The Controversy Over Mercury (Amalgam) Fillings

Mercury "silver" fillings—also known as dental amalgams—are about 50% elemental mercury. While they’ve been used for over a century, they are increasingly controversial due to mercury vapor release.

Why the Concern?

Every time you chew, brush, or drink hot liquids, your fillings release tiny amounts of mercury vapor. This vapor is inhaled and absorbed into the bloodstream, where it can accumulate in the brain, kidneys, and liver over time.

Potential Risks

• Neurotoxicity: High levels of mercury are linked to tremors, memory loss, and cognitive decline.
• Autoimmune Issues: Some studies suggest a link between heavy metals and chronic inflammation.
• Environmental Impact: When removed improperly, dental mercury pollutes water systems.

What Should You Do?

Most health organizations don't recommend rushing to replace them unless they are cracked or leaking. However, if you choose to remove them, ensure your dentist uses the SMART protocol (Safe Mercury Amalgam Removal Technique) to prevent you from inhaling a massive dose of vapor during the process.

Keep Smiling!

The Sting of the Drill vs. The Sting of Rudeness

When we head to the dentist, most of us are already on edge. Whether it’s the sound of the drill or the fear of a needle, anxiety is a common guest in the waiting room. But often, the most painful part of a visit isn't the procedure—it’s rudeness.

A sharp word from the front desk or a dismissive attitude from a clinician does more than just ruin your mood; it erodes trust. When a patient feels disrespected, they are less likely to:

• Share their true concerns or pain levels.
• Return for essential follow-up care.
• Recommend the practice to others.

In a dental office, empathy is just as important as technical skill. A little kindness can turn a stressful appointment into a positive experience, while a lack of it can drive patients away for good. After all, a healthy smile starts with how a patient is treated the moment they walk through the door. 

Keep Smiling!

Botox And Dental?

What are your thoughts on Botox? Would you get Botox treatment if it meant it could help with specific dental problems?

Check out this article by Perfect Teeth:

"When you think about Botox chances are good you think about a Gen-Xer having it done to maintain their youthful appearance. You wouldn’t be wrong – Botox is by far the most popular cosmetic procedure out there with the American Society of Plastic Surgeons reporting over 7.4 million injections given in 2018.

And now dentists are getting in on the action. Have you heard about this trend of Botox in dentistry? It just might be the next big thing!

What is Botox?

According to the U.S. National Library of Medicine, Botox is a drug made from a toxin produced by the bacterium Clostridium botulinum. While it’s the same toxin that causes a life-threatening type of food poisoning called botulism, its use as an injectable paralytic has been FDA approved for cosmetic procedures and more. In fact, it’s now commonly used in small doses to treat a variety of health problems including excessive sweating, excessive blinking, overactive bladder and even migraines.

Botox works by blocking nerve signals that control muscle movement, which makes them unable to contract, temporarily softening the skin around the area that was injected. It typically takes a few hours for results to be seen and they usually last about three months.

Botox in Dentistry

For most people who hear the word “Botox”, they think of wrinkle reducing injections used in cosmetic procedures. While it is true Botox was approved by the FDA for such, it is now expanding in its application due to the nerve blocking benefits it offers. In fact, a trip to your dental office could include your dentist offering Botox.

While some dentists do use Botox for cosmetic procedures, there are many other uses for Botox in dentistry.

• Treatment of Temporal Mandibular Joint Disorder (TMJ)  
• Treatment of bruxism (teeth grinding)
• Reducing a “gummy smile” without surgical intervention
• Adjustment of lips before or after denture placement or oral surgeries.

Should a Dentist Do Botox?

Botox as a purely cosmetic procedure will likely never be part of a dentist’s repertoire – as their first and primary goal is oral health care. But, because dentists have extensive training on oral and facial anatomy, health and function, some say there is no one better qualified to administer Botox than a dentist.

In fact, some proponents of the use of Botox in dentistry claim dentists are the most qualified, and offer a better experience because they administer oral and facial injections on a regular basis. This makes the injections quick and less painful, because they are done with a skilled hand.

While the use of Botox in dentistry is controversial to some, it seems there may be a place for Botox in dentistry, to help both medically and cosmetically. According to the American Academy of Facial Aesthetics about 10% of dentists are currently trained to administer Botox with more seeking training every day. The American Dental Association even offers Botox training for its members!

Is Botox in dentistry the next big thing? We don’t have a crystal ball, but it’s a trend we envision increasing especially as demand grows and more and more state dental boards support the practice."

Why Implants Sometimes Fail

 While dental implants have an impressive success rate of over 95%, they are not invincible. 

Implant failure is generally categorized by two factors when it occurs:

Early Failure: Happens within the first 3–6 months. This is usually due to the implant failing to fuse with the jawbone, a process called osseointegration.

Late Failure: Occurs years later, often after the implant has been functioning normally. This is typically caused by infection or mechanical stress.

Top Reasons Why Implants Fail

Peri-implantitis (Infection): This is the most common cause of late failure. It is a form of gum disease where bacteria build up around the implant, causing inflammation and bone loss. Poor oral hygiene is the primary culprit.

Insufficient Bone Support: For an implant to be stable, it needs enough healthy jawbone to anchor into. If the bone is too thin or soft, the implant may loosen.

Smoking and Lifestyle: Smoking is a major risk factor because it restricts blood flow to the gums, significantly slowing the healing process and increasing infection risk.

Medical Conditions: Uncontrolled diabetes, autoimmune diseases, and certain medications (like those for osteoporosis) can interfere with the body's ability to heal and integrate the implant.

Bite Stress (Overloading): Putting too much pressure on a new implant—such as chewing hard foods too soon or chronic teeth grinding (bruxism)—can cause the implant to shift or break.

Surgical Error: Improper placement, using low-quality materials, or overheating the bone during surgery can prevent the implant from ever bonding correctly.

How to Prevent Failure

Maintain Gold-Standard Hygiene: Brush and floss your implants just like natural teeth.

Regular Check-ups: Your dentist can spot early signs of bone loss or infection before they become permanent problems.

se an Experienced Surgeon: Precision in placement and thorough pre-surgical planning (like 3D scans) are critical for long-term success.

If you notice persistent pain, swelling, or any movement in your implant, contact your dentist immediately, as many "failing" implants can still be saved if caught early.

Bad Business Reviews, Formal Complaints and Social Media

 In this age of social media, bad news travels fast.  Faster than the speed of light, it seems.  One careless complaint can ruin a reputation, a practice or even a person.  Always try to keep that in mind when a problem arises and opt for civil communication, instead.  

There are many ways to resolve issues with your dentist, whether they are staff related, price discrepancies or quality of care issues. The key is communication. I certainly would not advise anyone to file a complaint with the board because a receptionist was rude, or post it on any review forum, ever! Only as a last resort would I suggest filing a board complaint for anything less than malpractice. 

This would be my suggestion instead: Consider a well written letter; certified, registered mail. Clearly state the problem (keeping opinions out), and state what you would consider to be a fair resolution. Send it directly to the dentist, return receipt. Allow him a reasonable amount of time to respond...10 days or so. Believe me, he will be much more receptive to a resolution than his receptionist or office manager because it is his license that is on the line!  Nine times out of ten the complaint will be resolved when it is approached this way. This method works! 

Keep Smiling! 

Can Oral Disease Affect Athletic Performance?

 According to University College London's Eastman Dental Institute, high levels of oral disease are found among Great Britain's (GB) elite athletes and are the leading cause of poor on-field performances.

This is the largest study of its kind, more than 350 athletes from nine different GB sports teams participated in this study which included an oral health assessment checking for tooth decay, tooth erosion, and gum disease. The athletes also had to fill out a questionnaire focusing on sleeping, eating, and self-confidence.

Results of the oral assessment: 49.1% of the athletes had untreated tooth decay, 77% had gingivitis, 30% reported having bleeding gums and only 1.1% had excellent oral health.

Results of the questionnaire: 32% of the athletes reported that these poor oral conditions negatively impact their sporting performance. 34.6%  inability to eat. 15.1%  relax and sleep 17.2%  smiling and self-confident.

After the study, Professor Ian Needleman made a few comments:

• "Nutrition in sports is heavily reliant on frequent carbohydrate intake, which is known to increase inflammation in the body and gum tissues.
•  "In sports where there is a lot of airflow, such as cycling and running, breathing hard can make the mouth dry so teeth lose the protective benefits of saliva and there is existing evidence of lower quality of saliva with intensive training. 
• "Stress is also clearly a risk factor, with some athletes reporting vomiting before every race, as a result of ore-competition anxiety." 
  
  
  
   *Whether you are an athlete or not, it's important to maintain good oral health by brushing and flossing regularly, eating a balanced diet, and visiting the dentist every 6 months for a routine check-up*

Keeping a Germ-Free Toothbrush - Some Useful Tips

 Flu season is upon us again, we are constantly washing our hands to prevent the spread of germs. But it is JUST as important to pay attention to your toothbrush.

Here are some helpful tips that could help prevent you from catching that nasty flu.

• Replace your toothbrush about every 2-3 months. If you already have a cold replace the brush once you feel better.  
• Sterilize the toothbrush, this should be done about once a week. If someone in the household is sick you may want to do this twice a week. The best way to sterilize the toothbrush is by running it through the dishwasher when you do a load of dishes. If you don't have a dishwasher, place your toothbrush in a microwave-safe dish, fill it up with about 2-3 inches of water, and bring it to a boil for 3-4 minutes.
• Store your toothbrush away from others, use a toothbrush cover if possible, and always store it upright. Also try to use your own toothpaste, because if the bristles touch the toothbrush of others you are spreading germs from one person to another.

Good dental habits are very important to a healthy body.

 Take care during this flu season!

Can You Regenerate Receding Gums?

The quick answer is no. There are many theories out there that suggest you can repair and regrow gums once they have receded.  You can find almost anything on the internet. Unfortunately, once your gums have pulled back from your teeth, there is no magic that will help to grow them back. What you can do, however, is to see a dentist regularly to have your teeth cleaned in order to prevent further gum loss and loose teeth.  It is never too late for preventive treatment. 

Don't fall for gimmicks and false promises.  So many people do!  If you notice that your gums are receding or if you have redness, swelling and pain in the gums around your teeth or chronic bad breath, see your dentist immediately for treatment to prevent further deterioration.  

Keep Smiling!  

Interesting Connection Between Mouthwash and Type 2 Diabetes

 Do you have type 2 diabetes? If so, check out this article by Dr. Bicuspid's Ava Barros.

"Gargling with mouthwash may hold significant promise in mitigating the incidence of periodontitis, as well as managing type 2 diabetes mellitus (T2DM), according to a study published in Scientific Reports.   

Additionally, younger patients and those with higher initial levels of glycated hemoglobin (HbA1c) experienced notable decreases in their HbA1c and oral bacterial species levels after rinsing with mouthwash, the authors wrote.  

"Patients with T2DM complicated by periodontitis have more red complex species, and poor glycemic control is thought to be associated with increased levels of red complex species in the oral cavity," wrote the authors, led by Dr. Saaya Matayoshi of Osaka University in Japan, (Sci Rep, February 2, 2024, Vol. 14, 2777).  

The research team investigated how using mouthwash affects the levels of certain harmful bacteria known as red complex series, like Porphyromonas gingivalis (P. gingivalis), Treponema denticola (T. denticola), and Tannerella forsythia (T. forsythia), as well as HbA1c levels in patients with T2DM, the authors wrote.  

A total of 173 patients were first asked to gargle with water for six months followed by six months of gargling with a mouthwash containing chlorhexidine gluconate. During each visit to the clinic, the team collected saliva samples and extracted bacterial DNA to detect the presence of these harmful bacteria using a polymerase chain reaction lab technique. Furthermore, HbA1c levels were measured using a blood sample to understand the impact of mouthwash gargling on blood sugar control, they wrote. 

They found that younger patients or males who gargled with mouthwash experienced a significant decrease in the number of red complex series. Additionally, among younger patients or those with higher initial HbA1c levels, gargling with mouthwash led to a significant reduction in HbA1c levels, they wrote.

The study, however, had limitations. Different patients showed various trends in the change of bacteria and blood sugar control as they gargled with mouthwash potentially due to individual differences, including having other systemic diseases, taking certain medications, and periodontal status, they wrote.

"In summary, T2DM patients can decrease red complex species by gargling with mouthwash two or three times a day, leading to possible improvement in glycemic control, especially in younger patients," Matayoshi et al wrote."