.

Dr. James D. Reese
1876 Butler Pike
Conshohocken, Pennsylvania 19428  

Email: JReese1213@aol.com
Phone: (610) 825-1858
Fax: (610) 825-0722

Problems:

Dry Mouth In Seniors

Poorly Fitting Dentures

Halitosis (Bad Breath)

Lost Teeth Impact Total Health

Diet and Dental Health

Discolored Teeth I

Discolored Teeth II

 

Gum Disease

Infections in joint replacements

Mouthguards

Easy to see Dental problems

Periodontal Disease - Silent and Deadly

Poor self-image, resulting in low self-esteem

Stained, broken, worn, or crooked teeth

Dental disease during pregnancy

 

Problem:
Dry Mouth In Seniors

Solution:
Topical fluoride rinses
  More seniors today have retained their own teeth, avoiding the trauma of removable dentures.  Many are on medications creating dryness of the mouth as a side effect. Without the natural benefit of saliva to decrease bacterial action, we see an increase of cavities on the root surfaces of these patients.  

Anyone on a medication causing a dry mouth should be encouraged to see their dentist for regular dental cleanings and topical fluoride rinses.

For more information regarding dental problems of the elderly, please call our office.

                                        

HALITOSIS  (Bad Breath)

Lots of patients share concern about bad breath.  As a social embarrassment, it's surely near the top of the list.  Since mouthwashes won't eliminate the problem, let's look at some possible reasons for the condition.

Certain foods, such as onions, garlic, and spices will cause temporary bad breath.  Some medical and systemic problems, such as sinusitis, can also contribute.

But most causes are local in nature.  Bacteria, plain and simple, are the culprit.  Bacteria do their work in the mouth, lungs, sinuses, and stomach.  In the oral cavity, bacteria cause gum disease. 

This infection is so prevalent today, it's the first dental problem we suspect when it comes to halitosis.  With a thorough hygiene program, there is a chance to control gum problems and this particularly awkward side effect.

Less-than-pristine dentures or bridgework are also a source of odor.  Decay can be another culprit along with "dry mouth" syndrome (a lot of older people are prone to reduced saliva flow).  For more information regarding bad breath, please call our office.

Problem:
Poorly Fitting Dentures

Solution:
Patients should have their dentures checked at least once a year.

Many denture wearers breathe a sigh of relief when they get their first pair of dentures, because they think their dental problems are over.  What they soon realize, however, is that they have just traded some old problems for new ones. 

Even the best dentures can't compete with natural teeth in ability to chew food efficiently and comfortably.  As the years go by, the supporting ridges that remain after teeth have been removed gradually change and get smaller.

For most patients, the dentures need to be "relined" or "refitted" every 2-4 years so that the denture will conform to the changing ridge.  A large change in weight can also alter the shape of the mouth, causing changes in the fit.

If you have questions about your dentures, please call our office.

Problem:
Lost Teeth Impact Total Health

The loss of natural teeth is far-reaching and cannot be resolved by dentures. (Is blindness resolved by inserting glass eyes?)

Solution:
Keep Teeth

In the past, the loss of teeth was dismissed as a natural part of the aging process, and dentures were considered a normal sign of old age. While such ignorance is rapidly becoming a thing of the past, there is still not a general awareness of the seriousness of edentulism. Multiple tooth loss is most commonly caused by periodontal disease, i.e.. gum and bone disease. Periodontal disease has a high statistical correlation with chronic debilitating disease, such as diabetes, cardiovascular disease and arthritis. So it is not very surprising that studies now show a shortened life expectancy by as much as 10 years for persons who have lost their natural teeth, when compared to those who have kept their teeth.

In addition to longevity, quality-of-life differences are just as significant. The functional efficiency of dentures has been measured to be only 20% of that of natural teeth. Can there be any doubt that nutritional deficiencies will be much more prevalent in those without their natural teeth? Loss of teeth often causes a feeling of loss of wholeness and a sense of deterioration and aging. Given these factors, preservation of the natural teeth is integral to whole-person wellness.

Diet and Dental Health

Diets low in certain nutrients reduce resistance to oral and dental infections, that is, periodontal disease (gum disease) and decay. A healthy immune system is essential to controlling periodontal disease.

Counseling in the Four Basic Food groups will improve dental health and general health. The consumption of sugar, especially in sticky forms or in a baby bottle while sleeping, contributes to the rapid development of dental decay.

The trace nutrient fluoride, may not be adequately supplied by bottle or municipal water supplies. Supplementation with oral tablets and topical application will reduce the incidence of dental decay by more than 60%.

Together, a balanced diet, daily use of fluoride, effective brushing, and sensible eating habits can reduce the risk of, or even prevent, infectious dental disease.

Please don’t hesitate to call our office if you need more information on diet or fluoride supplementation and its relationship to dental health.

Problem:
Discolored teeth

Solution:
Bleaching

We all lead with our smile. Your smile brightens up each person you meet. Are you happy with your smile?

One question I ask my patients is: "What would you do to your mouth if you had a magic wand?" Nine out of ten tell me they would like whiter or brighter teeth.

Is there a solution?

The answer is yes. Many times the process is relatively simple. Bleaching teeth, through treatment in the office and/or by home bleaching techniques, has worked wonders for many patients.

So, if you could use help in brightening your smile, please don't hesitate to call our office. I am always dedicated to achieving a healthy smile.

Problem:
Discolored Teeth

Solution:
Adhesive Dentistry

For over 100 years, dentistry has restored teeth primarily with a material made of mercury and silver. It has done its job well, although we have had to live with its weaknesses. Those weaknesses consist of cracking teeth due to expansion of the material, and restorations turning black as the silver in the material corrodes.

Now, we have many ways to provide tooth-colored restorations. We can use adhesives to bond tooth parts that look and act like teeth. We can provide a bright, healthy and strong smile with these exciting new techniques in adhesion dentistry.

Please don't hesitate to call me personally if you have any patients who you believe would benefit from these advancements. Together, we can bring a smile back to your face.

Problem:
Gum Disease

Solution:
Detecting Early Symptoms

The American Dental Association says that over 75-80% of all adults have or will have some form of gum disease

Gum disease, or more correctly called "periodontal disease", is a bacterial infection in the gums and supporting structures of the teeth. It can be divided into several categories.

The first stage is called "gingivitis" and is characterized by gum tissue that is red, puffy, and bleeds easily when touched with a toothbrush, floss or dental instrument.

The second, third, and fourth stages are initial, moderate, and advanced "periodontal disease", respectively. These stages are different from gingivitis because the infection has destroyed the bone supporting the teeth, causing eventual tooth loss. The treatment is more involved at these stages, usually consisting of a special cleaning with anesthesia and sometimes gum surgery.

Problem:
Infections in joint replacements can be instigated by severe tooth and gum infection.

Solution:
Thorough dental examination for presence of tooth and gum infection prior to joint replacement.

Periodontal disease is a commonly occurring oral infection of the adult population (80% of adults are affected) destroying the bony support of the teeth. This infection slowly progresses over the lifetime of the patient and is often manifested in the advanced stage in the senior population. Because of the lack of any discomfort to the patient until total loss of bony support to the teeth, many adults are unaware that they have this infection. However, the bacteria from this bone destroying disease, especially in the more advanced cases, has been attributed to possible infection of joint replacements.

Candidates for joint replacements who have not been seen by a dentist in over a year should be considered for a thorough dental evaluation of their teeth and gums before surgery. Depending on the severity of the infection, treatment of gum infections and tooth abscesses may take from two weeks to two months before the patient reaches adequate health before surgery.

If you have any questions about infection in joint replacements, please call our office.

Mouthguards

Why should you wear a mouthguard? While mouthguards are not mandatory equipment in all sports, their worth is indisputable. Mouthguards cushion blows to the face and neck. A mouthguard should be part of every athlete’s gear, no matter the sport. Even adults or weekend athletes need to protect their smile and preserve their health.

Do: Wear a mouthguard at all times when playing sports. Wear a mouthguard custom-fitted by your dentist, especially if you wear bridges or braces.

Don’t: Wear removable appliances like retainers when playing sports.

There are two types of mouthguards:

Custom-made: Designed by a dentist and made on a cast of your teeth. These cause very little interference with speaking or breathing. They provide the best protection and fit over braces and fixed bridges. They also cost more.

Ready-made: Purchased at most sporting goods stores. They are the least expensive, the least effective, and least comfortable.

Please call our office if you would like to "play it safe!" and wear a comfortable mouthguard and protect your teeth.

Problem:
Some dental problems are easy to see!

Solutions:
See the dentist!

One of the easiest problems to spot is a build-up of plaque. Plaque is the soft, sticky layer of bacteria, which is constantly forming on the teeth. Usually it is invisible to the naked eye, but when a person is not brushing adequately, it can build up to where it appears to be a thick whitish coating on the teeth at the gum line. If not removed, it can lead to gum disease.

Another potential problem, which is easy to spot, is missing teeth. Many patients assume that if they are still able to eat, they are O.K. But very often, losing just one tooth can lead to the loss of support, and teeth begin to drift into the empty space, causing a change in the bite. It also forces the remaining teeth to carry an additional load, sometimes past their ability to adapt. In most cases, when even one tooth is lost, the remaining teeth suffer and are more likely to be lost as well.

We specialize in the treatment of problems such as these. Call our office for the care you need.

Problem:
Periodontal Disease - Silent and Deadly

Solution:
Care and Concern with the Dentist’s Help

Periodontal disease can go on for years without pain and without detection unless specific examination procedures are performed. Visual oral examination by itself (even by a dentist) will not reliably detect periodontal disease until it has reached an advanced stage.

Early detection and adequate diagnosis require measurement of pockets (the crevice between the tooth and gum) with a periodontal probe. Effective prevention and treatment is available, but the damage caused as the disease progresses is irreversible.

Early detection and treatment is critical to prevent tooth loss and disfigurement. Although the procedure is simple, painless and requires only a few minutes, millions of American adults have never had it done.

Signs of periodontal disease - bleeding gums, redness of gum tissue, swelling of gums around the teeth, breath odor, receding gums, mobility of teeth.

Problem:
Poor self-image, resulting in low self-esteem.

Solution:
A Proud Smile Helps

The appearance of the teeth has a dramatic effect on both the person's attractiveness to others and on their own self-image and self-esteem. Studies have shown that a person's appearance will have a strong effect on their social and career success, by influencing how others perceive them.

While the appearance of the teeth is one of the most important contributors to facial beauty, it is also probably the most often neglected when improvements to appearance are sought. A person with low self-esteem connected to their facial appearance, can often be greatly helped by cosmetic dental procedures.

Dental make-overs have become more common, less invasive, and more effective in correcting deformities and cosmetic dental problems. The effect of these procedures can be nothing short of dramatic both in terms of appearance and also in terms of correcting, at least partially, personality deficiencies caused by poor self-image. Ugly teeth are no longer a matter of fate; they are now becoming a matter of choice.

Problem:
Stained, broken, worn, or crooked teeth

Solutions:
Porcelain Veneers

Porcelain veneers are often used for the same reasons as bonding (to lighten stains, close gaps and even alter crooked or malformed teeth). They are considerable more durable and stain resistant than bonding.

The veneer is actually a thin piece of porcelain similar in size to a fingernail. Once it is "bonded" onto the tooth it becomes extremely strong. It also blends in with the remaining tooth structure so that it is unnoticeable to the naked-eye. Once in place, it looks, feels, and functions just like a regular tooth.

Porcelain veneers can be utilized to change the shape and color of a single tooth or if necessary, revamp an entire smile. Porcelain veneers can also be used to correct teeth that have been worn from clenching and grinding.

Please call for a free cosmetic consultation. You may ask any questions you have about the benefits of porcelain veneers.

Problem:
Dental disease during pregnancy

Solution:
A dental evaluation and preventive dental care

Many mothers have experienced gum disease, dental pain and/or tooth extraction during or shortly after their pregnancy. This is often seen as being a "normal" side effect of being pregnant. However, dental disease, which is an infection of the teeth and/or gums, is not "normal" for any patient.

There are three basic events that happen during pregnancy which make the patient more susceptible to dental disease. First, hormonal changes may make the gums more susceptible to gum disease. Second, pregnant women tend to eat smaller, more frequent meals, exposing their teeth and gums to sugars and acids more often. Third, cravings for "junk foods" and inadequate oral hygiene pose an increased threat to the teeth and gums.

Pregnant women should be advised to schedule a dental evaluation and receive preventive dental care. Personalized oral hygiene instruction should also be given to fight disease and promote overall good health for the mother and her baby.

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