“I Think I Got My Dad’s Teeth”

When my wife confirmed to me she was pregnant with our first child, I knew big changes were coming. The stunning announcement of pregnancy brought me both joy and extreme anxiety.  The biggest stress was not the actual nine months of pregnancy (my wife was healthy and strong, tip-top health) but  a result of me unsuccessfully attempting to predict the unknown future.

The actual pregnancy was classic and uneventful. As an expecting father, I gained my customary 8 pounds in sympathy. February 20th, arrived, game day in the delivery room at Norwalk Hospital. Liza wasn’t a screamer during the delivery process, just some groans now and then for about 5 hours. Like I said, she’s tough.

Delivery was natural and smooth, no complications. It felt like it was all happening too fast. Then ,out of no where a little alien appeared.  “That’s my son?”  I see this little scrawny humanoid thing in the doctor’s hands. Birth is an incredible feeling to witness live. You dads know what I’m talking about. I knew in an instant, my life had just changed in an instant.  Extreme joy and the weight of immense pressure in the same sandwich.

In seconds after delivery, the nurse swept my son from the doctor’s safe arms and confirmed vitals and other tests nearby.  Soon after, he was confirmed by the nurse and deemed healthy and beautiful, he was lovingly brought to mom’s loving embrace, swaddled and nursed. This was truly a breath-taking experience to witness. The nature of instant bond between child and mom is magical. My son was then placed in the radiant incubator which minimize further trauma from the delivery.

As I approached the warming bed to embrace my boy, which was now positioned besides his mom, I witnessed the power of genetics.  Exhausted, content sleeping under the warm light, supine, tightly swaddled,  snug blue head skull-cap fitted, with his tiny right arm conveniently popped out from the soft white blanket, with backhand to his forehead. “That’s me when I sleep”,  I thought out loud. Right hand on my head is where I find the most comfort and relaxation. “It’s my move and now, my son’s move.”

Nature or Nurture, that is the age-old question. It’s actually both. Everything is genetically driven. We are a function of our DNA. The rule is 80% genetic and 20% environmental. There are millions upon millions of characteristics that we have inherited that defines our phenotype.

We are products of our DNA. From our attitude to the gait in our walk; we are our parents, the good and bad. Tooth shape, tooth shade, predisposition to tooth decay, predisposition to periodontal disease, jaw alignment………. everything.

The 20% is our ability to change and modify to create a healthier lifestyle. You are in control of your 20%.

Brush more per day and eat the right foods. Stay away from candy and sugary drinks so you get fewer cavities than your mom or dad. You are still getting cavities, but fewer……..

Get those braces so that your teeth are in a better alignment so that your toothbrush has better accessibility to the your entire mouth.

Get your teeth cleaned more frequently than two times year because your mom lost all her teeth due to periodontal disease before the age of fifty. Get an electric tooth-brush, a Waterpick and floss regularly.

Give up smoking because you know your dad died from oral cancer.

Don’t eat late at night,  stay away from  acidic foods, and cut back on the coffee in order to help prevent root caries,

So let’s embrace our genetics and try to abide by some simple philosophies.

It’s my approach to tackle hardship in life. It works for me. It took me twenty years get here. I try not to question or get frustrated too much about stuff I can’t control.

However I do my best, to make changes in order to make up for my short comings and embrace the facts.

Making positive choices in your lifestyle, may or may not make a difference in the role our genetics play but it certainly can help create a more meaningful existence!

 

Dedicated to Rob A. New dad and patient

 

Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

Pass this Link to Your Friends:  robertemilioddsblog.wordpress.com

 

 

 

 

 

What’s Oil Pulling?

Oil pulling, involves trapping a tablespoon of oil in your mouth and moving your cheeks with your closed lips for around 20 minutes or so. This pulling technique has been around for thousands of yearsWebMD.  There is some opinion out there that this action of oil pulling eliminates general body ailments such as hangovers, sleep disorders and skin diseases. This swishing with the oil supposedly draws  toxins out from your body, to improve your overall health. I dont believe those claims one bit.

image.png

Clinically, as a dental health care observer/provider,  I do see a benefit from the oral aspect with less plaque accumulation as noted in routine hygiene follow ups by my patients who practice this technique consistently on a daily basis.

I do not  “Oil Pull” because it’s difficult for me to consistently find twenty minutes in my day where I am not interrupted, asked a question or simply bombarded with stuff needing immediate attention home and office alike. For those of you who know me, I got to talk. It is impossible for me to sit there, silently, swishing, suppressing my opinion or thought from being verbally expressed.  I do believe it’s a worth the while if you can find the time in your daily routine. Think of it as “another feature in your dental home care cap.”

My Choice Oil is Coconut Oil.

Coconut Oil is antimicrobial. A particular study demonstrated that coconut pulling significantly reduced the number of cavity producing bacteria called Strepococcus Mutans study . Yes! You can potentially get fewer cavities if there is lesser of a concentration of the destructive bacteria in your mouth.

Coconut Oil contains Lauric Acid and is the active triglyceride that kills bacteria that creates gum problems. A decrease in the amount of bacteria decreases your gum’s inflammatory response, better known as ginivitis. Less gingivitis is a good thing.

Coconut Oil also has anti fungal properties. People who get fungal diseases of the mouth most often have dentures or are undergoing radiation or chemotherapy treatment.

How about keeping your teeth as white as possible? Don’t panic, it’s organic…….Oil in general is a lubricant and creates a lower surface tension on your teeth and gums so that the bacteria and stains just slide off your teeth and gums resulting in displaying you beautiful white teeth.

And Finally, Coconut Oil tastes good. Who doesn’t love coconut embedded foods? Coconut Shrimp, Coconut Cake, Macaroons; my top three favorites. That’s all good stuff, right?

Coconut Oil Pulling Technique

1-Brush your teeth properly

2-Take a tablespoon of Coconut Oil and use it like mouthwash.

3-Go for it! Do Not swallow..

4-After 20 minutes spit the oil in the trash. You don’t want to clog the plumbing of the house or septic system. The oil may solidify in your pipes.

 

It’s not the cure-all. You still need to brush your teeth and see me for regular check ups.

PS. My wife Actually got this great tasting Coconut Toothpaste from Whole Foods.  If you want the name of it, you’ll have to subscribe to my blog. LOL. Just kidding, shoot me an email for the request.

 

Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

Pass this Link to Your Friends:  robertemilioddsblog.wordpress.com

 

Do I Still Need To Take My Antibiotics?

I recently had a wonderful elderly female patient who was complaining of jaw pain status/post Third Molar (wisdom tooth) extraction in my office.

The previous day, I had extracted the fractured vital tooth. Beautifully removed with minimal effort and stitched up to perfection by me. Her Past Medical History was unremarkable. She was taking no medications of concern that should have alerted me to potentially a risky post operative recovery.  I had no reason to believe there could be an issue with the post operative care of the area.

Dry socket is always a concern. Dry socket ( alveolar osteomyelitis) is a condition where the extraction site clot is dislodged and the underlying bone of the socket gets exposed to the harsh oral environment. This is a very painful situation such that the pain is unique and radiates thru your entire jaw, face and neck on the side of the tooth extraction. Although a rare occurence for my patients, clinical experience demonstrates a higher predisposition to dry socket in the lower third molar area than any other area in the mouth.

She was in pain. She was feeling drawn out and called me directly on my emergency contact. Timing was essential and aided in my diagnosis of the origin of post operative pain.

The patient stated that she was sore and feeling slightly febrile the very next day; I estimated, twenty-four hours since the surgical event.

“I need antibiotics to Knock Out the infection” , she stated with confidence. She continued on stating that she was ,”….. a bit febrile,,,,I’m running a bit higher than usual”.

I conceded and with a very slight reluctance, but obeyed to the wisdom of this implacable women. I prescribed the antibiotics because I respected the patient’s desires. I do believe that some patients can be their best and worst doctors. It’s definitely was possible she was in the early cascade of infection,,, most likely, not. She presented initially non infected. It was too early for in infection to be present so soon after the extraction. Typically, infection would start on the THIRD DAY after a surgical event.

I called her one day after the initiation of the antibiotic therapy and she stated, “I am feeling so much better now. Thank you.  Do I need to finish the antibiotics?”

MY ANSWER WAS…EMPHATICALLY…….. YES!

My feeling was such that she was not truly infected, but instead feeling beat up from the extraction  event (the message not the messenger). Post operative edema peaks 24-36 hours a surgical event; that’s when the post extraction pain was the worst.

Dental extractions are always traumatic. It involves, local anesthesia which initiates an Adrenaline rush through your system. In response to the needle shot in anticipation of the surgical event, corticosteroids get surged out from your adrenal glands to help cope and compensate for the traumatic event you are about to endure; this is the Flight or Fright response. This is a totally natural occurring biological response to an average dental visit (comparable to getting charged by a saber tooth tiger—-that’s a joke….). It’s Normal to feel zonked after seeing me for a denatl procedure.  You will be tired the next day, especially after an extraction.

The patient’s febrile component was most likely associated with a slight dehydration effect that impacts body temperature in the slightest fashion. That’s why it’s important to drink your fluids. It’s on the post op instruction sheet..

Upon follow-up phone call, on the Second day after extraction, and one single dose of antibiotic, she reported to be just fine…Her next question was,  “Do I need to finish my antibiotic?”

Yes, was my response the current theory states that :” Treating bacterial infections with an antibiotic kills those bacteria, but this may take a week or more to accomplish. If you stop treatment early, you have only killed the weaker of the bacteria, those bugs most readily wiped out by the antibiotic. The ones leftover are the tougher bacteria, which would have been killed if the treatment continued but now, in the absence of antibiotics, have room to multiply and pass their genetic-based resilience to their progeny. Next time around, the infection is that much tougher.” Finishing your antibiotic

However, the same article states the mindset of this theory is changing. Each situation of infection type needs to be addressed individually. The debate is duration time period of antibiotic consumption. An Excellent read. I suggest you read the details.

Dedicated To Regina.

 

Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

Pass this Link to Your Friends:  robertemilioddsblog.wordpress.com

Teeth in a Day, Really?

 

The real question is, ” If you could do something…,should you do it? 

“TEETH-IN-A-DAY™ is a revolutionary concept providing patients with fully functioning teeth on dental implants in one single procedure on the same day. This procedure can be done on a single missing tooth or multiple missing teeth. This allows for you to have a temporary fixed prosthesis immediately, eliminating the need to go without teeth.”Dralijanian.com

How is that possible?  Sure, it’s possible.  Increased accessibility to advanced diagnostic technology  is responsible for driving the rapid acceleration towards getting your teeth sooner than ever. This incredible 3-D rendering technology takes a bit of the “foreseen unseen surgical unknown” out of the equation during the preplanning of the surgical event. Assuming excellent skill level and acuity of the dental implant surgeon is consistent, this technology  dictates a better outcome. Less complications from being under prepared allows a seamless transition and the smooth execution of surgical care. The prosthetic application of this process has virtually not changed over the decades. A denture is still a denture.

Are you a candidate for Teeth In A Day? The T.V. advertisements are a bit misleading. I do think they are potentially good because they start the conversation; not really informational in content. People are becoming more aware and educated of the possibilities out there. (That’s the purpose of my blogging BTW). Some of my colleagues frown upon the media advertisements feeling that dentistry has now been commoditized   like everything else in our society.  There is a very small percentage of our population who are everyday dental suffers who I consider as dental cripples who could benefit with this option.

Several Factors which need to be considered for this option are as follows:

You must have great bone quality and quantity to anchor those implants. I mean very good.

Non smoker ( smokers lose implants more than non smokers)

Infection free-no active disease process ongoing

Non Diabetic or Highly controlled diabetic healing is compromised with is this disease.

I.V. Sedation preferable ( It’s a 6-7 hour day in that chair) Two hours for the surgical. event and 2-3 for the prosthetic aspect where the screw down acrylic dentures is fitted.

Can not tolerate an upper dentures’ palate aspect. ( you gag easily)

Your job does not allow you to tolerate a non movable appliance ( T.V anchor?). It’s very arduous and emotionally challenging to retrain yourself on how to eat, and chew with newly acquired removable dentures.

 

The real question is, ” If you could….,should you?

My answer is no. I like the thought of staging a case 4 months to 1 year. First, removal of infected teeth, then natural healing of the surgical site, implant placement and then finally prosthetics from the ground up. This takes time.

There are many advantages of a staged approach to reconstruction/rehabilitation. Treating infection first, is one.  I will always push to remove those decayed infected teeth and eliminate all sources of draining  purulence first. Implant placement into an infection free mouth is critical. I don’t want the pathogenic destructive bacteria, that incidentally were  responsible for the original tooth loss, to “jump on to” the newly implanted sterile fixtures during the surgical process.  This jumping of bacteria  is called cross contamination and can be a big problem. Not all bacteria is bad. It’s the bad bacteria what we are concerned with contaminating implant threads in the surgical process. In addition, if no immediate emergency exists, anesthetic should not be directly injected into localized actively acute infected sites. Needle sticks physically displace and spread infection via facial planes remnant from embryological development. The surgeon must eliminate active infection first and then carefully prep for future implant placement with minimal trauma to the mouth. Allowing the patient to heal over several weeks eliminates the possibility of surgical cross contamination and infection spread.

Acrylic dentures can suck for most and for the few others, they are just perfect. No more cavities, no more tooth aches, no more of the bad memories relived in the chair. (Denture wears should still come in for a hygiene check or dentures reline once a year. Dentures do crack and sometimes need to be refitted due acrylic tooth wear, weight changes and medication changes. Sorry, you are not done with me yet!). After the extraction surgery in the non-immediate implant placement scenario (staged approach), you may be that unbelievably incredible patient doing just fine with that immediate temporary denture.  You never know.  One can never assume that you will or will not adjust to the dentures without implants. It’s hard to guess how you are going to feel emotionally and physically in the process. No one authority can force that issue of adaptation other than yourself. Assuming you do acclimate to the dentures, there is no possibility of buyers remorse. You can save yourself a boat load of money without the implants. A single arch fully implant supported implant fee can run $25,000-$40,00. A complete denture without implant support will be 10% of that. That’s something to think about.

Another advantage of staging is better esthetics. I want you to look great and feel great when it’s all done. There’s a big guess on how you should/could look upon delivery of the final acrylic dentures in the “Teeth in A Day Scenario”. A stranger laboratory technician decides for you denture tooth shape, shade and positioning of how you, “should look”. That’s a big jump to an unknown.   Esthetics need to evolve  during the healing process. Your facial features change dramatically after full mouth extractions and rapid bone loss occurs around non implant sites dramatically within the first several months after surgery. Most of the time, going slower in the prosthetic phase yields a better end result because the bone and soft tissues that support the final product will have healed to place. Harmony of the smile, bones and gums can best come together with a little patience.

In Italian, there’s a beautiful expression take rhymes and makes sense.

“Chi va piano, va sano e va lontano”

Translates into ” He who goes slowly, goes sanely and goes far”

Too  many more advantages to slow it down to mention. Come in for a consultation

 

Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

Pass this Link to Your Friends:  robertemilioddsblog.wordpress.com

 

 

 

At What Age Do I Bring My Kid In?

The answer for this question is ambiguous on the web ranging from 6 months to 5 years old. Here’s the reality.

Baby teeth should all be in place at or around two years old, plus or minus 4 months. That’s a total of twenty decidious teeth (primary teeth).

Girls tend to be much more mature and cooperative in a seated position for a dental evaluation, more so than boys. In general, it’s almost impossible to get a vulnerable supine child to sit firmly while that overhead light shines down onto their face for more than 30 seconds, let alone cooperate with requests by strangers wearing blue lab coats.

Therefore, it is my experience that the first visit for a girl should be at around Three years of age and a boy probably closer to Four years of age. Girls tend to be more gentile and passive at this tender age, more cooperative for sure.

Children have better nutrition today. In general, unless there is an underlying systemic issue or medically undiagnosed acid reflux, it’s rare to see caries laden teeth in the mouth of a four or five-year old; although I have been tricked. Massive decay in between the teeth can be hidden where my explorer can’t reach. It’s a horrible feeling for patient and doctor when missed. Traditionally, radiographs can only tell if there is something brewing in between teeth. That’s the rub. Children’s skeletal development is fragile.  I am remiss to expose children to radiographs at this early fragile age, plus they just can’t bite down hard enough on the bite block to get a meaningful diagnostic radiograph. It hurts to bite down on that thing. Frustration has driven me to search out cutting edge  technology. I recently purchased advanced non radiation halogen light technology which eliminates the deleterious effects of exposure to your child.  This device essentially offers a bypass to exposing your child and aids in the detection of inter-proximal decay. Dexis CariVu Caries Detection.

My advice is to bring your child in on your approaching recall visit as the “covert introduction”  to the dental office. The child would benefit from engaging in the new environment with  positive encouragement from staff strictly as an observer. This will set  the stage for a return visit as a young new patient in the nearing week or two. It’s best to solidify the experiences from the covert visit while still fresh in the mind of the child.

During the child’s first visit as a patient, no X-rays will be taken. If anxiety levels are minimal, light technology can be utilized to view inter proximal areas of teeth. A cursory clinical evaluation to confirm tooth number, alignment  and home care quality to be determined, reviewed and reinforced. Nutritional discussion is also handled on this visit if indicated. The primary focus is on creating a positive non threatening environment early on with positive cues and reinforcement thru dialog and reward.

Toy Chest 🙂

 

Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

Pass this Link to Your Friends:  robertemilioddsblog.wordpress.com