Wednesday, 14 March 2012 14:36

Even Your Best Friend Won't Tell You

Even Your Best Friend Won’t Tell You!

It’s a situation that has happened to us all.
A friend or relative comes close to talk to you, and when they open their mouth an odor comes pouring out that could knock out a racehorse from a mile away! But besides backing up a few feet and ending the conversation as soon as possible, what do you do?

Of course you could just do nothing. But that is doing your friend a huge social disservice - and possibly not telling them of a negative health issue as well.
So how do you say something so uncomfortable to someone you care about? Here are two great answers we found while researching this question.
"As your friend, it's important to me that we're always able to say the things that are hard to say, because that's what real friends do for each other. I'm not comfortable mentioning this, though if it were me, I'd certainly want someone to say something. I don't know if you're aware - but sometimes your breath is quite noticeable. I read somewhere that this can be the result of a dental or medical problem, so I felt it was important to tell you.”
Or how about this one:

"I just wanted to let you know that you're just like me -- we occasionally have bad breath! Here's what I've found that helps." Then give them mints, gum, or mouthwash. Then add, "The only reason I'm telling you this is that someone once told me the same thing and I realized how much it helped me. Fortunately I was able to find a great dentist who helped me take care of the problem!"
Of course so many things can cause bad breath – all the way from pungent foods like onions and garlic all the way to serious illnesses such as pneumonia, diabetes, and liver or kidney ailments.
Some of the most common causes of bad breath, also known as halitosis, are seen every day in our dental office. Here are some examples:

  • Dry mouth (which can be caused by many common medications, mouth breathing, or lack of saliva flow
  • Gum disease – this normally does not hurt or have obvious symptoms, but is extremely common and can cause unnecessary tooth loss
  • Cavities or ill-fitting dental restorations such as fillings and crowns
  • Poorly fitting dentures
  • Improper cleaning of the tongue, teeth and gums

Whether it’s you or someone else you are concerned about, even periodic bad breath warrants a visit to the dentist. Usually the solution is a simple one, and it is just about always one that brings about better health as well.
So feel free to carry gum, breath mints, or small bottles of mouthwash with you wherever you go, either for you or to help (and drop a hint) to a breath-challenged friend. But please remember, a dental evaluation is always the best move when bad breath is around!

At Dentistry in Philadelphia, our goal is to keep you as healthy as possible at all times. Whether it is an issue with bad breath, beautifying your smile, or anything else, we are here to help you!

Please give us a call at 215.735.8844 for an appointment or visit us on the web at Dentistry In Philadelphia. Let’s make sure that every conversation you or your friends have is a breath of fresh air! 

Wow, how many times in my 40 year career have I heard that? The answer is constantly. It’s a popular misconception that cavities hurt. They don’t in their early and easily treated stage. It’s just when they get larger and start to affect the dental pulp that they begin to hurt.

Once they start to hurt, meaning throbbing, sensitivity to hot or cold or biting it’s generally too late to just fill a simple cavity. It means the bacteria that cause decay have invaded the inner most part of the tooth, the dental pulp where nerves, blood vessels and connective tissue reside. Usually that means you’ll need root canal treatment which removes the soft tissue inside of the tooth.

It also means that the tooth will no longer have a blood supply and will tend to become dried out and fragile which means you’ll need a crown so the tooth doesn’t fracture. If all this sounds expensive it is. It just didn’t have to be.

Let’s see which makes more sense. Letting your dentist fix a small area of decay that he has detected for a reasonable fee or waiting for the tooth to become painful, necessitating a root canal treatment and then a crown for a way higher investment.

As a professional and as a person I feel sad when I have to tell a patient that they now need extensive, expensive treatment when two years earlier I told them they had a small cavity and their choice was to ignore it until it bothered them. Please don’t make me feel sad.

Prevention costs a lot less than disease.

Gerald Weger DDS

The most common symptoms of obstructive sleep apnea include:

-Excessive daytime sleepiness.
-Waking up after sleep and feeling unrefreshed.
-Heartburn or a sour taste in the mouth.
-Getting up during the night to urinate, fix your pillow, check the clock, etc. Once or more than once.  (it probably is not your bladder waking you)
-Sweating or a fast heartbeat when you are awakened from sleep in the morning or during the night.

Symptoms of sleep apnea that others may notice about you include:
-Episodes of not breathing and gasps for air
-Loud snoring. Almost all people who have sleep apnea snore, but not all people who snore have sleep apnea.
-Restless tossing and turning during sleep.

If some of this sounds familiar take action!
-Ask your sleep partner if they notice any of the above.

Most physician recomend a CPAP mnachine as first line of treatment.  While CPAP is the most common and effective treatment for sleep apnea, many people will not put up with the associated problems and will refuse to use it. Fortunately, there is a CPAP alternative. You don’t have to choose between the dangers of obstructive sleep apnea (OSA) and the inconvenience of CPAP therapy. The CPAP alternative for most patients is oral appliance therapy.

Oral Appliances that treat Snoring, and Sleep Apnea are similar to sports mouth guards and orthodontic retainers. They are devices that hold the jaw in a protruded position during sleep. This position brings the tongue forward preventing it from falling to the back of the throat and collapsing the airway.  An open airway during sleep allows for healthy undisturbed sleep and makes it less likely to develop the medically related problems associated with sleep apnea and fragmented sleep.

If you are unable or just won't wear a CPAP, call the office now to see if we can help you to achieve a quiet and healthy night's sleep!

Call us at 215-735-8844 or visit our website

Dr Carl Steinberg

Thursday, 26 January 2012 14:56

Beware of Valentine's Day!

Valentine’s Day is right around the corner, and you may be getting ready for some big fat kisses to come your way. So even though at our office, we’re concerned about cavities, gum disease, bad breath and lots of saliva, we won’t use this month’s blog entry to gross you out about kissing. But we will tell you some interesting facts that you can tell your kissing partner right after they smack one on you!!

Anthropologists have argued for years about the origin of kissing. Many now believe that it has evolved from the time when mothers chewed food for their babies and then went mouth to mouth at feeding time. (Well, okay – we might gross you out a little bit!) This action became so comforting to babies that the habit continued even after they could chew for themselves, and then developed into a sign of affection. Nowadays kisses aren’t just about romantic love. Of course parents kiss their children. Worshippers often kiss religious artifacts. Some people kiss the ground when exiting an airplane. And who doesn’t want to have a “boo boo” kissed when they get a bruise? But February 14th is a day for the romantic kind of kiss, and if you are craving one, there may be a scientific reason.

While this action can promote a psychological response of warmth and affection, it also causes your brain to secrete some important and productive chemicals, such as:

·Oxytocin, which helps people develop feelings of attachment, devotion and affection for one another

·Dopamine, which plays a role in the brain's processing of emotions, pleasure and pain

·Serotonin, which affects a person's mood and feelings

·Adrenaline, which increases heart rate and plays a role in your body's fight-or-flight response

But along with that, when you kiss, hundreds or even millions of bacterial colonies are transported from one mouth to the other. And let’s face it – no one wants to kiss a person who has poor oral hygiene, bad breath, or just a generally yucky mouth.

So let’s start with the basics:

·Make sure you brush at least twice a day with a soft toothbrush and fluoridated toothpaste.

·Floss once per day – if you have trouble flossing or are not sure how, please ask! We’ll be glad to show you the ropes.

·Avoid sugary and acid-laden foods such as soft drinks, sports drinks, and candy. (Okay - we won’t tell anyone if you have a tiny bit of candy on Valentine’s Day!)

·Eat a well balanced diet including lean proteins, healthy fats, fruits and vegetables, nuts and fiber.

·If you need to slip in a piece of gum or breath mint, make sure it contains Xylitol, which has been proven to reduce tooth decay.

·Drink plenty of water! This helps to rinse away food particles, and staying hydrated is good for fresh clean breath.

·See your dentist on a regular basis and call immediately if you suspect there are any problems with your oral condition.

At our office, we want you to have a kissable February 14th and a lifetime of excellent dental health. If you have any questions or need to set up an appointment, please give us a call at 215-735-8844. We are here for you!

Have a wonderful Valentine's Day!

Dr. Carl Steinberg|Dr. Gerald Weger

Dentistry In Philadelphia

Wednesday, 18 January 2012 14:53

The Aging Adult Face

Studies show that when you meet someone you notice their face first.  As you evaluate their aesthetic appeal, you are drawn to the appearance of their mouth (smile) and eyes, followed by the nose.  The quality of their skin is observed but not in the top three.  But let’s focus on the face and skin for the moment.

 As an individual matures the face ages. This is not an overnight phenomenon but as a rule is gradual occurring over a period of years. This aging is actually a function of several physiologic changes that occur with time. The collagen in the face becomes less elastic and allows the soft tissue features of the face to sag inferiorly.

In addition facial fat is generally lost with age making the facial soft tissues thinner.  As the facial bones change in shape and the skin becomes thinner, the facial bones appear more prominent. The wrinkles on your face are caused by repeated movement of the muscles of your face.  These repeated movements eventually leave a wrinkle in your skin. The aging process allows for everyone to have some wrinkling.  Botox can weaken the muscle pull and consequently the wrinkles lessen and can even disappear.Prevention is the best medicine. 

The main causes of facial aging are UV –sunlight, smoking, weight loss, and illness.  Use sun block! Repeat, use sun block!   Stop smoking. Maintain a healthy weight and diet.

Since we know that a person’s smile is tops in facial esthetics please contact us with any questions you may have regarding how we can help make a more beautiful you.

Wednesday, 04 January 2012 21:52

What should happen during a dental visit?

First and most important is that your dentist and dental staff should be listening to what your concerns are.  Hopefully it is being written down.  It is very important that you feel comfortable with your dental office and all the staff.  You should get to know them and they should get to know you.  You shouldn’t be strangers.  There should be enough time set aside for you so you feel welcomed.

 Many times I ask people who is their dentist and they are not able to tell me the name.  If there is not a lasting impression, if you are not willing to refer a friend or loved one, why are you there? Does the office instill confidence in you that you are in good hands from the moment you call and the moment you enter the office?  If not, why do you continue?

So, what should happen during a dental visit?  Your care should be complete, thorough and personalized.  Whether it be an initial exam, a cleaning visit or comprehensive dental care, you should feel confident that you are being well cared for.  You should be informed of what is going to be done before you start. 

 Afterwards a review of what was done and any post operative instructions should be discussed.  And finally a brief discussion of what will occur at the next visit. There are different qualities in most things we encounter in life. 

 What level of quality do you want? More details of types of dental visits to follow with future blogs. 

Also more info can be found at or contact us directly at 215-735-8844 Carl Steinberg

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