Colony Square Dental Associates

AN ALTERNATIVE TO TRADITIONAL DENTURES: NOBEL BIOCARE’S ALL-ON-4 ® TREATMENT CONCEPT

AN ALTERNATIVE TO TRADITIONAL DENTURES:

NOBEL BIOCARE’S ALL-ON-4 ® TREATMENT CONCEPT

The month of August had been designated “National Dental Implant Month” making this a perfect time to raise awareness of how dental implants can enhance the quality of patients’ lives. A treatment solution offered by Colony Square Dental Associates, dental implants serve to replace the root of one or more missing teeth. For over 30 years,

Dr. Hochberg has provided his patients, along with patients of colleagues, both the surgical and the restorative phases of dental implant care. And, we are pleased to announce that, in October 2017, Dr. Hochberg will become President of the American Academy of Implant Dentistry (AAID). Through continued education, after which he has been bestowed with advanced credentials, he keeps current on the advancements in dentistry in order to provide state-of-the-art dental implant treatment solutions to patients.

One such advancement offered is Nobel Biocare’s All-on-4 ® treatment concept.

This approach is an alternative to removable dentures for patients who need remaining teeth, in the upper, lower, or both arches, removed, and exhibit bone loss. Oftentimes, it’s also an option for those currently wearing traditional dentures when bone loss is evident. With Nobel Biocare’s, All-on-4 ®, 4 or 6 dental implants are placed in an edentulous (no teeth) arch. They serve as anchors to support non-removable implant supported teeth (a fixed hybrid-prosthesis). The reason this is viable, when there is less than ideal bone volume, is due to both the technique utilized to place the posterior implants as well as the material used to fabricate the implant. These implants are made out of titanium, and titanium naturally fuses to the bone. To expose more of the implant’s surface to the existing bone, providing a greater surface area to fuse implant to bone, the implants in the back of the mouth are placed at an angle – a 45-degree tilt. The result? Greater support for the implants.

 

 

What is the advantage of implant-supported dentures?

Patients have the security knowing that their new teeth will remain in place – eliminating slippage, looseness, and the need for adhesives. And as the roof of the mouth is not covered it’s easy to speak naturally. Patients chew in comfort and smile with confidence.

To learn more about this alternative to removable dentures, read more on our website, colonysquaredental.com, or better yet, give us a call at Colony Square Dental Associates and we would be happy to schedule a time for you to meet Dr. Hochberg and discuss whether dental implants are an option for you.

School is back in Session

 

School is back in Session | Fun Dental Facts to Intrigue Your Youngsters

 


School is starting next week for many counties in Georgia. Soon your children will be pouring over homework and spending their afternoons completing assignments. Dr. Hochberg and Dr. Diora have compiled a list of fun dental facts to assist with breaking up study time and providing some night-time fun. Please share these with the young ones in your life.

  • In the average Americans lifetime, one usually spends almost 39 total days brushing their teeth.
  • More than anything else we eat, chocolate has been proven to make us smile more.
  • Your teeth are the only part of the human body that isn’t able to heal itself.
  • Tooth enamel is the hardest substance in the human body and is the most highly mineralized.
  • 14 million gallons of toothpaste are purchased each year in the U.S.
  • A study was conducted and it was determined that approximately 48% of adolescents and millennials will or have untagged themselves from a photo on Facebook because they are unhappy with their smile.
  • In North America alone, over 3 million miles of dental floss is purchased annually. This is enough to wrap the earth from top to bottom over 120 times!
  • In the early 1800s, you could easily have a key made and get a haircut by the same person who just pulled your tooth! This was possible as most blacksmiths and barbers would also serve as the town dentist.
  • The strongest muscle in the human body is your tongue!
  • Believe it or not, there is more bacteria in a human mouth than there are people on the planet.
  • 50% of Americans do not receive recommended routine oral healthcare services.
  • Irene Newman was a dental assistant in the year 1905. The dentist she worked for trained her to clean teeth and she became the first ever dental hygienist.
  • Did you know a sneeze releases from your mouth at over 600 miles per hour?!
  • In colonial days, debtors were asked to agree to a contract of sorts to pay off their bill. In the place of a signature they would seal the agreement by leaving their dental imprint in wax.
  • Children worldwide lose more than 51 million hours of school due to dental related illnesses.

Remember it is always a good idea to promote good oral hygiene at a young age. These fun dental facts can also be useful for that purpose in your home. It is a nice way to begin a conversation for a lifetime of excellent oral health.

Why do I need a Root Canal?

Why do I need a Root Canal?
Knowing what to expect

Oh no! You’ve heard those dreaded words – You need a root canal. While Drs. Hochberg and Diora understand that everyone prefers to avoid dental treatment due to concerns that it will hurt, for many patients root canal therapy actually alleviates the pain caused by infection. So, why the apprehension when treatment is needed? In the ‘olden days’, root canals, and other dental procedures as well, were associated with discomfort. However, with today’s techniques, along with anesthetics and medications, a root canal is similar to having a filling. And the best news is that a root canal oftentimes allows us to save a tooth that otherwise would have been extracted.

When is a root canal needed?

A bit of understanding of tooth structure is important before we can answer this question. The center of a tooth is soft and contains the pulp, housing the tooth’s nerves, along with the associated connective tissue and the blood supply.  Problems arise when this inner sanctum is breached through dental disease or accidental damage. Once the pulp chamber is compromised, bacteria can enter the chamber causing extensive bacterial growth, which, in many instances, leads to infection. This infection can be present anywhere in the pulp chamber. When it occurs at the tip of the root and causes a pus-filled pocket to form, it’s called an abscess. The old cartoons showing a person with a swollen face and in discomfort are oftentimes those where there is an abscess or the infection has broken through into the bone or the face; hence the swelling.  Like all infections, left untreated, not only is the tooth subject to further damage, but also one’s overall health can be impacted.

Before the advent of modern dentistry and advance technology to treat these types of infections the only solution was to remove the tooth. And, while there are some instances where the tooth cannot be saved, many times it can. Dr. Hochberg or Dr. Diora will take an x-ray of the tooth. This provides an inside look showing the doctor the number of canals as well as the shape and direction of the canals. They’ll look to see if there is an abscess or if the infection has spread outside of the tooth structure and they will discuss their findings with you.

If a root canal is proposed – it’s okay. While there are some cases where our dentists may refer to an endodontist, a specialist in root canals, oftentimes they are able to provide the care needed should the tooth appear restorable.If you’ve had a filling before, this will be a similar procedure. You will receive numbing anesthesia, and should you request it, either nitrous oxide or medications are available to help you relax. Your dentist will access the tooth’s center in order to remove the diseased pulp tissue with special instrumentation called root canal files. The files serve to shape the canals to the very tip of the root, taking out the bacteria and the center soft tissue structure, leaving voided canals.Whether the next steps, filling the voids then sealing the tooth, are done in one visit or more, depends on the original nature of the problem. In some instances the tooth can be sealed at the time of treatment. A paste and gutta-percha (a compound from a rubber tree) fills empty pulp chamber, occupying the voids in the canals as well. To complete the procedure, a tooth-colored composite restoration, just like one that is provided if there is decay and the cavity is filled, is used to seal the area where the hole was drilled into the tooth. In other instances, the pulp chamber is filled with a temporary filling or, if need be, a medicated (sedative) filling, allowing the tooth time to recover from the infection and swelling to subside. During this time we suggest that you chew on the other side, reducing the risk of recontamination of the tooth, until you return in a few weeks to complete the procedure. In either instance, you may experience a bit of discomfort, and can take Advil during this time. Even though the tooth no longer has nerves, there is trauma that the infection caused to surrounding structures.

Once the tooth’s center is filled and the tooth is sealed, Drs. Hochberg and Diora will advise you as to whether the tooth is strong enough as is or if further care is needed. Inasmuch as the damage reached the tooth’s center, many times either the existing disease process or the accidental injury has already weakened the tooth’s structure. If this is the case, your dentist will recommend a final restoration – a crown, with or without a post & core, in order to provide the strength needed for the tooth to withstand the forces of biting and chewing.

Remember, our goal is to remove infection and prevent further damage, while working to keep the tooth in place. All our teeth are important. To maintain overall oral health and avoid shifting teeth, bone loss and a compromised smile, when a tooth is lost – we need to replace it. While not every patient is aware that a tooth is in jeopardy and it’s only determined during routine dental screening x-rays, there are some symptoms that should not be ignored. If you notice any of the following:

  • Pain when chewing or pressing on the tooth
  • A change in the color of a tooth
  • A pimple on the gum tissue
  • Swelling and tenderness
  • A noticeable sensitivity to hot or cold food and liquids

Give us a call at Colony Square Dental Associates and let us take a look. We’re available to help you maintain and restore your teeth … And if you need a root canal, don’t worry, we’ll do our utmost to keep you smiling!

New Baby & Dental Care

New Baby & Dental Care
A guide to kick start your baby’s first years of dental hygiene

Knowing how to approach oral healthcare for your new baby can be challenging. The first 3-12 months will be comprised of swollen/bulging gums, drooling, and irritability as your little one begins teething. As new mom herself, Dr. Mira Diora will soon be experiencing the same obstacles that many of our patients, as new parents, face. Our goal is to simplify the process and provide parents and caregivers with the basics to ensure their child’s smile remains both happy and healthy.

Beginning a healthy diet during pregnancy is vital. The food you consume can directly affect the growth in your unborn child. As teeth begin to develop between the third and sixth month of pregnancy, it is important you are ingesting enough nutrients. This includes calcium, protein, phosphorous, and vitamins A, C, and D. Regular dental visits for oral examinations and teeth cleanings are also very important during this time. Pregnancy hormones can make gum tissue increasingly sensitive to plaque and in many cases can develop into gingivitis. It is estimated that 30-80% of women will experience symptoms such as red, bleeding, or inflamed gums, sensitive teeth, or difficulty chewing. Given the prevalence of this condition, it is significantly important to pay close attention when brushing and flossing. This will become your best defense against bacteria.

Once your bundle of joy arrives, the work has just begun. Developing a habit of home dental care at an early age, promotes a lifetime of good dental hygiene. You may even start stimulating the gums prior to the first tooth appearing. This can be done with a clean wet washcloth after each feeding. Continuing this practice until the first tooth appears is preferable.

As soon as you detect a hard knot, or the first sightings of a tooth breaking through, it is time to begin brushing! Keep in mind your baby may have sore or tender gums during this time. It’s best to use a children’s soft-bristled toothbrush and a fluoride toothpaste. Begin brushing his or her teeth twice per day (morning and night). No more than a tiny smear of toothpaste is needed until the child turns three years old. It is important to be aware that your baby’s first dental visit may only entail reviewing their tooth and jaw development. We sometimes refer to it as their first ride in the dental chair. Dr. Hochberg and Dr. Diora will let you know when the first cleaning should be scheduled.

By three years of age, most children will have a full set of 20 baby teeth. Baby teeth hold a very important role in your child’s development. They assist with chewing, speaking, smiling, and holding space in the jaw for their permanent teeth to grow. Essentially, they serve as natural braces. At this age you may increase the amount of fluoride toothpaste from a smear to a pea-sized amount. Remember to always supervise brushing and ensure that no toothpaste is swallowed. By this time, your child will be visiting the dentist regularly for dental check-ups.

At Colony Square Dental Associates, we are here to help you answer any questions about your growing youngster. And we are sure Dr. Diora will soon be sharing stories of her personal experiences with her new baby boy, Shailen!

Diabetes and Dental Health
What is the connection?

Diabetes and Dental Health
Does Diabetes affect Dental Health?

According to the CDC’s study in 2014, it is estimated that almost 29 million people in the United States have some form of diabetes. Those who battle this disease know that it can impact many areas of the body – it’s commonly associated with diseases of the kidneys, eyes, nerves and cardiovascular system. Drs. Hochberg and Diora remind us that what is often overlooked is the effect that diabetes can have on one’s dental health. Whether type 1 or type 2, when diabetes becomes a chronic condition, research has confirmed a link between it and the oral cavity. And, this year, according to the American Dental Association, one in five people who experience total tooth loss has diabetes.

To best understand the connection between diabetes and oral health, let’s take a moment to review some basic dental facts, answering the question – What is periodontal disease? It’s an infection of the structures that support and surround our teeth. The first sign is gums that are swollen or bleed when brushing, called gingivitis. Left untreated the infection can progress into the bone that supports your teeth. Once the infection has spread to this point, periodontitis, the risk for tooth mobility and possible loss is increased. Periodontal disease is of great concern to patients otherwise in good health – everyone wants to keep their teeth for a lifetime! But, it’s even more challenging for those with diabetes. According to an article from the American Diabetes Association on Oct 10, 2014,

“…emerging research also suggests that the relationship between serious gum disease and diabetes is two-way. Not only are people with diabetes more susceptible to serious gum disease, but serious gum disease may have the   potential to affect blood glucose control and contribute to the progression of diabetes”.

It sounds like circular reasoning but it’s true. Those with poorly controlled diabetes are at a higher risk for periodontal disease. And those with diabetes who have periodontal disease find it more difficult to control their diabetes. How and why is there this correlation? Those with diabetes are shown to be at a higher risk of thickening of blood vessels, which carry nutrients and oxygen to tissues and carry away waste products. This includes the gum tissue as well, leaving it more exposed the to risk of infection – periodontal disease. And, on the other end of the ‘two-way street’, patients with periodontal disease have an infection, no different than any other bodily infection. And, like any infection, periodontal disease can cause an increase in blood sugar levels, making glucose levels more difficult to control.

Other concerns we note with our diabetic patients are …

  • Xerostomia (dry – mouth) many medications inhibit the body’s production of saliva, which keeps your mouth moist, and comfortable. But this also occurs when blood sugar levels are not controlled. The glucose level in one’s saliva increases while at the same time there is a reduction in the body’s production of this natural tooth protector. The result? Dry-mouth and teeth that are more susceptible to decay.
  • Thrush – either on your tongue, or on the inside of your mouth, red or white patches are symptoms of this oral fungal infection.
  • Children’s cavities – children with IDDM (insulin–dependent diabetes mellitus) are shown to have more cavities.
  • Longer healing times – when undergoing oral surgery, such as an extraction. If it’s not an emergency, we will consider your blood glucose levels before scheduling dental surgery.
  • Changes in the taste of foods – a frequent complaint. What is important is to find healthy substitutes to enhance taste, avoiding adding extra sugar.

It goes without saying that the goal for our patients with diabetes is to control their glycemic levels. At Colony Square Dental Associates our role is partner with you to keep your mouth healthy. Ensuring that you maintain excellent periodontal health not only keeps your smile intact, but also healthier gums translate to a healthier you. What can you do to help out?

  • Brush and floss twice a day
  • Exercise and eat healthy
  • If you are a denture wearer – be sure to keep it clean
  • Call when you note any changes that occur in your mouth
  • Visit us periodically for your regular dental visits

Tags: , , ,

Teeth Whitening

Teeth Whitening
Do Natural Products Work?

First impressions are extremely important and we at Colony Square Dental Associates understand when the need arises to enhance your smile. However, many individuals may try to brighten at home before visiting their oral healthcare provider. Drs. Hochberg and Diora are here to research the latest DIY crazes and offer their expertise on which products are safe for your enamel and effective to whiten your teeth.

Among the newest trends is an oxidized charcoal powder. It is advertised to be used as a paste. This involves brushing for approximately two minutes prior to rinsing. Although it has grabbed attention online by way of social media, the American Dental Association has currently not approved any charcoal teeth whitening products. In fact, many dentists are warning that using this method may lead to both enamel deterioration and tooth erosion, as it is comprised of a harsh abrasive material. As your enamel cannot replenish itself, once lost it must be covered with a restoration by your dentist.

Another trend that many people are trying is “coconut oil pulling.” This entails involves gently swishing 1-2 tablespoons of coconut oil in your mouth, and in-between your teeth, for approximately 10-20 minutes, and while making certain not to swallow any of the oil. However, not only is this process very time consuming, there is no reliable scientific proof that shows it is effective in brightening or whitening teeth. The best rule of thumb for oils is to save them for your dinner table.

If whitening is a priority for your ideal smile we have suggestions for keeping a bright and white smile at home.

            Brush your teeth twice daily for approximately two minutes
            Use a whitening toothpaste that has the ADA Seal of Acceptance
>             Clean interproximally at least once daily with a proxy brush or dental floss
>             Limit foods and drinks that may stain your teeth or drink them sparingly through a straw
            Visit your dentist regularly for check-ups and cleanings

Remember a white smile is attainable. Both Dr. Hochberg and Dr. Diora are happy to discuss the many tooth whitening treatment options and determine which method is best for you. From our in-office ZOOM! ® Whitening procedure, to bleaching a single tooth internally, there are many beneficial ways to approach a whiter smile.  Please give us a call and we’d be happy to schedule a consultation for you.

Team Fun Day at CSDA

Team Fun Day at CSDA
An eventful day full of fun for the team and a few surprises for Dr. Diora too

The opportunity to enjoy some downtime with co-workers, outside of the hustle and bustle of the office, is always a treat. Being able to mingle and have personal conversations allows for a great ambiance and spirit that we bring back to our workspace. Last week we were surprised with a fun “Team Day”. With a lot of details left unknown, our only hint was that we needed to prepare to relax, sing, and wear our new fun teeth socks to help us get Footloose! Our first clue led us to Caribou Coffee, a unique coffee shop in Buckhead. While waiting for our next hint to unravel the mystery of the day, we grabbed a bite to eat and a warm cup of joe. Dr. Diora arrived soon after to join the breakfast brunch party. She passed out the next set of sealed envelopes, and we eagerly opened them.

And there it was, a shiny New Balance gift card, just waiting for us to splurge on a new pair of sneakers! Working on our feet all day can be taxing, and to have the opportunity to consult with a shoe specialist one on one was an awesome experience. From measuring our feet, finding custom supportive inserts, and informing us of the latest fashion trends, New Balance of Buckhead went above and beyond to ensure we secured the perfect pair of shoes. Not to mention, they even opened the store an hour early to accommodate us! We quickly snagged a few photos, checked out, and opened yet another sealed envelope.

A short walking distance from the shoe store, was a massage spa called “Treat Your Feet”. Since our initial hint told us to prepare for relaxation and to get “Footloose” some of us began to guess that we were getting foot massages. We were right of course, but that wasn’t all. Calming music played and we reclined in the most comfortable chairs while technicians treated us to the ultimate foot experience. Hot stones, soothing lotions, and warm towels were just a few methods used to help us unwind. Just when we thought it was over they massaged our face, head, and neck too. With that we were given our final envelope and proceeded to the last destination.

The location of our lunch was at Season’s 52. This restaurant is known for their sophisticated atmosphere, seasonal menu, and offering fresh ingredients that are naturally lighter. Turning the corner to our private room, it was decorated with all things baby. Surprising Dr. Diora was a delight. As many of you may already know, she is expecting to have a baby in June. Singing a CSDA version of the song “Footloose”, we lightened the room and begin the baby shower festivities. Games were played, presents opened, and a few happy tears were shed. It was the perfect way to end a great time with co-workers that truly feel like family. Thank you to Dr. Hochberg, Congratulations to Dr. Diora, and Happy Team Day from CSDA!

April is Oral Cancer Awareness Month

April is Oral Cancer Awareness Month

Encouraging a widespread conversation on the importance of routine oral cancer screenings – not only in April, but every day!

Oral Cancer, when detected in an early stage, is oftentimes treatable and has a better prognosis. With nearly 50,000 people in the U.S. diagnosed with oral cancer each year, it is imperative that we check for abnormalities when patients are seen at Colony Square Dental Associates. You may have noticed during your hygiene examination that Drs. Hochberg & Diora will feel, see, & verbalize their oral cancer screening findings, or a lack thereof, as they perform your examination. Our goal is to raise your awareness, not only in the month of April, but all year round.

The American Dental Association (ADA) encourages both dentists and clinicians alike to provide their patients with a complete hard-tissue and soft-tissue examination. This includes inspecting lymph nodes, touching floor of mouth, palate, checking tongue, lips, and rear of throat. The dentist is looking for a number of signs including red or white patches, a lump, or a rough spot. The examination is completed when the doctor reviews your health history form and risk assessment.

As early detection and treatment is often the key to survival, periodic dental visits can improve the chances of identifying any suspicious changes. And, in between routine dental visits, it is equally important for patients to be aware of the signs and symptoms of oral cancer. If you notice a persistent sore, irritation, trouble chewing, swallowing, or moving your jaw or tongue that exceeds two weeks, it is time to call.  Dr. Hochberg or Dr. Diora will be able to determine if the area should be further examined or biopsied. Being vigilant, and working together as a team, our goal is not only maximize your dental health, but also to detect concerns that impact your overall health.

CSDA Attends the HINMAN Dental Meeting

We all know when it’s springtime – we ‘spring ahead’ by resetting our clocks, welcoming the abundance of Atlanta’s colorful blooming flowers, and preparing for warmer weather.
At Colony Square Dental Associates, springtime is also hallmarked by our attendance at the annual Hinman Dental Meeting.

Continuing our dental education is essential in order for us to provide you with state-of-the-art dental care. We learn about new techniques, including new dental materials that provide superior aesthetic results, along with improved dental technology. The result? By regularly attending continuing education courses, Drs. Hochberg, Diora, and the entire treatment team, are able to offer you the latest options in order to not only maintain and restore your oral health, but to also provide you with an esthetically pleasing smile.

If you have any questions about the advancements in dentistry, just ask us. We would be delighted to share our knowledge with you. And, don’t forget to set some time aside for your Spring Dental Cleaning for a healthier, whiter, and brighter smile.

Healthy Nutrition | Healthy Teeth

Pinpointing how what you consume can directly affect your oral health

Healthy teeth and gums are essential for eating, chewing, and swallowing. Therefore the nutrients you consume, will directly affect your oral and overall health. Although many feel they are practicing perfect oral hygiene by brushing and flossing regularly, tooth decay and gum disease remain to be two of the most widespread diseases in the world. Drs. Hochberg & Diora promote a healthy diet and have tips on how you can properly choose foods that will in-turn positively impact your dental health.

Foods that are great for your tooth enamel are those comprised of minerals. Various acidic foods and drinks, when not consumed in moderation, may cause erosion of the enamel. Calcium and phosphorous are wonderful in aiding to replace minerals in areas they may have been lost. Calcium enriched foods that are low in sugar include yogurt, hard or aged cheese, seafood, low-fat milk, almonds, etc. Whereas some great phosphorous sources include pumpkin seeds, fish, Brazil nuts, red meat, eggs, and broth. These foods will help to strengthen your teeth and contain valuable protein.

Crunchy foods that are naturally hard usually contain high contents of water. The chewing required to eat these foods produces more saliva, which is the best way to counteract the bacteria that causes cavities. Also, the texture of these crunchy foods makes them naturally abrasive. In turn, this helps to gently scrub tooth surfaces freeing them of plaque and food debris. The best options to choose when looking for a high water content snack are celery, apples, cucumbers, and carrots.

It is also good to keep in mind the foods that can harm your dental health if not eaten with self-discipline. Beware of ‘empty calorie’ foods. These include candy, cookies, muffins, and snack foods such as potato chips. In addition to no nutritional value, these foods also contain high contents of sugar that tend to adhere to your teeth. The result is bacteria in your mouth will feed on these sugar spots, releasing acids, and then leading to eventual tooth decay. If you must enjoy a drink  with a high sugar content, try sipping on it through a straw, so that you’re not bathing your teeth in these acids and sugars directly.

 

You may reduce your risk of cavities by following the doctor’s guidance such as:

  • Always remember to brush your teeth twice daily for at least two minutes.
  • Limit your between-meal snacking.
  • Include dairy, a variety of fruits and vegetables, and fluoride filled water to your diet.

Remembering that brushing after eating should always be your first choice, however if it is not a viable option, try at least chewing sugar-free gum or rinsing with some water.