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Welcome to the Future…

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Our office will be undergoing a major technological overhaul.  There will be new computers in every room, digital radiographs, intra-oral cameras, tablets, new dental practice management software, and much more.    We will become an almost paperless office.   We are nervous about the changes, but super excited, too.

Benefits to our patients include:

  • Less wait times
  • Shorter appointments
  • More comfortable procedure
  • Reduced exposure to radiation
  • More involvement in co-diagnosis and patient education
  • Better understanding of treatment plans
  • Instant insurance e-filing,
  • More timely and concise Statements
  • Easier Communication
  • Access to patient information for after hour emergencies

 

We are closing Monday July 28 for training and we plan for the new changes to be in effect then.  Wish us luck!

 

 

Add comment July 9, 2014

Nominated as One of the Areas Top Dentists!!!!!

A representative from Fort Wayne Newspapers visited the office today to inform us we have been nominated as one of the area’s TOP DENTISTS!!!!!!! You will read more about it in the local newspapers & periodicals in the coming weeks. Thank you to those that nominated our office!award

Add comment June 26, 2014

KIDS DAY

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Clowns, face painting, animal balloons, ice cream, and lots of other fun activities…
Come join us for a fun filled KIDS day at Dr. Slyby’s office. We are scheduling kids only on Friday August 1st for teeth cleanings. At that time, they will be able to enjoy and partake in the festivities.
If your child is not currently due for a cleaning, we will still love them to come and share in this fun filled day! The office will be open from 8 a.m. until Noon.
Whether you schedule a cleaning or would like to just stop by for the activities, please RSVP our office at 260-484-0725 or email us at slybydentaloffice@gmail.com.
We look forward to seeing all the little smiles!

Add comment June 26, 2014

Through the Ages… Medications and your Oral Health

 

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Over the counter and prescription drugs are a fact of life for many of us, young and old.  You may be surprised to know that drugs of all forms and classes, even vitamins, minerals, and herbal preparations can have severe effects on your oral health.

 

Regular dental checkups are important.  At each appointment, report the medications you are taking and other information about your general health.  An updated health history can help the dentist identify problems and causes. 

Here are common side effects.

Dry Mouth (aka Xerostomia)

Dry mouth can be caused by many factors and we’ve all experienced it at some point.  It can happen when you are nervous, upset, excited, or under stress.  It can also occur from radiation treatments, salivary gland disease, endocrine disorders, diabetes, stroke, and many other factors too.    But the MOST COMMON cause of dry mouth is medication, both prescribed and over the counter.   Almost every drug class has medications that list xerostomia as a side effect.  Antihistamines, decongestants, high blood pressure meds, inhalers, muscle relaxants, pain killers, diuretics, antidepressants are just a few among the many forms of medications that can cause this condition.

Drying irritates the soft tissues which can inflame them and make them more susceptible to infection.  Even more concerning:  Without the cleansing effects of saliva, tooth decay and other oral health problems become more common. 

What to do:

Increasing fluid intake and taking frequent sips of water may help some people.  Also, there are artificial saliva substitutes available.  These help sustain moisture in the mouth.  These products are popular and usually easily available at your local pharmacy.   Avoiding smoking, caffeine, carbonated drinks and sugar can help also.

 

Soft Tissue Reactions

Some prescriptions can cause sores, inflammation and even discoloration to the soft tissues in the mouth.   These include chemotherapeutic agents, immunosuppressive drugs, oral contraceptives, and even blood pressure meds.  If you experience soft tissue reactions from these, let your dentist know.  He or she may have some recommendations.  Also, your prescribing doctor may be able to change the regimen to alleviate the condition.

 

Alterations in Taste

Some medications can result in the patient experiencing a bitter or metallic taste.  Some may even experience diminished taste to foods and drinks.  Cardiovascular agents, CNS stimulants,  NSAIDs, inhalers and smoking cessation products all have been known to effect taste.

 

Abnormal Bleeding

Medications such as coumadin, warfin, aspirin, Plavix and even  NSAIDS can thin the blood or prevent clotting.  Although they are necessary and common, they can create bleeding problems during oral surgery or treatment for periodontal disease as well as other procedures too.   Be sure to let your dentist know if you are on any such medications.

 

Enlarged Gums

Medications such as anti-seizure, immunosuppressant and calcium channel blockers (nifedipine, verapamil, diltiazem and amlodipine) can cause gingival overgrowth.   Meticulous home care and regular dental cleanings can help keep inflammation minimal.  Increasing the frequency of dental cleanings may be a good idea for these patients too.

 

Tooth Discoloration

Tetracycline can cause permanent discoloration of the teeth if the drug was used during tooth formation (2nd half of a pregnancy or for infants and toddlers).  Chlorhexidine rinse is a dental antibiotic rinse that can stain the teeth brown.  However, that is easily removable with a dental prophylaxis.

 

Oral Candadiasis

Patients using oral inhalers for asthma often develop oral candidiasis, an oral fungal infection.  One way to abate the risk is to rinse with water after using the inhaler.  Also saliva substitutes and ingestion of active yogurt can be beneficial.

Add comment March 24, 2014

Through the Ages…. Acids: Energy Drinks, Juices, Sodas, and More.

There are new villains in the fight against decay.  Trendy drinks are causing decay and a loss of enamel at an unprecedented rate in modern times.    Energy drinks, boxed juices, sports drinks, and soda are laden with sugar and acids.  

Acid

Acid Softens the enamel and chemically dissolves the outermost layer.

 

Sugar

Sugar feeds the bacteria that cause plaque and tooth decay.

 

Timing

The effects of sugary drinks are present long after swallowing.  The saliva stays acidic between sips.  So the enamel is constantly getting insulted from the first sip until long after the drink is gone.

 

Quantity

Super sizing drinks has become a national expectation.  As mentioned previously, sipping small amounts over time leads to perpetual destruction.  The longer it takes to get through a beverage, the more damage there is to your mouth.

 

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Add comment February 24, 2014

A Revolutionary New Find

Dentistry is changing so remarkably fast it’s scary.  But it’s also exciting to the core.  If I were let out of dental school today with what I learned when I graduated just 16 years ago, I’d be lost. Dental materials are ever changing and improving.   Computers have revolutionized things like endodontics (root canals) and numbing.  Even more difficult is keeping up-to-date with the new methods and procedures for restoring teeth.   One of the things we do to keep on the cutting edge is read… A LOT.   And thus, one of the gazillion dental journals I get a month had an article that I was particularly interested in.  It was about a new material that helps cure a devastating problem that dentists have struggled with for eons….

One of the most difficult decisions a dentist must make is when to restore widespread, broken down, pitted, soft enamel.  Usually the lesions start from childhood, specifically orthodontics.    Once the breakdown starts, it’s impossible to stop.  Dentists have to intervene with difficult, expensive, uncomfortable, unaesthetic restorations that, frankly, are very prone to recurrent decay.   Moreover, it’s especially unpleasant to acquiesce when its a young person that needs his or her teeth to last a lifetime.

So when I read about a new product called an “INFILTRANT” that is available to combat this problem, I was enthused but skeptical.  And I had a lot of questions that needed answered before I’d try it on a young person.  I called the manufacturer and spoke to one of the engineers.   Once my questions were addressed and I understood the limitations, I was ready.  Today, I tried it for the first time on a young man named Cameron.

The procedure was arduous, but the results were astounding.    It transformed Cameron’s weak enamel.    No, his teeth aren’t pearly white.  But these are his teeth; not bonding or porcelain.  The most revolutionary thing about it was that we were able to restore his teeth without removing any tooth structure first.  I didn’t even have to anesthetize him.  Once the teeth are “primed”, the INFILTRANT infuses into the tooth, rebuilding the tooth structure.  We took some before and after pictures and I am sharing them here.

So there is another leap forward in dentistry.  I see this product as a building block for wonderful new possibilities.   The future may be arresting decay and rebuilding tooth structure without having to numb and “drill” a tooth.  What a great time to be a dentist!

 

CLICK ON PICTURES TO ZOOM

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Add comment January 29, 2014

Through the Ages Missing / Avulsed / Lost Tooth

Avulsed Tooth

 

Losing a tooth can be especially traumatic.  It is physically but also emotionally trying, as the resulting empty site is not aesthetically pleasing and is difficult to replace.  The main cause in the permanent dentition is recreation/sports injuries and fighting.  If a tooth can be re-implanted within 15-30 min after the accident, there is a 90% chance the tooth will be retained for life.  However, this is not always practical.  The critical determining factors for successful re-implantation are time, transportation medium, how the tooth is handled, and condition of the socket.

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Management

Most important management is the time out of socket and the storage and transportation medium.

 

Missing tooth _ If tooth is not found, consider complete intrusion of the tooth into underlying bone.

 

CARE

  • Keep the person/child calm.
  • Find the tooth and pick it up by the crown (the white part). Avoid touching the root.
  • If the tooth is dirty, wash it briefly (10 seconds) under cold running water and reposition it. Try to encourage the patient / parent to replant the tooth. Bite on a handkerchief to hold it in position.  Do NOT reimplant Deciduous (Baby)teeth as they could damage the permanent tooth bud in formation.
  • If this is not possible, place the tooth in a suitable storage medium, e.g. a glass of milk, saline,  or a special storage media for avulsed teeth if available (Hanks Solution). The tooth can also be transported in the mouth, keeping it between the molars and the inside of the cheek. If the patient is very young, he/she could swallow the tooth- therefore it is advisable to get the patient to spit in a container and place the tooth in it. Avoid storage in water!
  • Seek emergency dental treatment immediately.

Add comment January 20, 2014

Through the Ages: Thumb Sucking & Pacifier Use

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A concern all parents face is thumb sucking, finger sucking, or pacifier use.  Children learn this habit in the womb.   Thumb sucking is one of an infant’s natural reflexes.   It makes them feel secure and happy.   Since it is relaxing, it can also induce sleep.   My twin daughters who were born 2 months premature were introduced to pacifiers in the NICU.  Moreover, the pediatric doctors and nurses encouraged finger sucking for development and well-being.  They actually instructed us to place their little hands to their mouths.

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However, prolonged thumb, finger, or pacifier sucking may cause improper growth of the mouth and misalignment of the teeth.  It can even trigger changes in the roof of the mouth.  Children who passively rest their thumbs in their mouths are less likely to develop problems than aggressive suckers.

Pacifiers can have the same effects on the teeth as finger sucking.  However, pacifier use is generally an easier habit to break.

Most children stop sucking their thumbs or fingers on their own between the ages of 2 and 4.  The behavior lessens during this period as children develop and interact with their environment.    Peer pressure is one of the most persuasive influences on getting children to break the habit.   Daycare and school are best at providing this opportunity.

 

Here are some tips to help:

 

  • Rather than scolding the child while thumb sucking, instead offer praise when not doing it.
  • Try to identify and correct any anxiety or insecurity that might me contributing to an episode.
  • Reward the child when they are overcoming the habit especially in times of stress.
  • Tricks like putting a sock over the hand or a bandage around the digit can help remind the child to stop.
  • In extreme situations, dentists can even make mouth appliances or recommend medications that coat the thumb to prevent the child from engaging the thumb.

1 comment January 9, 2014

Through the Ages

Throughout our lives, there are specific dental needs or situations that we might know are important

but never have the forethought for which to prepare ourselves or even ask about. I’m not talking about

the everyday dental disciplines like brushing and flossing. I’m talking about situations that are specific to

a particular point in life. So over the next weeks (maybe months), I am going to provide some facts and

pointers for different stages in our lives.

• Infants-Toddlers Thumb Sucking

• Toddlers-Teens Tooth Avulsion (Knocked out/Lost/Missing tooth)

• Teen-Adult New Trendy Beverages aka Sports & Energy Drinks, Mixers, etc.

• Adult – Senior How medications effect your oral health

So stay Tuned for a unique look at dental care for all ages, Through the Ages….dental_logo_by_labyr1nth-d2opsba

Add comment January 8, 2014

Grinding, Clenching & Nightguards

If you wake up with a tired or stiff jaw or have sensitive teeth, you may be grinding or clenching your teeth during sleep.  Grinding of the teeth is a condition called bruxism.  Over time, bruxism will result in the wearing down and loosening of your teeth and may even result in Temporal Mandibular Joint problems.

You can reduce these risks by wearing a nightguard.  A nightguard is a clear and thin.  It can be hard or soft or even a combination of both.  It is removable and can be custom made to fit over the upper or lower teeth during sleep.  In addition to relieving head, neck, and jaw pain, it will protect your teeth and your dental restorations such as fillings, bonding, and crown and bridge work.

There are over the counter devices that are less expensive than the professional custom-made appliances.  However, you should only use those under the close supervision of a dental professional as they can do more harm than good in some instances.

Add comment October 8, 2013

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