Quality of Care with Respect for Each Patient

We are acutely aware that many dentists and dental practices herd their patients through an examination in order to rush on to the next patient. We fully understand how this approach to patient care makes many people feel. This is why our practice of dentistry is different.

Complete Dental Care of Salem, Virginia practices dentistry on a different model. We are far less concerned about the number of patients we see each day than the quality of care we provide to each patient. We recognize and respect the individuality and unique needs of each patient. We adjust our approach and style of patient care to those unique needs of each patient.Caroline

Many people have deep-seated fears about dentists and dental care. We understand that. We understand that there are many reasons for these fears. We know that many people had bad experiences with dental care earlier in their lives. We also understand that other life events cause discomfort during dental treatment. Many kinds of abuse or injury are at the root of many patient fears. If you can tell us your experience or the nature of your fears, we will work with you to define your particular needs during treatment and to respect them.

If you tell us you are uncomfortable with dental treatment, we will listen to your fears and needs. Then, we will work together to find the best way to provide the care you need while respecting your personal needs and fears.

  • We do everything possible to respect the personal space of each patient while performing the needed procedures.
  • We will explain to you at the outset how you can let us know that you need a break. We will always honor that need.
  • We will explain everything we do in advance, as well as the reason it is needed. You will have the opportunity to accept or reject the proposed treatment.
  • You can refuse any treatment or procedure at any time. We will respect your needs immediately.
  • We understand that people who are experiencing stress have difficulty remembering information and instructions. For this reason, we will explain things to you and also give you written explanation or instruction for your use later.
  • If you recognize a need for dental care or treatment but cannot move forward due to your fears or discomfort, we offer some options to help you relax and endure the treatment. You might choose “relaxation dentistry” or “sedation dentistry” to make the process easier.

At Complete Dental Care in Salem, Virginia, we will always take the time to listen to your needs, concerns, and fears. Then we will work with you to decide how we will provide the care you need within your comfort zone. And we will always stop if you become uncomfortable during treatment.

The difference is that we treat people who have unique needs, because we care about the person in the chair.

Clean that Nasty Retainer!

Do you (or does your child) have a nasty retainer? Here’s what to do.


Do you (or does your child) have a nasty retainer? Here’s what to do.


First, there is a good bit of mis-information out there. You should not act on this information:

  1. You should not clean a retainer because you will kill the “good bacteria”
  2. If you brush your teeth twice each day, you don’t need to clean your retainer. Just don’t eat with the retainer in your retainer
  3. The products available that claim to be for retainer cleaning are actually not good for your retainer.
  4. If you take probiotics or other dietary supplements, your retainer and your mouth will be healthy without cleaning.
  5. All retainers begin to look cloudy after a time. This does not mean it is dirty.

What you should know about cleaning a retainer:

  • It is time to clean a retainer when: it smells or tastes bad, it is covered with a film, there are bits of food stuck to it, it breaks or cracks, it looks cloudy, it was last cleaned more than a week ago, or there are white spots on it.
  • If you use a retainer and you start to get cavities or you develop sensitivity to hot or cold, you should see your dentist or orthodontist and discuss cleaning.
  • Rinse a retainer in water throughout the day and keep it moist. Do not drink sugary beverages while wearing your retainer.
  • Brush your retainer when you brush your teeth with a soft toothbrush.
  • Denture cleaner can be used occasionally.
  • Make a toothpaste of baking soda and water (equal proportions), and use it to brush with a soft toothbrush.
  • Mix equal amounts of vinegar and water in a small dish. Soak the retainer in it for 20 minutes.
  • Castile soap can be combined with water. Dip the retainer into the mixture, brush with a soft brush, and then soak for 2 or 3 minutes. Rinse in cool water.
  • If there are no other options, the retainer can be dipped in non-alcoholic mouthwash for 2 or 3 minutes. Then rinse in cool water.
  • Use a commercially available retainer cleaning product.


Wishing you no more nasty retainers. 

Could Gum Disease Cost the Life of an Unborn Child?

Yes. Gum disease could cost the life of an unborn child. Specifically, an oral bacterium – Fusobacterium nucleatum –can penetrate the placenta and harm or kill an unborn child.

February is National Gum Disease Awareness Month and a fitting time to think seriously about the dangers of untreated gum disease. We have come to understand that gum disease and the related bacteria can be absorbed into the bloodstream through pregnant woman brushing teeth - SM - storyblocks -JM-03292016-Healthy-DSC 8969leeding gums. Once bacteria enter the blood stream, they can be carried to almost any part of the body.

Proof that gum disease can put an unborn baby at risk was uncovered recently by scientists from Case Western University. It has long been known that bacteria from gum disease can cause a baby to be born too small or too early. This recent case was brought to the Case Western scientists by a California woman whose child was stillborn.

This woman was aware of studies showing that the oral bacterium Fusobacterium nucleatum could spread from the bloodstream to the placenta in mice. She turned to the scientists to ask if the same thing could happen in humans. She told them about the recent loss of her baby, and reported heavy bleeding from her gums – heavier than normal bleeding of gums in pregnant women – during her pregnancy.

The scientists tested the plaque cells from the woman’s mouth. They obtained samples of the oral bacteria from the dead baby’s lungs and stomach. Comparison of the samples proved the connection between the woman’s gum disease and the baby’s death.

Pregnant women are typically able to combat the oral bacteria by brushing and flossing. The same is not true of unborn babies. Because the placenta has little immune capability, it is easy for the bacteria to penetrate it and harm the baby.

In the case of this woman and her stillborn child, it was clear that bacteria from the mother’s gum disease were transmitted through the placenta and to the child. Unfortunately, this might have been avoidable.


  1. Pregnant women need to be diligent about their oral health, brushing and flossing twice daily.
  2. If there is excessive bleeding of the gums (a clear symptom of gum disease), they should see their dentists immediately.
  3. In an ideal world, women should take appropriate steps to maintain good oral health, and see their dentist for an evaluation prior to becoming pregnant. Then they should be attentive to good oral hygiene and visit their dentists during the pregnancy.

We can only hope that women of child-bearing age who want to have children maintain excellent oral hygiene practices and see their dentists regularly before and during pregnancy. It is a hard truth to learn, but gum disease could cost the life of an unborn child.

If you are pregnant or you plan to become pregnant, call today for an oral health evaluation. We can help you and your baby remain healthy. If problems exist, we will work with you to restore good oral health.

Dentists and Opioid Prescriptions


We are regularly and frequently reminded these days that we are in the midst of an opioid epidemic. In the midst of efforts to ascribe blame (or partial blame) for the situation, some have suggested that dentists have played a large

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role in creating this situation. We should also note that non-opioid painkillers are also being misused and over-used. This could suggest that prescribers of painkillers are not solely responsible for the abuse of any pain medications. Perhaps the question to ask is why so many people feel the need to abuse over-the-counter, prescription, opioid, and street drugs to “manage pain.”

What do we know about use of opioids in dentistry?

First, it should be remembered that all dentists are not the same, and they do not necessarily treat patients in the same way, especially with regard to pain management. In fact, many dentists do not prescribe prescription drugs of any kind for pain.

Second, after researchers analyzed the quantity of opioids prescribe over a 15-year period. They calculate both the number of prescriptions and the total milligrams of morphine equivalent drugs prescribed. Their finding: As of 2012, dental professionals prescribed only about 2% of the total quantity of opioids, while office-based physicians prescribed 80%.

Finally, the analysis revealed that the quantity of opioids prescribed by dentists has decreased from 7% in 1996 to only about 2% in 2012. There were flaws in the study, yet the relative proportion of prescriptions written by dentists is very small.

The bottom line: If you have dental work or a dental problem and need pain medication, do not be surprised when you are prescribed a non-opioid painkiller by your dentist. Further, if you are prescribed an opioid for pain, be aware that your condition will be monitored carefully and the prescription will be refilled only when clearly warranted. In many cases, the anti-inflammatory properties of other pain medications may play a larger role in reducing your pain than you expect.

Essential Oils in Dental Care

Essential Oils have a number of clearly beneficial uses in health and wellness. But are they helpful in Dental Care?

Many people believe that essential oils have a place in dental care that is the equivalent of many traditional mouthwash formulas. Others see the use of essential oils in dental care to be more of a “mixed bag” in terms of efficacy.

I am not talking about using oils of flowers and herbs, such as lavender, to sooth patients in the office. We have tried that in our essential-oils-pixabay cco free commercial use - 1433694 640office. But we found that some people were allergic to lavender, and there were also some who did not like lavender.

Essential Oils are concentrated oils from plants (rosemary, lavender, rose, peppermint, cedarwood, and cypress, for example). These oils are the “essential oils” of the plants from which they are extracted. However, because they contain no lipids, they are not oils technically speaking. These extracted oils are then mixed with any of a number of components of oxides, alcohols, ethers, ketones, phenols, aldehydes, and terpenes. The oils extracted from the plants fulfill a role as a plant’s equivalent of an immune system, protecting the plants from pests and harmful substances.

When used in your mouth, these oils can serve an important function and kill bacteria. In fact, some research found that essential oils may be just as effective in killing bacteria in your mouth as mouthwashes that contain chlorhexidine, a widely-accepted anti-microbial element of mouthwash. Essential oils taste better and do not stain your teeth. There are, however, some drawbacks in using essential oils in daily dental care.

Positives and Negatives of Essential Oils in Dental Care

One negative is that some essential oils, when used in high concentration, may (like chlorhexidine) kill all bacteria, including useful and necessary bacteria. The bacteria may actually damage gum tissues (like chlorhexidine).

On the positive side, some studies have demonstrated that certain essential oils when used in dental care can kill bacteria that is associated with infection of the gums. The oils also appear to reduce bleeding and inflammation. This suggests that both essential oils and chlorhexidine could be helpful in treating serious oral infection.

A concern about the use of essential oils in dental care is that it is extremely difficult to be certain how pure and potent the oils are. If people less knowledgeable than experts attempt to combine oils, they might not fully understand exactly what is in their final mixture and how effective it might be.

Some research has found that both chlorhexidine and some essential oils can damage tissue surrounding the teeth and prevent them from effectively reproducing to protect the teeth. Some oils will kill all bacteria it encounters. This is not desirable because you need healthy plaque to balance acids in the mouth. Further, the tongue needs certain types of bacteria in order to change nitrates in food to nitric oxide (needed for the cardiovascular system and the health of the gums).

Some of the companies that create and sell essential oils claim that the oils will kill only bad bacteria. However medical research indicates that some oils kill every kind of bacteria in the mouth – good and bad equally. It is thus important that before using essential oils in dental care you know which oils will kill only bad bacteria and know the concentration and potency of the oils being used.

The Bottom Line

Essential oils may have a role to play in dental care on an occasional basis or in treating severe oral infections. They should be used regularly only with extreme care and knowledge of the concentration and purity of the oils.

Whether considering antibiotics or essential oils, the important part of dental care is prevention of problems and infection. Daily dental care should include careful and effective brushing and flossing (twice daily). Good oral health also requires a healthy diet and regular visits to your dentist.

If you have additional questions about essential oils in dental care, please send a message, give me a call or schedule an appointment and come to the office.

At Complete Dental Care in Salem Virginia, our goal is to promote oral health and general health and wellness. To that end, we provide a full range of dental care for people of all ages. Call today to schedule your appointment.


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