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Dr. Chow's Dental Blog

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Smoke Clouds in the San Francisco Bay Area

10/18/2017

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Photo from ABC News

We have grown up in the Bay Area our entire lives. San Francisco is one of the most beautiful cities in the world, and we feel lucky to work here.

We are extremely fortunate that the fire is beginning to be contained and we are safe; however, we see that the aftermath of damaged homes, damaged lives, and smoke clouds still lingers.

As a reminder of this terrible disaster, the smoke clouds remain in the air above our San Francisco and San Carlos dental offices. We hope that the Bay Area recovers quickly, as we know Californians are capable of doing so! We donated to help the victims of the California fire, and we encourage you to do so as well.

Here's a link of approved organizations to help donate to the cause: 
http://www.californiavolunteers.org/index.php/Disaster_Volunteering/current_disasters/
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Always on that GRIND.

10/17/2017

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Do you ever wake up with a HEADACHE or a TOOTHACHE? Do you ever wake up with SORENESS in your jaw? Do your teeth look DENTED or CHIPPED? If you answered YES to any of these questions, you MIGHT be GRINDING your teeth at night.

A treatment option for the effects of tooth grinding (or bruxing) is a NIGHT GUARD. A night guard works as a protective layer between your top and bottom teeth to prevent them from grinding (which may lead to CHIPPED or CRACKED teeth), and DECREASE STRAIN on your jaw muscles. While there are OTC appliances you can find at your local pharmacy, night guards prescribed by your dentist are made of HIGH QUALITY materials by a professional lab, and will fit your teeth LIKE A GLOVE!

At your appointment, we would take molds of your top and bottom teeth, and a record of your bite. And VOILÀ, in 2 weeks you will be on your way to protecting those pearly whites!
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10 Steps of the First Dental Appointment

10/17/2017

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In 2014, the American Dental Association reported that 22% of people skip dental appointments because they are afraid of the dentist.
(Source: www.ada.org/en/science-research/health-policy-institute/dental-statistics/patients)

Dental fear is common, so we wanted to shed light on what our appointments are like. Every office is different of course, but here is what our new patients generally experience at the first appointment:

1. A warm welcome from our friendly doctors and staff!
Our staff is very warm and friendly by nature, so we always spread the love to our patients. Our philosophy is that if you're happy, we're happy. If we're happy, you're happy!

2. "How can I help you?"
You came to the office for a reason. Whether it's for a routine checkup or a sensitive tooth, we make sure that your chief concern is the first thing on the doctor's agenda.

3. X-rays
We need x-rays to perform a proper diagnosis and construction of your treatment plan. They allow us to see the extent of both dental health AND dental disease; thus, they are CRUCIAL to the diagnoses of your dental health.

4. Soft tissue exam
We check for "lumps and bumps", salivary flow, and routinely perform oral cancer screenings. We also check for the presence of gum disease (gum bleeding with bone and attachment loss). The Center for Disease Control estimates that in the US, 47.2% of adults over 30 have untreated gum disease. This number jumps to 70%  infection in adults over 65. Don't become a statistic!
(Source: https://www.cdc.gov/oralhealth/periodontal_disease/index.htm)

5. Hard tissue exam
This is the examination of the teeth, themselves.
  • Decay - can grow in the rough spots of tooth, between the teeth, and around old fillings and crowns.
  • Cracklines and fractures - may indicate that a tooth needs a filling, crown, or extraction (worst-case scenario).
  • Tooth discoloration - can mean staining of/into the enamel, tooth development issues, or indicate that the tooth nerve has died. 
  • Grinding - a slow but very harmful process to both the hard and soft tissues. Early detection is key! See the blog post on the dangers of teeth grinding (bruxism)!
  • Teeth alignment - are your teeth in proper alignment for both esthetics AND function? See the blog post regarding the importance of orthodontics - it's not JUST about appearances!

6. Photos
It's hard to explain your oral health verbally. We need visuals as well so patients know EXACTLY what we're talking about.

7. Your personalized treatment plan
At this point, we display your photos and x-rays onto the computer to explain all of our findings. This is a dialogue, so we encourage our patients to ask a ton of questions and interrupt us as needed. It's your mouth after all, so we want our findings and planned treatment to be crystal clear!

8. Teeth cleaning
Time to give your teeth a much needed bath! We'll remove plaque, tartar above the gums, and any coffee stains you might have. We also routinely give our patients a complimentary hygiene kit to take home (brush, floss, toothpaste, and mouthrinse).

9. Any questions?
We make sure we answer all of your questions, and ensure that we have addressed your chief concerns.

10. Dismissal and setting up your next appointment!

We hope this post is useful to explain exactly what your first dental appointment is like in our office. We also want to show you exactly how much detail and care we put into our appointments. No two mouths are the same, and each has their own unique story to tell!
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My Cap is Loose!

10/5/2017

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If I had a dime for every time a patient told me they used super glue to re-cement their crown and didn't have problems after, I'd have ZERO dimes.

Seeing these "crown cements" at Walgreen's made me very concerned. It says "Dentist Recommended" but I don't know a single dentist who would recommend these unless they were out of their minds. Yes, it seems like a quick, cheap, and easy solution, but here's why it's discouraged:

1. Risk of incorrect placement - can create crown open margins leading to tooth decay
2. Risk of crown fracture - incorrect placement can lead to a heavy bite on the crown
3. Risk of tooth fracture - incorrect placement can compromise the already weakened tooth structure
4. Inability to clean up the "cement" - cement that flows uncontrollably can end up deep in the gums, contributing to gum disease, gum abscess, further decay, and bone loss

If you have a crown (or filling) that comes off, please see a dentist - we are trained to fix these things!
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My decision to start Invisalign

10/3/2017

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​At a quick glance, my teeth might appear straight…but once you take a closer look you can see crowding on my upper teeth.  I’ve started to become more self-conscious of my teeth over the years as the crowding has become very noticeable. Occasionally food would get stuck between my crooked teeth (we all know how embarrassing that is!), and we know that can lead to cavities and gum disease. I decided I want everything straightened out! Dentists need dental work too sometimes.

I finally decided to get Invisalign (clear braces), thanks to my bro Dr. Mat. Here are my reasons for starting Invisalign:
  1. Hygiene: Straight teeth are easier to brush and floss, that means less gum bleeding and less cavities
  2. Balanced bite: I used to think only back teeth are used for chewing, but this can result in wearing out your teeth prematurely
  3. Speech: Straightening your teeth can sometimes resolve speech impediments, like lisps
  4. Esthetics: Looks aren’t everything, but who won't love seeing your pearly whites?

 I can’t wait to share the final results!

Invisalign is a great alternative to traditional wires and brackets, and may be a treatment option if you want to achieve that perfect smile.
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    Author

    Dr. Mat and Dr. Jen will occasionally post cases or pictures from our office!

    Please credit if reusing or reposting any of our original content.

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