Category Archives: Uncategorized

Yes, you need to floss!

Flossing helps to remove food particles and bacteria from between your teeth and along your gumline. When this bacteria builds up, it forms plaque, a sticky, colorless film that can threaten your oral health by contributing to tooth decay and ginigivitis. Gingivitis is the first stage of gum disease, which can then evolve into periodontitis, the full-blown form of this health condition. “Gingivitis is the inflammation of the gums around your teeth, which will progress to periodontitis, which is inflammation of the gums in combination with bone loss. When left untreated, periodontitis can lead to tooth loss.

 Bleeding gums, a high rate of cavities, bone loss, and bad breath” are prevalent in people who don’t make flossing a habit.

Here are tips for flossing more effectively:

    • When using traditional floss instead of another type of interdental cleaner, use a long piece around 18 inches so there’s enough clean floss to get in between all your teeth.
    • Tie the floss around your middle finger on both hands and pinch it with your thumbs.
    • Keep the distance between your two hands small and go between each tooth in your mouth. Do this gently to avoid harming your gums.
    • To clean both teeth, make a C shape, hugging one tooth and sliding up and down, then make a C shape around the adjacent tooth and repeat the motion. Don’t forget the back sides of your last teeth!
  • Consider using a mouthwash, such as Therasol, after flossing to rinse your mouth and remove as much bad bacteria as possible.

The bottom line: When combined with brushing your teeth, flossing every day is a great way to keep your mouth healthy.

I need a crown and I don’t mean the rhinestone type!


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So you have been told you need a crown and you are not even sure what that means- here is a brief description of a crown.

“A crown, sometimes known as dental cap, is a type of dental restoration which completely caps or encircles a tooth or dental implant. Crowns are often needed when a large cavity threatens the ongoing health of a tooth. They are typically bonded to the tooth using a dental cement. Crowns can be made from many materials, which are usually fabricated using indirect methods. Crowns are often used to improve the strength or appearance of teeth. ”

Crowns are nothing to be scared of, we make the procedure painless with proper numbing techniques and walking you through each step.  If you have been told you need a crown call us today for your consultation.

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Bad Breath and Valentines Day

Does bad breath worry you, have you noticed a persitant bad taste in your mouth or bad breath? This could be a warning sign of gum disease called periodontal disease. Gum disease can be caused by many things like the buildup of plaque on the teeth, poor brushing techniques, lack of flossing, just to name a few. Untreated gum disease can damage the gums and cause bone loss which can mean the loss of teeth.

Other dental causes of bad breath include poorly fitting dental appliances, yeast infections of the mouth, and dental caries (cavities).

The medical condition dry mouth (also called xerostomia) also can cause bad breath. Saliva is necessary to moisten the mouth, neutralize acids produced by plaque, and wash away dead cells that accumulate on the tongue, gums, and cheeks. If not removed, these cells decompose and can cause bad breath. Dry mouth may be a side effect of various medications or continuous breathing through the mouth.

If you have bad breath call us now to schedule an exam with Dr. Mullaney so we can help you have the best breath around for Valentines Day!

703-650-9320

E-Cigarettes and It’s Effects on Wound Healing

A new study  says patients should be banned from vaping for two months before surgery to avoid complications.  Author Dr Jeffrey Spiegel, chief of facial plastic surgery at Boston Medical Center, said: ‘Based on our findings, e-cigarettes are not a safe alternative to traditional cigarettes as it relates to timely wound healing,’ this new study shows vapes have the same effect on injured flaps of skin as does nicotine from traditional cigarettes. Providers, and patients, need to understand the risks of both types of smoking so they can make the best decision to keep the patient as safe as possible before and after surgery.’
In experiments on rats, Dr Spiegel and colleagues found vaping affected skin wound healing, causing damage similar to that of conventional smoking.
Both forms resulted in more of the tissue dying, which delays wound healing. They said the same would apply to humans.
It follows a warning by other American experts two years ago that nicotine in e-cigarette vapor increases the risk of blood flow-related complications – just like smoking real ones.
The study, published in JAMA Facial Plastic Surgery, is the first direct evidence that they were correct.
Dr. Spiegel said the adverse effects of traditional cigarette smoking on wound healing has been well established in the surgical field.  He added: ‘Smoking and vaping appear to be equally detrimental to wound healing and to be associated with a statistically significant increase in tissue death.  ‘The results suggest vaping should not be seen as a better alternative to cigarette smoking in the context of wound healing.
‘Surgeons are advised to appropriately counsel their patients and to regard those who use e-cigarettes as having equivalent pre-operative healing risk as those who smoke cigarettes.’
Shaun Desai, a plastic surgeon at Johns Hopkins University, Baltimore, Maryland, welcomed the findings and said patients should be screened for e-cig use before surgery.
He said: ‘This study presents evidence of the detrimental potency of e-cigarettes in rats, but there is a paucity of clinical evidence in humans.
‘Often, patients may not volunteer this information, mistakenly thinking vaping, because it is not smoking traditional cigarettes, is not relevant medical history that needs to be shared.
‘Similarly, until further studies are completed, all e-cigarette use should be stopped four weeks prior to any surgical procedure, as recommended by the current literature for traditional cigarettes.’

“Excerpts from the article recently published in Daily Mail UK”

Consuming Sugary Drinks May Increase Risk For Alzheimer’s Disease, Research Suggests


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Newsweek (7/24, Gander) reports that new research suggests “drinking sugary soda could raise the risk of developing Alzheimer’s disease.” The article reports that “scientists at Columbia University of New York studied rates of Alzheimer’s disease in older people and found a link between sugary drinks and the neurodegenerative condition,” although “more research is needed to prove whether Alzheimer’s is caused by these drinks.” The findings were presented at the Alzheimer’s Association International Conference 2018.

Another drink wreaking havoc on teeth is sparkling water like LaCroix.  We are finding higher incidents of cavities in adults who sip these drinks all day.  We would love to discuss your daily soda/sparkling water habits to make sure you don’t get into any trouble- ask us at your next visit and lets discuss!

Diabetes, oral cancer and women

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A new study found that there is an  increased risk of cancer for women with diabetes vs men.

Previous research identified the link between diabetes and cancer risk, but this study looked at whether that risk differs between men and women.

The takeaway: Among people with diabetes, women have a 6 percent higher risk of cancer than men, the researchers said.

And based on the researchers’ analysis of data from 47 studies, diabetics of both sexes are at greater risk of cancer than people without diabetes.

For women with type 1 or type 2 diabetes, the cancer risk is 27 percent higher compared to other women. And men with diabetes have a 19 percent higher cancer risk than men who don’t have the blood sugar disease, the findings showed.

The researchers also examined specific types of cancer in people with diabetes and found that, compared to men, women have a 15 percent higher risk of leukemia, a 14 percent higher risk of stomach cancer, a 13 percent higher risk of oral cancer, and an 11 percent higher risk of kidney cancer.

But women have a 12 percent lower risk than men for liver cancer, according to the report.

“Further studies are needed to clarify the mechanisms underlying the sex differences in the diabetes-cancer association,” the study authors concluded.

The report, from Toshiaki Ohkuma of the University of New South Wales in Australia and colleagues at the University of Oxford in England, was published July 19 in the journal Diabetologia.

Cancer is the second leading cause of death worldwide, accounting for 8.7 million deaths in 2015. About one in four women and one in three men will develop cancer during their lifetime, the study authors noted in a journal news release.

(excerpts from Health Day July 20, 2018)

Why we don’t use silver fillings


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Since amalgam(silver colored) fillings are not bonded to your teeth, they do not strengthen teeth which have been weakened from the cavity and associated loss of healthy tooth structure. A tooth restored with amalgam does not reinforce your teeth and it is common to see cracks and ultimately fractures of your teeth caused by the way the tooth is wedged with a metal filling between its cusp tips. Also, amalgam fillings require additional removal of healthy tooth structure in order to fit the minimum criteria of depth and size for the amalgam material to perform satisfactorily.

As composites have evolved, they have become the restoration of choice for fillings. In our office, we only use composite restorations for fillings because we can perform a better, more conservative, safer, and more cosmetically pleasing treatment. If placed properly, a composite filling can last longer than amalgam fillings and accomplish conservative treatments not possible with amalgam fillings. Composite fillings only replace the portions of your teeth that have been damaged and no additional reduction of healthy areas of your teeth is required. Additionally, composite restorations are bonded to your teeth. When properly placed with maximum bond strength, the composite restoration can strengthen the weakened tooth.  If you have questions or concerns about your old amalgam filling we would be happy to answer them at your next appointment! Call us NOW to schedule.

Sunflower Seeds and the All Star Game

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It’s All Star Game Time!

The All Star Game will bring out some of the best baseball players to the mound, and I bet you will see lots chewing on sunflower seeds- that can’t be bad right? Wrong! the seed itself is not bad for your choppers—it’s the hull that’s the problem.  With a hard outer shell you are biting through this shell to get to the small hull and that’s where the damage can happen. You can crack a tooth on these shells so best to opt for the hulled seeds to keep yourself from needing any emergency dental work while the all star game is going on!

Sparkling Water Not So Sparkling For Your Teeth!

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We are seeing an increase in adults with cavities forming over a short period of time and many are drinking more sparkling water.  Sparkling water is made by adding carbon dioxide gas to flat water.  This process produces carbonic acid, which is the same stuff found in soda, minus the sugar.  When your teeth are exposed to high amounts of acid, it eats away at enamel and cavities begin to form.  Add more citric flavoring and this adds another layer to the problem.  If you drink these sparkling waters frequently, we suggest rinsing with water after drinking and brushing as well.  If you are concerned about this and have more questions please ask us at your next visit! Now accepting new patients, call now for your appointment. 703-548-8584