Untreated Cavities in the US

Mother Daughter Brushing

With the vast advancements in the dental field this last decade, it may be surprising to learn that untreated cavities are still a prevalent and persistent issue for many people in the United States. More than one in five Americans has untreated cavities and periodontitis, according to Dr. Bruce Dye, an epidemiologist at the U.S. Center for Disease Control and Prevention. “It appears that we haven’t been able to make any significant strides during the last decade to reduce untreated cavities” (Dye).  This is in part attributed to economic conditions.  With more Americans relying on Medicaid, most states have eliminated dental benefits in order to ease strain on stressed budgets.

The good news is that Medicaid and the Children’s Health Insurance Program (CHIP) provide dental coverage for disadvantaged children, reducing the rates of children needing urgent dental care. Some studies have even suggested that American children are getting the same general level of dental care, regardless of income. The report found that rates of cavities were similar across all age groups, with teens having the lowest rates. Among children aged 5-11, 20% had untreated cavities, compared to 13% of those aged 12-19. Among children and teens, 27% had at least one dental sealant.  (Everyday Health)

shutterstock_14313997While comprehensive dental coverage is an undeniably large factor in the prevention and treatment of gum disease and cavities, you can lower your odds of developing dental issues through healthy lifestyle choices. Practicing good dental hygiene by regularly brushing and flossing is essential. Cutting back on sugary drinks and unhealthy snacks that feed the bacteria that lead to tooth decay is another controllable element in cavity prevention.  Regular dental visits are also paramount. When problems are identified and treated early, it prevents the necessity for more costly and invasive procedures.  If you are experiencing sensitivity or pain, schedule an appointment today.

Financial District Dental Care – Dr. Raymond Hahn
financialdistrictdental.com
133 Kearny St #204
San Francisco, CA 94104
(415) 433-1970

Do You Have a Dental Disorder?

 

The range of possible dental disorders is wide and many and some are more easily recognized than others. It could be a bit perplexing to consider you may have a dental disorder without realizing it, but it’s actually more common than you might think. Some disorders have obvious symptoms that may have you running to our office. Others can be more subtle. Do you feel tired, easily irritable, or have difficulty focusing? Do you have facial soreness or pain? Surprisingly, these may be the result of a dental disorder. Our goal is to educate our patients on common and uncommon symptoms that may be a sign to visit our office and receive the required care to remedy these conditions.

Dentist Looking Glass TeethA dental disorder is a disruption of your body’s natural process relating to your oral health. Despite its origins, it is important to understand symptoms may be experienced elsewhere in the body. For this reason, many suffer from ailments they don’t consider relevant to tell their dentist. However, as we are a medical provider we encourage you to share things that may not seem related – you never know! Here are a few to keep on the lookout, so you can better identify signs should something be amiss.

Redness and swelling of the gums may indicate the presence of gingivitis, or early-stage gum disease. Left untreated, it can progress into full blown periodontitis that can threaten your smile and even cause tooth loss. Bleeding from the gums, tooth mobility, and soreness are all signs of periodontitis and should be checked.

Simple bad breath, or halitosis, is very common among adults and teens. While it usually isn’t cause for too much concern, we understand it can weigh on your self-esteem. We care about your health and happiness, and would love to work with you to address the root of the issue. Restoring healthy smiles is what we do; restoring confidence is a happy side effect.

Additionally, a dry mouth may not seem like a dire situation. However, if your mouth constantly feels dry it can lead to an increased risk of tooth decay. Saliva plays an important role in ridding your mouth of bacteria, it also aids in digestion meaning it can evolve into issues that transcend the health of your smile.

While scary to confront, oral growths are a condition that can emerge as serious. It is possible for oral growths to be completely benign and harmless, but in other cases they can be the beginning stages of cancer. For this reason it’s important a medical professional diagnose and treat the growths accordingly. Even if you are certain it’s harmless (for example, perhaps you suffered trauma to the face that injured your mouth), it’s still worth an appointment to ensure you’re not at an increased risk for infection or other potential issues.

We understand some conditions may seem complex. Rest assured we are here to work with you to find a solution to your unique needs. If you feel one or more of these conditions may apply to you or a family member, call our office to begin seeking relief today. We are here for you.

Financial District Dental Care – Dr. Raymond Hahn
financialdistrictdental.com
133 Kearny St #204
San Francisco, CA 94104
(415) 433-1970

Dental X-Rays and Your Health

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X-rays, otherwise known as dental radiographs, are a staple of quality dental care. While x-rays bring undeniable advantages when it comes to identifying and diagnosing potential health issues, some may harbor reservations regarding the risks of exposure to radiation.  Fortunately we can ease those concerns and serve as a resource for understanding radiography, so you can feel confident receiving excellent care.

Why Do I Need Dental X-Rays

shutterstock_300017999X-rays are an essential tool in the dental community (and medical community at large) as they provide valuable insights that we would not otherwise be able to access with visual inspection alone. Our team, with the help of x-rays, is able to see between, inside, and under your teeth. In doing so, we have the ability to check a variety of important health factors. This includes the presence of cavities, the health of your tooth roots, the bone structure surrounding the tooth, the status of developing teeth, the health of your jaw bone, and many more conditions that we would not otherwise be able to monitor. X-rays are instrumental when there is a known issue; with them, we are better able to understand the full scope of the situation and design an appropriate treatment plan for the beauty and health of your smile.

Radiation Exposure from X-Rays

shutterstock_8399488Radiography technology has come a long way, and your exposure to radiation is negligible amounts in terms of risk – in fact, the risk you assume by forgoing x-rays can create long-term damage that could otherwise have been identified and treated. We understand some patients have concerns about radiation exposure, and it’s important to understand we are all consistently exposed to radiation each and every day. It’s high levels of exposure that are the true cause for concern. Our x-ray machines operate on a micro-scale that simply don’t compare. We assure you receiving x-rays is one of the single most beneficial processes capable of saving your health by identifying small problems before they progress into serious conditions.

If you have any unaddressed concerns, in regards to x-rays or other dental procedures, our knowledgeable staff is happy to share answers with you. We want you to feel relaxed in our office, and confident that you are receiving the best care possible!

Financial District Dental Care – Dr. Raymond Hahn
financialdistrictdental.com
133 Kearny St #204
San Francisco, CA 94104
(415) 433-1970

What Causes Bad Breath?

demons-bad-breathWe’ve probably all known someone with bad breath. It can be uncomfortable to engage in discussion with someone whose breath smells downright foul. It’s also a sensitive topic to broach, as well as being a very common concern – after all, each year Americans spend an estimated $3 billion dollars on breath freshening products. Halitosis, more commonly known as bad breath, is clearly a concern well felt amongst adults – but what is the cause?

Symptoms and Sources of Bad Breath

There are several sources of bad breath, including diet and dry mouth – both boil down to the presence of bacteria. The most common odor-causing bacteria are located on the tongue, particularly toward the back where they tend to be undisturbed. If neglected during cleaning, it’s a prime breeding ground for bacteria to feed on leftover food particles, dead skin cells, and mucus. In addition to the tongue, less common offenders include build-up between the teeth and below the gum line, increasing the bad odor. In addition to inconsistent oral care, there are other common reasons for mild cases of bad breath.

Most of us are familiar with the term ‘morning breath’ – a common reference to oral odor experienced in the early hours after waking up. Morning breath can be attributed to a dry mouth, as the result of inactivity during the night fueling bacteria production. Saliva is a natural defense against these offenders, and saliva production slows down the longer the mouth is inactive. If you suffer from chronic dry mouth, the same principles apply whether it’s morning or not. Additionally, food particles (especially sugars) remaining in the mouth encourage bacteria growth. All of this adds up to an increasingly unpleasant and embarrassing odor when you are speaking and breathing.

How to Get Rid of Bad Breath

dentist-1468457_1920When it comes to solutions, anything not addressing the presence of bacteria is a purely cosmetic fix. This includes gum, mints, and similar – sorry! The solutions very much depend on the specific source, and may be as easy as improving your general oral hygiene routine, or it could require a deep cleaning by a dental professional. A more serious cause, and subsequent solution, may be decay present in the mouth that requires removal. No matter the case, vigilant oral care will always be helpful in terms of avoiding unpleasant breath!

Bad breath, while harmless, can be an indicator your oral care habits are insufficient. If you are concerned about your breath, try brushing and flossing more thoroughly to remove any lingering bacteria. If the problem persists, contact us for a proper diagnosis and treatment plan!

 

Financial District Dental Care – Dr. Raymond Hahn
financialdistrictdental.com
133 Kearny St #204
San Francisco, CA 94104
(415) 433-1970

How the Holidays Affect Your Teeth

general-1st-paragraph-imageThe holidays are infamous for being diet-breakers, but let’s not forget the effect excessive sweets can have on your oral health! Don’t worry, we aren’t going to convince you to pass on pecan pie or skip the cider; however, it is important to continue practicing healthy habits, even with some well-deserved indulgences peppered into your seasonal celebrations. Sugar affects everyone’s teeth, no matter how old. Younger children’s smiles are still in the process of development, which means they need added care throughout the growing stages.

The Start of Gum Disease and Cavities

To better understand why it’s important to monitor sugar consumption, we must first address the development of gum disease and cavities. When you eat normally throughout the day, food particles and bacteria collect in your mouth and on your teeth. As you brush and floss, these particles and bacteria are removed with no harm done. However, the presence of sugar fuels the bacteria, which creates enamel-destroying acid; left untreated, the acids corrode a hole in the tooth that deepens over time. Additionally, infection can occur in the gum tissues and lead to swelling, bleeding, and pain. It’s important to limit the bacteria’s opportunity to spread by practicing consistent oral care, and keep your mouth free of disease and infection.

Dental Decay in Children

general-3rd-paragraph-mageWhen teeth are still in development, the story can be a bit different. The above still applies, but the stakes are higher during the formative years of cutting teeth. It isn’t uncommon to hear “oh, they’re just baby teeth”, but that couldn’t be farther from the truth. Child tooth decay is a rampant condition and, although completely preventable, is five times as common as asthma. It’s entirely possible for the infection to spread beneath the gum line, and compromise the healthy adult teeth growing below. Until children are a certain age, it’s imperative for parents to teach sustainable healthy habits. Fortunately, we have a tip or two for the whole family!

When it comes to limiting sugar intake, but also being practical enough to live a little (especially during the holidays!) we stress that it’s actually the timing of sugar consumption that affects dental health more than the quantity consumed. That means less sweets eaten throughout longer periods of the day can actually harm your teeth more than a large serving of dessert eaten at once. Additionally, serving sweets along with the meal can also prevent over-exposure, as they are less likely to sit on the teeth for extended periods of time. Bearing these facts in mind, we suggest instead of leaving sweets all over the house, limit consumption until meal time, and then allow yourselves and the kids to enjoy your share of holiday confections!

Financial District Dental Care – Dr. Raymond Hahn
financialdistrictdental.com
133 Kearny St #204
San Francisco, CA 94104
(415) 433-1970

When is it a Dental Emergency?

Dental emergencies are not like other emergencies. It can be hard to know the difference between harassing your dentist or getting in contact because there is a serious time-sensitive issue at hand – particularly if you’re not even sure what the problem is.

The rule of thumb is this: “If it hurts – it’s an emergency.”

If you chipped a tooth, but there’s no pain, it can likely wait until the office’s normal operating hours. Just be sure to take care when chewing as to not worsen the injury. But if it’s fractured or you’re in pain, you may have damaged the soft tissue inside your tooth or “pulp” and that needs to be looked at immediately lest the tooth be compromised.

A knocked out tooth or loose one should be immediately brought to a dental professional to attempt to save. The more time that passes between the initial trauma and attempted dental restoration, the less viable the tooth will be. In cases like this, if the tooth is loose please try to keep it in place by either keeping a finger there or gently biting to minimize movement. If it’s completely knocked out, avoid touching the root and either place it back in the socket (if you can comfortably do so), or store it in a small container or submerged in milk if it’s available. Get to our office immediately to minimize the likelihood of permanent tooth loss.

(Did You Know! Milk can help maintain the correct fluid balance of the root, preserving it longer; water, on the other hand, can cause the cells to swell and die.)

Mouth Trauma

If you have any kind of mouth injury including: punctures, lacerations, tears, or similar to the cheeks/tongue/mouth – this is an emergency. Be careful not to take any pain killers which may be blood thinners, like aspirin or ibuprofen, as this can increase the severity of the injury. Abscesses or infections of the mouth are serious and can be life threatening in some cases. If you are experiencing any of these, it is certainly an emergency. If you are bleeding, dealing with a loose/missing tooth, in severe pain, have been dealt trauma to the mouth, or have swelling – this is a dental emergency. Call a medical professional immediately.

Dental emergencies are not a black and white issue, as is the case with injuries like broken bones. But when it comes to your oral health, pain is never normal, and severe pain means a severe issue. Fortunately, dental emergencies rarely pop up for no reason at all, and as long as you take care of yourself and avoid dangerous situations, they are mostly preventable. If you find yourself at a sport outing and take a rogue ball to the mouth, definitely give us a call. Until then, just keep to your usual oral hygiene routine and don’t worry – if the worst happens, you always have us to set things straight (:

 

Dr.Hahn
http://www.financialdistrictdental.com
133 Kearny St #204, San Francisco, CA 94104
(415) 433-1970

Choose Dental Health NOT Insurance

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Health insurance is a topic familiar to many, and varies from individual to individual. Providers are different, coverage fluctuates, and co-pays change as well. However, it is always important that the health of you and your family remains our number one priority.

Dental Emergency Care

An injured tooth, like any emergency situation, often presents an unexpected expense and financial hardship. It’s important to keep perspective and ensure your primary focus remains the danger it places on your body and health, not your wallet. Dental complications, like many health conditions, are degenerative; meaning, they get worse the longer you ignore treatment. Failing to address an ailment stresses the body and almost always increases the financial cost of treatment as the severity of the damage escalates. Using the example of a broken tooth, what may originally be a quick dental restoration can easily turn into an infection, decay, or cause a loss of the tooth entirely. A lost tooth results in replacement costs, and if those are ignored, can spiral into the migration or infection of the surrounding teeth. It’s easy for simple injuries to spiral into much more serious situations when treatment is neglected.

“An ounce of prevention is worth a pound of cure.”

You’ve likely heard this before, but clichés are clichés for a reason. The ounce of preventative and immediate treatment can save you a pound of further health problems, and a pound in your wallet. We care about your health and cost effective treatment options. Our office will never surprise you with unexpected bills, and we will always work with you to ensure you understand your treatment, the significance of receiving it, and the costs. If you require a treatment that presents a financial hardship, talk to us. Where possible, we will explore alternate treatment plans or discuss other solutions to ensure you are not placed in a difficult position. We do this while always keeping your health as our number one priority.

When it comes to ensuring the longevity of your health, communication is key. Don’t stay quiet about concerns of any kind – health, financial, or other: we are your health care partner and here to serve you.

Dr.Hahn
http://www.financialdistrictdental.com
133 Kearny St #204, San Francisco, CA 94104
(415) 433-1970

This Is How To Pick A Toothbrush & Floss

We all know to brush our teeth. Check. We all know to floss our teeth. Check (okay, we know some of us skip this step but we’ll let it slide this time). But do we know which type of toothbrush and which dental floss is the best to keep our pearly whites, well, pearly and white? Today we clear the air on this important topic.

Toothbrushes & Brushing

Before getting into all your purchasing options, let’s do a quick brush up (pun intended) on proper brushing techniques to ensure your dental labors are as effective as possible.

When brushing, you don’t want to apply a lot of pressure; plaque is removed with gentle and thorough cleaning. By being too aggressive you are more likely to damage your gum tissue than clean properly. To start, place the head of the brush at a 45-degree angle and point the bristles just into the gum line. This helps disrupt buildup gathering at the base of the tooth. Avoid brushing all your teeth at once; rather, target a group of 3-4 and gently clear the surfaces before moving on to the next set. Be sure to clean all surfaces of the tooth: fronts, backs, chewing surfaces, and the sides of those hard-to-reach molars. Perfect!

Which Toothbrush Is Best?

Electronic toothbrushes are a fantastic option and do a lot to help agitate food particles and really cleanse your teeth. Manual toothbrushes also work well provided they are used effectively with our above tips. For bristles, many make the mistake of purchasing them too tough. The flexibility and gentleness of soft bristles is precisely what you want to clean without damaging. For toothbrush size, just ensure it isn’t too large that it prevents access to those back molars that can be tricky to reach. There is no single toothbrush that is perfect for everyone, so be sure you’re using the one that feels the best to you and will encourage regular use – if you have any questions, we are always here!

Dental Floss & Flossing

Onto floss – but first, the brush up:

When it comes to flossing, you make a C-shape to curve around each tooth as you bring the floss down. The point is not to drag the line straight up and down, which can irritate the gums, but rather to hug the surface of each tooth and clean from the top to the root with a gentle motion. Use about 18” of floss for a fresh portion each pass. Remember to clean both neighboring teeth each time you bring the floss down, and don’t miss any teeth!

Which Floss Is Best?

There are a few variables to keep in mind when finding your ideal floss. First is the thickness of the floss – some people have larger gaps between teeth, and others have very tight spaces that can make it hard to floss. The ideal thickness is one that is comfortable to use, but still thoroughly cleans between each tooth – for tight spaces, try a flat, ribbon-like floss. There are also options like the material the floss is made of, and then waxed versus unwaxed floss. Some suggest waxed floss may be slightly more effective, but whichever choice is most comfortable for you is the choice we recommend. Yes, a lot of our advice is related to your preferences, but if you find a dental product you like with the ADA Seal of Acceptance, you can be sure you’ve found a winner!

In fact, that is our biggest suggestion for when it comes to both brushes and floss: the right option for you is the one you will actually use. If you have more questions, give us a call – we are always happy to ensure our patients feel confident with their oral health and have all the facts.

Dr.Hahn
http://www.financialdistrictdental.com
133 Kearny St #204, San Francisco, CA 94104
(415) 433-1970

Keep Calm and Floss On

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On August 2nd, this New York Times article was published and caused quite a bit of controversy in both the dental community and with the general public. While it is not conclusive in its findings, the overarching claim is that flossing may not be as beneficial as once thought. As dental professionals, we take very seriously the responsibility we have ensuring our patients receive the best possible education and care regarding the health of their smiles. For this reason, we feel compelled to express our disagreement with the suggestion that flossing may be overrated, and why that’s a harmful position to propagate.

Let’s first look at the article, which uses a lot of language such as:

  • “…flossing may be
  • “…most of the current evidence fell short…”
  • “That flossing has the same benefit is a hunch that has never been proved.”
  • “…there is some mediocre evidence that flossing does reduce bloody gums and inflammation known asgingivitis.”

There is a stark difference between something ‘not having been proved’ and something being ‘disproved’. Please know that there is no evidence remotely close to suggesting the latter. In fact whether the evidence is “mediocre” or not, the only evidence the article does mention (quoted above) is in favor of flossing. A lack of ability to prove something is not cause to discourage an entire population from participating in a highly beneficial component of their health care. This is particularly true because evidence is acquired by conducting large-scale studies, which are extremely costly. It would hardly be economical to spend the research funding to prove something we already have no doubt offers a variety of benefit for your oral and overall health.

We do not agree with the article’s brash call to action, or more accurately, call to inaction, and we fear how this may increase the number of people inflicted with preventable damage to their smile. Looking again at the line “…there is some mediocre evidence that flossing does reduce bloody gums and inflammation known as gingivitis.” Gingivitis is the first stage in periodontal disease – the very condition flossing aims to combat. To reduce gingivitis is to reduce your chances of progressing into advanced gum disease, a condition more than half of Americans already suffer from (CDC).

It is unfortunate the scale of damage this article has the potential to incite; too many readers will take this “lack of evidence” as being evidence to the contrary, and feel it gives them permission to neglect a very essential part of their oral health care.

We can only do our best to keep our patients like you educated and on the path to a lifelong happy and healthy smile – a path that certainly includes consistent flossing.

CDC: “Periodontal Disease.” Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 10 Mar. 2015. Web.

Dr.Hahn
http://www.financialdistrictdental.com
133 Kearny St #204, San Francisco, CA 94104
(415) 433-1970

Dental Deep Cleaning for Healthy Gums

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What is scaling and root planing? When is it recommended?

Scaling and root planing is a treatment recommended when you are diagnosed with bone loss related to gum disease. Your routine appointments and your home care are preventive measures to maintain your oral health, but as nice as it would be to keep your oral health in perfect condition all the time, sometimes that just doesn’t happen. When we identify the onset of gum disease (usually genetically linked), we work quickly to stop the loss of bone around your teeth and get you back on a healthy track. This is where scaling and root planing treatments play a critical role.

Often referred to as periodontal cleaning or deep cleaning, the procedure removes dental plaque and tartar, specifically below the gum line. The spaces (or pockets) between your gums and teeth are prime breeding ground for bacteria and infection, so without treatment they can deepen and compromise your oral health. There are a variety of tools and methods available for periodontal cleaning, and each is designed to finely clean the dental pockets the gum disease is attacking and deepening. Successfully completed, the build-up collected around the teeth and gums will be removed, and the gums will heal tightly around the teeth for a more secure and healthy fit, and the pockets will be reduced to more manageable depths.

Post-Treatment Follow-Up

Scaling and root planing are advantageous procedures if gum disease is present, but what about the importance of following up after you’ve been treated? Despite the fact healing and improvements will be seen immediately following treatment, the actual procedure is only the first step in arresting the periodontal disease. The true efficacy of scaling and root planing is contingent upon a number of variables, including patient compliance.

It is imperative the patient and our office collaborate to maintain or even improve upon the results achieved from the initial scaling and root planning, or reinfection may occur.  And since we are now treating a disease, “simple” prophylaxis procedures are no longer appropriate treatments.  Periodontal maintenance procedures (which includes rechecking all the pocket depths, some scaling, and a thorough polish) are required every three to four months depending on your susceptibility to the disease.

Our office will be there to help through each and every step of this process with respect to your unique needs, as well as offer any resources or information necessary to restore your smile to a happy and healthy state.

Dr.Hahn
http://www.financialdistrictdental.com
133 Kearny St #204, San Francisco, CA 94104
(415) 433-1970