New and Better Product availabilities at our office for diagnosing decay, cavity problems and oral cancer.

1. Photo Album by Linda

3. Velscope Our velscope examination is an intraoral cancer screening that is routine care in our office. Oral cancer has a 60% survival rate over the course of 5 years

4. Velscope The light looks underneath the skin and checks for any areas that look abnormal

5. Velscope intraoral cancer screening Oral cancer is on the rise in 18-40 year olds because of the HPV Visual cancer screening is performed at each routine cleaning visit

6. Visilite Oral Cancer Screening Oral Cancer THE DEADLY STATISTICS Every hour of every day, one American dies of oral cancer. The mortality rate associated with oral cancer has not improved significantly in the last 40 years. The death rate in the United States for oral cancer is higher than that of cervical cancer, Hodgkin's disease, cancer of the brain, liver, testes, kidney, or ovary. More than 30,000 Americans will receive an oral cancer diagnosis this year. In five years, only 57% will still be alive. 25% of oral cancer victims do not use tobacco or alcohol and have no other lifestyle risk factors.

7. New Cavity Detection Cardiologists do not wait for heart attacks Acid levels will demineralize the teeth and that is when decay can happen .

8. Checking resting pH of the mouth can determine how at risk you are for cavities

9. Why check the pH of the saliva? Saliva protects teeth by: Neutralizing acid challenges; flushing food and bacteria from the oral cavity; acting as a lubricant; forming pellicle on the tooth surface and delivering calcium, phosphate and fluoride to the tooth surface. Carbohydrates and acidic foods amplify mutans streptococcus in dental plaque (particularly streptococcus mutans and streptococcus sobrinus) which are related to both the initiation and progression of dental caries. Once saliva problems are identified, the practitioner can recommend a course of preventive care which includes introducing supplements (like fluoride, CPP-ACP, chlorhexidine), lifestyle changes (increase water intake, decrease diuretic intake - caffeine, alcohol, etc.), increase saliva stimulation (chewing gum and low acid foods), altering oral hygiene regimen (increase brushing and cleaning, improve cleaning and flossing methods). Simple test to see how acidic your saliva is to combat an acid challenge

10. Checking the level of StrepMutans will help in the treatment of cavities before they happen

11. Who should be tested? New patients – particularly children and the elderly Patients with lower natural oral protection because of low salivary flow Patients with an acidic diet, low oral pH or high frequency of fermentable carbohydrates Patients undergoing periodontal treatment due to higher risk of root surface caries Patients before extensive restorative treatment to avoid recurrence of cavitations Expecting parents or guardians, to prevent transmission A 15 minute test is all it takes. One minute of chewing on gum followed by a collection of saliva will determine how at risk you are for cavities and what we can do to prevent them.

12. Cavities are problems in Orthodontics What do braces or Invisalignhave to do with cavities? Braces or orthodontic appliances are a great way to straighten teeth, but can put you at risk for decay. Braces create many areas that harbor plaque bacteria and make teeth much harder to adequately clean. The acids produced by these bacteria can not only cause decay, but in the absence of cavities can still cause unsightly "white spot lesions" or areas of demineralized enamel surrounding the brackets. This means that while your teeth many be straight when you finish braces, they may be irreparably discolored when the brackets are removed. Expert Advice If possible, seek a dentist and/or orthodontist who can identify your risk for the infection that causes cavities prior to seeking orthodontic treatment. Discuss your risk for caries with your dentist and/or orthodontist. Use an electric toothbrush like Sonicare, Ultreo, or Braun while in braces to aid in cleaning. Use a floss threader or SuperFloss to adequately remove bacteria between teeth and around brackets. Use alkaline pH, fluoride, and xylitolproducts to decrease the damage that may be caused by bacteria while in braces. For more information on caring for your teeth while in braces see recommendations by the American Association of Orthodontics

13. Xylitol How does xylitol prevent cavities? Xylitol is a 5-carbon sugar that is commonly found in birch tree sap and naturally occurring in some fruits and vegetables. Xylitol works to prevent cavities in a number of ways: Bacteria cannot break down xylitol into acid as they do from all other fermentable sugars (i.e. sucrose, glucose, fructose, dextrose, etc.). When bacteria intake xylitol, they don't intake as much other fermentable sugars, reducing acid production. Xylitol helps prevent the bacteria from adhering to the enamel, which prevents them from reproducing. Xylitol, used in conjunction with fluoride, can be more effective at repairing and remineralizing teeth than fluoride alone. Xylitol actually works to control the number of acid-producing bacteria in the mouth, which can in turn prevent cavities, and is available in many forms, from gums and mints to toothpastes and mouth rinses. Expert Advice Xylitol is usually measured in grams, and studies show the recommended therapeutic dose is 6-11 grams per day. Alkaline dental products that combine xylitol and fluoride may be more effective. If you ingest more than 25-30 grams in one day, you may have an upset stomach and/or diarrhea. Xylitol can be very harmful, even potentially fatal, to dogs, as they cannot metabolize it like people can.

14. Carifree Treatment Protocol Shifts the pH of your mouth for one month to raise it to neutral Available at our office or online Treatment Rinse Because you too can be cavity-free! Treatment Rinse is great for Anyone who has cavities, or has had a cavity anytime recently Anyone determined to be at risk for decay, even if no cavities currently exist Those experiencing bad breath Improving the health of teeth and gums

15. Sealants aren’t just for kids anymore Glass Ionomer sealants will release fluoride into the tooth and other teeth by recharging Deep grooves in the teeth are too small for toothbrush bristles to clean out plaque acids.

16. MI Paste Teeth need calcium, phosphate and fluoride. Healthy saliva contains these minerals, and in conjunction with certain salivary proteins is able to deliver bio-available calcium and phosphate to the tooth surface during the demineralization/remineralization process. Calcium and phosphate are known to help: Strengthen tooth enamel Reduce sensitivity Buffer plaque acid MI Paste contains RECALDENT™ (CPP-ACP). This technology has a unique ability to deliver bio-available calcium and phosphate when they are needed most. MI Paste binds calcium and phosphate to tooth surfaces, plaque and surrounding soft tissue. The RECALDENT™ (CPP-ACP) technology releases the calcium and phosphate when a patient’s saliva is acid challenged by the normal digestive process. MI Paste IndicationsMI Paste is indicated for post-bleaching sensitivity, root planing and scaling, as well as during prophylaxis

17. MI Paste Plus with Fluoride Helps heal the white spots and deminieralized areas at the gumline. Ideal for post orthodontic white spot. We have a treatment protocol to help heal some of the spots

18. Non-surgical periodontal treatment is available in our office I NEED ARESTIN®? Three out of 4 American adults are affected by periodontal disease. Are you at risk for this infection? Answer the following questions Oral Health Self-exam Do you smoke? Is your diet low in important nutrients? Are you pregnant? Do you have diabetes or heart disease? Are you currently taking any medications such as heart medications, antidepressants, or oral contraceptives? Do you grind or clench your teeth? Do any family members have gum disease? Do you have bad breath? Are your gums red and swollen? Do your gums bleed when brushing or flossing? Are your gums pulling away from your teeth or receding? Are you under a great deal of stress? Do you have teeth that appear to be loosening? Have you noticed a change in the way your teeth fit together? Have you recently lost any teeth? If you answered YES to 2 or more of these questions, you may be at risk for periodontal disease.

19. Arestin HOW IT WORKS Give your gums a fighting chance Even though scaling and root planing (SRP) removes a great deal of bacteria that cause periodontal infection, the instruments used during this mechanical procedure can't always reach the bacteria that hide in the bottom of pockets or in difficult-to-reach areas. That's why a dental healthcare team often decides to add a locally administered antibiotic (LAA) such as ARESTIN® (minocycline hydrochloride) Microspheres, 1 mg. Minocycline Microspheres make it different ARESTIN® uses Microsphere technology to easily and effectively kill the bacteria that cause periodontal disease. ARESTIN® is safe and easy for your dental professional to administer. ARESTIN® is a small amount of antibiotic powder that is placed inside infected periodontal pockets just after your dental professional finishes the SRP procedure. Once ARESTIN® is inserted, it immediately adheres to the periodontal pocket. Through a process called “polymer hydrolysis”, tiny holes in the Microspheres provide "escape routes" for the drug to be slowly released and absorbed into the surrounding gum tissue. This allows for a “sustained release” of the antibiotic, meaning ARESTIN® continues to work inside your gums for up to 21 days. Clinical studies show that ARESTIN® plus SRP is more effective at treating periodontal disease than SRP alone WHAT IT IS Although scaling and root planing (SRP) is effective at reducing plaque and some bacteria, it doesn't kill all of the bacteria that cause periodontal disease. SRP is a mechanical procedure and the instruments used to perform SRP cannot always reach the bacteria that reside at the bottom of deep or difficult-to-reach periodontal pockets. For these pockets, dental professionals often add a locally administered antibiotic (LAA) such as ARESTIN® (minocycline hydrochloride) Microspheres, 1mg to the SRP procedure. This comprehensive approach provides patients with two therapies that work simultaneously (ARESTIN® + SRP) to help kill the harmful bacteria that cause periodontal disease-so that the infection becomes more easily managed and won't immediately return. Infected areas in your gums Infected pockets inside your gums require treatment before periodontal disease causes further damage. ARESTIN® is indicated as an adjunct to scaling and root planing (SRP) procedures for reduction of pocket depth in patients with adult periodontitis. ARESTIN® may be used as part of a periodontal maintenance program which includes good oral hygiene, and SRP. Adding ARESTIN® ARESTIN® is a small amount of powder that is easily applied by a dental professional

20. What we can do about gumline sensitivity This is a varnish that can be painted on the roots. It releases fluoride every time you brush with fluoridated toothpaste or drink fluoridated water.

21. Fluoride treatments should not end when insurance companies say so New fluoride varnishes added to your professional cleaning will reduce sensitivity up to 6 months. You can eat and drink immediately after treatment. This is the standard of care. It is safe for children under 6 years old. No more fluoride trays

22. Rotodent Professional Removes up to 89% of the plaque without flossing. It cleans one tooth at a time and will clean between the teeth as well as underneath the gumline. It can deliver medications such as fluoride and Chlorhexidine underneath the gums to reduce bacteria, cavity formation and sensitivity

23. Fluoridex Prescription strength fluoride with whitening formulation to reduce staining. This toothpaste is low abrasion and has potassium nitrate. Potassium nitrate is what makes sensodyne toothpaste decrease sensitive teeth.

24. Panoramic X-Rays This is an excellent x-ray that shows an overall view of your whole jaw , sinuses and joints. This helps us detect impacted teeth, tumors and cysts in the jaws.

25. Implant supported dentures helps preserve bone and stabilizes the denture

26. Carifree Treatment Kit Four months of gels and rinses made to raise the pH level of your oral environment. It includes 2 treatment rinses 2 maintenance rinses 2 neutralizing gels 1 boost spray Xylitol gum

27. Treatment Rinse 30 days CariFree Treatment Rinse is designed to treat the cavity-causing plaque biofilm, reduce the overpopulation of cavity-causing bacteria, and neutralize decay-causing acids with patent-pending pH+ technology. Intended for use by patients diagnosed to be at risk for caries. Each box includes one 4 fl oz bottle of each component A and B. Treats the caries infection Patent-pending pH+ technology neutralized decay-causing bacteria Clinically proven xylitol technology, approximately 1 gram of xylitol per dose Fluoride aids in the repair and remineralization of beginning cavities Freshens breath

28. Oral Neutralizing Gel CariFree Oral Neutralizer Gel is a completely non-abrasive, fluoride-free, refreshing tooth gel that combines the proven benefits of xylitol with CariFree's patent-pending pH+ technology. The result is a minty, foaming gel that leaves your breath fresh and your teeth feeling clean and smooth. Designed to be use twice daily in place of toothpaste. Each box contains one 2 fl oz (60mL) bottle. Approved size for airline travel! Lightly foaming formula Patent-pending pH+ technology neutralizes decay-causing bacteria Clinically proven xylitol technology, 25% xylitol per bottle Non-abrasive formula won't damage teeth over time Freshens breath Moistens mouth

29. Xylitol Wipes Keep teeth and gums clean and healthy from day one. Xyli-Tots Oral Wipes allow you to clean on-the-go, while creating a healthy oral environment with xylitol and elevated pH+ technology. Each box contains 24 single-use wipes. Cleans teeth and gums Easy to use Xylitol-rich with 1 gram of xylitol per wipe Disposable and convenient For infants and toddlers Neutralizing pH+ technology

30. Xylitol Mouth Spray CariFreeXyli-Tots Mouth Spray is xylitol-rich, easy to administer, and comes in a great flavor kids love. Xyli-Tots Mouth Spray fights cavities with xylitol, neutralizes the mouth after eating, and is safe to swallow. Each box contains four .405 fl oz (12 mL) spray bottles, with approximately 100 sprays per bottle. Available in Grape Giggles flavor. Xylitol-rich, over 1 gram per day with recommended daily usage Easy to administer Safe-to-swallow, fluoride-free Elevate pH after meals and snacks Great taste kids love Neutralizing pH+ technology

31. Acid Neutralizing tooth gel CariFreeXyli-Tots Tooth Gel is a fluoride-free gel with a great grape flavor that combines the proven benefits of xylitol with CariFree's patent pending pH+ technology. It's safe to swallow and with its fun grape flavor, it's sure to promote good oral health. Designed to be used twice daily in place of toothpaste. Each box contains one 2 fl oz (60mL) bottle. Available in Grape Giggles flavor. Fights cavities with 25% xylitol Leaves teeth squeaky clean Neutralizes decay-causing acids Fluoride-free Safe to swallow

32. Anti Cavity Rinse CariFreeXyli-Tots Anticavity Rinse is designed to promote healthy bacterial growth and limit the growth of decay-causing strains. This rinse contains 3 grams of xylitol per swish, fluoride (0.05% neutral sodium fluoride), and patent-pending pH+ technology to neutralize cavity-causing acids. Intended for use by patients to lower caries risk and maintain long-term oral health. Available in Grape Giggles and Watermelon Wiggles, 16 fl oz bottle (473 mL), 48 doses, approximately one month of use. 0.05% neutral sodium fluoride Alcohol-free 3 grams of xylitol per dose Elevated pH favors healthy bacteria Dye-free For children ages 6+

33. Fluoride rinse with neutral pH CariFree Maintenance Rinse is designed to promote healthy bacterial growth and limit the growth of decay-causing strains. CariFree Maintenance Rinse contains 3 grams of xylitol per swish, fluoride (0.05% neutral sodium fluoride), and patent-pending pH+ technology to neutralize cavity-causing acids. Intended for use by patients to lower caries risk and maintain long-term oral health. Available in citrus or mint, 16 fl oz bottle (473 mL), 48 doses, approximately one month of use. Alcohol-free Combines fluoride and xylitol, 3 grams of xylitol per dose Elevated pH favors healthy bacteria Non-staining Does not alter taste Improves sensitivity

34. Same Day Ceramics We have the ability to perform your all ceramic crown, inlay or overlay out of a solid block of material in one day. Eliminates temporaries and impressions

35. CAD/CAM Technology We have the ability to preserve more healthy tooth structure and more accurately fit your restoration by sealing and bonding your tooth with a tooth colored restoration

36. Soft Tissue laser therapy Laser energy sterilizes the periodontal pockets and promotes healing of infection. It selectively will remove unhealthy tissue. We can also tissue sculpt , remove growths and heal ulcerations in the mouth

37. Smilereminder and SmileDash Saves you time by being able to access your appointment time and account via email and text message

38. Rev Tray Whitening One Time Per Day Low Sensitivity 15 minutes once per day

39. Zoom Whitening Chairside Whitening Patented High concentration of whitening gel performed in a professional environment by meticulously isolating the gums and cheeks. One hour procedure

40. Tres White Give the gift of whitening Ideal for those who will be undergoing treatments to change the teeth Professional whitening strength Without an office visit

41. Get your day’s worth of fruits and vegetables from one drink 20 fruits and vegetables Sodas, energy drinks and other "junk" foods are a hard temptation to pass up. Let’s face it, they are inexpensive and their availability is immense. Unfortunately, most people fail to recognize the damaging consequences that accompany this thrifty way of living. First, sodas have little, if any, nutritional value. Drinking them as a means for hydration is counterproductive. With the diuretic effects of caffeine, many soft-drinks actually dehydrate the body. The caffeine contained in most sodas and "energy" drinks (together with their artificial ingredients) present a broad range of health related problems. And while the energy boost that comes from these beverages is a welcome and often a seemingly useful bonus, this short-lived zest is typically followed by an uncomfortable crash, leaving drowsiness and fatigue. What about your diet sodas? Even non-caffeinated, diet sodas are bad for our health. Most artificial sweeteners used as a sugar-replacement in diet drinks breaks down into chemicals that can lead to a multitude of undesirable health effects. And you might not realize it, but the acidity level in most soft drinks is about the same as vinegar. Even moderate consumption of these drinks can create an unnatural, acidic environment in the body, leading to impaired digestion, acid reflux and heart burn. Despite all of this, these drinks still maintain a massive and growing prevalence in the world. Their convenience saves time, but at the cost of the consumer’s health. What about fruits and vegetables? Eating on-the-run makes it tough to consume the valuable fruits and vegetables that are essential to our bodies. And while it is much more convenient to eat prepackaged, instant meals (quick preparation time and less cleanup), we deprive ourselves of the daily minimum of 5 servings of fruits and vegetables that our bodies so desperately need. Introducing, Zoe Life. It is a great tasting, all-natural, powdered drink mix that is made up of 20 real fruits and vegetables. Zoé Life is sweetened with Stevia, an all-natural, herbal sweetener, containing no artificial chemicals. Stevia has many health benefits and has been used for centuries. One serving of Zoe Life contains only 1 gram of naturally occurring sugar, no caffeine or other stimulants, no chemical preservatives, no high-fructose corn syrup, no artificial colors, no cholesterol, no fat, no sodium, is gluten-free and only 25 calories. It can be mixed with water, juice, or your favorite yogurt or smoothie. Zoé Life is a healthy and inexpensive alternative to the "not so healthy" beverages we consume and is a great source of the nutrients your diet is lacking. Zoé Life is packed with pure antioxidants from whole food sources and is an outstanding way to begin each day. Your body will surely thank you Replace energy drink low acidity