Dental Health and the Heart

Posted by Pi Dental Center on Feb 16, 2021 12:00:00 PM

Heart with tooth graphic for blog - dental health and the heartFebruary is heart month. So this month we review current literature and research about the link between dental health and the heart and discuss tips.

Heart Disease

Heart disease refers to conditions that involve the heart, its vessels, muscles, valves, or internal electric pathways responsible for muscular contraction. Common heart disease conditions include coronary artery disease, heart failure, cardiomyopathy, heart valve disease, and arrhythmias.

Heart disease claims around 610,000 lives each year, heart disease is the number one killer of both men and women in the United States. There is a link between this deadly disease and the health of your gums.

According to a study by the Karolinska University Hospital, Sweden, gum disease increases the risk of a first heart attack by 28%.

Gum Disease

Periodontal diseases (gum diseases), including periodontitis, affect the surrounding tissues which support the teeth. Periodontitis, (inflammation around the teeth), is a serious gum infection that progressively damages the soft tissue and alveolar bone that supports the tooth. Microorganisms, such as bacteria, stick to the tooth surface and multiply causing an overactive immune system to react with inflammation.

Untreated periodontitis eventually results in tooth loss, increasing the risk of stroke, heart attack and other health problems. Bacterial plaque is a sticky, colorless membrane that develops over the surface of teeth. It is the most common cause of periodontal disease.

Signs of gum disease include red, swollen gums that are sore to the touch. Gums may bleed during brushing, flossing and eating. Pus is present around gums and teeth. Gums appear to pull away from the teeth. Teeth are loose or mobile.

Studies show gum disease is linked to heart disease.

By promoting systemic inflammation, periodontal disease may lead to cardiovascular disease. Treatment of periodontal disease has been reported to improve cardiovascular function in patients without overt coronary disease.

One study supported earlier findings that chronic periodontitis was associated with an incidence of coronary artery disease among men under the age of 60. Research also found a trend toward reduced periodontal risk in patients using statins. This supports findings that statin use was associated with fewer periodontal pockets.

Doctors at the University of Alabama studied the relationship between periodontal disease and stroke. Given that atherosclerosis is a systemic disease and periodontal disease may promote atherosclerosis, periodontal disease may also be associated with an increased risk of stroke. They hypothesized that tooth loss would also be associated with higher levels of inflammation and stroke. The study reinforced the association between periodontal disease, as measured by tooth loss and inflammation, and supports an association between periodontal disease and stroke.

Oral inflammation and the heart

Inflammation is part of an immune response to fight off pathogens and clear infections, protecting the body. Chronic inflammation damages the heart, even when no infection is present. This inflammation can cause structural changes to the heart, causing the muscle to become enlarged or develop fibrous tissue, impeding the heart’s ability to pump blood efficiently and leading to further deterioration.

Gum Disease and Plaque

The most common strain of bacteria in dental plaque can cause blood clots that induce heart attacks when they escape into the bloodstream. Heart disease is approximately twice as high in people with periodontal disease. Chronic inflammation of the gums due to plaque could also be involved in the inflammation of the lining of the blood vessels that is known to lead to the build-up of plaque in the arteries.

“Smoking has strong relationships to both tooth loss and heart disease,” said Dr. Catherine Okoro, an epidemiologist at the CDC. “Nonetheless, when we stratified by age group and smoking status, a significant association remained between tooth loss and heart disease among respondents aged 40 to 59 years who had never smoked.” The researchers reported the results are consistent with previous studies that link periodontal disease and tooth loss to an increased risk of atherosclerosis and heart attack.

Gum disease appears to worsen blood pressure and can interfere with medications designed to treat hypertension, high blood pressure.

Poor dental health also poses a risk to people with heart valve problems, stated Dr. Ann Bolger, a cardiologist and professor of medicine emeritus at the University of California, San Francisco. “I spend an inordinate amount of time talking to heart valve patients about their teeth because we know certain heart valve infections can be associated with poor oral health.” This latest research “is a good reminder that the mouth is an important part of a person's entire health and simple, daily behaviors that improve health are incredibly important.”

Heart disease symptoms:

  • Coronary artery disease symptoms may be different for men and women. For instance, men are more likely to have chest pain. Women are more likely to have other signs and symptoms along with chest discomfort, such as shortness of breath, nausea and extreme fatigue.
  • Signs and symptoms can include:

    • Chest pain, chest tightness, chest pressure and chest discomfort (angina)
    • Shortness of breath
    • Pain, numbness, weakness or coldness in your legs or arms if the blood vessels in those parts of your body are narrowed
    • Pain in the neck, jaw, throat, upper abdomen or back
  • Always call 911 or emergency medical help if you think you might be having a heart attack.

What if you already have heart disease?

If you already have heart disease, be sure to follow a meticulous oral hygiene regimen. Good oral hygiene can help prevent heart infections.

Follow these easy steps to keep your heart and mouth healthy.

  • Practice good oral hygiene by brushing twice a day and flossing once a day. In addition, make sure that you see your dentist regularly.
  • Make sure you tell your dentist about your heart condition.
  • Follow any instructions given to you by your dentist and physician. This is especially important because you may need a prescription for an antibiotic before your dental appointments.
  • Prevention is the best medicine
  • Avoid cigarettes and smokeless tobacco. These habits can destroy your gums and increase your chance of heart disease.

Good oral hygiene and regular dental examinations are your best protection against the development of gum disease. If you would like to schedule an appointment for an examination including oral hygiene at Pi Dental Center, give us a call at (215) 646-6334 or click the link below to fill out an online form.

Ask A Dental Question Or Schedule An Appointment

Sources:

  • Uncovering a Link Between Inflammation and Heart Disease: Immune cells can exacerbate heart failure. A new study reveals a potential way to stop them, Laura Castañón Tufts Now, February 1, 2021.
  • Higashi Y, Goto C et al. Department of Cardiovascular Physiology and Medicine, Hiroshima University, Graduate School of Biomedical Sciences, Hiroshima, Japan. 2009 Oct;206(2):604-10.
  • Significant association between score of periodontal disease and coronary artery disease. Oe Y.et al. Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Honjo, Kumamoto, Japan.2009 Mar;24(2):103-7.
  • Tooth loss, systemic inflammation, and prevalent stroke among participants in the reasons for geographic and racial difference in stroke study. You Z et al. Department of Biostatistics, University of Alabama at Birmingham. 2009 Apr;203(2):615-9. Epub 2008 Aug 8.
  • Catherine Okoro, Ph.D., epidemiologist in the Division of Adult Community Health at the Centers for Disease Control and Prevention.
  • CDC, NCHS. Underlying Cause of Death 1999-2013 on CDC WONDER Online Database, released 2015.
  • Gum Disease Linked to Heart Disease, Tim Friend, USA Today.
  • Rydén L, Buhlin K, Ekstrand E, et al. Periodontitis increases the risk of a first myocardial infarction: A report from the PAROKRANK study. 2016.
  • Jeffcoat et al. Impact of periodontal therapy on general health: evidence from insurance data for five systemic conditions. American Journal of Preventive Medicine. 2014;47(2):166-74.
  • Gum Disease and Heart Disease. American Academy of Periodontology. Dec. 2016. http://www.perio.org/consumer/heart_disease

Tags: dental and medical health, dental health, dental medical health connection, dental hygiene

Dentistry: An Essential Service During COVID-19 Pandemic

Posted by Pi Dental Center on Sep 14, 2020 10:27:49 AM

Graphic "Dentistry is an essential service during pandemic"A healthy mouth is crucial to the health of the entire body. Dentistry is an Essential Service that must be available to the public at all times, especially during this pandemic. Dentistry and dentists are undervalued by the medical community and the population at large. This attitude was reflected in a recent recommendation by the World Health Organization (WHO). The American Dental Association, the American College of Prosthodontists and other major dental organizations have released statements stating that they strongly disagree with WHO. While the dental community has always practiced stringent infection control and sterilization measures, they have greatly increased these measures to ensure patient safety.

An “Essential Business” provides products or services that customers require at all times, even during pandemics, natural disasters or community unrest. These businesses are permitted to remain open, whereas those that provide products or services that are for “comfort or entertainment” rather than “necessity” may be recommended to close.

The World Health Organization (WHO) released a recommendation in August that patients should delay “routine” oral health care until there is a reduction in COVID-19 transmission rates. The last thing that people need is another reason not to go to the dentist. Well, that is exactly what the World Health Organization has done.

The fact that the health of the mouth impacts the entire body has been well documented. Research shows that there is an association between periodontal disease, tooth loss, cancer, stroke, cardiovascular disease and preterm birth. Periodontal disease can worsen lung disease and complicate diabetes. There is a link between osteoporosis and periodontal disease. Tooth loss is associated with poor nutrition and oral cancer. Read More.

The idea that you don’t need to go to the dentist unless you have a problem with a tooth is a fallacy. Tooth decay can occur in areas that are not visible. A dental examination is necessary to ensure that your teeth are healthy. Read More

Dentists identify dental conditions that contribute to serious health issues and medical health problems during oral examination. Signs of anorexia, bulimia and drug use are evident from the gum tissues and teeth. A dentist’s cone beam CT scanner can identify a range of issues from chronic sinusitis to intracranial calcifications, multiple myeloma, soft tissue masses, osteoarthritis of the temporomandibular joint, degenerative cervical spine, and narrowing of the airway. Oral cancer screenings are conducted at every oral hygiene visit. Early detection improves treatment outcomes. Dentists save lives!

Read More.

Dentists all over the country have increased their sterilization protocols. At Pi Dental Center, we have examined and updated our office practices, making improvements above and beyond those suggested by the Centers for Disease Control, the Occupational Safety and Health Administration, the Pennsylvania Department of Health and the American Dental Association. We have improved air quality, required mask wearing, provided Level-3 N-95 face masks, used face shields, conducted frequent disinfection procedures, introduced screenings and temperature checks and enforced social distancing. Read More.

Centers for Disease Control and Prevention:

The U.S. Centers for Disease Control and Prevention (CDC) have updated and reaffirmed their guidance for dental settings, which still allows for the delivery of care to patients when proper precautions and safety measures are followed.

American Dental Association:

The Dental Team is Essential. The American Dental Association (ADA) affirms that the oral health workforce is essential during public health emergencies. Government agencies such as the Department of Homeland Security and Federal Emergency Management Agency have already acknowledged dentistry as an essential service. Dental health is a fundamental component of a person’s overall health and dentistry is a vital health care service. Oral disease can affect systemic health. Dentistry is an essential service whether it's the current pandemic, a future epidemic or a natural disaster in a particular area. People need to be able to access the full range of dental services.

American College of Prosthodontists:

The American College of Prosthodontists (ACP) joins the American Dental Association (ADA) in respectfully yet strongly disagreeing with this WHO recommendation. We assert that dental care is an essential part of an individual’s overall health. As an organization we will continue to work with the ADA on advocacy efforts to designate dentistry as an essential service. The ACP encourages members to follow CDC, ADA, and state and local health official guidance regarding patient care.

American Academy of Periodontology:

“It is well-established science that periodontal disease and systemic disease are interconnected. As a result, establishing and maintaining healthy teeth and gums is fundamental to overall health,” said Dr. Bryan Frantz, American Academy of Periodontology (AAP) president. The AAP added there is limited evidence that dental offices pose an increased risk of spreading disease, including COVID-19.

Academy of General Dentists

The Academy of General Dentists (AGD) calls dental care an essential component of the overall healthcare model and notes that dental offices are practicing enhanced safety measures to address their patient needs during this time.

“Good oral health contributes to good overall health, and any recommendations against the continuum or oral care negatively impact dental patients,” said AGD president Connie L. White, DDS. “Delaying a dental visit may create further health issues and long-term problems.”

Oral cancer is a serious health problem and the oral hygiene/exam visit is crucial for identifying oral cancer. A delayed oral hygiene visit can mean the difference between a manageable lesion to something much more serious.

Oral health problems can actually make recovery from COVID-19 more difficult. Studies have linked gum disease to COVID-19 deaths. One study by U.S. dental surgeon Dr. Shervin Molayem and South African scientist Carla Pontes suggests COVID patients with gum disease are more susceptible to a respiratory crisis known as a cytokine storm, essentially an overreaction of the body’s immune system.

“Gum disease has been linked to other breathing ailments, including pneumonia and chronic obstructive pulmonary disease, so we weren’t surprised to find a link to respiratory problems with COVID-19,” Molayem said in a press release. “What shocked us was the discovery of the protein’s devastating, life-threatening impact to patients once they’re hospitalized. One tiny, inflammatory protein robbed them of their ability to breathe!”

At Pi Dental Center, we have seen evidence that gingivitis can quickly turn into periodontitis. Just since the quarantine began, we have seen tooth loss in an adolescent orthodontic patient. Patients who have missed their regularly scheduled hygiene appointments have presented with advanced caries.

Many of Pi Dental Center’s patients are in the process of completing comprehensive treatment plans. Any delay in care can lead to a setback or worsening of the patient’s dental condition.

The dental Hippocratic Oath reminds dentists that prevention is preferable to cure of disease. Shutting dentistry down during the pandemic has forced dentists to break their Hippocratic Oaths.

Dentists are essential health care workers who should be afforded early access to a safe and effective SARS-CoV-2 vaccine when one becomes available, stated ADA Executive Director Kathleen T. O’Loughlin. “There is little doubt that there will be a high demand for a safe and effective SARS-CoV-2 vaccine once one becomes available — and doses of the vaccine will likely have to be rationed until production can meet the demand,” Dr. O’Loughlin stated.

“The vital role that dentists play in maintaining overall health and screening for systemic disease is critical to the health of the public,” Dr. O’Loughlin said.

“Dental care is absolutely ESSENTIAL and very much necessary to maintain a healthy balance for all populations, but especially for the mature adult population who may have already lost several teeth due to bone loss and periodontal disease. These populations are the most in need of close attention to minimize inflammatory disease which can affect the cardiovascular system,” stated Thomas Balshi, DDS, FACP, PhD.

Pi Dental Center continues to utilize the highest level of PPE available with stringent sterilization protocols and has complied with all regulations from the Centers for Disease Control and Prevention and state of Pennsylvania. As dentists, Drs. Wolfinger and Slauch have taken an oath to prevent disease whenever possible. They have a special obligation to their patients. They strive to realize this oath during this pandemic. Pi Dental Center provides a safe environment for patients and staff.

Ask A Dental Question Or Schedule An Appointment

Sources:

https://decisionsindentistry.com/2020/08/ada-responds-to-who-dentistry-is-essential-healthcare-2/?inf_contact_key=9cd2de8a9995dbf19bf07a4dd5f527df16358d5485884e2f31e6019a0d26c8b0


https://decisionsindentistry.com/2020/08/paper-explores-connection-between-oral-hygiene-severity-covid/


https://www.ada.org/en/publications/ada-news/2020-archive/july/ada-board-of-trustees-dentistry-is-essential-health-care?utm_source=Labs.Dental+Inc.&utm_campaign=3d69664a4b-200807+Products+DaVinci_COPY_01&utm_medium=email&utm_term=0_d94c263c04-3d69664a4b-388261518


https://www.ada.org/en/publications/ada-news/2020-archive/september/ada-urges-dentists-be-offered-early-access-for-sars-cov-2-vaccine#:~:text=Washington%20%E2%80%94%20Dentists%20are%20essential%20health,and%20Medicine%20panel%20Sept.%202.


https://www.dentistrytoday.com/news/industrynews/item/6778-covid-19-patients-with-periodontitis-face-greater-risk-of-dying


https://www.dentistrytoday.com/news/industrynews/item/6797-organized-dentistry-disagrees-with-who-covid-19-recommendations?hq_e=el&hq_m=2091329&hq_l=5&hq_v=93f24336ae

 

Tags: dental health, oral health

Can Wearing A Face Mask Affect Dental Health?

Posted by Pi Dental Center on Aug 15, 2020 12:00:00 PM

Face Mask image for blog called "Can wearing a face mask affect dental health?"Complaints about wearing a face mask are common and frequent.

Now many dentists believe that a new issue related to dental health has surfaced. It has been aptly named “Mask Mouth.”

Wearing a mask for several hours each day may cause dry mouth, which in turn can lead to bad breath, and possibly cavities and gum disease. Mouth breathing dries the tissue of the mouth, decreases saliva and increases the build-up of bacteria. Many people breathe through their mouths instead of their noses when they wear face masks.

Saliva helps to protect the teeth and prevents cavities. Less saliva means more risk for cavities.

Left untreated, gum disease (periodontal disease) can eventually result in cardiovascular problems such as stroke and heart attack.

An impromptu poll of friends and colleagues found that some actually did breathe through their mouths while wearing face masks. They mentioned that both their mouth and throat often felt dry.

The doctors at Pi Dental Center recommend that patients continue to wear masks but take the following measures:

  • Brush regularly with fluoride toothpaste and floss daily.
  • Drink water frequently. Use a straw so that you don’t have to remove your mask to do so. Set a goal to drink at least 8 cups of water each day.
  • Avoid beverages that can dehydrate, such as coffee and alcohol. Use only alcohol-free dental mouth rinses.
  • To help ensure that your teeth remain healthy, limit sugary foods.
  • Schedule your regular dental hygiene and check-up visit.
  • Awareness is important. Be aware of how you are breathing. If you find that you breathe through your mouth while wearing a mask, remind yourself to breathe through your nose.

In addition to dental health problems caused from wearing a face mask, there has been an increase in dental problems due to the shutdown of dental offices.

Dr. Wolfinger states, “I have seen an increase in problems related to poor oral hygiene recently, which I attribute mainly to the fact that many patients have missed their normally scheduled oral hygiene and exam visits as a result of the government shutdown.”

Dolly Kituskie, a dental hygienist at Pi Dental Center has heard many of her patients complain about wearing masks, saying they are itchy and uncomfortable. She has also noticed that some of her patients’ home care has been poor during quarantine. She contributes this lax home care to “increased stress about the whole situation. They are not doing their home care as often or as well.”

Dr. Slauch said, “Wearing a face mask is essential as our society navigates the COVID-19 pandemic. Although our lives are upside down at the moment, keep in mind that routine dental hygiene and maintenance should never be ignored.”

While there is no scientific research that correlates mask wearing to dental decay/gum disease, dentists have identified the phenomenon. What is important is to continue to practice good oral hygiene.

Pi Dental Center advocates wearing a face mask in public. Continue to practice rigorous oral hygiene, drink plenty of fluids and see your dentist regularly. We have implemented a wide array of protocols to provide a safe environment for our patients and staff. If you are due for routine dental care or are in need of a dental visit, please call our office at 215-646-6334.

Schedule an Appointment

Further reading: The Truth Behind the Mask

Tags: dental health, healthy teeth, oral health

Pi Dental Reopens Per PA Governor Directive

Posted by Glenn J. Wolfinger, DMD, FACP on May 14, 2020 10:56:44 AM

Dr. Robert Slauch, Dental Assistant, Amy and Dr. Glenn Wolfinger Wear Face Shields, Masks and Scrubs

Dear Pi Patients,

I hope this letter finds you well.  I am happy to report that we reopened the office on Monday, May 11.  My staff and I are looking forward to seeing you in the office! 

We have diligently followed directives of the Governor which has kept us safe and healthy.  To ensure all patients and staff remain safe in our office, I have utilized this time off researching dentistry in the world of Covid 19.  I’ve attended webinars and consulted with experts in various specialties including infection control, virology and air quality. 

While we will continue to follow the same stringent disinfection and sterilization procedures that have kept us safe for decades, I have implemented additional safety precautions.  When you come to the office, in addition to the usual Personal Protective Equipment, disinfection and sterilization procedures that we have always utilized, you can also have confidence in the following newly initiated protocols:

  • Requirement of all staff, patients and visitors to utilize masks while in the office as mandated by the Governor.
  • For increased protection, we’ve added glass partitions to the reception area.
  • To improve air quality, all HVAC units have been updated and individual HEPA air purification systems will be utilized in all exam rooms and the reception area.
  • We have increased the level of protection of our surgical masks by upgrading to level 3 N95 respirator masks.
  • We have invested in new equipment including industrial strength face shields, which can be used as a supplement during certain procedures, chair side high evacuation(suction) systems to reduce aerosols when necessary and ultraviolet sterilization wands to treat surfaces after routine disinfection.
  • Frequently touched surfaces in the elevator, reception area and bathroom will be disinfected regularly. After disinfection, the UV sterilization wand will also be utilized.
  • To assess the risk level for virus transmission, all patients and staff will be screened. This screening will include various health related questions and temperature taking.
  • As much as possible in the dental setting, social distancing will be followed.
  • We will continue to have hand sanitizer available to utilize and encourage everyone to wash their hands often.

My patients and staff are of utmost importance to me.  As a result, I have taken a very detailed examination of office protocols, making improvements above and beyond those suggested by the Centers for Disease Control, the Occupational Safety and Health Administration, The Pennsylvania Department of Health and the American Dental Association.  While these processes may seem excessive, I feel they are worth the time and financial investment to ensure the safety of our patients and staff.  With your cooperation in strictly following all protocols as directed in the office, I am confident that we can safely address your dental needs.

Sincerely,

Glenn J. Wolfinger, DMD FACP

 

Other links: Is it safe to fly again? Your coronavirus questions answered

Tags: dental health, Medical and Dental Health, pi dental care center

Prosthodontist Dr. Rob Slauch Joins Pi Dental

Posted by Pi Dental Center on Jul 13, 2019 12:45:00 PM

Rob Slauch, DDS, MDSc Prosthodontist at Pi Dental CenterPi Dental Center is pleased to announce that Robert Slauch, DDS, MDSc will join our long established prosthodontic practice on July 22, 2019. As a prosthodontist, Dr. Slauch will provide quality restorative patient treatment including placement of dental implants, esthetic crowns, bridges, veneers and state-of-the-art digital dentures.

Dr. Slauch is not a newcomer to the Pi Dental Center. Since 2012, he has been engaged in scientific research with the Pi Team and published in several dental journals. In addition, he has achieved recognition from the American College of Prosthodontists and the Greater New York Academy of Prosthodontics for his research.

The Pi Team has been eagerly awaiting Dr. Slauch’s full-time presence. Dr. Glenn Wolfinger, Director of the Pi Dental Center, expresses his excitement to fill the vacancy of recently retired Dr. Thomas Balshi, the Founder of Pi. “I have personally witnessed Dr. Slauch’s professional development and believe he will be a future leader in the specialty of Prosthodontics. Our patients will quickly benefit from his gentle and compassionate nature along with his prosthodontic skill.”

Dr. Slauch grew up in Collegeville, Pennsylvania, and attended Perkiomen Valley High School.

Dr. Slauch received a Bachelor of Science degree from Penn State University, where he also played baseball. He earned his DDS from the University of Maryland School of Dentistry and completed both his residency in Prosthodontics and his Master’s Degree from the University of Connecticut Health Center in July 2019. He is a candidate for board certification by the American Board of Prosthodontics and has already successfully completed the first part of the board examination.

He is also a 2019 finalist in the American College of Prosthodontists John J. Sharry Research Competition.

“I am beyond excited to be joining a practice that has so much history and has made so many contributions to the specialty of Prosthodontics and to implant dentistry,” says Dr. Slauch.

“It is my goal to continue this tradition by providing excellent dental care in a warm, friendly, outgoing environment. I look forward to being involved with this great community and with helping people find real joy in their smiles.”

Pi Dental Center, located in Fort Washington, Pennsylvania, has been on the cutting edge of prosthodontic care, research, education and product development since 1986. It has been a benchmark from which many doctors have taken their lead.

An Open House is planned for September to introduce Dr. Slauch to the community.

Click here to learn more about Dr. Slauch and read his curriculum vitae.

To schedule an appointment with Dr. Slauch, please call 215-646-6334 or click the link below:

Schedule an Appointment

What's a prosthodontist? Click here to find out.

Tags: dental implants, dental health, prosthodontist

What your dentist needs to know

Posted by Chris Raines on Jun 19, 2019 2:22:50 PM

A Word Cloud illustration showing the words used in blog, "What your dentist needs to know."At Pi Dental Center, our goal is to deliver beautiful smiles and make your office visit as comprehensive and worthwhile as possible. In order to provide you with effective dental care, we need a complete dental and medical history. Here are some of the things that we will need to know when you become a patient.

 

Your Complete Dental and Medical Health History:

What dental treatment did you receive in the past and were your dental experiences positive?

Are you a dental phobic? Let us know if you have anxiety in the dental office. We are experienced in successfully treating patients with all levels of dental phobia.

Following dental treatment, you may need a prescription for pain relievers, so we need to know any medical allergies.

Your medical history impacts your dental condition. For example, acid reflux can erode tooth enamel. People who have diabetes are at a higher risk for gum disease, cavities and tooth loss.

What medications are you taking? Stomach ulcer meds can cause dry mouth and blood pressure lowering meds can cause inflammation, bleeding and ulceration of the gums.

Do you smoke? Smoking has a negative impact on your entire body including your mouth. If you smoke, we highly recommend that you quit. We can provide helpful information to help you quit smoking.

Your Lifestyle and Habits:

What are your dietary and social habits? Do you have a sweet tooth?

Alcohol consumption and drug use can have a serious impact on your dental health. Soda consumption increases acid levels in the mouth.

What are your oral hygiene habits? Perhaps we can improve your hygiene regimen.

Your Goals and Expectations:

Knowing your goals and expectations will help us to provide you with a personally customized treatment plan. What are your goals and expectations for your dental treatment? What do you expect your teeth to look like when treatment is completed? What is your budget and are you considering financing treatment?

If you are planning to have dental surgery, do you have a support system at home? On the day of surgery, will someone be available to transport you?

On the day of treatment, let us know how you are feeling. Knowing your state of mind will help us to make your visit pleasant.

The prosthodontists at Pi Dental Center deliver captivating smiles so that you can smile with confidence. Call to discuss your dental needs and schedule your dental appointment for a diagnostic evaluation. We look forward to helping you.

Ask A Dental Question Or Schedule An Appointment

Tags: oral hygiene, restorative dentistry, dental and medical health, dental health, restorative dental care, teeth, doctor patient relationship, prosthodontists, treatment plan, dental appointment