Eating Disorders and Your Teeth

Eating disorders are very damaging and dangerous to your health. Many people do not understand the eating-disorder-and-teeth - Caroline Wallacedamage that can be done to your teeth and jaw due to eating disorders. Some of the damage cannot be repaired. The National Eating Disorders Association reports that more than 10 million Americans suffer with an eating disorder.

Anorexia, due to the lack of proper nutrition, can cause or contribute to osteoporosis. This can cause the jaw and surrounding bones to become weak. This, in turn, often leads to loss of teeth. Typically, these teeth need to be removed. Due to the weakening and loss of bone, dental implants may not be an option in some cases. Implants must be anchored in the bone.

Bulimia and Purging create a different set of problems for oral health. Vomiting brings stomach acids into the mouth. The acids belong in the stomach, where they break down food so it can be digested. When these destructive acids enter the mouth, they cause corrosive damage to the enamel that covers the teeth. Erosion of tooth enamel often results in darkening of the teeth, changes in the shape and the length of the teeth, sensitivity, and loss of the tooth or teeth. In particular the edges of the teeth will become quite thin and chip or break.

It is important to remember that tooth enamel cannot be replaced. Unless aggressive dental treatment is sought to provide other means of protecting the teeth, those affected teeth will be lost.

The steps that can be taken in order to mitigate the damage from stomach acid are somewhat counterintuitive. Most of us assume that stomach acid should be removed from the mouth with immediate brushing. This is not the best response; brushing will add abrasion of the enamel to the damage from the stomach acid. Instead, rinse your mouth thoroughly with baking soda and water. This will help to mitigate the effects of the stomach acid. Then continue to brush twice daily.

If you have an eating disorder it is important to:

1.      Brush and floss carefully and thoroughly, as recommended by your dentist.

2.      See your dentist regularly.

3.      Discuss your eating disorder with your dentist. She may have other specific instructions. She will also be able to help you discuss appropriate treatments to maintain oral health. 

To your oral health!

What is Tooth Bonding

Bonding a tooth is a process that your dentist may use to repair or restore a tooth, or to enhance the appearance of the tooth. In bonding, a resin that is colored to match a tooth is applied to the tooth and hardened with a special ultraviolet or laser light. The light bonds the resin to the

Bonding is an inexpensive way to repair chipped, broken, dark or decayed teeth. It can also be used as a cosmetic procedure to improve the appearance of teeth by, for example, closing gaps between teeth or lengthening teeth. Bonding typically can be accomplished in a single visit to your dentist’s office. Other alternatives, such as crowns or veneers, must be sent to a lab where they are crafted for a perfect fit. This often requires one to two weeks waiting. Bonding is usually a simple procedure requiring no anesthesia. Sometimes, as when repairs are made to teeth roots to protect them when gums recede.

Teeth that are bonded are not as strong as a natural tooth. The bonding can be damaged by chewing gum, eating ice, or chewing fingernails. How long the bonding lasts is largely dependent upon good dental care and avoiding foods, etc. that could damage the bonding, and the amount of bonding done. The appearance of the bonding can be undermined by stains from coffee, tea or smoking.

Bonding, like any other dental procedure, should be thoroughly discussed with your dentist. You should also understand that bonding seldom lasts as long as crowns, veneers or amalgam fillings. Most dentists find that bonding lasts for about 10 years. Bonding can be maintained or repaired. Dental insurance will pay for bonding to fill a tooth or to protect it. Insurance will not pay for bonding for cosmetic purposes alone.

Bonding is frequently chosen because it is less expensive than other alternatives and because it can be accomplished I less time. Another factor that makes bonding attractive to many patients is the fact that it requires removal of the least tooth enamel.

The next time you need dental work, you might want to discuss bonding with your dentist.

To your beautiful smile! 

Being on Time

No doubt, VMI certainly isn't the school for everyone, however; I think there is a lot to be gleamed for all of us. Adherence to a strict schedule is not only expected, it's mandatory.

gold clock - pixabay cco free commercial use -1234338 640

 Timeliness is expected, no excuses. It had never occurred to me that one plans to be late. For those of us who for some reason or another typically have something interfere with their timeliness, VMI simply states, you need to plan to be early and then you should be on time. They state tardiness is a choice not to plan to be on time.

The rigor and learning with intention reminded me very much of dental school: something I would not like to repeat. VMI is proud to take young students and produce citizen soldiers and leaders. Dental school made dentists out of us in 4 years. I was raised with a lot to structure, rules and expectations. I do think this helped better prepare me for the challenges.

As a result of the structure, I may lack patience. Unfortunately, it seems almost standard now to wait in doctor's offices. Trying to respect everyone's time, nobody has anymore than anybody else, we do our best to stay on schedule. Our office tries to reserve plenty of time specifically for our patients' needs. We try to seat our patients and complete their treatment in a timely fashion. We do not intentionally double book appointments. That said, we are human and are not always perfect. Yet we hear constantly from our patients, praise about honoring appointment times.

Reducing Dental Costs

I saw a TV interview about how to reduce dental costs. It was good. It started me thinking, and I wanted to follow up on my comments about dental insurance of last week.

dental-hygiene-surgeon-hold-toothbrush-and-toothpaste-close-up sm graphicstock rtECFcpEjBen Franklin said that "an ounce of prevention is worth a pound of cure." This is so applicable to dental and oral care. Putting off dental treatment only leads to more extensive and expensive dental treatment. The earlier a problem is diagnosed, the easier and less expensive it is to resolve.

I cannot put too much emphasis on education and prevention. With proper brushing and flossing, 99 percent of dental disease is preventable. Apparently, this message is not being heeded by many people. We need to provide education that grabs the attention of the people who need it most.

In my mind, we need to educate people on three things: the importance of proper dental care, which includes seeing a dentist regularly; and the facts about dental insurance, and the matter of priorities.

Many people believe that they cannot go to the dentist without dental insurance. This is totally false. Insurance can definitely help with the costs of dental care. It is not a requirement for dental care. There are many ways to manage the cost of dental care with a care credit card or other financing options. We are happy to discuss options with every patient.

My final point is that many of us need to adjust our priorities. We require food and shelter. We also need good oral health for eating and proper digestion. It seems to me that many are more concerned about phones, the right clothes, and their hair than such a necessity as oral health.

In our office, we never chastise or judge our patients. Sometimes, however, it is just heartbreaking to see patients with multiple advanced dental issues. Too often, the root of these problems is failure of education about insurance, how to care for your teeth and gums, and why dental health is so important. We must also do a better job of communicating what dental insurance does and does not cover, and that it is not necessary to have dental insurance before visiting a dentist. Above all, everyone needs to understand that it is far more cost efficient to deal with problems early than to delay until they become much more involved. 

The Current Crisis in Local Dental Care

There is a dental care crisis in our area. It seems that Delta Dental, who insures many of the people of the valley, is upsetting a lot of folks. The City of Salem is switching to Delta for dental insurance on Oct. 1st. 

I just saw a patient at the store who will have Delta, and now must see somebody on their provider list or dental chair pixabay pub domain free commercial -2450751 640she gets no coverage at all. 

Meanwhile I've heard that Delta reimburses dentists at different rates. I have heard that their long-term providers get reimbursed at a higher rate than new providers. I have reached out to a specialist/provider to see if they tried to negotiate with them. Due to the small number of providers, historically our specialists and many generalists haven't been providers. Delta may or may not have tried to work with them. 

I can't see a huge company like Delta Dental working with my individual practice. But I will continue my research to see what options there may be.

I tried to explain "value" to the patient I encountered in the store. Like most patients, she's only thinking about what it's going to cost her. She made it clear she doesn't want to change dentists, however, she will to save money. Of concern to me is the quality of care these patients will receive (or be denied).

The reimbursement schedule Delta presented to me for the city's plan definitely dictates volume practice, not quality. In addition, this means cutting costs where ever possible -- like lab choices. We use local labs--supporting local businesses and having complete knowledge of the product and its quality. We don't do any mail order: these are often products made outside the U.S. and we have no certainty of the quality of the product or the materials used.

All of this for "insurance" that really isn't insurance. It's a predetermined dental benefit payment plan. Clearly it doesn't insure anything like your home, car or medical insurance.

I fear that this set payment for procedure will exclude many dentists. What I fear more is what the future holds for patients who must sacrifice both quality and true value in exchange for something they think will reduce their cost.

It is important that patients understand what they are getting: most dental policies (regardless of provider) pay a set amount per procedure. The patient still must pay the remainder of the cost. And, these dental policies have a limit on the amount of money they will pay to or for a single patient within a year. When insurance refuses to pay for necessary procedures, the patient suffers because the problems only become worse. In the end, I fear that it might cost them more than having no insurance.

These programs that refuse to pay any portion of the cost of dental work if the dentist is not in their network (which applies to many dental plans). This forces patients to leave their trusted dentist or to spend extra money while still paying premiums. We all live on budgets, and we want to maximize our available benefits with freedom of choice and the ability to make our own decisions about the dentist we believe provides the best value for our dollars.



Page 9 of 15