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Preventing and Tackling Dental Implant Infection

May 31, 2019

Filed under: Scripps Ranch Cosmetic Dentistry — Dr. Greg Friedman @ 4:01 pm
person speaking to dentist

Whether you have dental implants, or are looking into getting them, infection is an important topic to know about. The most common type of infection for patients is called peri-implantitis, a gum disease that results in bone loss and implant failure. Spotting the signs early can decrease the impact it can have on your oral health. There’s no need to fret though, dental implant infection can be treated! Read on to learn common symptoms to keep an eye out for, and what can increase your risk of implant failure.

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An Oral Cancer Screening: Another Reason to Visit the Dentist Regularly

April 29, 2019

Filed under: Scripps Ranch Cosmetic Dentistry — Dr. Greg Friedman @ 8:24 pm
oral cancer words

As most of the country finally enters spring, April is a time to celebrate new beginnings, enjoy warmer weather, and prepare for summer adventures ahead. However, April is also an important month for your health—it’s Oral Cancer Awareness Month. As serious as this disease is, would you believe that one little oral cancer screening can mean the difference between life and death? If it’s been a while since your last dental appointment, take the opportunity this month to go in for this short but crucial service that your dentist can do for you.

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Answering Botox FAQs in San Diego

March 25, 2019

Filed under: Scripps Ranch Cosmetic Dentistry — Dr. Greg Friedman @ 8:39 pm
woman Botox shot

With time and exposure to stress and other environmental factors, your face can begin to show signs of aging. Wrinkles can replace the youthful appearance your skin once had and can impact your self-confidence. Well, Botox is one solution that can restore your face’s glow. But did you know that your dentist may be able to administer Botox for you? As an expert in orofacial structures, they are the perfect person to help you get rid of your facial wrinkles. What else don’t you know about Botox? Here are some common Botox FAQs in San Diego and helpful answers.

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What Causes Gum Recession in San Diego?

February 28, 2019

Filed under: Scripps Ranch Cosmetic Dentistry — Dr. Greg Friedman @ 8:07 pm
teeth gum recession

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

What to Do with a Broken Dental Crown in Scripps Ranch

January 13, 2019

Filed under: Scripps Ranch Cosmetic Dentistry — Dr. Greg Friedman @ 10:01 pm
woman tooth pain

Maybe you were chewing ice again, even though you know you shouldn’t. Maybe you were playing basketball with your friends, and things got a little too aggressive. Maybe you weren’t doing anything at all, yet it still happened. Regardless of the reason, dental crowns can come loose or fall out. What should you do in that situation? What can the dentist do for you? Answer your questions about a broken dental crown in Scripps Ranch here.

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4 Ways to Maintain Oral Health in San Diego This Holiday

December 9, 2018

Filed under: Scripps Ranch Cosmetic Dentistry — Dr. Greg Friedman @ 7:48 pm
A woman celebrating and holding a wine glass.

Are you juggling multiple holiday parties this winter season? With so many reasons to celebrate, it can be easy to let the most important aspects of your health go to the wayside. But just because you plan on attending holiday parties doesn’t mean your oral health has to be sacrificed. By making small and smart decisions here and there, you can prevent excessive plaque development and maintain oral health in San Diego. You can also prevent stains on your smile, which may be especially important to you if you plan on being in a lot of photos.

Here are four ways to get started.

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Having Trouble With Your Denture? Ask a Dentist for Help!

November 7, 2018

Filed under: Scripps Ranch Cosmetic Dentistry — Dr. Greg Friedman @ 6:11 pm
A top arch denture.

Dentures are ideal for individuals trying to replace many teeth at a time at an affordable rate. However, you truly are getting what you pay for when it comes to tooth replacement through this method. Dentures do make it much easier to smile and eat foods compared to not having teeth at all, but they require regular maintenance to make basic tasks possible. If you aren’t sure if it’s time to replace dentures or want to learn more on why replacing them is important, you’ll want to keep reading this post from a dentist.

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How Long Do Porcelain Veneers in San Diego Last

October 15, 2018

Filed under: Scripps Ranch Cosmetic Dentistry — Dr. Greg Friedman @ 10:45 pm

woman with bright smilePorcelain veneers in San Diego can last up to 10 years with only minimal care. This makes them a great option for people struggling with stained or discolored teeth. Veneers are paper-thin yet strong and exceptionally beautiful.

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Dentures, Bridges and Dental Implants in San Diego – What’s the Difference?

August 10, 2018

Filed under: Scripps Ranch Cosmetic Dentistry — Dr. Greg Friedman @ 8:01 pm

Model of an implant in a lower jawTrying to decide on the best way to replace a missing tooth can be an overwhelming experience. There’s so much information out there about your options, but it can be nice to simply see a comparison of them all in one place. If that sounds like it would be helpful, you’ve come to the right place. In this blog, you’ll learn about the key differences between dentures, bridges and dental implants in San Diego so you can make a more informed decision about which one is right for you!

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