Telltale Signs That Your Tooth Has A Cavity

You may not understand it, and the more you think about it the less you want to believe it, but you’re positive you have a cavity, and a painful one, too. How did this happen? You brush twice a day and floss regularly. You rinse with hydrogen peroxide, just like the dentist recommended. In fact, you can’t remember the last time you had a cavity, but you think it was when you were a little kid, back when you ate sugary cereals like Lucky Charms and Cocoa Puffs for breakfast. In all seriousness, you thought only kids got cavities. Weren’t you supposed to have outgrown these things the way teenagers outgrow acne? The Signs and Symptoms of a Cavity It’s believed that roughly 90% of Americans will get at least one cavity in their lifetime. Those other ten percent, it seems, can eat as much pie, cake, and sugary cereals and sweets as they want. That’s not really true; just a stab at dental humor, and it was as bad as the pain your cavity is probably giving you. When a cavity is in its initial stages, you will often be symptom-free and experience no discomfort at all. It’s not until the tooth decay has reached a certain level that you will begin to notice the signs and symptoms. While a toothache and sensitivity to hot and cold foods and liquids are surefire signs that you have a cavity, there are lesser-known symptoms as well. If you’re experiencing any of these warning signs, you may want to consider making an appointment with our office as soon as possible:

• Persistent bad breath or a bad taste in the mouth
• When you bite down, there is a sticky, tarry feeling
• Puss or discharge around a tooth
• A visible discoloring, usually black or brown
• Small pits or holes in the tooth

Routine dental care is important. While good oral hygiene, a healthy diet, and regular cleanings at the dentist will deter the formation of cavities, they do not constitute a foolproof practice. A cavity can occur at any time, no matter what your age. Bacteria causes tooth decay, and no amount of brushing, flossing, and rinsing will eradicate all the bacteria from your mouth. If you think you may have a cavity, please contact our office immediately.

Foods That Can Harm Enamel

Many people who are careful about brushing and flossing their teeth wonder how they still end up with cavities or tooth decay. Several factors affect wear and tear on tooth enamel. Diet is a major factor, with certain foods increasing the likelihood that your enamel will become discolored or decayed. Pay close attention to the foods you eat to keep your pearly whites looking healthy and clean.

What Causes Enamel Damage? Tooth enamel refers to the hard, semi-translucent, whitish part of the tooth that shows above your gums. The enamel is primarily composed of minerals that are strong but susceptible to highly acidic foods. When acid reacts with the minerals in enamel, tooth decay results. Strongly pigmented foods can also damage enamel by discoloring the surface of the tooth.

Foods that Harm Enamel Acidic foods are the greatest source of enamel damage. To determine whether a food is acidic, look up its pH. Scientists use pH, on a one-to-seven scale, to define the relative acidity or alkalinity of a substance. Foods with low pH levels, between a one and three, are high in acidity and may damage your enamel. Foods with high pH levels, such as a six or seven, are far less likely to cause enamel harm. So which foods should you avoid? Many fruits are high in acidity, including lemons, grapefruit, strawberries, grapes, and apples. The high sugar and acid content in soda makes it another huge contributor to enamel decay. Moderately acidic foods include pineapple, oranges, tomatoes, cottage cheese, maple syrup, yogurt, raisins, pickles, and honey. The foods that are least likely to cause enamel damage include milk, most cheeses, eggs, and water. Beverages such as red wine and coffee also damage the enamel by discoloring it. Although stains do not necessarily undermine the integrity of your teeth, they can be unsightly.

What Can I Do to Prevent Enamel Damage? Fortunately, there are several measures you can take to prevent your enamel from discoloring or decaying. The easiest way to avoid decay is to steer clear of high-acidity foods. This may not always be possible, but eliminating sugary fruit juices and soda from your diet is a good start. Brushing your teeth after each meal and flossing frequently also preserves your enamel. Another good idea is to rinse your mouth with water or mouthwash after eating to wash away high-acidity particles. Although enamel damage is common, it does not have to be an inevitable occurrence. Knowing the foods that harm your teeth gives you the tools to prevent discoloration and decay. With some easy preventive measures, your teeth will stay strong and white for years to come.

A Healthy Mouth Starts With What You Eat

Most people know that visiting the dentist is an essential part of caring for their teeth. Regular checkups and cleanings are, of course, very important. But what some people don't realize is that good dental hygiene starts long before you get to the dentist's office. You may be saying, "I know, it starts with my toothbrush and floss." But actually, oral health begins even before that. A healthy smile starts at your grocery store. Dental checkups can detect problems early on and address them, but only good nutrition can give your teeth and gums the healthy foundation they need. If your diet is rich in tooth-friendly nutrients, you will be less prone to gum disease, tooth decay, and even jawbone loss. So, which nutrients are the most important? Here are a few tooth-building superstars.

Calcium: We all know that calcium builds strong bones and teeth. Most expectant mothers are even aware that the calcium-rich foods they eat during pregnancy will ensure that their babies develop strong, healthy teeth later on. But did you know that calcium is important to your teeth long into adulthood? On its "Milk Matters" page, the National Institutes of Health tells us that calcium can protect teeth against decay. Furthermore, a 2001 study published by the US National Library of Medicine found that elderly people who had adequate amounts of calcium in their diets were more likely to retain their teeth as they aged. Good sources of calcium include yogurt, cheeses, milk, and leafy green vegetables. If you can't get an enough calcium from your diet alone, talk to your doctor about adding a calcium supplement.

Vitamin D: Vitamin D is sometimes called the sunshine vitamin because your skin can synthesize it during exposure to sunlight. Vitamin D could also be called the healthy smile vitamin. It not only helps your teeth, but it also keeps your gums healthy. Another study published by the National Library of Medicine has shown a connection between low levels of dietary vitamin D and gingivitis. People in the study who had more of the vitamin in their diets had healthier gums. While most of us get plenty of vitamin D from sun exposure, people who live farther from the equator may need to take a supplement during the winter months.

Vitamin C: Long ago, British sailors were called "Limeys" because their superiors made them eat limes on long ocean voyages. Why? Because limes are rich in vitamin C and without it, the sailors got scurvy and often lost their teeth. While there's little danger of developing scurvy today, a study in the year 2000 of people who ranged in age from 20 to 90, showed that vitamin C is still necessary for healthy gums. People in the study who had the lowest dietary intake of this essential vitamin were at the highest risk of gum disease. Vitamin C is perhaps the easiest of vitamins to get from your diet. Rich sources include strawberries, apricots, oranges, lemons and, of course, limes. Red and yellow peppers also have lots of vitamin C, as do tomatoes and brussel sprouts. Never put off regular dental checkups and cleanings, but in between appointments, watch your diet. Making sure these essential nutrients are a part of your daily intake will ensure that your teeth and gums are as healthy as they can be.

Does Oral Health Affect Your Heart?

Brushing your teeth every day keeps them cleaner, improves your breath, and reduces plaque buildup. But did you know that there may be a connection between your dental health and chronic illness? Some scientific evidence suggests that poor dental health may be linked to cardiovascular disease. Although more research is needed to explore this association, it provides yet another reason to brush your teeth twice per day, floss daily, and visit your dentist regularly. Over 2,400 people die from cardiovascular disease each day, making it an immense public health problem. Cardiovascular disease occurs when arteries become harder, making it more difficult for blood to easily pass through your circulatory system. Plaques also build up in your blood vessels, further restricting blood flow. Periodontal disease, also known as gum disease, affects nearly 75% of the U.S. population, according to the American Academy of Periodontology. It is a chronic inflammatory condition that can cause bone and gum tissue to deteriorate, causing bad breath, swollen or bleeding gums, sensitive teeth, and loose teeth.

If periodontal disease affects your teeth and cardiovascular disease affects your heart, what’s the connection between the two? Scientists have known for years that the two conditions share several risk factors. Increasing age, cigarette smoking, and type 2 diabetes increase your risk of developing both periodontal disease and cardiovascular disease. None of these risk factors, however, explain the causal mechanism connecting the two conditions.

 According to a 2009 review article by the editors of the American Journal of Cardiology and the Journal of Periodontology, one possible explanation is inflammation. Moderate to severe periodontal disease triggers chronic systemic inflammation, affecting not only your mouth but also your circulatory system, leading to cardiovascular disease. Another hypothesis is that bacteria from your mouth can cause heart disease. People with periodontal disease have billions of bacteria and other microorganisms teeming in their mouths. Chewing food and brushing your teeth release these bacteria into the bloodstream. The Harvard Heart Letter reports that the types of bacteria that cause periodontitis have been associated with plaque buildup in your arteries. 

Not all scientific findings have shown a relationship between the two conditions. In April 2012, the American Heart Association published a scientific statement in the journal Circulation denying that gum disease causes heart attacks or stroke. The American Dental Association’s Council on Scientific Affairs and the World Heart Federation also endorsed the statement, agreeing that there is no conclusive evidence that the conditions are related. More scientific research needs to be performed to determine the exact relationship between periodontal disease and cardiovascular disease.

 Although the scientific evidence has been mixed, periodontal disease can be very harmful to your health even if it does not lead to cardiovascular disease. It is important to reduce your risk of gum disease by careful tooth brushing, frequent flossing, and regular trips to the dentist.

What is Gingivitis?

Gingivitis is a type of periodontal disease in which only your gums are affected. Gingivitis, according to the American Dental Association (ADA), is a milder and often reversible type of periodontal disease. However, it can lead to periodontitis -- a more destructive and serious disease -- if proper professional treatment and home care aren't put into place. No tissue damage or irreversible bone damage is present in the gingivitis stage of periodontal disease. Many people with gingivitis won't experience any discomfort, particularly in its early stage. However, as the bacteria in plaque builds up, it can cause your gums to become inflamed, which may make them red and swollen. You may also experience blood when brushing your teeth, indicates the American Academy of Periodontology.

Causes of Gingivitis

The most common cause of gingivitis occurs when plaque builds up due to inadequate oral hygiene. Other less common causes of gingivitis include: * Diabetes * Aging * Smoking * Improper nutrition * Hormonal fluctuation * Stress * Pregnancy * Substance abuse * Certain medications * Genetic predisposition Up to 30 percent of people in the United States may be susceptible genetically to gum disease or are six times more prone to developing gum disease, according to the American Academy of Periodontology. Therefore, if one of your family members has gum disease, it may indicate that you have a higher risk of developing the condition as well. If you are one of these people who are more susceptible to developing gum disease, your dentist may recommend more frequent cleanings, check-ups, cleanings, and treatments.

Implications of Gingivitis

If gingivitis is left untreated, it can progress to periodontitis. In periodontitis, the bone and inside layer of your gum pulls away from your teeth, allowing small pockets to form. These small pockets are danger zones because they allow bacteria to collect, and can they can then become infected. As periodontitis progresses, these pockets deepen, resulting in even more bone loss and gum tissue damage. Eventually, teeth that were once anchored in place become loose. Tooth loss often follows.

Treatment of Gingivitis

In practically all cases, gingivitis can be reversed, according to the Cleveland Clinic. Treatment includes proper control of plaque, which consists of having a professional teeth cleaning, at least two times a year. It also includes daily teeth brushing, which will eliminate plaque from the surfaces of your teeth. You should also floss daily to remove plaque and food particles from in between your teeth. Lifestyle and health changes may help decrease the risk of developing gingivitis or reduce its severity or progression. These lifestyle changes include stopping smoking, decreasing your stress, eating a well-balanced diet, and avoiding grinding and clenching of your teeth.

If I have braces, do I still need a dental checkup every 6 months?

Thanks for the question! Yes! In fact, it's even more important that patients receiving orthodontic treatment visit our office regularly. When you're wearing braces, food may be caught in places that your toothbrush normally can't reach. This causes bacteria to build up and can lead to cavities, gingivitis and even gum disease. Believe it or not, an estimated 80 percent of American adults currently have some form of gum disease. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Our team will work closely with your orthodontist to make sure that your teeth stay clean and healthy while you're undergoing orthodontic treatment.

If it has been more than six months since your last visit to our office, please give us a call! We look forward to your next visit!

April is Oral Cancer Awareness Month

 

Visiting our office regularly will not only help keep your teeth and mouth healthy, but will also help keep the rest of your body healthy. The fact is, every hour of every day in the U.S., someone dies of oral cancer, which is the sixth-most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved. Since April is Oral Cancer Awareness Month, we would like to take this opportunity to remind all of our patients about the importance of maintaining good oral hygiene.

We are trained to diagnose, treat, and prevent oral health problems. Please let us now if you have any questions about your oral health during your next appointment. Take care of your teeth!

Halloween TIPS from the American Dental Association

It’s almost that spooky time of year again! Whether you are going door-to-door trick or treating, attending a party dressed in a clever, silly or scary costume, or simply getting together with friends and family to watch scary movies, Drs. Michael Rubinstein, Robert Ducoff, Mahra Rubinstein, and our team want you to keep in mind the following tips from our friends at the American Dental Association to help reduce tooth-decay.

•Eat treats with meals. Saliva production increases during meals washing out food particles and helping to neutralize cavity causing plaque acid.

•Consider chewing ADA-accepted sugarless gum after meals. Certain sugarless gums have earned the ADA Seal of Acceptance for scientifically proving that chewing the gum for 20 minutes after meals helped prevent tooth decay.

•Follow the 1-2-3s of good daily oral hygiene: Floss once a day, brush twice a day and eat three balanced meals a day.

•Visit your dentist for regular checkups.

HAPPY HALLOWEEN from your friends at Drs. Rubinstein & Ducoff, Inc.!

Your oral health & overall health

Don’t put off your next visit to Drs. Rubinstein & Ducoff, Inc. any longer! Over the years, oral health issues have been increasingly linked to other health concerns, such as heart disease. Cardiovascular disease remains American’s number one killer, claiming more lives than any other cause of death, according to the American Heart Association. Believe it or not, an estimated 80 percent of American adults currently have some form of gum disease. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care, both at home and by visiting the dentist.

Studies are also beginning to suggest that patients, especially those with periodontal disease, are believed to have an elevated risk of heart attack and stroke. Since most patients are not regularly visiting a heart specialist, their regular visits to Drs. Rubinstein & Ducoff, Inc. can help detect early warning signs of heart issues, prevent gum disease or at least catch it in its early stages.

Additionally, if it’s been more than six months since your last visit to our Providence office, please give us a call!

The Trouble with Bottled Water

Our team at Drs. Rubinstein & Ducoff, Inc. know that as more families turn to bottled water and away from the traditional tap, they may be missing out on one important ingredient that most brands of bottled water fail to include: fluoride!

For more than 60 years, water fluoridation has proved to be a safe and cost-effective way to reduce dental caries. Today, water fluoridation is estimated to reduce tooth decay by 20- to 40 percent in children who have access to fluoridated toothpaste.

Bottled water, however, which remains one of the more popular drinks in the world, may not contain any fluoride, which is known to help prevent and even reverse the early stages of tooth decay. The majority of bottled waters on the market do not contain optimal levels (0.7-1.2 ppm) of fluoride, according to our friends at the American Dental Association, or ADA. Many dental health specialists suspect bottled water’s increased popularity as the culprit behind rising rates of cavities.

Because fluoride helps strengthen teeth, it is an important component of maintaining good oral health. So if bottled water is your water of choice, be sure to check the label to make sure that your brand contains fluoride. As of a 2006 decision, the Food and Drug Administration, or FDA, allows bottled water containing .6 to 1.0 milligrams per liter (parts per million) of fluoride to carry a label stating that fluoridated water may reduce the risk of dental cavities or tooth decay. The ADA has backed this decision.

Of course, simply drinking fluoridated water is not a magic ticket to perfect teeth. To keep your pearly whites in tip-top shape, it’s important to brush and floss daily and avoid sugary sweets, in addition to maintaining your fluoride intake and visiting our team at Drs. Rubinstein & Ducoff, Inc. regularly.

Breaking Bad Habits

At Drs. Rubinstein & Ducoff, Inc., we know good dental health requires only a few minutes of your day. We thought we’d provide some practical advice on how to improve your or your child’s smile between your visits with Dr. Michael Rubinstein, Dr. Robert Ducoff, or Dr. Mahra Rubinstein.

Start by brushing your teeth twice a day. Proper brushing techniques are an essential part of maintaining good oral health, as well as preventing gum disease. Brushing daily helps remove decay-causing plaque from tooth surfaces. Please consult your doctor if you would like us to review brushing techniques with you or your child. Flossing daily will also prevent plaque to build up between the teeth and prevent stains between your teeth. Research has shown the bacteria of gum disease has been linked to coronary artery disease, stroke, diabetes and memory loss. Lastly, we encourage you to throw away old toothbrushes and replace them every 2 or 3 months, or after an illness.

We hope this helps! If you have any further questions about any of these tips, please contact our office or ask us on Facebook!

Ask Drs. Rubinstein & Ducoff: What’s so bad about nail biting?

We’ve all heard that biting your nails is an awful habit, but you many wonder- really- what’s so bad about it? Recently, our team at Drs. Rubinstein & Ducoff Inc. found an interesting article that discusses how biting your nails affect your teeth and oral health.

Nail biting, also known as Onychophagia, is a common habit among various age groups, including primarily children, teens and young adults. Nail biting is generally triggered by stress and most often decreases with age. That being said, nail biting is unsanitary, unattractive, as well as unhealthy for your teeth!

Here’s why:

• It’s unsanitary. Your nails are dirty, almost twice as dirty as your fingers! Hence, biting your nails is just asking for germs and bacteria.
• No good things come to your teeth. Nail biting causes your teeth to constantly be chewing, which is not good for them. This excessive motion wears your teeth down faster than a non-nail biter’s and puts a large amount of stress on your front teeth- contributing to teeth misalignment.
• Braces don’t love it either. Braces already put pressure on teeth, nail biting ads unnecessary pressure, further stressing your teeth and weakening their roots.
• It can be costly. Nail biting can result in up to $4,000 in additional dental bills over one lifetime, according to the Academy of General Dentistry (AGD). Yikes!

What can you do about it?

Now that you know how harmful nail biting can be, it’s time to take action to break your nail biting habit. Try to be conscious of your fingernails and to keep them looking good- this will help you resist the temptation. Ask Dr. Michael Rubinstein, Dr. Mahra Rubinstein, and Dr. Robert Ducoff or visit the article for tips on how to break a nail biting habit.

Good luck!

Smoking and your Oral Health

Everybody knows that smoking causes lung cancer, but did you also know that smokers and tobacco users are susceptible to a variety of oral health problems at a faster rate than non-smokers?

It’s true! Smoking is responsible for almost 75 percent of gum disease in adults; and, similar to smokers, adults who smoke pipes and cigars, as well as those using smokeless tobacco, are just as susceptible to gum disease and other tobacco related health problems.

As soon as you use tobacco products, you become more likely to experience any of these oral health problems:

• Oral cancer
• Gum disease
• Tooth loss
• Loss of bone in the jaw
• Gum recession
• Delayed/impaired healing process after oral surgery or any other treatment
• Decreased success rate of dental implant (tooth replacement) procedures
• Mouth sores
• Loss of your sense of taste and smell
• Bad breath
• Tooth and tongue stains

If you are interested in protecting your oral health, we strongly recommend you quit using tobacco products! The following steps are recommended by the Surgeon General to help you quit smoking and using tobacco:

• Get ready – set a quitting date and remove all materials from your home, car and office
• Get support
• Learn new skills and behaviors
• Get medication and use it correctly
• Be prepared for relapse or difficult situations

For support, start with Drs. Rubinstein & Ducoff, Inc.! We can help by recommending different options to help you quit, and above all we will support you throughout the quitting process. We are dedicated to helping you protect your oral health – and quitting smoking is significant step in the right direction.

What oral issues should I be aware of during pregnancy?

Maintaining your oral health is an important part of keeping your entire body well, and never more so than when you’re expecting. If you’re pregnant or considering pregnancy, schedule an appointment with us, and remember to raise the issue of your oral health at prenatal appointments with Drs. Michael Rubinstein, Robert Ducoff, and Mahra Rubinstein .

If pregnant, you should be aware of the following issues:

• Tooth Decay
Excessive morning sickness can also contribute to tooth decay, as the acids in your stomach introduced to the mouth during vomiting wear away the protective enamel coating on your teeth.

• Gingivitis & Gum Disease
This is a major issue. The precursor to gum disease is gingivitis, a condition in which plaque buildup on teeth irritates the gums, making them red, swollen and sensitive. The high levels of hormones in the bloodstream brought on by pregnancy exaggerate your gums’ reaction to irritation from plaque.

• Loose Teeth
Another risk faced during pregnancy is loosening teeth. The large amounts of hormones in your bloodstream can have an unfavorable affect on the bones and ligaments that create the foundation of your teeth, weakening them to the point that teeth may loosen.

The ideal time to schedule an appointment at Drs. Rubinstein & Ducoff Inc. is before becoming pregnant. We will perform a check-up to determine the state of your oral health and how pregnancy might affect you. We will discuss completing any necessary treatments prior to your pregnancy. Give us a call today!

Your pal, fluoride

There are so many ways you protect your teeth throughout your dental treatment with Rubinstein & Ducoff, Inc. You brush your teeth twice a day, floss regularly and protect your mouth from being damaged. But did you know there is another, often forgotten about, way to keep your teeth clean and healthy during your treatment? Fluoride – a mineral that helps prevent cavities and tooth decay – can help keep your teeth strong! Fluoride comes in two varieties: topical and systemic. Topical fluoride is applied directly to the tooth. Topical fluoride includes toothpastes and mouth rinses. Systemic fluorides are swallowed in the form of a dietary supplement.

Fluoride used in the dentist's office is often times a stronger concentration than in toothpaste or mouthwash, but is available at some drug stores or a pharmacy (ask your doctor how to purchase professional strength fluoride). A fluoride treatment typically takes just a few minutes. After the treatment patients may be asked not to rinse, eat or drink for at least 30 minutes in order to allow the teeth to absorb the fluoride. Depending on your oral health or doctor’s recommendation, you may be required to have a fluoride treatment every three, six or 12 months. Your doctor may also prescribe a fluoride product such as mouthwashes, gels or antibacterial rinses for at-home treatment.

When choosing your own fluoride product, be sure to check for the American Dental Association’s (ADA) seal of acceptance. Products marked with the ADA seal of approval have been carefully examined and have met the criteria of the ADA for safety and effectiveness. Take care of your teeth, and smile bright!

Gummy Tummy, from Drs. Rubinstein & Ducoff Inc.

At Drs. Rubinstein & Ducoff Inc. we know the rumors going around—mostly among young people—that once you swallow a piece of chewing gum it will stake a claim and take up residency in your stomach for at least seven years! We really hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter the stomach and move through the digestive system just like any other piece of food and leave the body long before seven years! So, if you ever have accidentally swallowed a piece of gum, there is no need to worry!

This being said, gum does not have any dietary benefits, so while it’s not harmful to swallow, you still want to avoid swallowing it. If you are a gum-chewer, make sure you chew sugarless gum, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but with less cavity causing ingredients. You see, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!

Happy (sugar-free) gum chewing!

-Drs. Michael Rubinstein, Robert Ducoff, Mahra Rubinstein and staff

National Children’s Dental Health Month is Here!

For the past 61 Februaries, the American Dental Association, or ADA, has sponsored National Children's Dental Health Month to raise awareness about the importance of oral health. National Children's Dental Health Month began as a one-day event in 1941 in a Cleveland clinic. In 1981, however, the program was extended to a month-long celebration known today as National Children’s Dental Health Month.

Each February, Drs. Michael Rubinstein, Robert Ducoff, Mahra Rubinstein and thousands of dental professionals focus on the preventive oral care of America's children. The Drs. Rubinstein & Ducoff, Inc. team want you to remember developing good habits at an early age and scheduling regular dental visits helps children get a good start on a lifetime of healthy teeth and gums. Has your child visited Drs. Rubinstein & Ducoff, Inc. the past six months? If not, it’s time to give us a call and schedule an appointment!

The importance of regular checkups at Drs. Rubinstein & Ducoff Inc.

If you’re brushing and flossing on a regular basis, we think that’s fantastic! But, don’t forget that it’s also important to visit Drs. Rubinstein & Ducoff Inc. every six months, in addition to brushing your teeth a couple times a day. Because your dental health is important to us, we'd like to remind you that it's time for your examination.

Regular dental checkups are important for maintaining good oral health. During you next visit Drs. Michael Rubinstein, Robert Ducoff, or Mahra Rubinstein can:

• Check for problems that might not be seen or felt

• Detect cavities and early signs of decay

• Treat oral health problems early

During an oral exam we will usually check the health of your mouth, teeth, gums, cheeks and tongue. Checkups will also include a thorough teeth cleaning and polishing. If you have not been to our office in the last six months (or as recommended), call us to schedule an appointment. We look forward to seeing you!

Look out! Gum Disease Warning Signs

It’s easy to tell when you have a cavity; but unfortunately, gum disease can exist in your mouth without you even knowing. In fact, you can have the beginning stages of gum disease without noticing any pain or discomfort. Since gum disease can be undetectable, below Drs. Rubinstein & Ducoff Inc. have listed some warning signs to watch out for in order to prevent the disease from worsening!

Signs to watch for:

• Gums that appear red or swollen
• Gums that feel tender
• Gums that bleed easily (during brushing or flossing)
• Gums that recede or pull away from the teeth
• Persistent halitosis, or bad breath
• Loose teeth
• Any change in the way teeth come together in the biting position

If you or someone in your family is showing these signs, schedule an appointment right away by giving us a call. We can diagnose the problem and begin treatment to save your teeth and give you back a healthy mouth!

This Year, Make a New Year’s Resolution to Smile About!

Let’s face it- when was the last time you managed to keep a New Year’s resolution? We at Drs. Rubinstein & Ducoff Inc. believe the key to sticking to a goal is picking one that is both reasonable and attainable. If you haven’t yet picked a New Year’s resolution, consider setting one that will improve your oral health!

For example, resolve to brush twice and floss once a day. Good oral hygiene only takes a few minutes a day, and can make a big difference in your oral health and overall health too! For more oral health-themed resolutions for you and your family, check out this article.

We would love to see what you come up with, share with us by commenting on this post or on our Facebook page. Whatever your New Year’s Resolution, we wish you the very best for 2011!

-Happy New Year, from your friends at Drs. Rubinstein & Ducoff Inc.