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Dr. Inna Shimanovsky and Aadvanced Dental is a 100% mercury-free general dental practice specializing in advanced cosmetic/reconstructive dentistry and extensive dental care services using the latest science and technology in a caring and pain free environment.

Tips for Summer Dental Care

Tips for Summer Dental Care

This summer, enjoy all the indulgence and fun without making your dental health pay the price. Keep these easy reminders top of mind and your teeth will thank you come fall!

Chapstick with SPF. With the sun shining bright all summer long, it’s important to remember that like your skin, your lips need sunscreen, too. Your lips are prone to sunburns, so it’s important to remember to apply that lip balm when spending long hours outside.

Sweets in moderation. We all know summers are chalked full of barbeques and parties, usually complete with loads of sweets and treats to indulge in. It’s okay to give in to these cravings, but remember that consuming lots of sugary foods means your teeth are more susceptible to plaque buildup and potential cavities. If you’re going to go for the dessert table, try to do it all in one sitting rather than snacking throughout the day. Rinsing your mouth with water and chewing sugarless gum after a meal can help minimize plaque and decay as well.

Wear a mouth guard. Even if the sport is non-contact, it’s a good idea to wear a mouth guard for extra protection against chipping, cracking and hurting your lips and cheeks in case of an accident. You can find these at your local sporting goods store, or ask your dentist if you’re looking for something with a more customized fit.

OREGON CITY DENTIST SAYS CHECK YOUR TONGUE HEALTH

OREGON CITY DENTIST SAYS CHECK YOUR TONGUE HEALTH

tongue
Your tongue is an important organ located in the mouth. It is covered with a mucous membrane and taste buds. It forms the major part of the floor of the mouth between the lower arch of teeth located in the lower jaw or mandible. It is the major organ of taste and it assists in chewing food, swallowing and speech.

Dr.Shimanovsky says that the tongue can have a variety of problems associated with it. Common symptoms or irregularities of the tongue that may be problematic can include a wide variety of things. Many of these problems are visible as:
• Lumps, sores or ulcerated areas
• Burning sensation or tender feeling
• General color changes of various types from white to black
• Texture changes that are bumpy, smooth or have grooves
• Hairy or fuzzy appearance
• Itching, scaling or bleeding
• Irregular movement or control problems
• Pain or soreness
• Patches or spots with color changes that can be red or white
• Bumps, patches or spots with texture changes that are smooth, raised or irregular
• Swollen, enlarged or bloated tongue
• Taste problems
• Tremors or twitching occurrences

There are a variety of causes that can lead to problems, disorders and diseases of the tongue. Among these causes are infections, inflammation, allergies, family genetics, metabolic problems, and nutritional deficiencies. Problems of the tongue can be short term or chronic in nature. Since any tongue symptom can be the sign of a serious disease or condition, you should seek prompt medical care regarding your symptoms or condition.

Tongue cancer which is still rare has been found to have doubled in recent years among women younger than 45 years of age. One possible reason may be due smoking habits among these women. Risk factors for oral cancer include smoking, chewing tobacco, alcohol consumption and HPV infections. However, researchers at the University of North Carolina have not observed any link between this large increase in tongue cancer among women and HPV, smoking or drinking. Prognosis for the treatment of tongue cancer is related to the size of the tumor at the time of detection. Prompt treatment is important because the cancer can spread rapidly to nearby areas, such as the mouth, throat, neck, jaws and lymph nodes. Your Oregon City should check your tongue for any visible areas that look problematic. Between your regular six month visits to see Dr.Shimanovsky you should examine your tongue for any unusual symptoms, such as irritated areas of the tongue that do not heal or any sores or bumps that do not go away or that enlarge. If you have any suspicion of cancer, you should get immediate medical care related to your condition. Please remember that the information here is not a substitute for reliable and prompt medical attention, diagnosis and treatment.

About Dr. Inna Shimanovsky and Aadvanced Dental: Dr. Inna Shimanovsky and Aadvanced Dental is a 100% mercury-free general dental practice in Oregon City, OR specializing in advanced cosmetic/reconstructive dentistry and extensive dental care services using the latest science and technology in a caring and pain free environment.

 

 

Facts You Should Know About Tooth Wear

Facts You Should Know About Tooth Wear
FactsYouShouldKnowAboutToothWearYou may have noticed, as you get older, that the enamel of your teeth is looking worn in certain areas. Sometimes tooth wear takes the form of a minor chipping or fracturing at the incisal (cutting) edges of the teeth, or a loss of tooth material from the area near the gum line. In more severe cases, worn teeth look quite a bit smaller than they used to. Why does this happen?Some wear with age is natural. But too much wear can interfere with your bite, expose more sensitive inner parts of the tooth to decay, and give you a more aged appearance.

There are things you can control that affect wear:

Your habits: Clenching or grinding habits, also called “bruxism,” is a major cause of tooth wear. The motion of teeth sliding over each other with forces that are beyond what’s normal for biting or chewing causes a mechanical removal of tooth enamel. This can happen during sleep or periods of high stress. In either case there are therapies available, such as a thin, professionally made mouthguard that prevents your teeth from coming into contact with each other. Holding foreign objects, such as nails and bobby pins, between your teeth can also cause wear.

Your diet: Tooth enamel can be eroded (dissolved away) by acidic beverages, such as sodas, sports drinks and juices. Frequent snacking on sugary foods encourages the growth of oral bacteria that produce acid as a byproduct — also leaving your teeth vulnerable to tooth decay. Your saliva can buffer the effects of the acid in your mouth in about half an hour; if you consume these types of foods and beverages continually, there won’t be enough time for this to work.

We can restore the appearance and function of worn teeth in a variety of ways. Porcelain crowns and veneers, for example, can re-establish the normal thickness and length of teeth while improving their color and giving you a more youthful appearance.

If you have any other questions, call our Oregon City office for a free consultation with Dr.Shimanovsky.

About Dr. Inna Shimanovsky and Aadvanced Dental: Dr. Inna Shimanovsky and Aadvanced Dental is a 100% mercury-free general dental practice in Oregon City, OR specializing in advanced cosmetic/reconstructive dentistry and extensive dental care services using the latest science and technology in a caring and pain free environment.

 

 

Dental Care During Pregnancy

pregnantAccording to the American Dental Association (ADA), annual exams and routine cleanings during your pregnancy are perfectly safe and recommended. Make sure to let your dentist know that you are expecting. Some women may need dental procedures such as fillings, root canals or crowns during pregnancy. The second trimester is the best time to get this type of work done. When you hit your third trimester, it becomes increasingly difficult to lie on your back for long periods of time. The best course of action is to postpone all non-emergency dental work until after the birth of your baby. Elective treatments, such as teeth whitening or other cosmetic procedures, should also be postponed until after the birth.

Some dental procedures require anesthesia. As little as needed to keep you comfortable during the procedure is a good rule to follow. If you are experiencing pain, request additional numbing. Remember, when you are comfortable, the stress on the baby is reduced and the anesthetic will work better. Bring some headphones and your favorite CDs to help relax. Also, focus on leaving your legs uncrossed to keep blood circulation flowing.
Dental work often requires antibiotics to prevent or treat infections. Antibiotics such as penicillin, amoxicillin, and clindamycin, which are labeled category B for safety in pregnancy, may be prescribed after your procedure. Avoid antibiotics such as tetracycline during pregnancy, which can cause discoloration of your baby’s temporary and permanent teeth.

Caring For Your Teeth  Due to an increase in pregnancy hormones, gingivitis (inflammation of the gums) is a common problem for women that are expecting. Some symptoms to watch out for include: tender, red and swollen gums, bleeding gums and bad breath. Do not ignore dental problems, because they can take a toll of your baby’s health. Gum disease has actually been linked to preterm birth. It’s a good idea to visit your dentist early on for a cleaning and an exam. Take care of your teeth. Brush at least two times a day with an ADA-accepted fluoride toothpaste and floss regularly.Remember to stick to a healthy diet. Proper nutrition is really important for your growing baby and your teeth too! Pick foods that are good sources of calcium and vitamin D. Stay away from junk food, which can lead to weight gain and cavities. Maintaining a balanced diet, proper nutrition and good oral hygiene is the best way to avoid damaging gum diseases in the future.

If you have any other questions, call our Oregon City office for a free consultation with Dr.Shimanovsky.

About Dr. Inna Shimanovsky and Aadvanced Dental: Dr. Inna Shimanovsky and Aadvanced Dental is a 100% mercury-free general dental practice in Oregon City, OR specializing in advanced cosmetic/reconstructive dentistry and extensive dental care services using the latest science and technology in a caring and pain free environment.

 


How to resist sweets during the holidays

How to resist sweets during the holidays

Another holiday season is upon us. With it comes the temptation to (over) indulge in sweets at nearly every turn: home, the office, parties and more.

We all know what sugar does to teeth. But candy is so delicious!

No worries – you don’t need to completely cut out your sugar intake during the holidays. You can make it through with minimal exposure, though, if you stick to a few of these tips:

• Avoid chewy, sticky candies that will linger in your mouth. The longer sugar hangs around in your mouth, the more time it has to break down into the acids that can damage teeth and cause cavities.
• Try to find candy that’s sugar-free. You may not be able to avoid sugar outside your home, but while you’re there, you can sub in treats with sweeteners like xylitol.
• Opt for smaller bites. Instead of reaching for a king-size bar, go for the bite-sized stuff instead. It’s still sugar, but you’ll ultimately be eating less of it.
• Brush and floss regularly, and drink plenty of water to keep bacteria from growing in your mouth.

Above all, keep track of what you eat, and don’t be afraid to duck into the bathroom for a quick brush if you need to. Those few minutes spent cleaning away holiday treat remnants could save you a lot of time (and cash) once the holidays are over.

About Dr. Inna Shimanovsky and Aadvanced Dental: Dr. Inna Shimanovsky and Aadvanced Dental is a 100% mercury-free general dental practice in Oregon City, OR specializing in advanced cosmetic/reconstructive dentistry and extensive dental care services using the latest science and technology in a caring and pain free environment.

Straighten your teeth with Invisalign

At AAdvanced Dental Dr.Shimanovsky and her team, will make sure that you get the best treatment plan tailored to your specific needs. One treatment option that we offer is Invisalign®. Invisalign® gives patients an alternative to regular wires and braces. It is virtually invisible, is more comfortable than braces, allows you to eat normally and helps with better hygiene.

To begin the process your dentist takes impressions of your teeth to be scanned into a digital model. Along with x-rays and photos of your teeth Dr.Shimanovsky can determine a precise diagnosis and treatment plan. After these records are submitted to Align Technology and the first model is created. It is sent back to the orthodontist for review and final treatment plan involving the exact movements of your teeth. You can even see a virtual image of your treatment, step by step.

One of the great features in using Invisalign® is the fact that the aligners are removable, you can take them out when eating, brushing and flossing. Because the aligners are clear you will feel more confident while wearing them. Invisalign Teen® is designed with young people in mind. It has an added feature called the “Blue Dot” indicator. It will remind your teenager when it’s time to move onto the next set of aligners in the series. Normally each set of aligners is worn for two weeks. You will continue to progress with your aligners to continue the straightening process, ultimately giving you the Great Smile you have always wanted. You dentist will monitor your progress frequently to make sure that the desired correction is achieved.

Invisalign® cannot treat every type of orthodontic problem, but If you would like to find out if Invisalign® is right for you and your teeth, call our office to schedule your complimentary exam.

About Dr. Inna Shimanovsky and Aadvanced Dental: Dr. Inna Shimanovsky and Aadvanced Dental is a 100% mercury-free general dental practice in Oregon City, OR specializing in advanced cosmetic/reconstructive dentistry and extensive dental care services using the latest science and technology in a caring and pain free environment.

Sleep Apnea

Sleep Apnea

Millions of Americans suffer from sleep apnea, a condition marked by multiple stoppages in your breathing during sleep. Often, these pauses in breathing will only last a few seconds, and you may not even realize that you suffer from the condition unless your partner informs you of your incessant snoring, a symptom commonly associated with sleep apnea. As a result, the quality of your sleep is poor, which makes you tired during the day. Sleep apnea is a leading cause of excessive daytime sleepiness.
Sleep apnea often goes undiagnosed. Doctors usually can’t detect the condition during routine office visits. Also, no blood test can help diagnose the condition.

Most people who have sleep apnea don’t know they have it because it only occurs during sleep. A family member or bed partner might be the first to notice signs of sleep apnea.

The most common type of sleep apnea is obstructive sleep apnea. In this condition, the airway collapses or becomes blocked during sleep. This causes shallow breathing or breathing pauses. When you try to breathe, any air that squeezes past the blockage can cause loud snoring. Obstructive sleep apnea is more common in people who are overweight, but it can affect anyone. For example, small children who have enlarged tonsil tissues in their throats may have obstructive sleep apnea.

Untreated sleep apnea can:

Increase the risk of high blood pressure, heart attack, stroke, obesity, and diabetes Increase the risk of, or worsen, heart failure
Make arrhythmia, or irregular heartbeats, more likely
Increase the chance of having work-related or driving accidents

   Treatment options for sleep apnea

After a proper diagnosis, several treatment options are available to choose from:

 Oral appliance therapy – Dr. Shimanovsky may give you a custom-fit oral appliance to treat your sleep apnea. These devices are worn while you sleep to prevent airway obstruction so that you can breathe more easily throughout the night.

  CPAP – Continuous positive airway pressure (CPAP) is a treatment method that uses a mask, hose, and blower to force air through your upper airway passage while you sleep.

  Surgery – Surgery is generally only recommended as a last resort for severe sleep apnea patients who are unable to correct the issue with a more conservative treatment method. There are a variety of surgeries that may correct the underlying conditions causing sleep apnea.

To learn more about the many sleep apnea treatments available to you, please contact our Oregon city office to schedule your initial consultation with Dr.Shimanovsky.  We serve Oregon City, Portland, West Linn, Gladstone, Lake Oswego and other areas of Portland Metro Area.

About Dr. Inna Shimanovsky and Aadvanced Dental: Dr. Inna Shimanovsky and Aadvanced Dental is a 100% mercury-free general dental practice in Oregon City, OR specializing in advanced cosmetic/reconstructive dentistry and extensive dental care services using the latest science and technology in a caring and pain free environment.

 

Get your teeth whiter this summer

Get your teeth whiter this summer

There are only 90 days of summer !   Summer is the time to ramp up your social life, get in shape and feel good about yourself…there is no better way to accent your beauty then to flash a beautiful smile.

Here are some easy tips you can do yourself to give your smile the boost it needs:

1. Buy an electric toothbrush.

If you are one of the many that are still using a hand held toothbrush, it’s time to throw it away and make the investment in a good sonic toothbrush.

There is no easier way to begin to polish off red wine stains better than using sonic power.

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2. Counteract the juice.

Juicing is the latest craze, and people tend to juice more during the summer because they’re wearing more revealing clothing. Juicing is great, but tends to severely stain your teeth. If you are a juicer, remember to brush afterwards.

Juicing tends to equal meal replacement which cuts down on the amount of chewing one does. Chewing stimulates saliva, which is not only great in fighting cavities, but also holds the power to rinse away stains. If you are juicing, remember to chew sugarless gum (preferably one that contains xylitol) before and after.

3. Try a bleach strip.

 bleaching strip

There are a lot of great over-the-counter methods of bleaching your teeth these days that don’t impede your social or work schedule.

Bleach strips are almost undetectable and only have to be worn for an hour a day. We can all find an hour a day.

Here’s a tip – maximum efficacy of most strips happens in the first 15 minutes. So to maximize your outcome – use three strips a session, changing them every 15 minutes for a total of 45 minutes a day. You’ll be guaranteed great results.

I recommend Crest 3D white professional effects white strips.

4. Use a whitening paste.

Whitening toothpastes have silica in them that scrub away stains. There is some controversy about the damage they may cause to the enamel, which is inconclusive at this point. To get the maximum stain removal effect safely, I recommend alternating the whitening paste every other day in conjunction with a non-abrasive high fluoride paste.  My personal favorite is The Natural Dentist whitening toothpaste.

5. Take care of your lips!

eos

The best showcase of your teeth is to have healthy shining lips. Guys too! Usually during the summer, use something with SPF in it. It will protect your lips from sun damage while nourishing them at the same time.

To gain some wattage in your smile, use light hues of red in the balm, it brings attention to the teeth and makes them look whiter.

6. Use this model’s trick.

When going out during the day, a great way to give a little shine to the teeth is an old trick that models still use during shoots…Rub a thin layer of Vaseline on your teeth… Think of it as tooth gloss.  It will capture light shining in on your teeth and reflect it back giving extra brightness to the smile.

I hope these quick tips help give your smile what it needs to coast thru the rest of summer with confidence in your smile.

 

About Dr. Inna Shimanovsky and Aadvanced Dental: Dr. Inna Shimanovsky and Aadvanced Dental is a 100% mercury-free general dental practice in Oregon City, OR specializing in advanced cosmetic/reconstructive dentistry and extensive dental care services using the latest science and technology in a caring and pain free environment.

Tooth Anatomy (and how to prevent toothaches!)

The Anatomy of a Tooth

Today’s blog post will provide a very basic understanding of the anatomy of your teeth. By understanding how delicate your teeth are, we will be able to illustrate how important early detection and preventive care is to your oral health. Let’s take a look at the picture below and discuss some key terminology:b2ap3_thumbnail_Tooth-Anatomy.JPG

 

Enamel: We have all heard of enamel. Did you know it’s the hardest substance in your body? Enamel gives our teeth their pearly white appearance and is the first line of defense against tooth decay (caries). Enamel also acts as a thermal insulator for the nerve within the tooth. When people are interested in whitening their teeth, they are improving upon the appearance of their enamel.

Dentin: This portion of the tooth is much lesser known than its outer covering of enamel. Dentin comprises the inner surface of the tooth and is the last bit of tooth structure to protect the dental pulp. Dentin is yellowish in appearance and can be readily seen when patients have lost their enamel. Oftentimes, when patients notice their teeth yellowing it is actually that they have lost the enamel from their teeth. This situation cannot be improved upon with whitening. In fact, whitening may lead to excessive tooth sensitivity and irreversible nerve damage.

 

 b2ap3_thumbnail_Tooth-erosion.JPG

Note how the teeth depicted in the picture above have lost their enamel on the palatal surface (the part of the upper teeth facing the roof of the mouth). This condition was due to recurrent exposure to stomach acids. This is often seen in patients with gastric acid reflux or patients suffering from bulimia. Please note that any repetitive exposure to acid can cause this- I have actually had several patients who have lost enamel due to chewing on lemons!

Pulp: The dental pulp is the soft tissue of the tooth that is composed of the tooth’s nerve as well as its arteries, veins, and capillaries. When tooth decay (caries), breaches the protective enamel and dentin the tooth’s pulp becomes infected. Patient’s often describe this situation as “the worst pain they’ve ever experienced.” Treatment options for this situation include extracting (pulling) the tooth or everybody’s favorite two words: Root Canal.

b2ap3_thumbnail_Tooth-Pulp.JPG

 Note how the pulp is in the center of the tooth, but also travels the extent of the root to join the other blood vessels at the apex of the tooth (the bottom of the tooth). When the dental pulp becomes infected by tooth decay, the bacteria then travel down the pulp and begin to form a dental abscess at the root. This abscess causes excruciating pain, as well as dissolving the bone around the roots. Once in the bone, this infection can then easily travel to other parts of the body. We treat at least one patient a day that is in this condition. Don’t let this happen to you by maintaining your regular preventive care!

Bone: The alveolar bone supporting your teeth is crucial in preserving your smile! The importance of maintaining excellent bone health is so important we will discuss this in depth in future blog posts concerning Periodontal Disease. The main message here is: losing bone will lead to losing teeth.

 

Periodontal Ligament: The periodontal ligament is the soft tissue that connects your tooth to the supporting bone. It also absorbs the force of chewing (think about it like shocks on your car).

 

We will reference this blog post as we tackle more complicated subjects in dentistry and your oral health. If you have any questions regarding your oral health, please call our office at 503-6593003. Thanks for reading!

About Dr. Inna Shimanovsky and Aadvanced Dental: Dr. Inna Shimanovsky and Aadvanced Dental is a 100% mercury-free general dental practice in Oregon City, OR specializing in advanced cosmetic/reconstructive dentistry and extensive dental care services using the latest science and technology in a caring and pain free environment.

 

 

 

Beautiful Teeth with Dental Veneers

veneersBeautiful Teeth with Dental Veneers

ental veneers, also known as porcelain veneers or dental porcelain laminates, are an amazing option for individuals wanting to improve the aesthetic appearance of their teeth or fix minimal to moderate damage caused by worn enamel or other incidents. Dental veneers are custom-made shells that are designed to match the exact color, size and shape of your teeth. The veneers are very thin, and easily bond to the front of your teeth to give the most natural look available.

What are Dental Veneers are made of?

Most dental veneers are made from porcelain, because they are extremely natural looking, translucent, and more resistant to stains. The alternative is a resin composite material that is thinner and requires less removal of the tooth surface before placement. It’s completely up to you which kind of veneer you want and your dentist can also help you find the perfect solution.

Why do people get veneers?

There are many different reasons why people choose to get veneers. They can correct almost any aesthetic concern that you may have and are used frequently because their look, comfort and versatility. They are used commonly to fix problems related to:

  • Discolored teeth
  • Teeth that are worn down
  • Chipped or broken teeth
  • Teeth that are skewed, uneven, or have bulges
  • Teeth with large gaps

What does the procedure look like?

In the end, you will probably end up making only three trips to the dentist: one for the consultation and two for the actual application of the veneers regardless of how many teeth are undergoing the process. The process is relatively quick and will most likely be over in an hour and half. The procedure doesn’t require a recovery period and the only discomfort usually comes from tooth sensitivity to hot and cold items which will lessen after the initial shock.

Afterwards, simply continue to follow good oral hygiene and take care of your teeth as you normally would. Dental veneers are simple and will keep your teeth looking beautiful for years!

About Dr. Inna Shimanovsky and Aadvanced Dental: Dr. Inna Shimanovsky and Aadvanced Dental is a 100% mercury-free general dental practice in Oregon City, OR specializing in advanced cosmetic/reconstructive dentistry and extensive dental care services using the latest science and technology in a caring and pain free environment.