IS IT SAFE TO GO TO THE DENTIST DURING COVID 19

DR. RUDI AS-SANIE, D.D.S.

Our New Normal

Since the shutdown, it’s been so nice to be back to see all of our patients. Things may look a  little different now, but we are happy to be serving people and creating healthy smiles. We have made some changes in the office to ensure our all of our patient’s safety. If you have not been into the office lately, here is what you may notice that has changed since you have been here last.

NEW PPE GUIDELINES

With the new guidelines for PPE, we had to make a few changes on what we wear to protect ourselves and our patients. You will notice we will be wearing a scrub cap to cover our hair to keep any bacteria out. We will also be wearing 2 masks with higher filtration levels. One mask we will wear all day and the other we will change after each patient. We will also have a face shield on. This wraps around our head and covers our entire face to prevent any aerosols or splatter from touching our face. Lastly, before we leave each day, we change our clothes to launder our scrubs at the office so that we keep our families safe when we go home. Each employee also has their temperature checked each morning upon entering the building.

NEW PATIENT GUIDELINES

Prior to each visit, we screen all of our patients over the phone. We ask if they have had any symptoms including loss of taste, fever, cough, etc. and if they have been in contact with anyone that has tested positive. When a patient arrives at our office, they call us to let us know they are here. We then go out to their car with a whiteboard with the patients first name written on it. Masks are mandatory for all patients to come in our office until they are seated in the dental chair. We do a temperature check and give hand sanitizer to each patient before they enter the building. Once the patient is seated, we have them rinse with an antibacterial rinse to help decrease the bacterial load in the mouth. We then suction it out vs. spitting it back in the cup.

OTHER SAFETY ADDITIONS

We have also installed air purifiers in each operatory and our hallways to ensure the most cleanliness as possible. We are wiping down door handles and additional surfaces that patients or employees may touch throughout the day to prevent any cross contamination. We have taken the upmost precautions so that everyone feels safe while they are in our office. We look forward to seeing all of our patients and getting everyone caught up on their dental care!

Do You Have a Dental Emergency?

DR. RUDI AS-SANIE, D.D.S.

Do You Have a Dental Emergency? We Are Here for You!

With all the strain going on at the hospitals nearby, we are here to help keep patients out of the ER for dental problems or concerns. We are currently seeing patients for emergencies only in order to help you get the care you need in a timely manner as well as alleviate emergency room overcrowding and stop the spread of COVID-19 infections throughout the state.

It is crucial to see a dentist at this time over going to the ER for a dental emergency. We know in the case of any emergency; a person’s first thought or instinct is to go the hospital to be treated. Typically, a hospital will refer a patient back to their dental office in the case of an emergency so they can be seen and treated by a dental professional. A dental office such as ours can see patients in a much timelier manner and get to the root of the problem without delay. This also frees up the beds in an emergency room and puts you at a much lower risk by being seen in a private practice.

During an emergency exam, we will typically evaluate the problem area and take a dental x-ray if necessary. Our digital x-rays capture the entire tooth including the root so we can get a clear picture of what is going on. From there, we can come up with the best plan of action to help get a patient out of pain.

What is Considered a Dental Emergency?

Examples of emergency patients we are able to see but not limited to:

We can assure you we go above and beyond to follow proper infection control to keep not only ourselves but our patients safe during each appointment. We follow OSHA guidelines and use hospital-grade disinfectants to kill bacteria, viruses and bloodborne pathogens. We screen each patient by asking a series of questions including symptoms and sterilize each room and waiting room after every appointment. Our ultimate goal is to help slow the spread of COVID-19 by keeping patients out of hospitals when able, and to treat the patients in our office in a sufficient manner.

Symptoms of Common Dental Problems

Symptoms of common dental problems - Dentist Dublin OhioSymptoms of Common Dental Problems

Often, when we feel something sensitive or painful in our mouth, we tend to panic. I mean, we all want to keep our teeth, right? Some symptoms may be able to wait until your next dental visit. Others may require a limited exam between your professional dental cleanings to get addressed right away. Dentistry is all about preventive dental care, so the sooner an issue is addressed, the less invasive a procedure recommendation would be.

Temperature Sensitivity

This is one of the most common complaints we hear from our patients, temperature sensitivity. When you can’t eat your favorite ice cream or drink your favorite ice-cold drinks, you start to get annoyed. This is typically caused by some type of enamel wear or root exposure. The enamel, or the most outer layer of your tooth, is what protects it from acid in our diets and normal wear and tear. When the enamel suffers too much trauma, like sipping soda all day, or clenching and grinding, it’s inevitable – it starts to wear away or develop a hole or cavity from the harmful bacteria of the byproduct of the soda or snacks you eat all day.

Enter: temperature sensitivity. The underlying layer of the enamel is dentin. Dentin contains tons of tubules that lead to the nerve and causes sensitivity. The only way to help this is to use a toothpaste with potassium nitrate. This ingredient helps fill in and block the tubules from sending information to the nerve. If it’s a cavity, the only solution is for us to remove it and put a filling in its place. If gum recession is causing the sensitivity, toothpaste can also help. However, we need to determine the cause of the gum recession and come up with a solution. This usually means a nightguard recommendation to prevent the recession from progressing any further.

Toothache

If you are experiencing a toothache, like an actual ache that will not go away, its best to get in for an exam. What typically happens is there is something underlying causing this pain. Once a tooth starts to hurt constantly, there is a good chance. There is a large cavity in the tooth that has reached the nerve. The result of this is usually a root canal or extraction of the tooth that is needed, depending on the severity of it.

We will determine the cause of the problem by taking a limited x-ray of the problem area to see if there is pathology at the tip of the root of the tooth. We also use an x-ray to see how far progressed a cavity is in the crown of the tooth if that is indeed what is going on. Another sign is a recurring bump on the gum near the tooth. This is a sign of an infection that usually comes with pain and cannot be cured without a root canal or extraction.

Pain with Chewing or Biting

Our last common dental symptom patients experience is pain with biting or chewing. While this can mean a fractured tooth, it is more common to occur after a dental procedure. When a tooth is drilled on, and a cavity is removed, it is experiencing trauma. Therefore, it will take time to heal. If it is not resolving and it truly gives you a “zing” every time you bite down, your bite may be a little high. This means after putting a filling in the tooth to replace the cavity that was taken out. The filling may not be completely even with your bite. This is very common since you are numb during the procedure. Thankfully, it is a quick fix and involves a follow-up appointment to even out the filling, and chances are, the zing will resolve. If it does not, it requires further attention. 

If you are experiencing any of these symptoms you are concerned about, do not hesitate to call us at Dental Reflections Dublin to come in for a limited exam so we can get you feeling better. 614.799.5576

Dental Membership Plans to Keep You Smiling

membership plans to keep you smiling - Dental Reflections DublinDental Membership Plans at Dental Reflections

Is the lack of dental insurance keeping you away from seeing a dentist every 6 months? We have a solution for you! We are now offering our dental membership plans that give an option of paying upfront or month to month for your yearly dental care needs. In addition to 30% savings when you sign up, you will receive an additional 10% off of restorative dental services needed.

Preventive Care

Dentistry is all about preventive care. We know it is important to see a dentist, but most of us don’t because our teeth “feel fine.” This is the misconception most people have. A cavity or gum disease typically do not display symptoms until they are bad, really bad. At this point, you are now going to have to spend more time and money in the dental chair to play catch up. If a cavity is caught when it is small, it can be fixed easily with a one or two surface filling. This means less money, less time in the dental chair, and less chance of post-op sensitivity. The same goes with gum disease. This is when the foundation or bone around the teeth that hold and support them becomes affected. Lack of regular dental cleanings, genetics, and poor oral hygiene can all contribute to gum disease. This is why preventive care is SO important. It will save not only your teeth but money in the long run. Tooth replacement is so much more expensive than preserving and maintaining what you have. Our goal as dental providers is to give you all of the tools necessary to do just that.

Why a Dental Membership Plan?

It is estimated that 60% of Americans do not have dental insurance. This means a large percentage of that 60% probably do not see a dentist. Sure, you could go to one of those offices that sends a coupon in the mail and says cleaning, exam, and X-rays for just $69. The worst part is that for this price, the office is trying to see as many patients they can in a day to make up for the discount they are offering. Keep in mind, they need to make a profit to operate effectively. Unfortunately, in most of these cases, the dental care is sub-par, and they are not as focused on building rapport with a patient or providing the best dental care they can but seeing as many patients as possible to attempt to make a profit after practically giving away their services.

We operate differently here at Dental Reflections Dublin. From the moment you walk in the door, our goal is to create the best experience possible for you. This means a friendly greeting by our front office, no wait times in the waiting room, not rushing in the treatment rooms, and really taking the time to address your dental needs, questions and concerns. We are committed to provide comprehensive treatment to all of our patients and give them the best dental care they deserve. The ease of signing up for a dental membership plan and the option of month to month payments for the year makes it more affordable than ever to see a dentist. Contact us today to learn more and get started on keeping your smile healthy!

Frequency in your Child’s Diet

dental reflections dublin - frequencey in your childs diet

We all know a toddler’s favorite food is not always the best for their teeth. It’s challenging enough to get a child to “eat the rainbow” with a balanced diet of all the food groups. Sometimes you have to bribe with a little bad to get a little good. Good and bad for the body don’t always translate to good and bad for the teeth. It’s also not about how much they consume when it comes to oral health, but how frequently they consume it.

Frequency is Key

If your child gets juice once a day, they should drink all of it at one time and with meals. Each sip of an acidic drink, (basically anything besides water) causes an acid attack in the mouth. This is what the bad bacteria feed off of and what causes a cavity. The mouth takes about 20 minutes to buffer those acids and by then, your kiddo is going for another drink. This means your mouth never has the chance to get to a healthy pH environment making the child at a very high risk all day for cavities. The same goes for snacking. If your child is eating pretzels for an hour+, the carbs break down into sugars leaving the mouth very acidic. Healthier between-meal snacks would be fresh vegetables like carrots, fruits like apples or strawberries, yogurt or cheese. These all have a more balanced pH and won’t leave the mouth so acidic.

Incorporate Water Into Your Child’s Diet

Water, water, water should be your child’s best friend. It truly is a natural “medicine” for kids and helps keep things functioning properly. Tap water contains fluoride, which helps prevent a cavity and a hydrated kid is less likely to get sick. Even flavored waters are a no-no, 0 calorie, and 0 sugars don’t mean they aren’t acidic. In fact, they are very acidic. Sticky foods like fruit snacks and even dried fruit like raisins are even more likely to stick into the teeth. A sugary treat is surely ok but the key is to limit it to meals and if the child is drinking plenty of water, their risk for decay will go down. Another huge factor is the nighttime brushing. Lots of parents report their child has a glass of chocolate milk every night before bed or a cup of milk. Milk contains natural sugars that settle into the grooves of the teeth and along the gumlines. When we sleep, our mouth gets very dry so we don’t have the saliva to help cleanse the teeth. Always help your kiddo brush before bed to be sure they are doing a good job. If you have questions about your child’s oral health, contact Dental Reflections Dublin. Dr. Rudi As-Sanie and her team are always happy to help.

Oral Habits in Children

Oral habits in children - Dental Reflections DublinOften times, children will develop oral habits that are hard to break. The most common ones we see are a pacifier and thumb. Studies show these habits are about as hard to break as an adult who is trying to quit smoking. It takes a lot of encouragement, patience, and consistency to try to get children to break these habits. Of course, the sooner, the better to take them away, but it is not always that easy.

Thumb Habit

The first problem with a thumb-sucking habit is you can’t take the child’s thumb away. This is one of the hardest to break. We have children/teens up to age 15 that are still trying to break their thumb habits. At this point, intervention with an orthodontist is best. We are talking way before the teen years. We start to see teeth move around age 4-5 if a child is an excessive thumb sucker.

The good news is, if the child can stop, the teeth will move back significantly. More of the permanent damage starts when a child begins to lose their teeth. When their permanent teeth come in, they aren’t as forgiving, and the teeth won’t move back as quickly. This occurs typically around age 6. So, the goal is to encourage them to stop sucking the thumb before they start losing teeth. There are different “contraptions” available to help a child stop. The orthodontist can place a retainer with a built-in appliance that goes in the roof of the mouth and behind the top front teeth where the thumb goes. The child is then unable to place the thumb where they want it or usually keep it. You can also place a glove or sock over the child’s hand when they sleep at night. Another great technique to use for a thumb sucker is to tell the child they can only suck their thumb in the corner, or in a room by themselves with no media, no blanket or toys or anything “fun.” When they are done, they can come back out with everyone else. The goal is that eventually, the child will get sick of taking a break to suck their thumb and stop.

Pacifier Habit

A pacifier can be a bit easier to break, but still very challenging. It’s a security item for a child, and they grow very attached to it. There are tips and tricks you can use to get rid of a child’s pacifier. Take the pacifier to build a bear and have them put it in the bear when they make it, and they can use the new stuffed animal as their new security. Another tip is to poke pinholes in the pacifier, so the child does not get the same sucking action they are used to. You can also tell the child a pacifier fairy is going to come and take all their pacifiers to give them to little babies that need them, and they will leave them a small gift. Nighttime, of course, is typically the hardest time to take it away.

Be sure to encourage your child with whatever it is you are trying to eliminate and praise them as they cut back and let them know how proud you are. Remember, this is not easy for them! As we mentioned above, patience is key and will help with the child’s confidence to quit. For family dentistry in Dublin, Ohio, contact Dental Reflections today!

Children’s Dental Health Month

Children's Dental Health Month - Dentist in DublinChildren’s Dental Health Month with Dental Reflections Dublin

February is one of our favorites – Children’s Dental Health Month. It’s the time to really focus on the dental health of children and how to keep their teeth clean and healthy. We know it can be a struggle to try to keep up with your child’s oral healthcare routine, but it truly sets the stage for their entire life. Starting good habits while the child is young will create a routine, the child will understand the importance of. This month, our blogs will center around different topics for a child’s dental health and hopefully offer many tips and tricks to keep your little one(s) teeth clean and cavity-free.

Tips for Brushing

Wording can be everything when you start giving your child options. Never ask them if they are ready to brush their teeth. What kid would ever be ready? Associate brushing with something else. Maybe it’s every night before reading books, or every night after bath time. Let them know at that time every night; now it’s time to brush. If you stay consistent, they know there is no option. Yes, they may put up a fight, but be adamant about it getting done, and they will get tired of fighting night after night. The same goes for mornings. Be sure you are getting that twice a day brush in. Lots of plaque bacteria form on our teeth at night when we sleep, and morning time is extremely important to brush to make sure food is less resistant to sticking to the teeth throughout the day. It is important to start using fluoride toothpaste at first tooth eruption. You only need a rice size amount smeared into the bristles of the toothbrush. Yes, we know your 6-month-old is not going to rinse and spit, and that’s ok. This meniscal amount of fluoride is not going to be toxic when your child swallows it. You can wipe out the remaining toothpaste with a washcloth using your finger after brushing.

Flossing and Mouthwash Use

Flossing is best at night and just once per day. We find it easier to floss with the string floss than the floss picks. You have more control when using the string. The picks tend to snap and may hit the gum, leaving the child more upset. Of course, it is whatever works best for you and your child. If you try flossing your child’s teeth while they are laying down at the end of a couch or standing in front of you facing forward with their head resting back on you, you can get a much better visual and floss easier. It all takes practice. In between, or flossing cavities are the most common among children since they tend to snack a lot and not floss as often as they should. Your child will need help with brushing and flossing until about the age of 8 years old. They can practice well before that, but following up or assisting is very important. Once your child is able to rinse and spit, a fluoride mouthwash is a great idea. This helps get into those small nooks and crannies. The toothbrush bristles even have a hard time reaching. The fluoride settles into these areas and helps strengthen, preventing cavities. Once a day, use for this is sufficient.

If you ever have questions about your child’s teeth, do not hesitate to call Dental Reflections Dublin for advice or to bring them in for us to take a look! That’s what we are here for.

What is Dental Bonding?

dental bonding - Dental Reflections DublinDental Bonding

Dental bonding is a cosmetic procedure used to fix imperfections in the teeth. It is a great option for those that want a small fix and a less invasive procedure than crowns or veneers. An advantage of dental bonding is no tooth structure has to be removed before placing it. It is added to the existing portion of the tooth to give teeth a more natural, flawless look.

Should I Get Dental Bonding?

Many times, we see patients that have teeth that are genetically undersized. The most common teeth for this to occur are the ones right outside of your top, front teeth. The term for them is a peg lateral because they are your lateral incisors. Many people will feel self-conscious about these teeth because they are disproportioned, but they aren’t sure what to do about them. They may fear cost or a procedure itself. Dental bonding is a great option for these patients. The composite or white filling material is added to the tooth and fortunately a lot of times the patient doesn’t even have to be numb for this. The material blends evenly with the tooth, giving it a fuller, even appearance to match the other teeth. This can increase confidence in a patient and give them that smile they deserve.

What Else is Dental Bonding Used for?

If a patient has a small chip or wears on the teeth, bonding can also be done if there is no active decay. Bonding can be reversed if a patient decides a tooth looks too bulky or unnatural. Thankfully, at Dental Reflections Dublin, Dr. As-Sanie is a perfectionist and will be sure you are happy with the result before leaving our office. She also wants to make sure it looks natural and she feels comfortable as well with the work she has done. The first step to inquiring about cosmetic bonding would be to schedule a consultation at our office. Dr. As-Sanie will decide if bonding is right for you and then proceed with scheduling the procedure. Call our dental office in Dublin today at 614.799.5576 for your consultation on dental bonding.

Are My Wisdom Teeth Crowding My Other Teeth?

wisdom teeth crowding - dental reflections dublinWisdom Teeth Crowding

Many times, we may start to notice our bottom front teeth crowding as those wisdom teeth start to come in. You may start to wonder – could that be what is crowding my teeth and “pushing them forward”? At Dental Reflections Dublin, we see the crowding all the time, and we often hear it from patients even later in life. They will tell us their bottom front teeth were always straight whether they had braces, but once those wisdom teeth started coming in, they started crowding. The average age for wisdom teeth to come in is 17-22 but it can most definitely be earlier or later. That leaves us with the burning question…

Do Wisdom Teeth Crowd Your Other Teeth?

Long story short, the answer is no. I know the timing can correlate together, however, the wisdom teeth do not push all the other teeth forward as they are making their way in. Either they have room to come in or they don’t. A study was done and published in The Scientific World Journal that included patients with impacted (teeth under the gums), erupted (teeth in the mouth), extracted, or congenitally missing wisdom teeth. These studies included cross-sectional and longitudinal, and there was no difference between the two groups. What this means is whether someone ever had wisdom teeth form, they still noticed crowding and that these teeth are not the cause.

What Causes the Crowding?

As we age, our mandible continues to grow. Have you ever noticed an older person with larger ears and nose? This is because they also continue to grow as our jaw does. Have you also noticed how older people have a pointier chin and crowded teeth in the front? I know, I know, no you are thinking ages 17-22 is not old. That is correct. Our jaw goes through growth spurts just like the rest of our body. Ages 17-22 is one of those times. Therefore, more people will notice the teeth beginning to crowd at that age. For some it’s later, everyone is different. Another study was done following patients for 12 years after their braces came off. The study found that after just 10 years of removal of all retention (permanent or removable retainers no longer being used), more than 70% were classified as showing moderate to severe crowding.

How Can This Crowding Be Prevented?

The ultimate way to prevent teeth from crowding is a retainer. This is recommended whether a patient has had braces or not. Permanent retainers are most common for post ortho patients, while removable retainers are great for those who have never had retainers. Crowding is not just a cosmetic concern but also puts a patient at risk for gum disease. Crowding makes it much harder to keep the teeth clean, therefore infecting the gums as well. Orthodontics, or braces, are the only way to correct the crowding and are a great option to consider. If you are concerned about your teeth shifting, contact us today for a consultation on retainers, Invisalign or options for orthodontics.

Dental Anxiety

dental anxiety - dental reflections dublinDental Anxiety

Have you avoided the dentist due to anxiety? If so, you are not alone. It’s a real thing, and we know it. Believe it or not, a lot of people that work in the dental field have dental anxiety. That’s one of the reasons some of us chose the dental field to help others feel more comfortable in the dental chair because we know our own struggles. Here at Dental Reflections Dublin, we do everything we can to make you feel comfortable during treatment of any sort.

Open Communication

One of the many things we really pride ourselves on is how communicative we are with our patients. We want them to know exactly what to expect and when to expect it. This means there are no surprises during treatment. After the tooth is numb, the patient should not feel any pain during a procedure. We really take the time to address any concerns or questions a patient may have.

Options for Sedation

We offer options for different levels of sedation. If you tell us upfront you are nervous about dental procedures, the first step we recommend is nitrous oxide. You may also have heard of this as laughing gas. It doesn’t really make you laugh, so don’t worry. It just makes you feel good and happy. You are still awake and aware of what is going on; you just care a whole lot less. Ultimately, it helps you to relax. You can drive yourself to and from your appointment since the nitrous oxide will be completely out of your system when you leave. If you feel like the nitrous won’t be enough, we can prescribe Valium in addition. This will require a driver. It is that extra step to really get you relaxed before you even sit in the dental chair. Trust us, we have heard it all. Even patients driving to the dentist but too scared to come in from the parking lot, so they change their minds and turn around. Valium is taken the night before and the morning of your appointment to really help you settle before you come in. Plus, you’ll have that extra support system of a driver to help you.

Whatever your needs are, we can help. We will find what works for you. We have held patients’ hands, wiped their tears, and been there for them through and through. We ultimately want you to get the dental care you need and deserve and are willing to go that extra mile to help you get there.