Not a Typical Day!

Geez! We had a new patient from nursing home today. Her appointment was at 2:00. She was promptly dropped off in advance of her appointment. Poor lady really didn't know why she was here. Obviously, she was frustrated as she kept repeating that no one had informed her of the appointment. She was unaware of agraphicstock-disabled-senior-woman-in-wheelchair-at-home-in-her-living-room-looking-out-the-window - SM S X7oEuLM- broken tooth and she really needed to use the restroom as she sat in her wheelchair connected to a tiny oxygen tank.

I was immediately informed we may be facing some unusual difficulties as an upset elderly lady was simply dropped off and needed to use the restroom. I called the nursing home to inquire before meeting the patient. A nurse familiar with the lady answered the phone and seemed equally frustrated. Apparently the daughter was supposed to discuss the appointment with her mother and meet her here. When asking about transporting a wheelchair patient, I explained that we were uncomfortable taking a patient to the restroom. We are accustomed to having a responsible party present to aid in any needed capacity. The nurse asked if we had a CNA, I promptly replied no. I was informed the lady was dead weight and we should not attempt to move her. The next 2 hours were spent with numerous calls for a pick up ride and a lady in desperate need of help.

I wandered across the street to see if their was an available fireman to help. Nope, the station was locked with a sign directing you to the police department. The receptionist there tried not to treat me like a crazy person. She politely listened then wanted to know what I expected??? She called dispatch and was told there was no help available. I was instructed to call 911 if I felt this was a real emergency. Well, not a life threatening emergency, however; the patent adamantly felt this was an emergency. Next step, I crossed another street to the health department in search of a CNA. No CNA's available at the health department, although I did meet a supervisor who agreed not moving the patient was the right thing to do.

Long, long story short, the van arrived about 2 hours later after who knows how many phone calls to retrieve a very angry, confused lady in bathroom distress.

Sadly, this could make the news as lady abandoned in dentist waiting room and not allowed to use restroom. We practice Complete Dental Care. This lady may not have received any dental treatment, however; we did everything we could do to help her. Poor thing was so afraid and embarrassed. She sat in fear of having an accident in the waiting room. We wheeled her into a treatment for to try to spare any more emotional discomfort.

Here is the worst part: even sadder, nurse asked what the big deal was, reported lady pees in her pants all the time.

Genetically Defective Proteins May Explain Some Tooth Decay


According to a recent study conducted at the University of Zurich, there are certain mutated genes that lead Cavities-midrb7tjsl2awrwwu79gn6yuensl5witp860dcue98to defects in the tooth enamel, and, to tooth decay. Enamel is created by development of specific enamel proteins. If there is a genetic predisposition to form defective enamel, the teeth become ready hosts for bacteria to create holes and decay in the teeth. Documents about the study explain that “there is a direct link between mutations in the genetic blueprints for these proteins and the development of tooth enamel defects.”

In other words, tooth decay is not just a result of bacteria in the mouth and on the teeth. When the genetic defect causes enamel to be weak, soft, or otherwise defective, the tooth cannot defend itself against the bacteria.


·Â Â Â Â Â Â The genetic predisposition to formation of defective tooth enamel means that in many cases brushing and flossing regularly might simply not have a chance to protect the tooth from bacteria and decay. In other words, it might not be entirely your fault.

·Â Â Â Â Â Â This understanding of how tooth enamel forms should lead to new oral care products that can slow the effect and progress of to

oth decay in people with this genetic tooth enamel defect.

·Â Â Â Â Â Â This knowledge might explain the tooth decay your dentist or hygienist discovers in spite of careful and regular brushing and flossing.

If you know you are caring for your teeth correctly, and you still develop significant tooth decay, you might want to ask your dentist if this genetic mutation could be the culprit. She will know about new products becoming available that can help you deal with the problem. She might also have other ideas that will help you manage oral care more effectively. 

Managing Dental Phobia

Managing dental phobia applies to people of all ages who are afraid of the dentist. A recent study offered proof that people with dental phobia are more likely to have active tooth decay or missing teeth. They alsodental-tools-in-medical-office  sm - graphicstock BtHMtoXABi found that phobic individuals typically prefer an immediate and short-term solution to problems over a long-term care plan.

It is not surprising that many people with dental phobia are more likely to have tooth decay or missing teeth. Nor is it surprising that people with dental phobia prefer a quick fix that can be completed in a single visit to the dentist over a treatment plan that will require several visits to the dentist.

An important observation is that people with dental phobia tend to report negative feelings far more than those who are not phobic. These feelings include sadness, discouragement, general anxiety, and exhaustion. They are also typically embarrassed by the poor condition of their teeth, and thus do not smile often.

The study also recommends the potential value of dentists creating a dental care program that these patients can follow at home. This should help to reduce the occurrence of acute problems and the number of dental visits required.

There are also other approaches to dental care that many with dental phobia find helpful in managing both their fear and their dental health. Most dentists today offer a range of relaxation and sedation options for phobic patients. We also have experience in creating home management programs for phobic patients.

If you live in Salem, Virginia and you or a loved one is dental phobic, talk with your dentist about options. If you do not have a dentist, give us a call. We help people manage and overcome dental phobia every day.

[Article: The oral health of individuals with dental phobia: a multivariate analysis of the Adult Dental Health Survey ( 2009, Ellie Heidari et al., British Dental Journal, published 20 April 2017.]

Does Your Child Have a Sleep Disorder?

Do you know that children can have a sleep problem due to an airway issue? It is very important thatsleeping  child - pixabay public domain free commercial use parents look for and get treatment for these issues. If they are not addressed early, it may be impossible to correct them later. Many children, and their parents, struggle to understand why these challenges exist or what to do about them. This is typically very frustrating for your child and frightening for you.

So, how is a parent to know? Look for these challenges:

·Â Â Â Â Â Â Attention issues (ADHD)

·Â Â Â Â Â Â Learning difficulties

·Â Â Â Â Â Â Delay in beginning to speak

·Â Â Â Â Â Â Difficulty controlling impulses

·Â Â Â Â Â Â Anxiety/Depression

·Â Â Â Â Â Â Irritability

·Â Â Â Â Â Â Social withdrawal

·Â Â Â Â Â Â Disturbed sleep

·Â Â Â Â Â Â Unusual daytime fatigue

·Â Â Â Â Â Â Leg movements while sleeping

·Â Â Â Â Â Â Bedwetting

There are also some dental and physical issues often associated with airway problems:

·Â Â Â Â Â Â Deep overbite

·Â Â Â Â Â Â Mouth breathing

·Â Â Â Â Â Â Scalloped Tongue

·Â Â Â Â Â Â Tongue thrust

·Â Â Â Â Â Â Crooked teeth

·Â Â Â Â Â Â Allergies/Asthma

·Â Â Â Â Â Â Recessive chin

·Â Â Â Â Â Â Carb cravings/obesity

·Â Â Â Â Â Â Forward head posture

·Â Â Â Â Â Â Headaches

·Â Â Â Â Â Â Frequent infections

·Â Â Â Â Â Â Digestive problems

If you observe any of these issues and challenges, especially if you observe several, it would be wise to have your child evaluated for a sleep disorder. Then trust your dentist to help you to help your child. If you do not know where to get an evaluation, ask your dentist. You might be surprised how quickly your child’s symptoms will improve. 

Dental Insurance and Americans Over Age 65

According to a report released last December by the Johns Hopkins Bloomberg School of Public Health, a surprising 49 million Americans on Medicare do not have dental insurance. Medicare does not include couple-in-kitchen smdental insurance benefits.

The study discovered that (for those with incomes above the poverty line) 65 percent of those with dental insurance visited a dentist during the previous year. This is in sharp contrast to the mere 27 percent of those without dental insurance.

This situation leaves millions of older Americans at risk of a plethora of health issues that result from inadequate dental care. Gum disease, tooth decay and loss of teeth are merely the tip of the iceberg; numerous physical conditions can be caused or exacerbated by poor dental care and oral health.

Clearly, the nation needs a sane, affordable, and adequate dental insurance program available to all, but especially to older Americans. Until a program of this kind becomes available, dentists can only encourage our patients to consider carefully the costs and benefits of a dental insurance policy to help them retain their teeth, their smile, and their good health.

For those who feel that they cannot justify dental insurance in their budgets, no-to-low interest options like the Care Card offer options for having dental care and paying for it over time. Like most dentists, I encourage patients to obtain some level of insurance coverage or credit option.


Page 9 of 13