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The Truth about Baking Soda & Teeth Whitening…

February 12, 2019

Patients ask us about various topics all the time. As their doctor, and an
expert, we really want to feel comfortable answering those questions
with accurate information. I’ve received several questions from dentists
about the use of baking soda (sodium bicarbonate) as an alternative to
commercial toothpaste, and especially regarding its claimed ability to
whiten teeth.  Obviously, these dentists have been asked these same
questions by their patients, who’ve seen wild claims all across the
internet. As a consequence, I took a look at the claims on the Internet
about baking soda. To say I was blown away with the inaccuracy
(including some articles written by dentists) is an understatement. So
I thought the following information may be of help to you. Search the
Internet regarding brushing your teeth or whitening your teeth with
baking soda, and among other ridiculous things, you’ll routinely see
the claim that baking soda is VERY abrasive to use on your teeth –
so if you use it, don’t use it every day. Absolutely wrong! These
statements are not only wrong, but they’re pretty much as wrong as
you can get. Baking soda (the stuff in the box in the super market) is,
by far, the lowest abrasiveness of anything you would ever brush your
teeth with. Here’s the problem – non-scientists writing articles based
on assumption, and not proven fact. And once ONE person writes
something, others quote him or her. Then when you have several
people saying that same [false] thing, people state it and believe
it as fact. After all, if enough people say the same thing, it must be
fact, right? Wrong! And the most disconcerting thing for me is that
some of these articles have been written by dentists, who also simply
read what others said on the internet, so they too assumed that
baking soda is excessively abrasive. Why do so many people
“assume” baking soda is extremely abrasive? It’s because the
particles are large and have sharp edges, so it “feels” gritty when
you touch it. Below on the left you see a microscopic photo of
baking soda particles. Notice how they have edges and corners.
Below on the right you see silica particles, which would be the
most common abrasive in toothpastes. Notice how rounded and
smooth the silica particles are. But also realize that the baking
soda particles are much, much larger than the silica particles.
Baking soda particles can be as much as 15 times larger than silica
particles in toothpaste.
So what’s the difference? Silica particles are much, much harder than
baking soda particles. When you forcefully rub two hard objects
against each other, the harder object will have almost zero damage,
and the softer object will be greatly scratched and damaged.
For example, a diamond is a hardness of 10 on the Mohs Hardness
Scale, and glass is rated at 5. So diamond is two times harder than
glass. Well, that’s not exactly true because the Mohs Hardness
Scale is an ordinal scale, so there is no data on how much difference
there is between the numbers. But you already know if a diamond is
firmly rubbed against glass, it will scratch the glass, but the diamond
will not be damaged. Mohs Hardness of materials (remember this is
an ordinal scale, so there is no mathematical formula of consistent distance between each number):Tooth enamel = 5Tooth dentin/root = 3Baking
soda = 2.5Hydrated silica in toothpaste = 5-7Baking soda “feels” much
more gritty than regular toothpaste (which usually has hydrated silica
as the abrasive) because the particles are larger, and the edges are
rough. Whereas silica particles are more round, smooth, and many
times smaller. So baking soda “feels” more abrasive – but it’s not. 
The fact is that Baking Soda, being much softer than tooth enamel,
and very slightly softer than even tooth dentin, will not create much
damage (abrasion) to the tooth. The American Dental Association has
published their RDA (Relative Dentin Abrasivity) to measure the
abrasiveness of various toothpastes. The RDA abrasiveness categories
are:Low 4-70 (plain water is 4. Baking soda is 7.)Medium 70-100High
100-150Harmful 150-250 The FDA limits abrasiveness to a maximum
of RDA 200. Get this…the RDA of Arm & Hammer baking soda is only 7.
Whereas the most typical tooth paste will be in the 70-100 range with
many far above that. THAT is how gentle baking soda is, as far as
abrasion to your teeth. Of course, keep in mind that commercial
toothpastes that claim to be baking soda toothpastes also contain other
abrasives. So using baking soda in the commercial toothpaste may
be thought of as somewhat of a marketing gimmick to get you to buy
the toothpaste. This means you can brush your teeth with more paste
and for a longer time if you’re using straight baking soda mixed to a
paste with only water. That alone will help physically remove more
bacteria and more stain. Why? Stain will typically be softer than baking
soda, so, though baking soda will not cause much abrasion of your teeth,
it’s still hard enough to scrape off many types of stain from your teeth. 
The main problem with using straight baking soda/water paste? No
fluoride. And of course, baking soda is harder than gingival tissue, so
brushing longer may cause gingival abrasion and recession over time.
So there’s good and bad here.
Baking Soda to Whiten Your Teeth
So now let’s talk about the ridiculous claim that brushing with baking
soda will whiten your teeth. This is simply wrong…period! There has
never been any scientific study that even hints that baking soda may
whiten your teeth.
 
Of course, if you’re talking about using baking soda to simply brush
with to remove stain from the surface of your teeth, then yes, baking
soda will do that, just like any other toothpaste in the world. But does
it have any other chemical or other means of any kind that will “whiten” your teeth? Absolutely, positively not!
But now….the REALLY DANGEROUS information.
Of course, all dentists know how acid ravages tooth structure. When you do an Internet search of whitening your teeth with baking soda, often
you’ll find instructions to add lemon juice, apple cider vinegar or some
other acidic ingredient along with the baking soda. And you already
know what a bad idea THAT is! 
But wait…it gets even worse…
You’re mixing baking soda, which is at least somewhat abrasive, and acid together. Gee, doesn’t that remind you of microabrasion products that
we dentists use on teeth to remove the surface of tooth structure – such as removing surface dark or white spots? Possibly the most popular
microabrasion product out there is Ultradent’s Opalustre. It’s an excellent product. It has hydrochloric acid mixed with silicon carbide
microparticles. The acid SOFTENS the surface tooth structure, which
the abrasive particles quickly remove. Mixing baking soda and lemon
juice or apple cider vinegar will do exactly the same thing, but on a
less aggressive scale. When thinking about patients doing this
continually over time, this is the perfect way to wear away their tooth
structure. And the thing that really kills me is that most using this
technique falsely believe it’s a very safe and “natural” way to whiten
teeth. Yeah, sure! “Natural” like a rattlesnake bite! But it’s one of the
worst, most ineffective, and especially permanently damaging things
you can do to your teeth.
Dr. Rod KurthyFounder/CEOEvolve Dental Technologies, Inc.

Thanks Dr. Kurthy for a great informative article…
~ Dr. Greg Friedman

MOD Squad Dental is Changing the Dental Implant Process for the Better with PRF

November 28, 2017

Dr. Friedman & his team are taking dentistry to the next level by adding the revolutionary technique of PRF (platelet rich fibrin) to his dental implant procedures, & extractions. PRF accelerates the healing process, decreases surgical pain & swelling for dental implants and tooth removal. PRF also improves the strength of bone surrounding Dr. Friedman’s implants after placement.

Instead of using man-made or cadaver bone after an extraction or in preparation for a dental implant, Dr. Friedman draws one vial of blood, similar to taking blood for a routine physical. The use of, PRF, protects the bony surgical site from infection, accelerates the healing process & decreases pain after a procedure. PRF is 100% natural with no additives or preservatives. The blood is drawn immediately prior to the procedure normally while the patient is getting numb for the surgery. The blood is then put into a centrifuge at 2700 rpms for 13 minutes. After 13 minutes, the blood is separated into 3 layers; clear liquid or plasma layer, red layer rich in red blood cells, & a yellow thick layer which is the PRF layer.

The PRF Layer is a yellow & thick jello-like biologic material derived from the patients’ blood. The PRF layer is rich in fibrin, platelets and growth factors. PRF is a much better alternative to sending a tooth removal patient home with an unfilled bony extraction socket or implant site.

If you have questions about this procedure or would like a complimentary consultation for dental implants or extractions with PRF, please call Jess today, 858-547-0070.


Experience Does Matter With Dentistry at MOD Squad Dental

July 12, 2017

Example 1 of an implant placement to replace this front tooth #8 with Dr. Greg Friedman

Example 2 of a new patient we saw this week in the office with several implants including front teeth, #8, & #9

Often patients call our practice asking, “How much do you charge for dental implants”?  We, for the very reason illustrated in the two radiographs above do not quote fees over the phone.  My best advice to patients seeking a dental professional for minor or extensive dentistry is to do your research.

Do not just make your decision strictly from a quoted cost you received over the phone.  Experience does matter when it comes to dentistry.  From the materials used to the education of the dentist.  Just because a dentist claims to be a specialist for a particular procedure does not mean they are.  As proven in the above second radiograph completed by a “dental implant specialist”.  Use your online resources wisely.  Sites such as Yelp & Google are great tools to research a dentist and his/her practice.  But buyer beware!  “Just the other day I saw a “dental implant specialist” that had two Yelp accounts.  One with 2.5 stars and right next to it a new Yelp account under a different name with 5 stars for the same “dental implant specialist”, stated Dr. Friedman.  Both accounts do show next to each other when searching this particular practice.  This for example is something to be aware of and notice.

Our patient above has not or will not ever need a removable “flipper” or appliance at all during his implant process unlike other practices.  This puts our patients at ease and comfortable while going through the implant process.  At Mod Squad Dental, not only are our doctors looking for the implant placement to be functional but also aesthetically pleasing as if it were a real tooth.

If you have questions about replacing missing teeth or dental implants, call Mod Squad today for your complimentary consultation…

Because experience does matter!!!

MOD Squad Dental Welcomes Dr. Kory Grahl to our Dental Home

June 21, 2017

Dr. Friedman would like to introduce a new bright smile that will be gracing the halls of MOD Squad Dental, Dr. Kory Grahl, DMD.
Because of the continuous increase of new patients and MOD Squad Dental never settling for less than 5 star customer service and treatment, Dr. Friedman would like to welcome Dr. Grahl as a new member to our dental family. Dr. Grahl will be accepting new patients as well as seeing our existing patients that would benefit from our new expanding days and/or hours.

Born and raised in San Diego, California, Dr. Grahl graduated from Rancho Bernardo High School with an undergraduate degree from Western New England University in Springfield, Massachusetts. Dr. Grahl played NCAA Division III Ice Hockey, serving as team captain his Junior and Senior year leading their team to their first playoff victory in 20 years. He then continued on to the University of Nevada Las Vegas School of Dental Medicine, finishing top 5 in the class, graduating with honors, Cum Laude, and inducted into Omicron Kappa Upsilon Honorary Dental Society.

Outside of our dental home, Dr. Grahl enjoys being active in the community with ice hockey, anything outdoors, and looks forward to his upcoming wedding in the summer of 2018 to his beautiful finance’, Rachael.

“With the expansion of our practice, I have been searching for the perfect fit for an associate dentist. Kory exudes the kindness and bedside manner I want my patients to experience when visiting MOD Squad Dental,” Dr. Greg Friedman shared.

Mod Squad Dental Live on Facebook Picking Winner for their Spring Social Media Contest

May 3, 2017

 

Watch Jess, Julie, Michelle & a surprise visit from Dr. Friedman as the squad goes live on Facebook to announce the winner of their Spring Social Media Contest.

A referral by an existing patient is the highest form of flattery to our practice.  89% of our new patients are from referral of our existing dental family.  We believe in showing appreciation to our patients by hosting several contests through out the year.  This Spring we were excited for our Social Media contest and our patients that participated simply posted on their social media page how much they loved our practice or something special that keeps them coming back.  We went live on Facebook to choose the winner of 2 complimentary nights at the amazing San Diego Hard Rock Hotel all accommodations included!!

Check out the call with the link below and check back for your opportunity to enter our next fun and exciting contest to show just how much we appreciate our dental patients.

https://www.facebook.com/modsquad.dental

If you or your family are in need of a new dental home, call us today, 858-547-0070, and find out why patients LOVE our squad and Dr. Friedman so much!

MOD Squad Dental and Dr. Friedman Featured in San Diego Magazine as 2017 Top Dentists

April 4, 2017

 

CONGRATULATIONS TO DR. FRIEDMAN & HIS TEAM AT MOD SQUAD DENTAL FOR BEING FEATURED IN SAN DIEGO MAGAZINE’S 2017 TOP DENTIST FOR COSMETIC & FAMILY DENTISTRY RELEASED TODAY!!!

Thousands of dentists & dental specialists in the San Diego metropolitan area were asked to vote on who they thought were the TOP DENTISTS of 2017 based on years of experience, continuing education, manner with their patients, use of new techniques & technology in their practice, and of course, physical results.

Based on the thousands of detailed evaluations of these dental professionals, we are proud to say Dr. Friedman & his extraordinary team are featured in the April 2017.

Pick up your copy today & find out why Dr. Friedman & his squad maintain 5 stars on Yelp, Google+, Judy’s Book, & A+ rating on Angie’s List.

Dr. Friedman & his team are always accepting new patients into their dental family. Call today 858-547-0070, & schedule your visit with the best of the best for today’s dentistry.

Featured Smile Make-Over & the Hardest Procedure for all Cosmetic Dentists

March 1, 2017

T.Quinn.u.4.b.a.

T. Quinn _ Upper.4.before_12-02-15T. Quinn _ Finals_02-27-17_0000

 

Facts About Dr. Friedman’s Porcelain Crowns & Veneers & Our Featured Smile of the Week Featuring the Hardest Procedure for all Cosmetic Dentists…

This patient came to us with three existing root canals as a youngster. Three of his upper four teeth were damaged in an accident when he was younger. After the three root canals were completed as a child, the teeth turned grey. This is normal with root canals because the tooth is basically dead from the removal of the nerve inside the root of each tooth. Bonding was placed when he was younger & now that he is grown & his face has matured, the patient is ready for a more permanent, natural procedure for his smile.
Dr. Friedman placed three upper full coverage porcelain crowns with his unique “blocking out method” to block the grey tone of the patient’s root canal teeth & one porcelain veneer giving this patient a natural smile all while saving his natural teeth in the process.  This is the most difficult for cosmetic dentists using the latest in porcelain restoration materials because the best porcelain materials are translucent.  Without Dr. Friedman’s “blocking out method” the dark tone of the root canal teeth would show through usually not matching the veneer tooth to which the root is much lighter in shade because of no root canal.  As you can see, this “blocking out method” worked beautifully and his upper four teeth match the rest of his smile that we whitened before the porcelain was placed with our in-office, Zoom teeth whitening procedure.
 
~Fact 1) Dr. Friedman is able to change your smile shape, tooth color, smile width, & straighten teeth in as little as two visits with porcelain restorations. Bonus: The porcelain restorations Dr. Friedman uses will never, change color, shape or size, no matter how much RED Wine you drink…..EVER!
 
~Fact 2) Dr. Friedman uses Cad Cam 3-D technology to build your porcelain restoration/s for the perfect fit that feels & looks just like your natural teeth. Bonus: (No messy impressions for your crown, veneer or porcelain restorations)
 
~Fact 3) Dr. Friedman uses the strongest porcelain material available to state of the art dentists that are free of all metals often used by other dentists. Bonus: (No grey lines showing at the gumline, & your crowns & veneers will not “glow” in photos like metal filled crowns do, but they will blend with your natural teeth in your smile line making for great photos every time)
 
~Fact 4) Dr. Friedman is so confident in his technology, materials, & skilled workmanship, MOD Squad Dental offers a warranty to all their patients after treatment.
Bonus: Think this one speaks for itself!
If you are interested in any general, cosmetic, orthodontic, or restorative dental procedures, including dental implants, call Jess today to reserve your complimentary consultation 858-547-0070.
 
#ModSquadDental #modsquadfocus #bestcosmeticdentistsandiego #porcelainveneerssandiego #experiencematters #SmileMakeOverSanDiego @ModSquadFocus

Dentist in Scripps Ranch, CA offers The Wand

January 24, 2017

Afraid of needles and syringes? Don’t be! Dr. Friedman, an innovative dentist in Scripps Ranch, CA uses The Wand instead.You’re enjoying a well-earned breakfast with your family at Nutmeg Bakery and Café and you can’t wait to dig into their famous brioche French toast you come back for time and time again. You take that first bite – expecting everything to be delicious – but instead of enjoying the great taste, you see stars from a sore tooth. You finally admit it – this tooth has been hurting for way too long. But, just the thought of having any dentist in Scripps Ranch, CA use a syringe to numb your sore tooth before they actually fix the problem makes you break out in a cold sweat. What can you do? You can see Dr. Friedman at Mod Squad Dental since their team uses The Wand, a new technology that makes painful syringes a thing of the past.

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Featured Smile of the Week Utilizing Porcelain Veneers

January 11, 2017

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This is when you know #ExperienceMatters

We could not wait to share this groom’s new smile. With his upcoming wedding, he is thrilled to be “test driving” his temporary veneers this week. Yes!! They are his TEMPORARY veneers!! He is very tall but has worn his teeth very flat. With these amazing temporary veneers, there is no guessing what his final porcelain veneers will look like. We will be tweaking a couple edges & curves in the finals. We can not wait to share those photos soon. Remember a smile should be like a fingerprint…each different…never the same!

If you or someone you know is interested in cosmetic dentistry, or would like to discuss their options, call today, 858-547-0070, and reserve your complimentary consultation with Dr. Friedman and his squad at MOD Squad Dental.

#ModSquadDental #DrGregFriedman #SmileMakeoverSanDiego #PorcelainVeneersSanDiego

Featured Smile of the Week & Procedure with MOD Squad Dental ~ Braces

August 31, 2016

 

Before & After smile after completing braces with Dr. Greg Friedman, & MOD Squad Dental

Before & After Smile After Completing Braces with Dr. Greg Friedman, & MOD Squad Dental

FEATURED SMILE & PROCEDURE OF THE WEEK….BRACES 🙂

Someone got their braces off this week!!!!  Such a beautiful smile after removing the braces off this lil’ beauty.

Still the most common & most conservative way to straighten, & widen a patient’s smile is with traditional orthodontics.  Dr. Friedman offers a different approach with his traditional orthodontic cases that has the patient in braces for less time & without getting any teeth extracted.

If you are interested in the several orthodontic procedures that Dr. Friedman & MOD Squad Dental offer, call Julie today to schedule your complimentary consultation. 858-547-0070

#modsquaddental #drgregfriedman #bracessandiego #bracesscrippsranch #experiencematters

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