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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 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 of the Week Utilizing Porcelain Veneers

January 11, 2017

u-11-b-temps-w-m

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

A Special Invisalign Offer Only You & Your Dentist Will Know About…

July 19, 2016

Invisalign.Before.After.Beauty.2invisalign-preferred-provider

 

 

 

 

 

 

 

 

Beautiful before & after Invisalign case for our Sacramento beauty!  If you have ever been interested in straightening your teeth but did not want to wear traditional wires & brackets, Invisalign could possibly be for you.  And now is a great time to schedule a complimentary consultation with Dr. Friedman & MOD Squad Dental as they are having an incredible offer now until September on Invisalign, Invisalign Teen, & Invisalign Express as a Preferred Invisalign Provider.

***Also take note that Invisalign results WILL NOT be the same at every office.  Here at MOD Squad Dental, your individual Invisalign results are determined by Dr. Friedman & his diagnosis after your 3-D Cad Cam Scan of your mouth.  This advanced technology allows Dr. Freidman to determine the best option for when & how he writes your prescription to Invisalign, & ultimately your end smile & bite results.  This compared to other offices that still take putty impressions for an Invisalign case falls short of your end result & precision of diagnosis & treatment plan.

Mention this post & receive an additional $1000 off a full Invisalign case, & $350 off an Invisalign Express case.  Call Jess or Julie today, 858-547-0070, to schedule your complimentary consultation.  The schedule is limited & we are now scheduling into August.

 

Why Oral Sedation VS. Nitrous (Laughing Gas)

June 25, 2015

Nitrous.Oxide.GasOral. Conscious.Sedation

 

 

 

 

 

 

 

 

Why Choose Oral Conscious Sedation vs. Nitrous (Laughing Gas)

After one of my patients had their dental procedures completed with Dr. Friedman at MOD Squad Dental under oral conscious sedation, he asked me to write an article to educate others as himself about oral conscious sedation vs. the popular offered Nitrous (Laughing Gas).  Lets just say he brought me flowers the next day after conscious sedation & stated on Nitrous at his previous dentist, he felt like he wanted to hide in a corner and very out of control.

It is proven that 92% of dental patients have some form of dental fear or anxiety.  This may be a fear of needles, claustrophobia, anxiety of the unknown, previously had to get several injections to get “numb” or the fact that they had a bad past experience and have no idea of the constant changing of dentistry procedures & techniques because of never returning to the dentist.

Oral Conscious Sedation

According to the DOCS, (Dental Organization for Conscious Sedation), only 1% of the dentists in the country are actually qualified in this type of conscious sedation dentistry.  Oral conscious sedation is a cocktail of medications that are made into a fine powder & placed underneath the patients tongue.  The patient is then asked to relax for 40-50 mins in our sedation suite.  A warm blanket, cool eye cover, massage chair & noise cancellation headset create a relaxed & comfortable environment.  The great pro of oral conscious sedation is the patient is able to respond to Dr. Friedman requests; open, close, or relax & then return to their sedated comfortable state.

Major benefits of oral conscious sedation;

  • It enhances effectiveness of anesthetic.
  • No needles.
  • Safe; It is considered safer than IV sedation &  general anesthesia, with low incidence & severity of adverse reactions
  • It decreases gagging.
  • It decreases joint and muscle soreness.
  • Low cost; MOD Squad Dental & Dr. Greg Friedman offer Oral Conscious Sedation for their patients complimentary with any dental treatment.  Dr. Friedman is more concerned about patient comfort vs. “padding your bill.”
  • Allows more treatment to be provided in less visits and less time in the chair.

Nitrous Oxide (Laughing Gas)

  • Unable to be given gas for an extended period of time compared to oral conscious sedation for long dental visits.
  • Harder to control the “comfort zone” for patients to feel relaxed vs. “out of control.”
  • Because of the nose being covered, patients who have difficulty breathing  through their nose are unable to utilize nitrous oxide.
  • If a patient tends to be claustrophobic, the covering of the nose tends to increase this feeling/fear.
  • Side Effects may include; increased anxiety, severe nausea, even neurologic problems; Mental confusion is a Nitrous Oxide side effect that is almost never mentioned, yet it happens with more frequency than many would like to admit. This mental confusion occurs as a result of the nitrous oxide causing Vitamin B12 Malabsorption by depleting the Vitamin B12 stored in the body. While most people have plenty of vitamin b12 stored in their liver, those who are at high risk for vitamin b12 deficiency:
  • The elderly
  • Vegetarians and Vegans
  • People with Pernicious Anemia

If you want more information about oral conscious sedation, phone Jess today at 858-547-0070 to discuss your sedation options.

Think All Dentists Are the Same? Think Again.

April 29, 2015

bad.root.canal Think all dentist are the same?

Think again…

Here at MOD Squad Dental we pride ourselves on always offering the latest technology, equipment, and dental materials.  This creates the most comfortable environment and dental procedures our patients know they can count on to be top notch.

I came across this photo of two root canals.  The fills (white lines) should run down the tooth root…not out the side of it.  You may also see the white line about 2 inches on the tooth to the right.  This is a root canal file that has been broken off and left in the bone surrounding this tooth.

We know as dental professionals, 90% of the population do not like visiting the dentist.  This is the reason we are determined to change the minds of our patients one visit at a time.

My reason for this post…..We referred a patient to our Endodontist (root canal specialist) for a root canal.  I was then asked by his wife why did we refer to a practice that was not “in-network” with their dental insurance.  Simple….Or first priority is the patient…We refer to the Endodontist based on that particular doctors expertise, and continued excellent reports of their five star customer service not based on who your insurance may or may not cover.

If you have been told you need some major dental treatment…do your research.  It will benefit you in the long run.

 

 

 

Invisalign-San Diego, MOD Squad Dental

April 27, 2015

S.B.before.after.invisalignInvisalign…..

Only you & Dr. Friedman will know your in braces…

This patient wanted a straighter, wider smile.  As a busy mom & business women she & Dr. Friedman agreed upon Invisalign.  Invisalign straightens the teeth with a series of clear aligners worn 24/7.  This treatment enables the patient to brush and floss normally and also gives them the freedom of not wearing wires & brackets.

If you are interested in the many options of Invisalign for adults & now teen Invisalign, phone Jess today for your complimentary digital 3-D scan to see if Invisalign is an option for you.

Dental Reconstruction-MOD Squad Dental

March 26, 2015

R.M.before.after

Shoes are Different Sizes for a Reason…..Update

We saw this gem of a patient again today.  We could not wait until the end of her dental journey to post some pictures of her treatment…above is her before treatment photo along with her temporary restorations on the upper 10 teeth.  She will be seeing our oral surgeon for placement of 3 implants and then back to Dr. Friedman to place all of her final porcelain restorations.

If you read the beginning of her story, you are aware that this patient was told she needed to have all of her teeth extracted (23 teeth), and dentures placed because of severe decay and bone loss.  Her daughter encouraged her to see Dr. Friedman for a second opinion.  To make an almost sad story, happy, Dr. Friedman only recommended 3 teeth be extracted and replaced with 3 dental implants, upper and lower porcelain restorations consisting of porcelain crowns and veneers.

As you can clearly see from this beautiful smile, she is over the moon with her results so far and look forward to the end of these procedures and enjoying the quality of life she so deserves.

If you are interested in this or any cosmetic dental procedure and would like an educated opinion of your options, phone Jess today 858-547-0070 to reserve an appointment.

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