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 Tasty Foods That Are Actually Horrible for Your Teeth

Even those with outstanding oral hygiene can fall victim to a few unknown cavity causing culprits. Some of our favorite treats, while seemingly healthy, can be responsible for tooth stains, bad breath and other forms of mouth destruction.  Most tooth-conscious consumers already know to limit sugar and steer clear of things like soda and hard candies to keep their dental hygiene top notch. But, here are a few surprising snacks just as capable of damaging your smile.

  1. Pickles

PicklingPickles? Yes, while not typically considered something to avoid for oral health, pickles are soaked in vinegar during the pickling process.  Vinegar is highly acidic, and acid is notorious for quickly wearing down tooth enamel. So, it’s important to keep this in mind when eating anything pickled. Drinking water or rinsing your mouth can help clear some of the acid once your meal’s over.

  1. Peanut Butter

You either love it or hate it. You may even be particular in how you eat it, straight from the jar or only in a sandwich… Have you ever tried it with pickles? This childhood staple can be a healthy snack when opting for the “no added sugar” variety. Sugar helps peanut butter better grip your teeth. While it may take some getting used to, it’s a healthier choice all around.

  1. Dried Fruit

In small doses, dried fruit is a healthy alternative to sweets such as chocolate bars andDried Fruit ice cream. However, dried fruit has high sugar content, and is often sticky making this treat more likely to get caught in between your teeth for days. When something high in sugar is stuck in your teeth it feeds the bacteria and contributes to dental erosion. Checking nutrition labels can help you weigh the best choice for your sweet tooth.

  1. Crackers

This appetizer favorite is not typically associated with dental problems, yet consuming refined carbs is a known cause of inflammation. The significance here is that inflammation can be linked to a number of dental dangers such as gingivitis and other stages of periodontitis. Limiting carbs such as white bread and pasta, pretzels and white rice can be a treat to your weight, overall health and your smile.

Regular dental check-ups with a dedicated hygiene routine will keep your smile on a healthy track. At a glance, it looks like limiting sugar in all forms is what it’s all about. Remember sticky and pickled foods also pose a risk. No need to stress. While your teeth may thank you for cutting out these items entirely, moderation and awareness will serve you best.

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

 

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

3 Summer Treats for a Healthy Smile

Summer Text with Palmis about vacations, group activities, family time, and great food. With the warmer weather comes the abundance of fresh fruits and veggies. You may even be growing your own. Choosing the right snacks can both satisfy your sweet cravings and help your smile shine.

Strawberries

Strawberries are the perfect choice for boosting your oral health. Candy lovers and sweet addicts can snack on strawberries in place of surgery, teeth-eroding junk. Packed with vitamin C, this summer super food is a good source of calcium, which is essential for all of our bones- including our teeth.  Just one cup of strawberries is filled with maximum amounts of magnesium, folate and potassium: all necessary for a glowing smile!  To top it off, strawberries are also known to help clean your teeth. The seeds can work as tiny scrubbers helping to remove some plaque build-up.

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Summer BBQs are never complete without giant slabs of juicy watermelon. Not only is it a tasty and refreshing treat on hot days, watermelon is also great for your teeth.  Being mostly water, this fruit stimulates saliva flow, which is very effective in maintaining a healthy, bright smile.  Watermelon, like strawberries, is also packed with antioxidants and tons of Vitamin C which are great when going through any kind of recovery. Snacking on watermelon will also fill you up with Vitamin A, which is great for your skin and a fantastic complement to your beautiful smile!

Yogurt

Ok, yogurt IS available all year long. Packed with probiotics, calcium and protein, stick with no added sugar flavors for the healthiest choice. Healthy doesn’t mean boring, try mixing in those fresh strawberries for the perfect sweet and creamy snack. Beat the heat by turning them into frozen yogurt pops. Kids and adults will love this healthy swap!

Maintaining your smile is as easy as keeping your regular dental check-ups and having a little mindfulness. Look for small, healthy swaps, and embrace the delicious fresh options summer can bring to your family’s table.

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

5 Tips for Creating Healthy Oral Hygiene Habits

Lead by Example

Family BrushingKids look to their parents to set standards in all things, including oral hygiene. How you behave is how they will act. Since the best way to teach children is by example, it is important that your child sees you brushing twice a day and flossing. Include your child in the process. Do it together, allowing them to help by putting toothpaste on your brush. Your demeanor in the dentist office will also influence how your little one behaves during their own visit. Remaining calm demonstrates that going to the dentist isn’t scary, and they’ll be much more cooperative during their own chair time.

Make Brushing Fun

Making brushing and flossing a game rather than a chore can be a great way to engage with your kids and get them excited about maintaining their oral health. Pretending the tooth brush is a hiker exploring a cave (their mouth) and the floss is a rope is one idea. Older kids can benefit from a reward system. Every time they brush their teeth they receive a gold star to add to a sticker chart. Once they get a certain number they’re rewarded with something like staying up an extra half hour past bedtime or an extra 15-minutes of electronics time.

Make a Visual Statement

plaqueDisclosingFind plaque disclosing products. These usually come in tablet form or mouthwash that turns plaque buildup bright colors. This is a great visual to help kids understand that even though they don’t see the plaque, it’s certainly there!

Teach Responsibility

Older kids get excited about the idea of having more responsibility. Provide them with the necessary tools to structure their oral hygiene routine. Have them set an alarm to alert them when it’s time to brush for bed and in the morning. They can even keep a brushing and flossing log to track the times and duration of their sessions.

Start Dental Visits Early

Teaching kids proper dental practices wouldn’t be complete without bi-annual exams. By visiting us regularly, you instill the importance of consistent exams. We love working with children, and we work hard to make the experience stress free and fun for the whole family.

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

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

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

Easter Hard Candy

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Easter means many things to different families everywhere, but one thing that remains consistent is the appearance of candy! Whether it’s hidden in eggs or just passed around, it comes at a nice nearly halfway mark in the year from Halloween. Sweets make for some excellent treats, and there is no reason not to indulge (in moderation of course)! However, all candies are not created equal, and it may be worth knowing which ones you can have relatively guilt free, and which could spell trouble for your wonderful smile.

When it comes to Easter indulgences, chocolate may make it onto the nice list – we know, this is great news to many of you. The less forgiving candies are the ones that make that all-too-familiar CRUNCH! Hard candies, like lollipops or jolly ranchers, can be an awfully tempting treat to bite. But best case scenario is they can pack hard-to-reach pieces of sugar into your gums that end up sitting there, as saliva can have a difficult time breaking them down. Worst case scenario, that crunch sound may be coming from a broken tooth, and sending you straight from your Sunday activities into our office. We do love seeing our patients, but not at the expense of their healthy smile! It happens more often than you think, and it’s not just because of the sugar – even some who are prone to absentmindedly crunching on ice have discovered the dangers of biting down on crunchy munchies when they find a piece of their tooth broken off. Your teeth are durable for normal eating and chewing, but anything that causes too much stress can run the risk of chipping or breaking one of your pearly whites. Before you try to impress your friends with breaking that jaw breaker in half, remember that it’s earned that name for a pretty good reason.

Even if you resist that satisfying crunch, there are still a few other points of concern for hard candies that you don’t run into with other options (like chocolate!). Hard candies that you suck on tend to spend a concentrated period of time in a single location, which over-exposes particular areas of your mouth to sugar and lead to a very concentrated build-up of acid, which can be a quick way to damage the enamel. Consider this next time you find yourself unwrapping that tootsie pop or after-meal mint, and perhaps enjoy a stick of gum instead. It’s not often that the solution for a sweet treat is yet another sweet treat, but you’re in luck because this time it is! After enjoying your holiday treats, consider enjoying a piece of sugar-free gum – the increased saliva productions while chewing can actually help dislodge and break down the remaining sugar in your mouth.

Overall, we don’t want to take the enjoyment out of candy-filled holidays – enjoy your time with your friends and family, and definitely don’t be afraid to pop open that plastic egg and see what treats hide inside. If you do find yourself going crazy for the crunchy candies, we hope you chew safely…and if things go wrong, you always have your friends at our office to set things straight (: