Handling Dental Emergencies Step by Step

You are relaxing on your deck with a good book one sunny autumn afternoon.  Your children and the rest of the neighborhood kids are scrambling on the lawn next door, tossing a ball, jumping in piles giggling.  Ahh… life is good!  Then amidst the mayhem you
suddenly hear………..

Owww!!! Oh, Noooooo!!!!  “My tooth is knocked out!!!  MOM!!!.

OK, ok…Don’t panic….Which kid?….Which tooth?…..How
did this happen? …What do I do??
Knocking out a tooth can throw you and the injured party for a loop, but it’s not necessarily a permanent out.  It’s just important to remember a few simple steps.  There’s a good chance that with quick attention the tooth can be saved. If the tooth is broken and part of it is still in place, attention will still be necessary.

1-The first thing to do is find the tooth and keep it safe because you may be
able to salvage it.  DO NOT pick the tooth up by the root.  Instead, gently pick it up by the crown.

2- Next, rinse the mouth with warm water.  If there’s bleeding, apply a piece of gauze or a moistened teabag to the injured area in order to stop the bleeding.  You can rinse the tooth in a bowl of tap water, but do not scrub it

3-Place the tooth back in the socket if possible.
To help the tooth stay in place, gently bite down using a gauze or moistened teabag as a cushion.  If not, place it in a container and then cover it with a small amount of milk or saliva.  Maybe you already have a
“tooth-saving kit” to use that’s handy.

4- Time is of the essence.  A knocked out tooth can often be saved if a dentist can begin repair within a few hours, especially if it is an adult tooth. Give your dental office a call right away or visit the emergency room of your local hospital.

From: Kathy the Hygienist




Kathy’s Farewell to the office!

Posted August 28th, 2014 by Amy & Robin and filed in Dental Tips

To all our dear patients,

Oh, what a ride it’s been!

In May 1974, I graduated from the University of Michigan as a registered dental hygienist. It was the fulfillment of my dreams. However crazy, no one could love teeth more than me. I was so excited to begin my career.

Little did I know that forty years later, I would still feel that same excitement and enthusiasm. For me, dental hygiene has been so very rewarding with each day a chance to meet someone new, encourage and watch lives change. I have had the honor and privilege of spending the last 23 years of my career working with Dr. John Artemenko and a very talented group of co-workers through the years. What could be better?
Here’s the answer. It’s each and every one of you that has ever sat in my hygiene chair! The bond, connection and depth of relationship that has evolved through time have been the gift of a lifetime. I could not be happier.

On that note, for me, it’s off to a new adventure. My husband and I are retiring to Texas, ready to motorcycle any day of the year, be on the lookout for Longhorns and Armadillo’s and just plain, “kick back”.

You’ll get to see a new smiling dental hygienist on the other side of the door when you come in for your next hygiene visit. Kim has a skill level combined with a fresh approach that will put you at ease immediately. It gives me a great sense of calm knowing that dental hygiene in Dr.Artemenko’s office will continue to be well represented.

Again, to all of you, thank you for everything, especially for your warm friendship and never-ending belief in me.





Carolyn’s Smart Moves

Posted August 28th, 2014 by Amy & Robin and filed in Dental Tips

I had a couple “ahh-haa moments this past month when I turned the infamous “Double Nickels”. Number one was that it’s not soooooooooooo bad to order off the “senior meal menu” when I took my sweet 87 year-young momma out for breakfast to the local IHop. The food was just as tasty, portions were sizeable AND the price seemed, well……..very reasonable.
My second realization was that I wasn’t getting any younger; I work for an amazing dentist and… I have crooked lower anterior teeth. It’s not that they are horrifically messed up, but the esthetics of how they shifted over the years was just something that always bothered me. I figured it was just about time to ‘straighten out my act”. So, with that said, at my last hygiene visit, we discussed re-aligning my pearly whites with something called, Smart Moves orthodontic trays. Amy took the initial impressions & sent my poured up models off to the lab.

So, stay tuned, for more information, updates & my own personal perspective on this very ‘moving’ experience. ? ~Carolyn~

Health Tip: Many Seniors Suffer From Dry Mouth

Posted August 26th, 2014 by Amy & Robin and filed in Dental Tips

Dry mouth can cause dental health problems, including an increased risk of cavities. And dry mouth is especially common in older adults.

The American Dental Association lists these tips to help manage dry mouth in seniors:

  • If you are using an over-the-counter mouthwash or spray, it may be contributing to dry mouth.
  • Talk to your doctor about the medications you are taking and ask if you can make any adjustments to help with dry mouth.
  • Carry a water bottle with you and drink throughout the day.
  • Suck on sugar-free lozenges or chew sugar-free gum to help with saliva production.
  • Run a humidifier in your home.
  • Avoid irritating foods and drinks, including coffee, soda, alcohol and fruit juice high in acids.


Article VIA

Health Tip: If You Have Braces

Posted August 25th, 2014 by Amy & Robin and filed in Dental Tips

Eating healthy is especially important when you have braces. That means avoiding sugary foods, which could lead to plaque build-up and tooth decay.

The American Dental Association’s website offers this additional advice for people who wear braces:

  • Don’t eat corn on the cob, popcorn and whole apples.
  • Avoid sticky foods, such as chewing gum and chewy candies.
  • Eat a nutritious, balanced diet.
  • Practice good oral hygiene and ask your orthodontist or dentist about any other foods you should avoid.

Article Via

Health Tip: Schedule Baby’s First Dental Visit

It’s never too early to begin caring for the teeth, so your baby should visit the dentist soon after the first tooth emerges.

The American Dental Association offers these suggestions to help parents plan baby’s first dental visit:

  • Schedule the appointment in the morning, when children are often well-rested and tend to be more cooperative.
  • Focus on the positive and minimize your own worry. Don’t let your child pick up on any of your concerns or anxiety.
  • Never threaten your child with a visit to the dentist.
  • Do not bribe your child to visit the dentist.
  • Have a discussion about going to the dentist so your child can prepare.

Article VIA

Tylenol Ingredient Reduces Anxiety and Stress

Posted August 17th, 2014 by Amy & Robin and filed in Dental Tips

A recenty study out of the University of British Columbia has found that acetaminophen can reduce anxiety

One of the most ubiquitous over-the-counter medicines is Tylenol, used for general relief of pain and headaches. What differentiates Tylenol from other options, like Advil or ibuprofen, is the ingredient acetaminophen. And while acetaminophen provides a good fix for a stubbed toe, it may also offer psychological relief for feelings of anxiety and social rejection.

Pain and Stress Similar in the Brain

Researchers from the University of British Columbia knew that acetaminophen could dull reactions to physical pain and theorized that it could also neutralize anxiety cues from the dorsal anterior cingulate cortex (dACC), the part of the brain that responds to social and physical pain.

“Physical pain and social rejection share a neural process and subject component that are experienced as distress,” the study authors wrote. As it turns out, acetaminophen, even in a nonprescription dose, dulls feelings of anxiety and psychological responses to questions about life and death.

Their work was recently published in Psychological Scienceand while these findings won’t result in an acetaminophen-based anti-anxiety medication any time soon, they’ve uncovered yet another use for Tylenol.


The Anxiety of David Lynch?

The researchers chose unsettling questions about death and the surrealist works of filmmaker David Lynch (Twin Peaks, Mulholland Dr., etc.) to provide participants with a controlled, but particularly unsettling study experience. Acetaminophen, it turns out, was effective in dulling emotional reactions to what Lynch had in store in his short-film Rabbits.

More than 300 student participants were recruited and offered either $15 or course credit for their time. In two different studies, participants were either given 1,000 mg of Tylenol-brand acetaminophen or a placebo, both packed in gel capsules. Because acetaminophen is hard to detect if a user isn’t actively experiencing physical pain, study subjects were unaware of which they took.

In the first study, 121 participants were asked to write two paragraphs about their feelings on death and then to respond to a hypothetical situation in which they judged the bail amount set for a prostitute. In the second study, 207 participants watched either a David Lynch movie—typically disturbing—or a benign video clip and then judged the punishment handed down for local rioters.

Both studies required participants to consider their mortality. And the Tylenol? It was effective in dulling the emotional reactions of participants who had to consider their mortality or watch a Lynch film, indicating that an OTC dose of acetaminophen is effective in limiting dACC reaction and feelings of anxiety.

“Participants in the mortality-salience condition who had taken acetaminophen responded in ways similar to those who had not contem­plated their mortality. In the second study, this pattern of findings was replicated using a surreal video clip,” the study authors concluded.


By Nina LincoffHealthline

The 7 Germiest Places at the Gym

It’s a place designed to help you get healthy, but ironically the gym can also make you sick. A recent hygiene study of a family fitness center in Ohio analyzed more than 100 samples from various locations in the gym and found that the most contaminated surfaces were door handles, shower floors, free weight benches, and dumbbells.

Tests done on three separate days found “extremely high” levels of germs on these surfaces. The study, funded by Coverall, a cleaning-product company, also found worrisome levels of germs on the front desk check-in area, water fountains, and alarmingly, the gym’s childcare area.

Gyms and recreational facilities rank as one of the most germy-laden environments, with 28 percent of surfaces testing positive for contamination, according to an analysis by Dr. Charles Gerba, a professor of microbiology at the University of Arizona who has published hundreds of scientific papers on infectious diseases and germs.

Among the most dangerous gym germs are the norovirus—the leading cause of acute gastroenteritis—E. coli (a common cause of food poisoning), and the deadly superbug MRSA, which triggers hard-to-treat infections, reports Thomas Tallman, MD, a staff physician in the emergency department of the Cleveland Clinic who wasn’t involved with the hygiene study.

“Another locker room risk is Klebsiella pneumonia, which causes pneumonia, urinary tract infections, and bloodstream infections,” adds Dr. Tallman. A particularly dangerous form of this bacteria, known as CRKP (carbapenem-resistant Klebsiella pneumonia), is resistant to almost all antibiotics.

Here’s how you can defend yourself against the germs you’ll most likely run into at your fitness facility.


Zumba Class

Zumba, hot yoga, group Pilates class, or any other group fitness situation lends itself to germs (especially influenza) spreading through simply inhaling water droplets exhaled by your fellow workout buddies.

Stay healthy: Keep at least six feet away from anyone who’s coughing or may be contagious. Get a flu vaccination during flu season and avoid touching your face (one way germs enter your system) until you can wash your hands with soap and water or, at a minimum, use a sanitizer hand gel, recommends Dr. Gerba.

Water Fountain

Water fountains, particularly their handles, can become contaminated by a variety of germs, including norovirus, which can survive for up to 4 weeks on an infected surface, says Dr. Gerba. Some people boost the risk by touching the spout with their mouths, which can also lead to transmission.

Stay healthy: Carry portable alcoholic wipes and clean the handle and spout before you drink. An even safer solution is to carry your own water bottle and skip the fountain entirely, says Dr. Tallman.


Gym Bag

Germs can easily use your gym bag to hitch a ride from your car trunk to the gym locker room and back to your home. The germs and bacteria that lurk depend on where they latched on to your bag.

Keep a disinfectant spray such as Lysol in your gym bag or the trunk of your car. Spray the outside of your bag before you bring it into the house. And don’t put your shoes in your gym bag—a study by Dr. Gerba, found that shoes can harbor nine different types of microbes that cause intestinal, urinary, eye, lung, and blood infections.

In his study, which was sponsored by the Rockport Company, all but one of the shoes analyzed were also contaminated with coliform bacteria (originating in feces), with the average shoe containing a whopping 421,000 bacteria units per centimeter. And even the insides of the shoes were contaminated, harboring an average of 2,887 bacterial units.

Your Water Bottle

A water bottle saves you from risking a drink out of a contaminated water fountain, but if you touch the spout of your water bottle with germy hands you may not be much better off.

Choose a bottle that doesn’t require you to bring your fingers close to the drinking surface, such as one with a nipple you can pull open with your mouth. If you choose a reusable bottle, be sure to clean it after each use with hot, soapy water.


Fitness Balls

Dr. Tallman notes that any high-contact surface is a risk—since 80% of infectious diseases are spread by direct or indirect hand contact—and this includes those colorful balls you use during a workout. Fitness balls can contain a number of germs, including Staphylococcus aureus, a common cause of staph infections. The good news is you won’t get sick by simply touching it, as long as you don’t have an open cut and avoid touching your face.

Steam Rooms

The humid air in a steam room may seem the most likely place for germs to grow, but the floor should be your biggest concern. Walking barefoot with even the smallest crack in your skin could enable a fungus to enter and cause a low-grade infection.

Also avoid sitting naked on wooden benches, which can harbor nasty germs, including human papillomavirus (HPV) , warns Dr. Tallman. HPV, the most common sexually transmitted disease, causes genital warts and certain cancers.

Cycling Bikes

The same soft, squishy materials that make cycling bike seats and handlebars comfortable can also contain germs ranging from MRSA to strep and E. coli, reports Dr. Tallman. “This type of material acts like a sponge and frequently becomes contaminated.”

Stay healthy: Antibacterial wipes can kill up to 99 percent of surface bacteria, notes Dr. Tallman; however, it may be more difficult to disinfect spongy surfaces using wipes alone. Always wash your hands with soap and water immediately after class, and consider investing in sanitary handlebar covers if you want extra protection. Since bacteria can transfer to your clothes during a workout, be sure to toss your gym outfit in the laundry. Lastly, take the time for a thorough shower—you’ll be washing away more than just sweat.


By Lisa Collier Cool VIA Healthline Yahoo Health

5 Things to do at the Dentist’s Office

CNN) — The recent news in Tulsa, Oklahoma, brings to light an issue that is rare, but nonetheless important — cross infection in the dental office, or the transfer of infection from one patient to another in a health care environment.

The unfortunate reality is that you, as the consumer, have very little chance of knowing what’s going on — it’s a huge trust relationship. Cross contamination is literally invisible because it’s caused by microbes invisible to the human eye, so only the professionals can guarantee that it doesn’t happen.


That doesn’t mean it’s out of your control. Use this checklist to find out how seriously your dentist takes the issue of infection control procedures.


1. Watch the gloves

You would never use a cutting board used for raw chicken to chop up some broccoli unless you washed it first — and preventing cross infection in the dental office is no different.

Ask yourself:

— How does my dentist put on gloves? Gloves put on by your dentist should come out of the glove dispenser, not off an unsterilized counter top.

— What does my dentist touch with the gloves? Your dentist should only touch the sterile instruments or your mouth — if anything else gets touched or if the dentist leaves the room, it’s time for a new pair of gloves.

– How many soap containers do I see in the office? Soap containers should be visible and everywhere and dentist and staff should be making use of them in front of you, in addition to using gloves.


Ask your dentist:

– Do you change your gloves for every patient? Gloves should absolutely be changed in between patients.


2. Check out the office

A clean, uncluttered office can be an indication of how serious your dentist is about sterilization. If the office is cluttered, it’s harder to clean.

Ask yourself:

— How clean is the office? Is it tidy and uncluttered? If there’s lots of junk on the counter tops, that can make for surfaces that aren’t easily sterilized.

— Are there carpets? Carpets can’t be sterilized, but hospital-grade linoleum floors can. These can all be indications of how serious a dentist is about cleanliness.

— Are there special containers for disposal of needles and sharp items? If you can’t see them, ask where they’re kept. Devices have to either be sterilized or thrown away. A dentist should be using these containers to dispose of used devices and using new ones on the next patient.

Ask your dentist:

— Are operatory rooms (the room where the dental chair is) cleaned between patients? The staff should be disinfecting the surfaces in the operatory between every patient.

— Where do you disinfect instruments? There should be a single room or space in the dental office that is completely dedicated to the disinfection of instruments. Ask your dentist to tell you about this space and what the procedures are.

— How do you sterilize your instruments? Instruments should be sterilized in between each patient, including the dental drill.

— How do you know that the sterilizer is working properly? This brings me to my next point.

3. Ask for autoclave validation

In my office, this is a form that we keep on our bulletin board. It’s a certificate from a third party company that sends the dentist a package full of envelopes of bacteria that are difficult to kill.

The dentist or staff will put these bacteria into the sterilization machine — or autoclave, in dental terms — weekly or monthly, put the package into the mail, and the company analyzes the package and sends a report to the dentist on how well the sterilization machine is functioning. Another word for this is biological monitoring.

Ask your dentist:

— May I see a copy of your autoclave validation? If your dentist is willing and able to show you this report, this demonstrates a commitment and dedication to protecting your health. If your dentist doesn’t want to show you or gets defensive, this could be a red flag.

4. Check the instruments

Your dentist should be unwrapping a sealed bag of instruments in front of you. A sealed bag indicates that the instruments have been sterilized — or in dental terms, autoclaved — by a machine. If bag is already open, then it’s possible that those are used instruments that contain another person’s germs.

Ask yourself:

— Where did the instrument come from? Once instruments are out of the sterilized bag, your dentist should leave them on a sterile tray, not a dirty counter-top.

Ask your dentist:

— Do you use the bags that change color when they’re autoclaved? Many autoclave bags have a color indicator on them to indicate that the instruments inside were properly sterilized. Not all bags have this, but it can start a good conversation with your dentist about sterilization procedures used in the office.

5. Speak up

Never be afraid to ask questions. A good dentist will be proud to tell you of the measures the office takes to ensure your safety, protection and well-being.

Ask your dentist:

— “In your office, how do you guarantee that you do not cross infect patients?” The dentist’s reaction to this alone is telling. The dentist and staff should be dedicated to answering your questions and making you feel comfortable.

And do your research. The more you know about this topic, the better able you will be to engage in a conversation with your dentist. Do a background check. Usually, there’s a governing body that oversees dentists in your state. They keep a record of infractions — call to find out if your dentist is on that list. Educate yourself about dental infection control standards. The Occupational Safety and Health Administration, the Centers for Disease Control and the American Dental Association can help.

If you ever see something that makes you believe that your dentist and the staff are not perfectionists when it comes to cleanliness, trust your instincts and go somewhere else, or at least speak up.

Cross infection, in general, is exceedingly rare because dentists follow strict state and federal guidelines. The risk of your health being affected by not seeing the dentist is far greater than the risk of cross infection.

Sharing Drinks or Food With Others Has Risks….

You’ve navigated your way around tempting treats and have read articles about flu prevention, but have you stopped to think about the dangers of exchanging saliva?

Herpes simplex

The Herpes simplex virus, or HSV-1, is the particular virus strand that causes cold sores (also known as fever blisters). It’s estimated that over 50% of the nation has been infected with the virus. Some carriers of HSV-1 have never had a cold sore and are unaware that they’re carriers, but are still contagious.  This means that although they may never be plagued by a cold sore, they still retain the ability to transmit the virus to others, where it can cause unsightly and painful sores on lips and in the mouth. These sores can last up to two weeks, be pus-filled, and eventually crust over before they disappear. The virus will always remain latent in the body, waiting to be triggered by uncontrollable outside forces such as stress, cold weather, or exhaustion.

But how can I get it?

Cold sores are usually spread through saliva and enter through a minuscule break in the skin. This can be achieved not only by hanging out under the mistletoe at a party, but by sharing food as well. Parents can spread the Herpes simplex virus to their kids by drinking from the same cup of hot chocolate or sharing eating utensils.

A cold sore just appeared. What do I do now?

Fortunately, there are many over-the-counter and prescription treatments available to minimize the appearance of cold sores and their associated discomfort. Talk to your dentist or doctor when you have an initial cold sore outbreak or even if the current medication you’re taking isn’t working as well as desired.
Article VIA bestdentistnews.com