A Message from Dr. Knock

I was asked to write a few words about my upcoming retirement the end of June.  Yes, it is going to happen and I am looking forward to it after being in dentistry either as a student, a naval officer, or a private practitioner for 49 years!  I became a dentist because I wanted to help people get healthy in some way.  I had a choice of going to either dental school or medical school and I guess you know which one I chose.  And I am extremely grateful that I did.

Over the years I have met so many incredible people in my practice that it is hard to describe how blessed I feel.  Dentistry has opened doors to many other endeavors for me, too.  Some of the highlights for me have been opening my own practice in 1974 (shared with Dr. Frank Adshead at the time), getting introduced to holistic concepts in the late 70’s, helping advance those concepts throughout my career, starting Dancing With The Dentists, and many more things I won’t bore you with.

By far and away, the most important blessing is the people I have been honored to work with – many for decades! I have an incredible staff of highly trained, compassionate and humor-oriented women.  Without our humor every day it would not be fun coming in to “drill, fill, and bill.” And, in particular, I’d like to give a big thanks to Francine, who had been my assistant for over 40 years. We love to take the time with people that they need.  I often tell people “I do dentistry between having a conversation with them.”  I think, that between all of us we have over 300 years of experience!  And much of that at Falmouth Dental Arts!

Falmouth Dental Arts is a reflection of our values, which did not appear out of thin air.  Our mission and values are a product of all the hard work we have put in as a team.  Countless hours of staff meetings, self-improvement, mission statement building, trainings, continuing education and, last but not least, parties and fun.  We are very picky about who makes it on this team.  We are all protective of our culture.  Since we all own it, working here is a breeze for me.  I have never seen a staff like this and I don’t think there will be another one.

The greatest gift I can give to you is to have this practice continue providing you with the treatment you have come to expect and deserve.  That is why I am proud that Dr. Brian Brunacini and Dr. Antonios Karagiorgos are going to continue making Falmouth Dental Arts the place to go for your care and the care of friends and relatives.  I could not have chosen any better (and they are younger!).  They have both demonstrated wonderful care, skill, and judgment in what they do.

I have had an incredible time at Falmouth Dental Arts and have had decades of relationships with many of my patients.  I have been losing my primary care practitioners to retirement, too.  It’s difficult.  But my hope is that, when I hang up the drill in June, I can look back and we can say together, “Wow! That was great!”

Will root canals become a thing of the past?

We’re pretty approachable here at Falmouth Dental Arts, and yet, we know and appreciate that a trip to the dentist may not be exactly what some of you have in mind as ‘fun.’ This is certainly the case when and if a root canal comes into the picture, but the future is looking bright in that regard: a recent breakthrough has many people thinking (and hoping) that root canals may become a thing of the past, thanks to stem cells.

Over the past year, regenerative dental fillings have generated much scientific attention. Researchers from the University of Nottingham and Harvard University’s Wyss Institute have found that fillings utilizing stem cells could change the future of root canal procedures for the better, by stimulating teeth to repair and regenerate their own damaged tissues.

What role do stem cells play in this process? Stem cells are undifferentiated (aka non-specialized) cells that are capable of transforming into different cells. Stem cells have been utilized in other regenerative therapies that have developed over the past several years. To date, most applications of stem cells in the health industry involve repair of diseased and/or injured tissues.

It’s technology that could change many people’s lives. For those who don’t know about root canals, they can be intimidating experiences for some patients because the root canal – also referred to as the pulp – and the nerve of a tooth are removed due to extensive tissue damage. Usually the damage is from a prior cavity in the region that spread beyond the enamel into the tissue below. Removal of a tooth’s pulp and nerve also dramatically weakens the tooth, and might require further dental work like crowns or caps to reinforce the tooth. Additionally, materials inserted into fillings as a result of cavities or root canals are also often toxic to cells. Regenerative fillings would hypothetically negate all these risks, and would not require invasive procedures.

Our own Dr. Brian Brunacini shared his thoughts on the potential of the technology. “In dentistry, we are always searching for ways to make the experience as non-invasive and comfortable as possible.  It is exciting to see new treatment modalities coming out in dentistry. Regenerative dentistry would be a complete paradigm shift in how teeth are repaired.”

During initial tests, regenerative fillings successfully stimulated the development of dentin, the tissue that makes up the tooth below the visible white enamel. Theoretically, injecting these stem cell-powered biomaterials into a damaged tooth would prompt the cells to regenerate dentin in their natural environment, right where it’s needed the most. This could mean that in the future a damaged tooth could heal itself!

As supporters of holistic and integrative dentistry, we’re excited about this breakthrough. We’ll have to curb our enthusiasm for now: regenerative fillings are only in the initial stages of research and much must be done to develop the treatment before it’s ready for use on humans. The research is promising however: regenerative fillings received second place in the materials category of the Royal Society of Chemistry’s Emerging Technologies Competition in 2016.

This development could mean a great deal to dental patients who require fillings and root canals across the globe. Are you curious about the prospect of regenerative dental fillings? Call and talk with us about them, or let’s chat at your next appointment.