Call for an appointment: Long Beach, CA (562)434-6414

Women in Dentistry

Dentistry has long been dominated by men but times have changed. From 1995 to 2005 total enrollment in dental schools increased 10.7% and during that time the number of female students increased by 32%. Today I think that number is rising to where half of all students are women. One of my own patients decided to go to dental school and is graduating this year. I am very excited for her and know that she will be a great addition to our profession!

Two of the earliest women in dentistry are Emeline Roberts Jones 1986-1916 and Lucy Hobbs Taylor 1833-1910.

Emeline is believed to be the FIRST woman dentist in the USA. She origiannaly started working in her husband’s dental ofice as his assistant and when he passed away she took over and managed her own practice.

Lucy Hobbs Taylor is the FIRST American woman to graduate from a dental school. She was originally denied admission to dentla school so she studied privately under the Dean of the Ohio College of Dental Surgery before going on to work as an apprentice. She opened her won practice in 1861. After several years of hands=on experience she was admitted to the dental school and graduated in 1866.

 

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Heart Attack & Stroke Risks Reduced by Professional Dental Cleanings.

A recent study from Taiwan presented at the American Heart Association’s Scientific Session showed that professional teeth cleanings were associated with fewer heart attacks & strokes.

The study had 100,000 people which is a huge number for any study. They found that if you had your teeth scaled twice a year you lowered your risk of stroke by 13% and heart attack by 24%. WOW!

The big reason: professional tooth scaling appeared to reduce the bacteria that cause inflammation in the tissues and blood vessels that could lead to heart disease & stroke.

What do you need to do: What I have been telling my patinet’s since I started alsmost 25 years ago: Floss BEFORE brushing your teeth at least twice a day & get your teeth professionally cleaned at least twice a year. For those of you with awesome oral hygiene you might only need to be seen once a year (We’ll be the judge of that!), and for those that really fight with the tartar (calculus) and plaque or have periodontal disease you need to come in 3-4 times a year.

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Sports Guards Save Teeth & Money

A properly fitted sports guard made by your dentist is the best protection for you teeth, jaw, TM joints, and your wallet! Some boys & girls (of all ages) may think that a sports guard is not cool and not needed but nothing can be further from the truth. I just had to go into my office to fix a fractured tooth from a patient who was not wearing their sports guard while sparring Judo. Ouch! He is lucky and only broke the filling already on the tooth and will be out a few hundred dollars. If he had fractured it more he would have needed a crown & perhaps a root canal so the cost would have been anywhere from $1200- $2400. Had the tooth been too far gone we are now talking an implant and crown so that could be in the $4,000 to +$5,000 range.

For about $200 a professionally made, multilayered sports guard is pretty cheep insurance. There are different levels of protection and the costs vary.

I have had patients tell me it affects their breathing, etc. Trust me it does not. There my be a psychological issue but there is not a physical issue with them. I played waterpolo in high school & college and wore a sports guard and actually had more confidence driving on opponents then when I did not wear it. It just takes a couple of shots in the mouth to realize what it does for you.

I personally believe that ALL contact sports should require that be worn: basketball, football, waterpolo, Lacrosse, field hockey, ice hockey, and the list goes on. I coached baseball for 14 years and feel they should be mandatory when you are up to bat and on base.

I hope this post gets you thinking!

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How Often Should You Have Your Teeth Cleaned?

3, 4, 6, 12…..How many months between your professional cleanings? This is a very interesting subject and there seems to be a lot of questions about this from patients, hygienists, and even dentists. The answer is………the interval that helps the patient maintain a healthy, disease free mouth. In reality this could mean you should have your teeth cleaned every month or once a year. It depends on you and your committment to a healthy mouth!

Most people are aware of the idea that you should see your dentist 2x/year. Most people and dental personnel do not even know where that idea first started. 1948 a Pepsodent commercial said to “brush twice a day and see your dentist twice a year.” It wasn’t a dentist that came up with that but New York Ad men. So here we are +60 years later and twice a year is still the norm. Even insurance companies has bought into that idea without scientific data.

The reality for the proper interval really comes down to how well the patient does their homecare. If you floss BEFORE you brush with a fluoridated toothpaste and do that at least twice a day you probably would need to come in once or twice a year. I have patients that need to come in only 1 time a year beacuse they do such a great job on their own.

If your dentist recommends that you come in every 3 or 4 months that is either due to poor health habits (you need to work harder!), existing periodontal disease, or a combination of both. It is important for every patient to take responsibility for their own health since the hygienist can’t go home with you to clean your teeth for you!

A little “elbow grease” goes a long way to keep your mouth healthy, have fresh breath, and a radiant smile!! We love to work with people who are interested in their health and well-being and love to teach proper techniques, including the proper use of electirc tooth brushes compared to manual ones. Keep Them Clean & Keep Smiling!!!!!!!!

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Dentists in the Movies

Here are some “famous” or “not-so-famous” dentists in the movies.

1986 Little Shop of Horrors………………………Dr. Orin Scrivello (Steve Martin)                   1976 Marathon Man………………………………….Dr. Christian Szell (Sir Laurence Olivier) [This movie set dentiry back 10 years the same way Jaws kept people out of the ocean!]       1979 The in-Laws……………………………………..Dr. Sheldon Kornpett (Alan Arkin)                        1986 Little Shop of Horrors……………………….Dr. Orin Scrivello (Steve Martin)                       1991 City Slickers………………………………………Dr.s Steve & Ben Jessup (Phill Lewis & Bill Henderson)                                                                                                                                  2000 The Whole Nine Yards……………………..Dr. Nicholas “Oz” Oseransky (Matt Perry)        2001 Novocaine…………………………………………Dr. Frank Sangster (Steve Martin)             2002 Snow Dogs………………………………………..Dr. Theodore (Ted) Brooks (Cuba Gooding Jr.) 2003 Finding Nemo…………………………………..Dr. Phillip Sherman (voice of Bill Hunter)   2008 Ghost Town……………………………………..Dr. Betran Pincus (Ricky Gervais)               2009 The Hangover…………………………………..Dr. Stu Price (Ed Helms)                                  2011 Horrible Bosses…………………………………Dr. Julia Harris (Jennifer Aniston)

Can you think of any more????????

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HPV-16 Virus Now The Leading Cause of Oral Cancers

 Did you know that the fastest growing segment of the oral cancer community is young, healthy non-smokers?
It’s shocking but true. Exposure to the HPV-16 virus (human papilloma virus), the most commonly sexually transmitted virus, is now the leading cause of oral cancers in the US. There is nothing we can do to stop this virus from spreading; our only hope to save lives is with professional involvement and public awareness.

Approximately 37,000 Americans will be newly diagnosed with oral cancer in 2012. When found early, oral cancers have an 80% survival rate which is FANTASTIC! Unfortunately, the majorities are found as late stage cancers and this accounts for the very high death rate of about 45% at five years from diagnosis. Before it kills you it can lead to the loss of part or all of the jaw,  loss of all or part of the tongue, nose, eye(s). It doesn’t have to be this way and it starts with your dentist & hygienist as the first line of defense through the process of early discovery.

Physicians were able to reduce the incidence of cervical cancer by over 70% in one decade by giving annual PAP smears to American women. We dentists have the opportunity to have an equal, if not greater, impact on the incidence of oral cancer. The single most important thing we do to reduce the impact of this disease is to conduct comprehensive oral cancer exams at least once a year for our patients.

If you do not think your dentist or hygienist is doing this then ASK! I do it at every visit I see a patient and have found cancers in too many patients over the years. If you have any questions please call our office: (562) 434-6414.

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Quick Tips for Good Breath

  1. Rinsing with water after eating if you aren’t able to brush.
  2. Chewing a piece of sugarless gum to stimulate saliva flow—nature’s own cleanser.
  3. Snacking on celery, carrots, or apples; they tend to clear away loose food and debris during the chewing process.

Eating a balanced diet. A vitamin deficiency may contribute to gum disease and bad breath.

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Bad Breath

Nearly 40,000,000 Americans commonly suffer from bad breath, also known as oral malodor or halitosis. Yet, it is usually a curable condition that is generally caused by strong foods such as onions or garlic; poor oral health habits; periodontal disease; or medical problems such as stomach disorders, an excessive postnasal drip. Once you discover the source of the problem, there are a number of ways to keep your mouth free of unpleasant odors.

Oral malodor can be divided into two distinctive categories:
-transitory
-chronic.
Transitory refers to food-related malodor that can last as long as 72 hours. Virtually everyone suffers from this condition at one time or another. The second category, chronic, is generally related to oral or general medical problems.

There are three basic sources of bad breath:

1. A Dirty Mouth. Routine cleaning of teeth and gums will help prevent the build up of plaque—a soft, sticky, almost invisible film made up of harmful bacteria— and in turn help prevent bad breath. Carefully brushing at least two-to-three times a day, flossing daily BEFORE YOU BRUSH, and rinsing your mouth vigorously to remove any loose foods is essential.  However, research has found that simply keeping teeth clean is not enough to eliminate bad breath. Tongue deplaquing with tongue scrapers— tools exclusively designed for use on the tongue—is as essential for fresh breath as regular brushing. Tongue scrapers provide even pressure that forces bacteria, food debris, and dead cells from the pits and crevices in the tongue that a toothbrush cannot remove. I remember reading a study in Canada that had several hundred subjects and 80% of bad breath went away just by cleaning the tongue, WOW!

2. Medical problems can keep breath from smelling fresh. Research studies have found that bad breath has been linked to conditions such as diabetes, stomach disorders,  sinus infections with excessive postnasal drip, or cancer. Common drugs and medications also can affect breath odor.

3. Lifestyle habits play a major role in the prevention of halitosis. For example, smoking and chewing tobacco can affect breath odor. Just as important to oral health and fresh breath as consistent home care and healthy lifestyle habits is oral health care delivered by your local area dentist. Regular oral health care appointments, which include a complete prophylaxis— teeth cleaning above and below the gum line—are essential to maintaining good oral health and fresh breath, so visit your dental hygienist every six months, or as often as she or he recommends.

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Exciting Times in the Long Beach, California office of Dr. Coates

Two of my awesome employees are expecting children and everyone is excited for them and their spouses. Both are due August/September 2011; must have been something in the water!

Update: both staff had beautiful babies and now we are waiting for them to get teeth!

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Smoking & Oral Health

Besides poor hygiene practices and diet I do not think I have seen anything cause more problems in my patients then smoking.

  1. I have never met a smoker who did not eventually develop periodontal disease, a destructive disease that caused loss of jaw bone and teeth.
  2. Smokers get more cavities. Smoking dries out the mouth helping bacteria destroy teeth, gums, & bone.
  3. Smokers usually have poor esthetics to their smiles from staining or the teeth and dental work
  4. Bad breath = halitosis
  5. I have found cancer in half a dozen patients and pre-cancer in hundreds
  6. Smokers generally have poorer general health practices
  7. Smokers are in poorer health and take medications which compound dental problems

If you smoke or know a smoker there are many options out there to help you quit. Come in for an exam, let’s get your mouth healthy, and help you find the right solution to quit smoking.

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