Technology in Dentistry Part Two

Restorative materials

Valplast®

Valplast® is a flexible material that is used to create partial dentures. The advantages are less stress on the remaining retainer teeth and no metal that shows. The retentive arms of a partial are made of the pink Valplast® material and can blend in imperceptibly with the gum tissue. The base pink material has a lifetime guarantee against breakage, and is very lightweight and comfortable to wear. Almost all of the partials we now make for patients are Valplast®.

E-max®

E-max® is a DiLithium Silicate material for the fabrication of tooth colored crowns and bridges which exhibits three times the strength of conventional porcelain.  It can be pressed in the lab, or milled in the office on a CAD/CAM system. The strength advantage means less tooth reduction. The excellent color eliminates and  grey metal margins. We routinely use E-max® CAD blocks for our in office CEREC machine.

  

Zirconium 

Zirconium is an extremely strong material which is used for implant connections, crowns, and bridges. The high strength has been used in the past as an understructure for these restorations. Zirconium allows for a metal free restoration and can block out unsightly dark stained teeth perfectly. Recently Zirconium has been reformulated to be used for bruxers and patients with a heavy hard bite. The most popular brands are Lava™ and now Bruxzir®

  

Snap-On Smile™

Snap-On Smile™ is a new technique and polymer that can instantly correct crooked, discolored broken, decayed and missing teeth. The Snap-On Smile™ fits over the existing teeth and can even be worn while eating. We have seen patients who were too embarrassed to smile shed tears of joy when they see the results.

Thin Veneers Lumineers®

Thin Veneers and  Lumineers® are a painless way to transform a smile. These no prep veneers are very strong and can be completed in 2 visits. they can change the shape size and color of your teeth. No shots are needed for most cases and no to minimal tooth preparation is needed. 

Ceramic Orthodontic  Brackets

Ceramic Orthodontic Brackets or clear brackets make orthodontic treatment more tolerable for many self conscious people. Now there are some orthodontic wire companies with a tooth colored orthodontic wire which also helps hide what is going on. Some orthodontists use lingual braces. Now several clear aligner companies like Invisalign® offer orthodontic options.

Advanced Nickel-titanium wires and super-wires for orthodontics

Nickel-titanium wires and super-wires for orthodontics can move teeth more quickly and comfortably. These wires can shorten treatment time significantly.

Advanced Bonding Adhesives

Advanced Bonding Adhesives combine multiple steps and give great strength while reducing sensitivity after restoring a tooth. Bonding adhesives can bond to many different materials. These adhesives have gone through several revolutions since their introduction 30 years ago.

Advanced Color Stable Micro-hybrid Composite Filling Materials

Advanced Color Stable Micro-hybrid Composite Filling Materials have also gone through many revolutions including nano-technology and the incorporation  of multiple filler sizes to enhance strength and polishability as well as color stability.

Low Shrink Composites

Low Shrink Composites allow for simpler filling and less sensitivity after curing. Tooth sensitivity after composite tooth colored fillings due to material shrinkage has been a serious problem. These materials do not shrink like the original materials did and now sensitivity is virtually never seen after fillings are placed.

Low Shrink Flowable Composites

Low Shrink Flowable Composites are used in areas of low stress as they are simple and easy to place.

Titanium Alloy

Titanium Alloy is used for dental implants and copings as well as for bridge and denture support bases. This material is light and strong and can be milled by CAD/CAM systems incorporating extremely precise fit of the restorations.

Your comments are welcome

Phillip c. Neal DDS

Crystal Lake Dental Associates

280 B Memorial Court

Crustal Lake IL 60014

815 459 2202

www.drneal.com

Advanced Dental Care Part One

Advanced technology enhances results, and patient comfort.

I have always believed in innovation to increase patient care and comfort. In this three part series ,I will share with you many of the innovations we use daily to deliver the best dental care possible in the most patient friendly way.

In part one, I will focus on digital and computerized technology that enhances results and patient comfort.

CEREC is a computerized digital imaging CAD/CAM system we use to make crowns inlays and onlays in a single visit. The advantages are no need for a second visit and getting numbed again and no temporary crown that may fall off.

Schick® digital x-rays are super low dose x-ray sensors that we have been using for the past 10 years. Images are instantly available and can be enhanced to better observe conditions. In addition, the patient can easily see the same conditions on the monitor.

Digital imaging with intraoral camera. Now the patient can see the conditions that we see on a monitor, in addition it is often necessary to document a condition that does not show up on x-ray for insurance coverage. The camera is also useful for documenting before and after treatment.

X-rite digital shade taking gives us a check against our eye for shades that a dental lab will use for fabricating crowns veneers and other esthetic restorations. A computer file of the image with data on the shade is emailed to the lab.

Eccovision® is used to send sound waves and map the size and shape of the nasal and oral airway. This is used to help detect restrictions and collapse of the airway during sleep. Airway testing is part of our screening process for snoring and Sleep Apnea.

Embletta® is a portable recording device worn at night to detect sleep related breathing abnormalities. We use the Embletta to test Sleep Apnea oral appliance effectiveness during sleep at home.

Carifree® is a testing and treatment programs for patients who display a high level of tooth decay. We test the plaque for high bacterial activity with a digital sensor . Once a baseline is recorded a special rinse protocol can be used to change the bacterial activity and reduce decay in the future.

CAESY® is a computer patient education program utilizing a series of videos to help patient understand their dental conditions and options. The customized videos can be burned onto a disc for the patient and others to view at home.

Invisalign® is a digitally created series of plastic aligners used to straighten crooked teeth. the series of aligners can be previewed on a computer to show the progress of the movement prior to beginning. the final tooth position can be assessed as well as each aligner step.

CT scanning allows us to visualize the tissues in 3-D. This visualization is helpful in dental implant cases where placement requires high precision and bone quality is questionable.

Simplant® is a computer program that works with a CT scan to determine exact placement of dental implants and a final design of a prosthesis (crown, bridge or denture). The use of the Simplant system incorporated CAD/CAM technology to create guides and frameworks for the dental prosthesis.

Softdent® patient management system allows us to seamlessly integrate all of our technologies sin an electronic file for our patients. Information is never misplaced or lost. Scheduling and insurance tracking are quick and easy.

Smilereminder® works with Softdent to stay in touch with our patients and keep them current through text messaging and emails.

All of these technologies and more are available in our office except the ICAT which we have access to through our local oral surgeon.

We at Crystal Lake Dental Associates have been leaders in technology and innovation for decades. To learn more call us of visit our website.

Your comments are welcome.

Phillip C. Neal DDS

Crystal Lake Dental Associates

280 B Memorial court

Crystal Lake, IL 60014

815 459 2202

www.DrNeal.com

Gum Recession, Caues and Cure

Gum Recession has many causes-many treatments

Gum Recession is very common.

Most adults eventually have some gum recession. As long as the remaining “Attached Gingiva” is adequate in thickness, there is no problem.

The Attached Gingiva is a protective barrier against bacteria and debris.

Recession occurs when the “Attached Gingiva” is injured or is pulled away from the neck of the tooth. When this barrier is weak and recedes, the underlying root and bone become infected. This accelerates the bone loss and more recession occurs.

Many patients complain of sensitive teeth to hot cold or sweets when they have recession. Many others notice notching of the roots or the long appearance of a tooth or teeth.

Early detection and treatment is key to success.

Advanced recession can lead to embarrassing tooth loss when it occurs in the esthetic zone or the smile. When the amount of attached gingiva is less than 2 millimeters, there is cause for concern. During a normal dental examination, the dentist should be looking to make sure there are no areas where the attached gingiva is less than 2mm , the tissue is so thin that you can see through it, or a muscle attachment can cause the tissue to blanch when stretched. Any patient wearing lip or tongue rings must we warned of the potential for damage to the teeth and gums due to trauma. Patients undergoing orthodontic treatment must be observed closely before during and after treatment to see in any teeth are likely to be moved out of the bone in order to achieve alignment.

Causes of Recession

• Heredity can be a factor as you inherit body tissue type from your family or origin. A thin or weak inherited gingival tissue type is more prone to recession.
• 
  Gum disease (Gingivitis, Periodontitis) can lead to recession over time. Also certain types of treatment for gum disease can cause recession in order to clear up the infection process.
• Prominent roots either occurring naturally or after orthodontic treatment to straighten teeth can lead to recession.
• Muscle pulls from muscle attachments too close to the roots of the teeth can pull on the attached gingiva and lead to recession.
• Aggressive brushing can also lead to recession and put notches in the exposed tooth roots.
• Trauma from excessive biting forces and Bruxism (tooth grinding) can break down tissue and lead to recession.
• Trauma from objects like lip rings, and tongue rings or other habits that place foreign objects on the roots and gingival tissue can lead to severe recession.

Since the causes of gum recession may be a combination and are so varied, proper diagnosis is key to successful treatment.

Treatment of Recession

Depending upon the severity and nature of the recession, there are several courses of action including:

· Determining the cause of the recession and/or notching and correct the cause.

· Desensitize a sensitive root with a special toothpaste or a protective sealer on the root.

· Filling in the notch.

· Grafting the gum area to strengthen the gum or recover the root.

Grafting before

Grafting After

Recession can be a serious problem and can lead to tooth loss if not addressed.

We have found that the best course of treatment is to identify the causes and correct them early. Early treatment of an area of recession results in a less invasive procedure and a better outcome.

Gum recession is a form of gum disease, and needs to be treated. Gum disease is the leading cause of adult tooth loss.

We regularly evaluate all patients’ gums for recession as part of our professional hygiene appointments. If you have any questions or concerns about gum recession, please let us know.

Sincerely,

Phillip C Neal DDS

Crystal Lake Dental associates

280 B Memorial Court

Crystal Lake, IL 600104

www.drneal.com

We welcome your comments.

Your mouth... gateway to your body

We all know that a nice smile is one of the most noticeable and attractive qualities of our appearance. Also a mounting body of evidence tells us about the importance of mouth body connection.

A simple examination of the mouth tells a lot about a person’s health. The mouth is the gateway to the entire body and is a major influence on important areas, including the digestive tract, heart, circulatory system and the brain. Science is discovering that the mouth also plays an important role in the body's long-term health. Genetics, exercise, nutrition, stress and personal habits contribute to an individual's overall wellness also.

The mouth is home to our sense of taste. Saliva or breath can be valuable indicators of uncontrolled diabetes. The mouth's mucous membranes are full of blood vessels that provide a ready connection to other parts of the body. For example, drugs placed under the tongue, like nitroglycerin pills for chest pain, are rapidly absorbed through the membranes into the circulatory system.

There is a 2 way street of cause and effect.

On one hand oral disease can lead to systemic disease, and on the other hand systemic disease and medications can lead to oral disease and breakdown. Some saliva tests can help determine the health of other systems in the body.

There is mounting evidence of the role the mouth and periodontal medicine play in conditions such as strokes, coronary artery disease, low birth weight, osteoporosis, inflammatory diseases like arthritis, and diabetes. According to studies, bacteria found in dental plaque are feared to be entering the bloodstream and causing clotting in arteries.

There is also evidence that medications and medical conditions can lead to deterioration of oral tissues. For example there are thousands of medications which reduce saliva flow leading to more gum disease and tooth decay. GERD (Acid Reflux), and Bulimia, lead to erosion of the tooth enamel and loss of structure. Stress induced clenching and grinding wear and fracture teeth, periodontal disease, and lead to TMJ symptoms and headaches. Sleep Apnea can lead to tooth grinding, dry mouth and other serious medical conditions.

Dermatologists often check the mouth to determine a skin diagnosis or detect sexually transmitted diseases. Cardiologists continue to theorize about how much bacteria in the mouth triggers inflammation and immune system response inside the arteries.

The mouth-body connection is also apparent in our nutritional habits. It is interesting to note that there are people around the world who have never used a toothbrush or flossed. Nevertheless, they have lived their entire lives free of cavities and gum disease. Here in the United States, however, there are millions of people with tooth decay or gum problems even with a daily brushing and flossing routine. Why? Poor diet, processed food and personal habits play a major role in these dental problems.

It is wise to consume alkalinizing foods that encourage saliva production, particularly fruits, vegetables and seaweed products. Drinking plenty of water and fruit juices is also recommended to supplement saliva flow and maintain healthy teeth.

When we ingest too much sugar, flour, bread, grains and meat, the saliva's alkalinity drops and causes a buildup of cavity-causing acids. While these foods are often part of our daily diet, they should be combined with fruits and vegetables to reap the nutritional and saliva-inducing benefits. Avoid caffeine and alcohol, as they are the "founding fathers" of dry mouth ... and bad breath!

Proper mineral balance also goes a long way in preventing tooth decay. Calcium is the most important mineral for protecting your teeth. The amount and type of calcium in the diet must be considered, along with a balance of iron, potassium and magnesium, as they all encourage salivary activity.

Dentistry has come a long way.

Patient friendly procedures and prevention are hallmarks of the modern dental practice. Good homecare, and proper nutrition can go hand in hand in making regular visits to the dentist something to smile about.

Here’s to good health and great checkups.

Phillip C. Neal DDS

Crystal Lake Dental Associates

280 B Memorial Court

Crystal Lake, IL 60014

www.DrNeal.com

Gum Disease a significant health concern

Gum Disease more prevalent than first thought.

While some estimates of the prevalence of gum disease in adults are as high as 80% , some studies by the Centers for Disease Control CDC) apparently had indicated a much lower rate. These earlier studies are now being called into question. The rate may be as much as 50% higher than reported earlier according to the CDC and the Journal of Dental Research JDR and the American Association of Periodontists (AAP)

See attached article from Science Daily.

Periodontal disease is one of the most common communicable diseases known to man. It has medical implications beyond simply the gum tissue as the inflammatory process associated with this disease is implicated in several other potentially life threatening conditions like heart disease, stroke, diabetes low birth weight in children and rheumatoid arthritis.

Periodontal disease is an infection of the gums associated with inflammation, bone loss and is mediated by hygiene, heredity, anatomy, bacterial type, stress on the periodontal ligament (biting forces), and restorations present. It is usually chronic and can greatly drag down the body's immune system.

Detection usually requires a dental and medical health history probing, x-rays, and observation by a dentist and /or hygienist.

To learn the signs and symptoms' of periodontal disease, click here.

Periodontal disease can easily go undetected until late stages when teeth loosen and fall out or begin moving. Early detection and regular dental follow up are key in controlling this devastating disease. Treatments can vary depending upon the location, severity of the disease.

With the advent of Laser treatments, periodontal disease now has a great new tool to help control the process.

We at Crystal Lake Dental Associates take great pride in being the only office in McHenry County to offer the Periolase© Laser gum treatment called LANAP.

To learn more about periodontal disease click here.

To learn more about laser gum treatment, click here.

I welcome your comments.

Sincerely,

Phillip C Neal DDS

Crystal Lake Dental Associates

20 B Memorial court

Crystal Lake, IL 60014

815 4596 2202

www.DrNeal.com

Looking for a Dentist in Crystal Lake?

If you are looking for a dentist in the Crystal Lake area, I have some suggestions.
Often the first question a potential new patient asks is do you take my insurance, or are you in my network?
While this is important to know, it does not have any bearing on the quality of the experience you will have.
If looking for a dentist in Crystal Lake here are a few of questions you should be asking.
1. Is the dentist using state of the art equipment?
2. Does the dentist take continuing education classes?
3. If so what classes has the dentist taken in the past 5 years?
4. Does the dentist require the staff to take continuing education classes?
5. Does the dentist do follow up phone calls to check on patients?
6. Does the dentist have digital ”super low dose” x-rays?
7. Does the dentist do a comprehensive dental examination and take complete records?
8. Does the dentist submit insurance electronically?
9. Does the dentist offer payment plans?
10. Does the dentist offer cash and senior discounts?
11. Does the dentist take children and at what age?
12. Does the dentist have special methods for anxious patients?
13. Are there any special amenities to make patients comfortable during their visit?
14. People hate getting numb, so does the dentist do anything special to make the numbing process more comfortable?
15. When was the last time the office staff was trained in CPR?
16. Does the dentist offer a free consultation?
17. Has the dentist had advanced training in cosmetic dentistry?
18. Does the dentist provide CAESY patient education materials?
19. Does the dentist extract teeth, do root canals, place implants, use precision attachments, use lasers, screen for and treat sleep apnea, do periodontal probing, treat TMJ, do minor orthodontics including Invisalign, offer ZOOM in office whitening?
20. Can the dentist make a crown in one visit “CEREC”?
21. Does the dentist offer laser gum treatments?
22. Does the dentist confirm appointments via phone/email/text?
Look through the list of sample questions and pick out the ones that fit your situation. We at Crystal Lake Dental Associates provide all of these services and much more. You will find that Crystal lake Dental Associates is the only dentist that provides these services in the entire McHenry County area.
I hope this helps you choose the perfect dentist for yourself and your family in the Crystal Lake area!

Respectfully,

Phillip C. Neal DDS
Crystal Lake Dental Associates

Core values "It's what you stand for"

We have spent the past 9 months reviewing the values we hold dearest to us in our lives.

We will continue to hone them over the next year as well as list minor core values our mission, vision, and purpose.The top 5 are listed below.

#1 Integrity

We are our word. We will be trustworthy in all circumstances..Will be honest at all times, keep our commitments, and do everything possible to do what is right under any circumstance. We will be fair is our dealings with each other, our affiliates, referring doctors, and our patients. If for some reason we cannot help a someone, we will go out of our way to guide them to the help they need.

#2 Courage

We will do the right thing because it is the right thing to do even when it is hard or costly. We will cross the river of fear and speak truthfully in a kind and loving way to correct a wrong when necessary.We are open to criticism as we can learn of blind spots. We will try new ideas, embrace change, and personal growth. We will support team member growth through trials and failures. We recognize that failure is a great teacher.

#3 Excellence

We will constantly strive to provide the highest possible quality and service. We will attempt to WOW our patients every day by doing the unexpected and going beyond. Achieving excellence requires constant training and feedback, and we will seek both. We are committed to continuing education of ourselves, and our patients. We want team members, partners, and patients to reach their highest potential. We will be a positive force for good in every life we touch.

#4 Respect

Relationships are very important to us and we will make every effort to have great ones with everyone. Gossip and slander have no place in our practice and will not be tolerated. A Patient's private information is to be protected at all times. We will communicate respectfully to each other and to our patients, business partners, referring doctors, labs, and vendors. We will believe the best about everyone. We will be great communicators and even better listeners. We will seek to understand before we seek to be understood.

#5 Teamwork

Teamwork is vital in everything we do. We will have fun at work and try to brighten every person's day. No one person is more important than another. We will help and support each other when needed. We are team members with our patients as we plan a strategy for their oral healthcare goals. We are team members with other referring doctors, vendors, labs, and other business affiliates. We will seek to be the best team member possible and will be humble servants.

Respectfully

Phillip C. Neal DDS