Don’t Let Dental Anxiety Stop You.

We’ve all been nervous at some point in our life. Some fears are irrational while others are well earned from negative experiences. We understand what it’s like to feel uneasy and anxious. That’s why your comfort is always at the top of our mind! With sedation, you can have a more relaxing visit while taking care of your oral health needs.

Types of Sedation

Nitrous Oxide Sedation – Nitrous oxide, also known as laughing gas, is most often used for patients who are mildly or moderately anxious. It’s administered by placing a small mask over the patient’s nose. As the gas begins to work, the patient becomes calm, but is still awake and can communicate. When the gas is turned off, the effects of sedation wear off almost immediately.

Oral Sedation –Patients who are more anxious may require something stronger than nitrous oxide. With oral sedation, the patient may be sleepy but can also be aroused if necessary and can respond to simple commands.  Minor side effects such as nausea or vomiting can occur with some medications. You may need assistance to get home after sedation, and patients may need to stay for a short observation after dental treatment has been completed.

IV Conscious Sedation – IV conscious sedation is usually used to help patients relax during surgery or more advanced dental procedures that take a longer to complete. During this form of conscious sedation an IV is placed in the patient’s vein in order to give the sedative medication. A patient is still able to respond to verbal commands and is aware of what is going on but the patient will not remember much of what happened during their procedure. This helps when dealing with a long procedure or patients that have a great deal of anxiety about surgery or their specific procedure.         Body Image

General Anesthesia (IV Sedation) – General anesthesia puts a patient into a deep sleep. He or she is unable to feel pain or to move around. General anesthesia may be recommended if the patient:

  • Can’t relax or calm down enough for treatment to be performed safely, even with conscious sedation and other behavior management techniques
  • Needs oral surgery or other dental treatment that would be difficult for the patient to tolerate while awake
  • Needs a lot of dental work that can best be done in one long appointment rather than many shorter visits
  • Has a medical, physical or emotional disability that limits his or her ability to understand directions and be treated safely as an outpatient

We have many years of experience, and will use the safest and most effective medications appropriate for you. So, if you’re ready to relax in the chair with sleep dentistry, give us a call and schedule today.

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

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4 Risk Factors of Gum Disease to Discuss with Your Dentist

Gum Disease SighHave you ever had something caught in your teeth for days? It’s likely because it was lodged deep between a tooth and your gums. That gum tissue is what keeps our chompers in place. There are three stages of gum disease and all are treatable.

The mild form of gum disease is Gingivitis. This is where plaque and other byproducts irritate the gums. It makes them swollen, tender, and more likely to bleed. Periodontitis is stage two. The gum tissue starts deteriorating as it detaches from the teeth forming pockets around the roots. This leaves teeth exposed and more susceptible to decay. Finally, Advanced Periodontitis can set in. Tooth pockets get deeper as the severe gum recession leads to bone loss causing loose teeth.

Common Risk Factors of Periodontal Disease

  • Genetics – it’s hereditary and some of us are just unlucky! While you may be more susceptible to periodontitis, having a good oral hygiene routine with regular dental visits can help your smile stay healthy. Talk to us about finding the right balance for your needs.
  • Health – underlying medical conditions like diabetes and Crohn’s disease, as well as lowered immunity from illnesses and treatments often affect gum tissue. Medications, hormonal changes and obesity are also culprits and should be discussed.
  • Bad Habits – chewing on ice, not brushing or flossing daily and using tobacco are the most common behavior changes we encourage you to ditch. However, substance abuse and a diet lacking in vitamin C will also impact your smile.
  • Stress – it’s inevitable. But keep an eye on exactly how much it’s weighing you down. High levels or chronic stress can lead to poor hygiene habits. Anxiety can also lower your immune system from effectively fighting off bacteria that causes gingivitis (stage 1).

When to Seek Help

Common red flags of gum disease include:

  • Bleeding gums
  • Swollen or tender gums
  • Gums look bright red
  • Teeth wiggle

There’s no home remedy to cure gum disease. Only professional treatment can help, so call and schedule an exam today [PHONE].

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

Untreated Cavities in the US

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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

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

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

Amalgam Fillings: Should They Be Replaced? 

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What is a filling?

Receiving a dental filling is a common procedure that many people have personally experienced. As a bit of a background, a filling becomes necessary when a tooth is damaged by decay and needs to be restored and protected. The function of a filling is to both seal off any spaces where bacteria could enter, and to reshape the tooth to its original form and function. Fillings are an invaluable part of dental work because they offer both a solution for present damage, and act as preventative guards against potential future damage.

A variety of materials are used to create fillings: gold, porcelain, a composite resin, or an amalgam (commonly referred to as silver fillings) are all common choices. There is no ‘best’ type of filling, and the right option for you is truly dependent on your individual case and personal preference.

Why remove a filling?

There are a few different reasons one may want to replace a filling, including a more natural look. Porcelain and composite resins look the most natural and are placed to match your tooth color, and it is not uncommon for those with gold and silver fillings to request these more subtle options. Each type of filling has its own lifespan, which can range from just a few years to several decades, so sometimes a routine replacement may also be in order.

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However, in addition to appearance and time, there is also a debate surrounding the use of amalgam fillings.

The danger of amalgam fillings

By definition, the word ‘amalgam’ is synonymous with the words ‘mixture’ or ‘blend’. As an example, a smoothie would be considered an amalgam of fruits!

In the dental world, ‘amalgam’ as it is used to describe a filling indicates it is a mixture of materials – this means that silver fillings are not pure silver, they have other similar materials in them as well. The proposed problem with these fillings is that the material could contain toxic or harmful matter that could negatively affect your health. In many cases, the silver is mixed with mercury, so many worry about patients contracting mercury poisoning! Dental fillings are supposed to offer a health solution, not cause more health complications.

While it has yet to be proved for certain that amalgam material causes these problems, if there is any question about the safety of our patients – that’s not a risk we are willing to take. For that reason, we can remove amalgam fillings and offer certifiably safe alternatives to ensure you walk out of our office with a healthy smile.

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

Deep Cleaning: What it means to you

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You’re a good person – you pay your taxes, pick up litter, and make it to the dentist every 6 months. Now you’re being told you may need a deep cleaning…but don’t you clean your teeth every day? And isn’t a deep cleaning what the dentist always does? Not quite, although we know it can sometimes feel that way.

A regular dental cleaning is what you are accustomed to receiving every 6 months. The intention of this visit to the dentist is to maintain your healthy gums and give your teeth a little extra attention when it comes to matters of plaque and tartar, which can be difficult to remove fully with a toothbrush and floss alone. The odds are that if you are brushing and flossing every day, and taking any other steps recommended by your doctor, a regular dental cleaning is the perfect addition to your regular care that will keep your smile happy and healthy.

Deep cleaning, a necessity?

A deep cleaning, on the other hand, is what becomes necessary when the health of your teeth and gums become jeopardized by gum disease (or ‘periodontitis’). To put it in perspective, your gums are supposed to have tight and healthy seals around your teeth to protect them and keep them firmly in place. A standard part of your regular cleaning is your doctor using a diagnostic tool called a ‘periodontal probe’ to ensure this is the case; the probe is used to measure the depth of the space between your gums and teeth. Typically 1-3mm is considered normal, and there should be very little or no bleeding at all. Upwards of 4mm is a sign that you are developing ‘pockets’, which are a space between the teeth and gums that becomes prime breeding ground for bacteria and tartar buildup. Plaque that is not brushed and flossed away left on the teeth for more than 24 hours can become tartar, which only your dentist can remove. Left unattended, these pockets can deepen and compromise the tooth and the surrounding bone structure. If the dentist uses the probe and measures 4mm or more, and/or there is significant bleeding and signs of inflammation, then a deep cleaning will be scheduled to help you get your smile back on track.

Deep cleaning is not a scary process.

Oftentimes, your dentist will break the cleaning into two separate visits to most effectively treat your mouth, this is especially important if your entire mouth needs attention so that you’ll be numbed in only smaller sections of your mouth each time, making for a completely comfortable process and quick recovery. The most common forms of treatment are ‘scaling’ and ‘root planing’. The process of scaling involves using a professional tool to remove plaque and tartar from both the surface of the teeth, and the pocket area that has been created between your teeth and gums. A scaling instrument, on the other hand, removes plaque and tartar from the surface of the root of your teeth, which is below the gum line and not visible. These tools are the only thing that can removed built up plaque, as even floss cannot reach far into deepened pockets. The good news is they do a wonderful job of cleaning up any tartar that has built up beneath the visible surface.

Periodontitis is a progressive disease, and left unattended can turn into a much more serious problem. Fortunately, the treatment is typically straight forward and as long as you follow the doctor’s aftercare instructions, the bacteria should be reduced to manageable levels and your gums should return to normal and lose any signs of redness. If you are feeling pain or sensitivity in your teeth, have red and/or puffy gums, or are experiencing bleeding during normal brushing and flossing – call us. The sooner periodontitis is identified the easier it is to treat and the less expensive it is for you, if you have any concerns about your oral health just remember that a professional evaluation is never harmful and may offer you some great information.

 

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

Dental Health and Pregnancy

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Pregnancy changes a lot about the female body, which is no surprise considering all the physical and hormonal effects that take place over the course of those 9 months. All that considered, the profound connection between pregnancy and dental health can still be a shock to many.

As an example, the rapid surge in hormones, such as estrogen and progesterone, can alter the manner in which gum tissue reacts to plaque. Plaque buildup affects everybody, so it’s always important to make sure your teeth are being cleaned thoroughly. However, ‘pregnancy gingivitis’ is a condition that affects the vast majority of mothers-to-be and should be carefully monitored. Prevention is always more useful than treatment, and for that reason we encourage a diet high in Vitamin C and B12 – don’t forget, baby’s teeth are developing too so it’s important to have a diet that’s nutritious for your teeth and theirs! Be sure to brush twice daily with a fluoridated toothpaste and floss each evening as well.

In addition to ‘pregnancy gingivitis’, pregnant women are also at risk for ‘pregnancy tumors’. These tumors are inflamed, but non-cancerous, growths that may develop when the gums become swollen and irritated. Usually the tumors will resolve themselves post-birth, but if you find one and it’s uncomfortable or painful, don’t hesitate to call our office so we can help you proceed with the right treatment for you.

In general, if you are either currently pregnant or planning to become pregnant, you should always let your dentist know immediately in order to best proceed to minimize the risk of pregnancy-related complications. If needed, most procedures can be performed during pregnancy, particularly if you are in pain or have any concerns. However, we do not recommend any elective procedures until after the baby’s birth in order to minimize health risks to you or the child. Pregnancy does come with health concerns to be monitored, but as was the case before you received the news about your bundle of joy, consistent and thorough cleaning is always your best bet. Above all else, relax and enjoy this special time!

Dr.Hahn

http://www.financialdistrictdental.com

(415) 433-1970

133 Kearny St #204, San Francisco, CA 94104

Effects of Osteoporosis on your Oral Health

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Effects of Osteoporosis on your Oral Health

Osteoporosis isn’t a new discovery, or a disease unheard of by many. That being said, many people don’t realize how closely tied to your oral health it can actually be.

In short, osteoporosis is caused by an insufficient consumption of calcium and vitamin D. It affects the bones, making them less dense and thus more likely to break. Osteoporosis is directly tied to your long-term dental health as this weakening of the bones may heavily compromise the jaw bone. A weakened jawbone can have a host of detrimental consequences for your teeth, including increased tooth mobility, or complete tooth loss.

The best cure for the degradation of the jawbone is avoiding it all together with a balanced diet high in vitamin D and calcium, and getting a sufficient amount of exercise. Barring that, be sure to attend your dental appointments regularly so that way the structure and health of your mouth can be monitored, and any problems that may develop are addressed immediately and not permitted to deteriorate.

As it is, due to hormone imbalances and changes over life, women are most at risk to developing osteoporosis, but it can absolutely develop in either gender depending on a host of lifestyle variables, not limited to diet and exercise.

Symptoms to pay attention to that may be indicative of osteoporosis affecting the jaw include: pain and/or swelling in the gums or jaw, as well as infection; injured gums not healing in a timely fashion; teeth that become loose for no reason or after only minor strain; numbness or discomfort in the jaw; or at worst, exposed bone. If you experience any of these symptoms, don’t hesitate contacting your dentist to prevent exacerbating the issue.

Dr.Hahn

http://www.financialdistrictdental.com

(415) 433-1970

133 Kearny St #204, San Francisco, CA 94104

Fast Food During The Holidays

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During the hectic holiday season, fast food is an easy go-to.  We already know that sweets and sugary desserts are not good for our teeth or our waistlines. However, even the savory fast foods can wreak havoc on our teeth!
Some problems that may arise are:
– Acid erosion
– Staining
– Decay

Refined carbohydrates such as in white based pizza sauces and pastas, contain simple sugars that are able to quickly dissolve, causing acid that attacks tooth enamel.

Heavily pigmented foods such as certain spices and sauces within Chinese and Indian foods, as well as tomato based sauces, contain properties that can easily stain your teeth.  It has been suggested that if you are going to be eating any of these foods, that you begin your meal with a green vegetable such as spinach or broccoli.  Green veggies form a protective film on the surface of your teeth that creates a less porous surface for staining foods to be able to adhere to.  Therefore, your teeth have a slight barrier to stop those yummy sauces and spices from staining your teeth!

Starchy and fried foods (probably the worst items to consume health-wise) also stick to your teeth very easily.  These foods are highly processed with lots of preservatives, none of which are good for your teeth.

Even when you think you are reaching for a healthy pre-made sandwich; take a look at the ingredients contained within it.  Some contain hidden sugars and calories, as well as an overload of salt.  High amounts of salt, sugar and calories not only cause harm to your tooth surfaces and enamel, they can also contribute to high blood pressure or even a stroke!  So the next time you reach for what you think may be the “smart option” take a little peak at the ingredients, especially those contained in the spreads or sauces.  If there are high amounts of sugar or salt, you may want to consider a different option.

Large amounts of meat or tough-to-chew foods also need to be consumed in moderation.  Even though the protein is good for you, when you over-indulge in chewy and tough meats, you can negatively impact your jaw joints or even cause misalignment of your jaw as well as headaches, and tooth aches.  While you eat these types of foods, try to distribute them equally on the chewing surfaces within your mouth, alternating which side you are chewing on.

The convenience of fast foods is great!  It’s always nice to be able to quickly grab something to satisfy your appetite.  Perhaps after reading this, we can all be a little bit more mindful when we go to grab a quick bite.  Take a couple extra minutes to choose what you are going to eat.  A well balanced diet is a healthy diet.  If you are going to consume fatty and sugar-filled foods, do so in moderation.  Consider more healthful choices like fresh veggies and lean meats with a side of water!  Then when you get to your sweet treat, it won’t be so detrimental to your teeth!  So remember; always, always brush your teeth twice a day, be sure to regularly floss and schedule regular dental check-ups!  Bon appétit!

Dr.Hahn

http://www.financialdistrictdental.com

(415) 433-1970

133 Kearny St #204, San Francisco, CA 94104