Thursday, July 19, 2012

Special day special offer Crystal Lake Dentist


In Celebration of Dr. Neal's 35 years in Dentistry, we are offering July 24 as a special crown day. $100.00 off crowns to the 1st 50 people who call to schedule today!

815 459 2202 today
Philip C. Neal DDS

Wednesday, July 4, 2012

Back to School-Crystal Lake Dentist


Back to school, back to the dentist.

Back to school planning
At this time of year, many of you are making a back-to-school checklist for your kids. New clothes and school supplies are a given. But have you given any thought to their dental care?
Tooth decay is one of the biggest health issues among children, accounting for over 51 million hours of school time lost every year. What’s more, poor dental health in youth can lead to chronic problems like discomfort, difficulty chewing and the need for painful and expensive procedures down the road.
Child dental exams an important of back-to-school plans
An annual back-to-school dental checkup is an easy way to help prevent these problems. It’s so important, Illinois actually require children to get a dental exam before entering certain grades in school. Illinois requires a dental exam before entering kindergarten, 2nd grade and 6th grade.
Regular dental exams do more than catch tooth decay. They also let us see if teeth are growing in properly, monitor the results of their brushing and flossing techniques (and give lessons, if necessary), and apply fluoride treatments or protective sealants that can prevent decay before it happens. If your kids play sports or engage in other activities that might cause oral injuries, we can fit them for protective mouth guards.
Mouthguards are important in protecting your teeth during sports
If your kids are in college, planning checkups during school breaks can ensure that they’re receiving regular professional dental care. And even if they’re too young for school, your kids are probably old enough to go to the dentist. The ADA recommends babies start seeing a dentist when their first tooth comes in, usually when they’re between 6 and 12 months old.
So while you’re making back-to-school plans, plan on bringing your kids in for a visit. And for extra credit, try these fun tips for sending them to school with a smile: 
Pick up dental supplies during back-to-school shopping
1.                         Buy new toothbrushes: While they’re getting new notebooks, pens and other supplies, why not let them pick out a new toothbrush? While you’re at it, pick up two — one for home and one to bring to school.
2.                         Make a dental care kit for school: To encourage them to brush after lunch and snacks, buy a zippered plastic-lined bag and include a toothbrush, toothpaste and floss.
3.                         Pack dental-friendly lunches and snacks: Fruit, nuts, string cheese and bottled water are all good choices. Avoid sticky foods like raisins or fruit leather, as they can cause cavities.
4.                         Start a reward system: Encourage good dental exams like you encourage good grades — with a prize like a night at the movies, a new video game or other coveted item.
Add a reward system to your routine for better dental checkups

Need to make an appointment for your kids, or even yourself?

 Simply call 815 459 2202 today.

 Dr. Neal answers all of your questions about Back-to-School exams at Crystal Lake Dental Associates.


Phillip C. Neal DDSCrystal Lake Dental Associates280 B Memorial CourtCrystal Lake, Illinois 60014            815 459 2202      

www.DrNeal.com

Your comments are welcome

Monday, June 18, 2012

HPV Oral Cancer in the News Crystal Lake Dentist




HPV (Human Papilloma Virus) Incidence Rising.

A virus lives inside a cell


What is HPV?
HPV is a group viruses. These like all viruses live inside cells. When they enter a cell, they take over and use the cell's reproductive capacity to reproduce themselves and thus spread. Most viruses have a short life outside the body and are usually species specific (you cannot catch a virus from your dog and vice versa).
The HPV virus causes a type of wart (papilloma). 
HPV  papilloma on the skin


What is the History of HPV?
It was first discovered in the 1950's. In 1972 the association with skin cancer and HPV5 was made. A few years later it was learned that there was a link between HPV 16, HPV18 and cervical cancers. More recently a link between these same HPV strains (16 and 18) and certain oral cancers has been established.

How is HPV passed?
HPV can be passed by kissing

HPV is commonly considered a Sexually Transmitted Disease (STD). Skin to skin contact is usually necessary to pass the virus. A sexual act is not necessary to pass it. Deep Kissing and Oral Sex can cause HPV infections of the mouth. It has been postulated that drinking from the same glass has passed the virus from an infected individual to another in rare instances. 

What are the chances of getting HPV?

chances are high thay all of you will get HPV at some time

Almost everyone will be infected with a strain of HPV at some time in their life. There many strains of HPV. The majority of these are usually self limiting and of no consequence. 

Are some HPV infections dangerous?
Some are dangerous but most are not. Most of the time, HPV is self limiting. The virus can be dormant for years and appear/reappear at any time. The body's natural immune system normally will get rid of the virus.

Why is HPV on the rise?
Changes in sexual activity are the driver in the increase of HIV, HPV, and other STD's. People are experimenting with sex at very early ages. Oral sex has become very popular as one way to prevent pregnancy. This is leading to a drastic rise in oral HPV infections.

Why are we concerned about oral HPV?
The 2 strains of HPV that lead to cancer are causing a rapid increase in oral cancer among the younger adult population. This group was low risk for oral cancer in the past and now is the fastest growing group. Oral cancer has a low survival rate when detected late.

What can be done HPV?
Parents, this means your children are at risk as well as you. Since deep kissing is all that is needed to pass this virus, children who are not sexually active can still develop oral HPV and oral cancer.
  • Changing social behavior though not easy is the best method of eliminating this epidemic.
  • Consider getting vaccinated against the most common and deadly forms of HPV at an early age.
  • Get yourself and your children tested for HPV.
  • Make sure your gynecologist and dentist are doing regular cancer screenings.


What does the dentist do?
a visual and digital oral cancer screening is a good start
Vizilite for advanced oral cancer screening

oral CDX swabbing a suspected area
Velscope advanced oral cancer detection

There are 4 ways that a dentist can screen for oral cancer.
  • A visual and digital exam (look and feel)
  • A Vizilite exam using a dye and special light
  • Oral CDX swab for cancer cells of a suspicious area
  • Velscope exam ( a special light and filter)
Is something is unusual, the dentist may want to check it again in 2 weeks to see if it has cleared up and or refer for a biopsy.

What We Recommend.
If your dentist's office is not doing at least a visual/ digital screening for oral cancer at every checkup, find a new dentist. We use the Velscope VX and strongly recommend an advanced oral tissue scan on everyone age 14 and up every 6 months.

References for HPV vaccine.







 Dr. Neal answers all of your questions about HPV and advanced oral cancer detection at Crystal Lake Dental Associates.drneal.com


Phillip C. Neal DDS
Crystal Lake Dental Associates
280 B Memorial Court
Crystal Lake, Illinois 60014
                                    815 459 2202                  


www.DrNeal.com


Your comments are welcome

Monday, June 11, 2012

Oral Cancer Detection with Velscope Crystal Lake Dentist



Oral cancer rates are increasing
Currently over 600.000 cases of oral cancer are diagnosed worldwide each year. In the US one person per hour dies from Oral Cancer. Earlyg detection is key for a high survival
Traditionally oral cancer was seen in males over age 50 who use tobacco and alcohol. This is rapidly changing due to the rapid spread of HPV (Human Papilloma Virus).


HPV Spread
You will most likely be infected with some form of HPV in your lifetime*. Most strains of HPV are self limiting, however HPV 16 and HPV 18 have been strongly linked to cervical and oral cancer. The various ways HPV can be spread through skin contact is quite alarming.

Oral Cancer Screening in the News
The spread of oral cancer and need for screening has been  in the media and on some of the more popular TV doctor shows. In this clip Dr. Oz discussed oral cancer and the need for the Velscope exam at every checkup.  Velscope Oral Cancer Screening - Dr. Oz June 2011
In tghis link, Several doctors  on "the Doctors" show discuss sexual transmission of HPV and the need for a Velscope exam. VELscope on The Doctors. 


ORAL ASSESSMENT

Velscope is easy to use




Why Use the VELscope Vx?

The VELscope's blue light stimulates natural fluorescense in the soft tissues of your mouth.
Natural fluorescence, seen through the VELscope Vx, allows dental professionals to see disease not visible with the naked eye
The VELscope Vx helps us discover oral disease BEFORE it can be seen under ordinary light.



VELscope Vx:

The Two-Minute Exam That Could Save Your Life

How many little sores do we find in our mouths? Dozens? Hundreds? More? Most of the time we ignore them, and they simply go away.
But sometimes our mouths keep secrets. That's why we use the VELscope Vx Enhanced Oral Assessment system.

normal oral tissue under white light


normal tissue under Velscope


oral cancer under white light


oral cancer under Velscope ( note the dark area)




The VELscope Vx Helps Us:

Improve our assessment of your overall oral health.
Ensure that the delicate tissues of your mouth are healthy.
Protect you from oral disease, including oral cancer.
All this in two minutes, with no rinses, stains or discomfort.



VELscope Vx - for a Clean Bill of Health

Helps dental professionals find oral mucosal abnormalities, including oral cancer
Over 10,000,000 examinations performed
Recognized by the World Health Organization
The most powerful tool available for assisting in the discovery of oral abnormalities


Oral Cancer and Oral Disease

The VELscope Vx helps us identify oral disease early, while it's still easy to treat.
One of the VELscope's most important tasks is to help locate areas that might, if not treated, progress to oral cancer.

  • Found early, oral cancer's 5-year survival rate is good: approx. 83%
  • Found late, oral cancer's 5-year survival rate is poor: approx. 32%
  • Clearly, finding oral cancer in its early stages is key to survival.

The VELscope Vx offers hope for the early discovery of oral disease, including precancer and cancer.


Risk Factors

Tobacco and chewing tobacco, along with alcohol, are the leading causes of oral cancer. Over the last four decades, the Human Papilloma Virus (HPV), known for its role in cervical cancedr, has been showing up in increasing numbers of oral cancer cases.


*http://www.healthywomen.org/condition/human-papillomavirus-hpv



Dr. Neal answers all of your questions about advanced oral cancer detection at Crystal Lake Dental Associates.drneal.com


Phillip C. Neal DDS
Crystal Lake Dental Associates
280 B Memorial Court
Crystal Lake, Illinois 60014
                        815 459 2202            


www.DrNeal.com


Your comments are welcome



Saturday, June 2, 2012

Improved Cavity Detection Crystal Lake Dentist


Why Digital X-rays?

The diagnostic ability of digital x-rays now exceeds that of film with up to 90% radiation exposure.



New Software and Hardware Improves Cavity Detection


We have been using digital x-rays since 2000, and now with our new Kodak imaging system, we can  detect decay (cavities) with 90% accuracy (verses 70% previously)* Logicon  is a computer-aided-detection tool that provides  important decision-support instrument for better patient care. Logicon provides an electronic second opinion by analyzing tooth density and demineralization patterns for interproximal (between the teeth) caries (decay) to help search for caries (cavities or decay) and determine whether they exist in the enamel or dentin. With one click, Logicon automatically scans all proximal (between the teeth) surfaces in a bitewing radiograph and gives a preview of the patient’s state of proximal (between the teeth) caries.
Improved Patient Care 

The program also dramatic graphics and visual aids to help us communicate our diagnosis to patients in a way you can easily understand.treatment recommendations.

Automatically scans x-ray
Close up of decay pattern 
Density changes across decay site 
Probability of decay

We Diagnose Caries with More Confidence 

Logicon analyzes shades of gray (many more than the human eye can resolve), 
extracts caries related image features and correlates them with a database of 
known caries problems. In doing so, the software automatically highlights possible 
abnormalities on digital dental radiographs that otherwise might be missed, 
signaling the dentist to take a closer look at the tooth and surface involved. 

How It Works 

Logicon uses detection algorithms based on laboratory data produced in 
association with a leading school of dentistry. With one click Logicon scans all the 
proximal surfaces in a radiograph and highlights the decay sites on all of the teeth 
in one picture for quick review. Detailed information about the change in tooth 
density and lesion probability are saved for each surface and can be retrieved in 
graphical format. 



*Gakenheimer, David C. “The Efficacy of a Computerized Caries Detector in Intraoral Digital 
Radiography”. Journal of the American Dental Association133 (2002): 883-890 




In addition to our new Logicon Kodak imaging software, we have upgraded out sensors to Kodak 6100 system which provides a higher resolution for improved images.  

Added to that is our new quickcam intraoral imaging system. 

Quickcam

Images

Our ability to detect and treat tooth decay is the best around with the use of DIAGNOdent, Carifree, Loupes (all clinical team members wear these to enhance our ability to diagnose and treat you).

Carifree 

DIAGNOdent

Loupes


We have also introduced our new Kodak 8000 pan/ceph machine which enables us to now take digital panoramic images and lateral cephalometric images.






Dr. Neal answers all of your questions about advanced decay detection at Crystal Lake Dental Associates.drneal.com




Your comments are welcome 

Tuesday, May 22, 2012

Sports Drinks and Tooth Decay-Crystal Lake Dentist


Sports Drinks and Tooth Decay 

Hydration and energy are important facets to athletic success. But new studies have shown that they can be just as harmful to the strength of your teeth as soft drinks. Due to their acidic nature and high in sugar contents, all these drinks can wear away the enamel from your teeth.
The Academy of General Dentistry released findings in 2005 that showed that over the course of years, sports drinks and energy drinks caused tooth decay just as fast (and in some cases faster) than soft drinks. Many young athletes suppose that as they exercise and play sports, these drinks are vital to their performance and health. While they do assist in endurance and hydration, especially for athletes engaging in strenuous physical activity, you can often get the same benefits from juice or even water with fewer risks to your teeth and your overall health.


Certainly during this hot summer season, a cooling sports drink should not be seen as a healthier alternative to soda when it comes to dental health. If you or your children find sports drinks as a frequent hydrator, you may want to rethink your sugar intake.



Dr. Neal answers all of your questions about Sports Drinks and Tooth Decay at Crystal Lake Dental Associates.


Phillip C. Neal DDS
Crystal Lake Dental Associates
280 B Memorial Court
Crystal Lake, Illinois 60014
            815 459 2202      


www.DrNeal.com


Your comments are welcome









Monday, April 30, 2012

Dental Insurance Revisited Crystal Lake Dentist


I have dental insurance, now what?
One of the most useful and yet confusing benefits that patients have is dental insurance. It does not work exactly like health insurance and the benefit can be quite confusing.

History of Dental Insurance

Blue Cross began dental insurance in the 1960's as an added benefit. The average coverage back then was $1,000 per year. Does this number look familiar? As more employers began providing it, over the years, dental insurance has morphed into many different plans.

Costs have certainly gone up since the 1960's, why is maximum coverage still the same?

Insurance companies rely on the fact that only 50 percent of the population go to the dentist regularly. When these plans were first introduced, the likelihood of every member maximizing the usage of the insurance was very low. Costs of care have risen over the years and insurance utilization has increased accordingly. As utilization increased, dental insurance companies basically held the benefit the same wile increasing he cost of the premium in order to control costs.

What is UCR?

UCR stands for usual and customary rate.This is a term that is used to determine how much a dental insurance company will pay for a procedure in a given zip code. How UCR determined is a secret that insurance companies will not share. Typically dentists set their UCR fees based on their fixed (rent, utilities, etc ), and variable costs (supplies, lab) for a procedure.

Why is UCR so confusing

Dental insurance companies may offer several plans in the same state to the same employer. These plans are chosen based on what the employer can afford to pay. The more the employer pays for a dental plan, the better the coverage for the user. The problem with UCR is that insurance companies use different UCR tables for different insurance plans. This is confusing for patients.

How does dental insurance work?

Dental insurance works basically like regular health insurance, so there's no real mystery or confusion there. It's very similar to basic health insurance in that it's covered by HMO and PPO plans or payment structures. Occasionally, you may find an indemnity dental insurance plan, which allows for the ultimate freedom in choosing dentists and procedures, but these are becoming rare in this day and age.

Understanding a dental HMO and PPO is the same as understanding a regular health insurance structure. An HMO plan you pick will require you, as the patient, to choose either a single dentist or a dentist group to handle your dental care. After you select the dentist and/or facilities, all procedures deemed usual by the insurance company and performed per your plan will be covered. With a PPO plan, you will have the option of being able to select dentists from around your immediate area, so you're not locked in with only one option

What is covered?

This can vary widely from plan to plan.
Coverage for a typical Indemnity plan would be something like this:
  • $100 per person deductible
  • $1,000-$1,500 per year maximum coverage
  • preventive services (exam, x-rays, cleanings) paid at 80-100% of the insurance company's UCR
  •  basic services ( fillings, extractions) are paid at 70-90% of the insurance company's UCR
  •  Major services (considered most expensive like crowns, bridges, root canals, dentures) is typically included but paid at 40-50 percent of the insurance company's UCR
  • Many procedures that are considered cosmetic (veneers, witening, bonding, braces) may net be covered at all. 
  • the patient pays for fees over the amount covered
PPO, HMO and other plans like these may have set fee schedules for the dentist who has signed up for them. The patient portion is variable and determined by the insurance plan. The plan may have a similar annual maximum benefit.

We can help you with your dental insurance.

We have team members who specialize in helping you understand your coverage. As a courtesy, we will file your claim for you and work hard to make sure you have the highest possible coverage for every procedure.

Dr. Neal answers all of your questions about Dental Insurance at Crystal Lake Dental Associates.




Your comments are welcome 

About Me

My photo
Born in the Midwest. Married with 6 children and 3 grandchildren. Attended Maine West High School, Harper Jr College, Northern Illinois University, the University of Illinois College of Dentistry. Practice in Crystal Lake, Illinois.