Oct 15, 2019
Fluoride and flavors and flip-caps oh my! If you’re staring down the selection of toothpastes and wishing there was a Yellow Brick Road leading to the perfect one, you’re not alone. Luckily, your friends at Falmouth Dental Arts are here to help!
First and foremost, as you’re examining the tube of toothpaste, keep your eye out for two key details: the ADA seal of approval and fluoride content. The American Dental Association tests the safety and effectiveness of toothpastes on the market, and gives its seal to those pastes which pass the test with flying colors. Varieties without the ADA seal either have not been tested, or have not passed the ADA tests. Either way, choosing a product without the seal is a gamble for your teeth. Take the safe bet, and look for the ADA seal.
Most toothpastes contain fluoride, a chemical compound with a variety of uses. In the dental realm, fluoride protects your teeth from decay by reinforcing your enamel. Fluoride has been used as an active ingredient in toothpaste for over a century, and has been introduced into a majority of city water supplies to improve oral health in the community. In recent years, fluoride has become a bit of a hot topic because it is toxic when ingested in large doses. Additionally, high levels of fluoride can lead to fluorosis: a discoloring of the teeth. However, because over-the-counter pastes contain such trace amounts of fluoride that fluorosis and toxicity are not of concern, Falmouth Dental Arts recommends fluoridated toothpastes.
Dr. Karagiorgos states that “adding fluoride to our water supply has been statistically significant to help to improve oral health in at-risk communities. However, at Falmouth Dental Arts, we believe in a patient’s freedom to choose what goes into their bodies, and whether fluoride is right for them as an individual.”
“Proper oral health maintenance including brushing with any sort of paste, is the best method of reducing the risk of dental decay. Fluoride is not a nutrient, and our bodies have no need for it metabolically. It is very good at doing is killing the bacteria that cause tooth decay. Using it appropriately, in small topical doses such as those found in ADA approved toothpastes and mouthwashes can help to prevent decay, and also to reverse small amounts of acid damage. Acid damage can occur from cavity causing bacteria, acid erosion from reflux or consuming acidic foods.”
Beyond the ADA seal and fluoride content, your selection of toothpaste is entirely up to you! As you narrow down your choice, here are a few additional factors to consider:
1. Sensitivity: most toothpaste brands have a line specifically designed to address tooth and gum sensitivity. Some brands are entirely devoted to helping soothe sensitive teeth. Either way, most over-the-counter sensitivity pastes deliver on their promises to pacify any pain. If your sensitive teeth aren’t responding to an OTC sensitive-specific paste, talk to Dr. Brunacini or Dr. Karagiorgos about prescription strength options.
2. Whitening: Who doesn’t want a brighter, whiter smile? Many toothpastes claiming to possess whitening powers typically do address basic surface stains. However, the different ingredients in whitening toothpastes can cause dental sensitivity over time. Additionally, any sort of abrasive ingredient advertised to whiten your teeth (such as activated charcoal, natural exfoliants, or microbeads) can erode your tooth enamel. Avoid abrasive materials in your toothpaste, and always keep smart brushing techniques in mind. If you’re looking for more intensive whitening, talk to Dr. Brunacini about in-office and at-home options at your next appointment!
3. Options for Kids: For brand new brushers, look for a training toothpaste which does not contain fluoride. When your child understands that toothpaste should be spit out and not swallowed, you can make the switch to a fluoride paste. Fun toothpaste flavors can be helpful if you’re trying to make brushing fun–which goes for children and adults alike!
At the end of the day, the most important thing you can do for your teeth is to brush them properly twice a day! What you use to brush helps or hurts your effectiveness as a brusher, so you do want to choose your tools and pastes with care. Look for a toothpaste stamped with the American Dental Association’s seal of approval. Feel free to choose a toothpaste with a fun flavor and ingredients to address sensitivity or whitening concerns–just avoid any ingredients that might erode your tooth enamel.
If you have questions about proper brushing techniques, or want to have Dr. Brunacini and Dr. Karagiorgos put their stamp of approval on your toothpaste–just ask them at your next dental exam and cleaning! If you have any questions, or to schedule your appointment, please call our office at 207.781.5900
Jul 30, 2019
Antibiotic prophy….say what?! For most of our patients, antibiotic prophylaxis is something they’ve never heard of and don’t need to worry about. However, for some of our patients, particularly with heart conditions, it can be an important part of their oral health care. In short, antibiotic prophylaxis is the use of antibiotics before a dental procedure to prevent a bacterial infection elsewhere in the body. It is a treatment that may be recommended for you after talking with your physician and Dr. Brunacini or Dr. Karagiorgos. There are side-effects and risks to taking antibiotics, so antibiotic prophylaxis is only used when the benefit outweighs the risk for you. To learn more, we talked with Dr. Karagiorgos.
1. What is Antibiotic Prophylaxis?
Dr. Karagiorgos: Antibiotics usually treat bacterial infections, but sometimes physicians or dentists recommend antibiotics prior to a treatment, such as a teeth cleaning or root canal, to reduce the risk of infection. This is because during some dental treatments, bacteria from the mouth can enter the bloodstream and cause infection elsewhere in the body. We only recommend this for certain patients, which is why it’s important to have a conversation with us and your physician.
2. Who Could Benefit from Antibiotic Prophylaxis?
Dr. Karagiorgos: With a few exceptions, most patients who require antibiotic prophylaxis before a dental visit will need it for one of two major reasons:
- Risk of infection to replacement (artificial) joints–commonly the hip, knee, or shoulder.
- Risk of infection in the heart.
The American Heart Association recommends antibiotics before dental procedures only for individuals with the highest risk of infection. This includes patients who have:
- A prosthetic heart valve or who have had a heart valve repaired with prosthetic material.
- A history of endocarditis (heart infection).
- A heart transplant with abnormal heart valve function.
- Certain congenital heart defects, including:
- Cyanotic congenital heart disease (birth defects with oxygen levels lower than normal), which has not been fully repaired, including in children who have had surgical shunts and conduits.
- A congenital heart defect that has been completely repaired with prosthetic material or a device (for the first six months after the repair procedures).
- Repaired congenital heart disease with residual defects, such as persisting leaks or abnormal flow at, or adjacent to, a prosthetic patch or prosthetic device.
If you’re not sure what these guidelines mean for you and your particular heart condition, make sure to ask your cardiologist; “Do I need to take antibiotics for dental work?”
3. What if I’ve had Hip Surgery or a Joint Replacement?
Dr. Karagiorgos: For many years, people that had undergone surgery for replacement of a joint (most commonly hip or knee joints) had to take antibiotics before any dental procedures. While this is generally still required for patients with two or more replacement joints, the American Dental Association no longer recommends routine antibiotics prior to dental procedures to prevent prosthetic joint infection.
Many orthopedic surgeons have their own criteria for deciding which of their patients might be at risk of joint infection with dental procedures (even cleanings). That is why in most cases I defer to a patient’s orthopedic surgeon to decide and prescribe prophylactic antibiotics for dental visits.
If you have any questions about your particular situation, make sure to discuss them with me or Dr. Brunacini, as well as your orthopedic surgeon or physician. This is especially important if you have a significant immunodeficiency or previously suffered an infected prosthetic joint. We are part of your health care team and will work together to determine if you have a need for antibiotic prophylaxis.
4. What Else Should I Know?
Dr. Karagiorgos: Good oral health and good general health go hand in hand. So, keep up with your regular oral care routine of brushing twice a day, flossing at least once a day, and seeing your dental team with us for regular cleanings.
At Falmouth Dental Arts you will notice that we ask you about any changes to your health history at every visit. This includes medications that you are taking and any allergies you may have. It is important for us to know what medications that you take, and in what dosages and frequency. If you take many medications and it becomes difficult for you to remember them, then you can ask your physician to give you a current list that you can carry with you. This information is important for us to know when determining the best course of treatment and care for you.
Also, I find it fascinating that the turnover of new tissue in the oral cavity is one of the fastest in the body! Ever notice how a pizza burn in your mouth heals in a matter of days? The mouth is a great window into the body, often reflecting systemic disease before it can be determined by other means. This is why we thoroughly examine all of the mouth, not just the teeth. We want to help you be healthy in your mouth and your whole body!
Thank you, Dr. Karagiorgos!
If you have questions about antibiotic prophylaxis or about how your health issues may impact your dental care, please give us a call today at 207.781.5900. We are here to be your healthcare partner and provide you with the best oral care possible!
*Image courtesy of www.medlineplus.gov
May 28, 2019
Oral health is important no matter your age. It’s not just a part of maintaining a beautiful smile, but also a crucial element in overall wellness and quality of life. The health of your body and the health of your mouth are connected, and both require ongoing care. This is especially true for our older patients. Aging certainly doesn’t mean you have to resign yourself to dentures…with proper care, your teeth can last a lifetime. However, there are additional concerns that come up for patients over 60. To learn more, here are 5 tips from Dr. Brunacini and Dr. Karagiorgos.
1. Watch Out For Cavities As You Age
As we age, we become more prone to cavities. Dry mouth, also called xerostomia, is often the cause and is a side effect of many medications. Saliva is one of your mouth’s best defenses against tooth decay. Be sure to tell Dr. Brunacini or Dr. Karagiorgos about any medications you are taking or if you are experiencing dry mouth. They will have recommendations for how to restore moisture and work with you to help keep your mouth healthy.
2. Share Your Medical History with Dr. Brunacini and Dr. Karagiorgos
We are a part of your health care team. Beyond sharing what medications you are taking, it is important to share any medical conditions such as heart conditions. In such cases, Dr. Brunacini and Dr. Karagiorgos may recommend antibiotic prophylaxis, which is taking antibiotics prior to a dental procedure. We all have bacteria in our mouths, but for people with certain conditions when that bacteria enters the bloodstream it can cause infection elsewhere in the body. Talk to Dr. Brunacini or Dr. Karagiorgos if you have any questions or concerns about the interactions between your medical conditions and oral care.
3. Cosmetic Procedures Are For Patients of Every Age!
If you are self-conscious about your smile or wish you could improve the look of your teeth, let us know! There are several cosmetic options for patients of any age that can dramatically improve your smile. Examples include:
- Veneers: These can be done on aging teeth can help patients have more confidence in their smiles.
- Teeth Whitening: This works on natural teeth and can make teeth look more youthful. Please note that whitening does not work on crowns.
- Orthodontics: There are options that exist as long as teeth have good bone support. Our teeth become more crowded as we age which can result in some teeth becoming crooked over time.
4. Let Us Know if Your Dentures Are Loose
There have been many advances in recent years to help people with loose dentures. If you have discomfort or concerns about the fit of your dentures, talk to Dr. Brunacini or Dr. Karagiorgos. They can discuss possible choices for you such as implants which help dentures have a tighter fit, or implant-support bridges. The point is, there are options and we are here to help!
5. Don’t Forget Your Oral Health Care Basics
It’s important for all our patients, especially those over 60 to follow our recommended oral health care regimen: brush twice daily, floss daily, and schedule regular appointments with FDA. We hear from some patients with arthritis that brushing can be a literal pain. We recommend an electric toothbrush to help get to all parts of your teeth while limiting your arm movement. We also like to remind our patients to include healthy diet as part of their oral health care. For example older patients need to make sure they are getting enough calcium–not just from supplements, but from dairy products and leafy greens to support teeth health.
Thank you Dr. Brunacini and Dr. Karagiorgos! If you have more questions about your oral health or need to schedule an appointment, please give us a call at 207.781.5900. Our entire staff is dedicated to providing you with the most caring and comfortable environment possible while also providing top quality dental care for all ages.
*Image courtesy of www.cdc.gov
Mar 19, 2019
National Dentist Day was March 6 and was established as a way to show appreciation and thanks for dentists. We have two of the best dentists to thank: Dr. Brunacini and Dr. Karagiorgos! As a way to honor these two, we thought we’d ask them some questions about their path to dentistry and what they love about the work they do. Let’s learn more about FDA’s Dynamic Duo!
1. Why did you go in to dentistry?
Dr. Brian Brunacini: I enjoy the variety and problem-solving in dentistry. There are always new things to learn and I’ve enjoyed keeping up with the advancements in digital dentistry to improve the accuracy of diagnoses and quality of care.
Dr. Karagiorgos: After graduating with a degree in civil/structural engineering, I worked in the field but I disliked my job. I was 27 and I knew I didn’t want to do that as a lifelong career. Around that time, I went through a health scare that made me decide to pursue a career that would be meaningful and satisfying to me. I thought more about what a cousin had once suggested: dentistry. So I went back to school to take all the prerequisites to go to dental school, and meanwhile I worked for the Tufts’ Oral Surgery department as a Dental Assistant, where I assisted in surgical procedures such as extraction, implant placement, and even cosmetic surgery. This experience solidified my desire to pursue dentistry. I really enjoyed the surgical aspect of dentistry and considered specializing but the great thing about general dentistry is that you’re able to do a little bit of everything.
2. What is rewarding about your work?
Dr. Brian Brunacini: I love getting to know our patients and working together by sharing what I see and can potentially do for them. I really enjoy empowering patients to be more involved in their healthcare decisions so that they can improve their health.
Dr. Karagiorgos: Every day is about finding the best dental solution for each individual patient while keeping each patient’s special circumstances and aesthetic vision in mind, as well as the financial aspects involved to create the best possible treatment plan for every individual. There’s also an aspect of artistic expression to what we do: it’s making a filling look like a tooth. In a way, dentistry is a very satisfying form of artistic expression on a small scale.
3. What is unique about working at FDA?
Dr. Brian Brunacini: We practice progressive dentistry that allows us to provide excellent holistic care for the whole patient while using crest-of-the-wave technology. We also have a laid-back atmosphere at the office which creates a comfortable, inviting place for patients. That coupled with an amazing team–from receptionist to hygienist to assistant to dentist–who all work together to help patients makes this an ideal practice where we build lasting relationships with our patients.
Dr. Karagiorgos: The patients and staff here make my job feel like it’s not even work. It’s a great feeling to be a part of a team like this. And we meet patients from all walks of life, so it’s great to talk to everyone and get to know them.
4. What is your favorite dental care tip?
Dr. Brian Brunacini: Mine comes down to diet. Everyone knows how important it is to eat well for their overall health, but it also is important for healthy teeth and gums. There is strong correlation between a decrease in sugar/carbohydrate consumption and a decline in tooth decay rates. It’s not just about limiting overall sugar consumption–it’s also important to pay attention to how often during the day you eat or drink sugar. For example, sipping on an iced coffee with sugar all day is worse than drinking it in one sitting.
Dr. Karagiorgos: Floss, floss, floss!!! Flossing can remove plaque and food debris particles in places where toothbrush bristles cannot easily reach, like under the gum line and especially between your teeth. Plaque buildup can lead to tooth decay and gum disease, which daily flossing can help prevent!
Thank you Dr. Brunacini and Dr. Karagiorgos! We appreciate the thoughtful care you both bring to the practice everyday.
Whether you’ve been coming to FDA for years or are a new patient, we hope you learned something about our wonderful dentists. If you have a question for them or need to schedule a visit, give us a call today at 207.781.5900. We are here to give you the best oral health care possible!
Jan 24, 2019
There are going to be lots of happy, healthy smiles in Falmouth because two premier dental practices, Falmouth Dental Arts and A Perfect Smile, are merging! The practices will continue to offer superb dental care under the name Falmouth Dental Arts led by Dr. Brian Brunacini and Dr. Antonios Karagiorgos.
Since Dr. Glen Knock founded the practice in 1974, Falmouth Dental Arts has been on the cutting edge of dentistry and the cutting edge of how to treat people. From oral sedation to Integrative Dentistry to incorporating the latest digital advancements, Falmouth Dental Arts is committed to providing the best oral health care possible. Continuing on the tradition of Dr. Knock, Dr. Brunacini and Dr. Karagiorgos see beyond patient’s smiles; they see and treat the whole person. A Perfect Smile and the late Dr. Robert Nelson were also aligned with this approach, and both practices have always prioritized patient comfort and holistic oral health care. By merging these two excellent practices, they unite under a 40-year-old brand and have an opportunity to help even more people in this community and spread a broader message of good oral health.
With excellent patient care having always been at the core of both practices, patients can relax while they receive the best oral care possible from a team of knowledgeable and experienced dental professionals. Dr. Brunacini and Dr. Karagiorgos and the expanded Falmouth Dental Arts team are here to serve you and your families. They are now available for smile consultations, exams, and dental emergencies and are happy to answer any questions. Their goal is to develop a partnership with each patient—a partnership that not only provides the highest quality dental care, but also a connection to compassionate and knowledgeable healthcare professionals.
Falmouth Dental Arts will be closed January 28-February 1 to make the move to their new location at 168 US Route 1, in the home of A Perfect Smile. They will re-open on February 4 in A Perfect Smile’s offices at 168 US Route 1. For any patient questions or to schedule an appointment, please call Falmouth Dental Arts at 207.781.5900.
Mar 19, 2018
We can tell a lot just by taking a look around your mouth while you are sitting in our chair. But sometimes, we need to take a closer look at your teeth to get to the root of a problem you may be experiencing. X-rays are most commonly used to help us to find issues that can’t be seen with a visual exam. While these images do provide valuable information, they don’t show everything that’s going on in your mouth. Plus, they aren’t always the easiest images to help explain what might be causing an issue. That’s why you might see Dr. Brunacini or Dr. Karagiorgos using an intraoral camera.
What is an Intraoral Camera?
An intraoral cameral is a tiny digital camera that takes pictures of hard-to-reach areas in your mouth. Our intraoral cameras look similar to a pen and are equipped with a tiny lens on the end. During an examination, the camera is moved throughout the inside of the mouth, allowing us to see detailed images of the surfaces of your teeth, gum conditions, and other tiny details about tissues, cavities, etc. The camera also captures clear video and images of corroded or tarnished fillings, hairline fractures, bleeding gums, plaque, and other problems. To our patients’ delight, the camera is painless and can be used while you are sitting comfortably in the dental chair.
How do Intraoral Cameras work?
The first intraoral cameras were introduced back in the late 1980s and required a lot of bulky technology. Images were saved to a floppy disc and videos were saved to film and had to be viewed in a VHS player. Over the years, the design changed drastically allowing for improved function with significantly smaller equipment. Today’s intraoral cameras are connected directly to a computer and the images it can immediately be viewed by both the dentist and the patient in real time. These images can then be examined in-depth for a better diagnosis and stored for future reference.
Why do we use Intraoral Cameras?
Intraoral cameras offer numerous benefits to the patient. Dr. Karagiorgos explains it like this: “Showing our patients photographs of what we are looking at in their mouths is a great way to communicate ideas about conditions or possible treatments. Photography becomes a great tool in our toolbox to engage patients so that they feel more included in the decision-making process. It lets the patient see with their own eyes and helps make what might sound complicated much easier to understand.”
With the video and images captured by the camera, we are able to give you a better look at a particular diagnosis and to help you understand a treatment plan more completely. Instead of just explaining to you what might be happening in your mouth, we are able to show you exactly what is going on. In many cases, an issue might not present with tangible symptoms. For example, you might not have any pain in a back molar, but the intraoral camera might discover a fractured tooth. The cameras are also useful in the tooth restoration process, allowing you to see the before and after pictures of your treatment.
No matter the issue, the intraoral camera helps you make treatment decisions with confidence. Want to learn more? Let us show you what the camera looks like at your next visit! Call us at (207) 781-5900 to schedule your appointment today.
