repaired with non-surgical treatment, several surgical procedures are available to prevent severe damage and restore a healthy smile. We will recommend the procedure that is best suited to the condition of your teeth and gums. Please visit our website to learn more about those options. Contact our Toronto periodontal office to schedule an appointment to discover how comfortable a dental experience can be!

What do your teeth say about your health? From Dr. Weinstein

April 2nd, 2012


We know your dental health is closely connected to your overall health. We also know the mouth can oftentimes be the first place to indicate signs of health issues in the body. Recently, we found a helpful article that outlined seven warning signs that indicate it might be time to check in with Dr. Weinstein and team.

Flat, worn teeth plus headache (sign of stress)

Grind, grind, grind .... grind. If you live with a teeth grinder, you’re probably familiar with this unpleasant sound. Emotional or psychological stress can definitely contribute to teeth grinding. In addition, headaches, which are caused by spasms in the muscles, can radiate from the mouth and head down to the neck and upper back. Night guards, which we proudly provide at (Insert Name of Practice), may relieve the symptoms, as well as protect your teeth.

Cracking, crumbling teeth (sign of Gastroesophageal reflux disease)

As we age we may notice that the enamel on our teeth starts to chip at the edges of our front teeth or form hollowed out “wells” on the surface of our molars. These symptoms may be a sign of gastroesophageal reflux disease, or GERD, which is a chronic digestive disease that occurs when stomach acid—and occasionally, bile—flows back into your food pipe. Other signs and symptoms of GERD include acid reflux, dry mouth and heartburn.

Sores that won’t go away (sign of oral cancer)

More than 21,000 men and 9,000 women are diagnosed with oral cancer annually, according to the National Cancer Institute. Those most affected include the elderly (most are over the age of 60) and smokers. The survival rate for oral cancer is 35 percent. When an open sore in the mouth doesn't go away within a week or two, or when you experience unexplained bleeding or numbness, it’s always a good idea to visit our office so that we may rule out oral cancer. A lot of sores and ulcers may lurk underneath your tongue, where they are difficult to find.

Gums growing over teeth (sign of medication problems)

If you notice your gum growing over your tooth, and you're taking a prescribed or other medication, please give us a call as soon as possible. Certain medications may cause the gums to overgrow; the dosage will need to be adjusted, but it’s important we take a look.

Dry mouth (sign of Sjogren’s syndrome, diabetes)

Many things are known to cause dry mouth, but a lack of sufficient saliva is also an early warning of Sjogren's syndrome, as well as diabetes. According to the American Diabetes Association, 17 million Americans suffer from type 1 or type 2 diabetes, which is a metabolic disease caused by high blood sugar. Other signs of diabetes include excessive thirst, tingling in the hands or feet, frequent urination, blurred vision and weight loss.

Sjogren's syndrome, which affects approximately anywhere between 1-to-4 million Americans, causes white blood cells of the body attack—for unknown reasons—their moisture-producing glands. Symptoms also include dry eyes, as well as the mouth, but the rest of the body is affected by the disorder.

White webbing inside cheeks (sign of Lichen planus)

Lichen planus, whose cause is unknown, is an inflammatory skin disease that usually affects the skin, mouth, or both, according to the Mayo Clinic. On the skin it manifests with small purplish bumps while in the mouth it takes the appearance of a whitish, lacy pattern on the insides of the cheeks. The disease can't be passed from one person to another. Lichen planus may require relatively simple at-home care or no treatment. When symptoms are severe, such as pain or significant itching, please give us a call.

Crusting dentures (sign of pneumonia)

Older folks are known to inhale debris around the teeth and dentures, and inadvertently breathe in other materials into the lungs and airway, causing dangerous (even fatal) inflammation. Be sure to remove and wash dentures on a regular basis.

Ask Dr. Weinstein: When should I visit your office?

March 28th, 2012


Great question. The mouth is the window to your body. Research has shown that there are direct links between your oral health and your overall health. You may be at risk of having periodontal disease if you smoke, have health conditions such as diabetes, heart disease or osteoporosis or if family members have had gum disease. In short, any time is a good time to see a periodontist for an evaluation.

Because periodontal disease can exist without pain or discomfort, it is important to be aware of the following warning signs that may indicate a problem:

Red, swollen, sore gums
Gums that bleed when brushing and flossing
Teeth that appear longer or have loosened or drifted
Large spaces that form between the teeth
The gums begin to pull away from the teeth
Chronic bad breath
Partial dentures no longer fitting

If you have experienced any of these signs, you owe it to yourself to schedule a periodontal exam at our Toronto office. Gum disease is both preventable and treatable by Dr. Weinstein and his team. Today's periodontal treatments provide you with a variety of options that are gentle, safe, and effective. Dr. Weinstein will help determine which treatment best meets your needs. Gum disease is both preventable and treatable by Dr. Weinstein and his team. Today's periodontal treatments provide you with a variety of options that are gentle, safe, and effective. Dr. Weinstein will help determine which treatment best meets your needs.

The connection between your oral health and your overall health, from Dr. Weinstein

March 21st, 2012


Don’t put off your next visit to Dr. Weinstein's office any longer! Over the years, oral health issues have been increasingly linked to other health concerns, such as heart disease. Cardiovascular disease remains American’s number one killer, claiming more lives than any other cause of death, according to the American Heart Association. Believe it or not, an estimated 80 percent of American adults currently have some form of gum disease. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care, both at home and by visiting Dr. Weinstein.

Studies are also beginning to suggest that patients, especially those with periodontal disease, are believed to have an elevated risk of heart attack and stroke. Since most patients are not regularly visiting a heart specialist, their regular visits to our office can help detect early warning signs of heart issues, prevent gum disease or at least catch it in its early stages.

Additionally, if it’s been more than six months since your last visit to our Toronto office, please give us a call!

The Great Social Media Adventure

February 27th, 2012


Isn’t social media great? Dr. Weinstein and team love connecting with our patients online, whether it’s by sharing news on our blog or communicating ideas on our interactive Facebook page. For social media to work, conversation is vital, and that’s why we invite you to join in and tell us what’s on your mind. Although social media is hugely popular these days, we know it is unpredictable and ever-changing.

While we’re taking a little time to research and decide how to best use social media, we thought we’d ask you, our loyal patients: How would you like us to use our social networks? What would you like us to share on our blog? Send us your thoughts or give us a call!

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