Miami Dental

Thursday, May 23, 2019

Asthma and Oral Health

The dentists of Drs. Ressler, Hirschl, and Lelchuk’s Miami practice are a vital part of each patient’s medical care team. People with asthma face some particular oral health challenges, and to help them practice preventive care, we want them to understand why they may be especially at risk for developing cavities.


Dry mouth, also known as xerostomia, is a major contributor to enamel imperfections. We depend on saliva to wash away food debris and to keep our mouths at a pH level that allows enamel to remineralize. But people with asthma easily develop dry mouth because they are likelier to breathe through their mouths and it is also a common side-effect of some asthma medications. Patients should consult with their asthma specialist before changing medications, but they can counter dry mouth by drinking more water, using throat moisturizers, chewing sugar-free gum, and by using humidifiers.


Other factors specifically impacting asthma patients are acid reflux and the sugar content of medications. Because asthma causes restrictions in the throat, some patients are prescribed muscles relaxants. These relaxants risk opening the sphincter that separates the stomach from the esophagus, allowing stomach acid into the mouth, where it erodes enamel. Some oral medications may also contain lactose. Patients who are conscious of this may use fluoridated mouth rinse after taking medications and avoid foods that exacerbate acid reflux, such as onions, red meat, and caffeine. Chewing sugar-free gum to increase saliva flow can also help neutralize acid.


Dr. Allen Ressler, Dr. Andrew Hirschl, and Dr. Ira Lelchuk operate from two locations. To schedule an appointment at the location at Mount Sinai Medical Center, 4300 Alton Road, Suite 1190, Miami Beach, Florida, 33140, call 305-532-1444. To schedule an appointment at Intracoastal Mall, 3909 NE 163rdSt, Suite 310, North Miami Beach, Florida, 33160, call 305-949-2630. They can also be reached on their website, Miami Dental through a contact form.

Thursday, May 16, 2019

Treatments for Cracked Teeth

Nobody expects to crack a tooth, but if they do, we at the Miami Beach and North Miami Beach dental offices of Drs. Ressler, Hirschl, and Lelchuk hope our patients will have some idea of what to expect. We can repair most tooth damage, but patients are often calmer and provide better assistance with their own care when they understand what they’re up against.


Two basic elements of dental safety are to always wear a mouthguard when playing sports and to only use the back teeth for chewing. The molars have wide surfaces for distributing bite force and are held in place by multiple roots and thick ligaments. Other teeth are much likelier to break or tilt if they are subjected to bite force, but the molars can still chip, and they may crack if used to chew ice. If a tooth does break, a patient should rinse their mouth with warm water to make sure it is clean.


If a tooth is only chipped, we may be able to fix it quickly by using bonding. A minor crack, called a craze line, may be possible to cover with a veneer. However, if a tooth is deeply cracked, there is a possibility that the inner pulp will become infected. We may feel the need to perform root canal therapy to prevent this, after which we may reshape the natural dental crown as preparation for covering it with an artificial one. Teeth with cracks that go to the root may not be salvageable, but they can be replaced with partial dentures or crowns supported by implants.


Dr. Allen Ressler, Dr. Andrew Hirschl, and Dr. Ira Lelchuk operate from two locations. To schedule an appointment at the location at Mount Sinai Medical Center, 4300 Alton Road, Suite 1190, Miami Beach, Florida, 33140, call 305-532-1444. To schedule an appointment at Intracoastal Mall, 3909 NE 163rdSt, Suite 310, North Miami Beach, Florida, 33160, call 305-949-2630. They can also be reached on their website, Miami Dental through a contact form.

Wednesday, March 6, 2019

Should you use an Electric Toothbrush?

There are a lot of options to choose from when deciding what toothbrush to buy. At Miami Dental, we encourage our patients to change toothbrushes every 3-4 months or after their bristles are worn down. If the bristles begin to get splayed and distorted, it means you are no longer brushing your teeth effectively.


With so many toothbrushes to choose from, your biggest decision is deciding between an electric or traditional toothbrush. We want our patients to feel comfortable with the brush they use so they can brush for a full two minutes effectively. If you are able to clean your teeth and gums thoroughly for a full two minutes, a traditional toothbrush works perfectly fine. Electric toothbrushes have bristles that rotate and help you to clean more areas on your teeth effectively by removing plaque


The most important thing to us is that you are brushing and flossing consistently. We advise our patients to visit us twice a year for cleaning to make sure your teeth are healthy.


Dr. Allen Ressler, Dr. Andrew Hirschl, and Dr. Ira Lelchuk operate two locations. To schedule an appointment at the location at Mount Sinai Medical Center, 4300 Alton Road, Suite 1190, Miami Beach, Florida, 33140, call 305-532-1444. To schedule an appointment at Intracostal Mall, 3909 NE 163rd St, Suite 310, North Miami Beach, Florida, 33160, call 305-949-2630. They can also be reached on their website, Miami Dental through a contact form.

Wednesday, February 27, 2019

Causes of Bad Breath

If you frequently have bad breath, there may be a bigger issue at play than smelly food. We at the Miami Beach dental offices of Drs. Ressler, Hirschl, and Lelchuk are attentive to our patients’ oral pathologies and contributing conditions. Bad breath, also known as halitosis, is often related to dry mouth and gum disease.


As oral bacteria produce acid, they give off a bad smell. Brushing and flossing teeth is essential to depriving bacteria of food, but they may still find a home in the papillae of the tongue. There, they consume food particles as well as nasal drip that can land on the tongue when the patient has a cold or nasal blockage. As part of their daily hygiene routine, we recommend that patients brush their tongue, clean it with a scraper, and use antibacterial mouthwash.


Adequate saliva is necessary for clearing the mouth of food debris and preventing the spread of bacteria and fungus. A lack of saliva can result in bacterial growth and bad breath. Patients should inquire with their doctors about changing medications that can cause dry mouth or getting tested for related rheumatic diseases. Halitosis is also associated with diabetes due to chemicals diabetic people’s bodies produce as they break down fat and diabetes’s suppression of the immune system. Acid reflux can also cause halitosis due to stomach acid burning the esophagus and entering the oral cavity. Bad breath can be combatted by drinking lots of water, but patients with chronic health conditions should make sure they’re aware of whether halitosis means they need to consult their physician.


Dr. Allen Ressler, Dr. Andrew Hirschl, and Dr. Ira Lelchuk operate from two locations. To schedule an appointment at the location at Mount Sinai Medical Center, 4300 Alton Road, Suite 1190, Miami Beach, Florida, 33140, call 305-532-1444. To schedule an appointment at Intracoastal Mall, 3909 NE 163rdSt, Suite 310, North Miami Beach, Florida, 33160, call 305-949-2630. They can also be reached on their website, Miami Dental through a contact form.


 

Thursday, February 21, 2019

Bite Checks

The bite check is one of the most important parts of a biannual dental check-up. We provide thorough cleanings at the dental offices of Doctors Ressler, Hirschl, and Lelchuk and do examinations for oral cancer, but the bite check allows us to identify issues with a patient’s teeth and jaw alignments that could have implications for their head, neck, and shoulders.


Bruxism (night time teeth grinding) wears down enamel and can push teeth out of place. In the most extreme cases, it can even cause teeth to crack. Although people are often unaware of whether they are grinding their teeth in their sleep, our hygienists can identify unusual wear patterns in a patient’s enamel. If they see something, they can perform a tactile inspection of the temporomandibular joints, which connect the mandible to the rest of the head and which can radiate soreness to the neck and shoulders when jaws are misaligned. We also ask patients to demonstrate closing their teeth together and will ask them about any feelings of discomfort they’ve had while chewing or after getting up in the morning.


Bite checks are particularly important for pediatric patients. The eruption of wisdom teeth may cause overcrowding and cause soreness. Children often begin orthodontic therapy when they are around eleven years old, but it is possible for adults to undergo some orthodontic procedures, as well. We’ll also want to ensure that an adult’s implant-supported prosthetic teeth are still stable and ascertain whether dentures need to be refitted.


Dr. Allen Ressler, Dr. Andrew Hirschl, and Dr. Ira Lelchuk operate from two locations. To schedule an appointment at the location at Mount Sinai Medical Center, 4300 Alton Road, Suite 1190, Miami Beach, Florida, 33140, call 305-532-1444. To schedule an appointment at Intracoastal Mall, 3909 NE 163rdSt, Suite 310, North Miami Beach, Florida, 33160, call 305-949-2630. They can also be reached on their website, Miami Dental through a contact form.


 

Thursday, February 14, 2019

Children's Dental Health Month

At Miami Dental, we advise our patients to practice good oral hygiene starting at a young age. Children's baby teeth act as placeholders for their permanent teeth as the jaws develop, which is why it is important to encourage good cleaning habits. Every February the American Dental Association promotes National Children’s Dental Health Month to raise awareness for children.


Tooth decay is the most common chronic disease among children. To prevent tooth decay, we encourage parents to brush their babies' teeth. With just a dab of toothpaste, gently brush the surfaces of your children’s teeth with a soft-bristled toothbrush. When your children are old enough, teach them how to brush and floss (and spit toothpaste) on their own, and ask us if you are unsure of the proper technique. Inspect your children's mouths for signs of gingivitis, such as red gum tissue.


Don’t forget, good hygiene starts at a young age and lasts for a lifetime. Remember to schedule a cleaning with us twice a year to maintain healthy teeth.


Dr. Allen Ressler, Dr. Andrew Hirschl, and Dr. Ira Lelchuk operate two locations. To schedule an appointment at the location at Mount Sinai Medical Center, 4300 Alton Road, Suite 1190, Miami Beach, Florida, 33140, call 305-532-1444. To schedule an appointment at Intracostal Mall, 3909 NE 163rd St, Suite 310, North Miami Beach, Florida, 33160, call 305-949-2630. They can also be reached on their website, Miami Dental through a contact form.

Friday, February 1, 2019

Infections around Crowns

When a tooth is unable to fully push through the gum line, it isn’t just uncomfortable or awkward-looking. It also creates a trap for decay-causing bacteria. We provide thorough cleanings at the Miami Beach dental offices of Ressler, Hirschl, and Lelchuk, but an impacted tooth can result in a kind of infection called pericoronitis (inflammation around a crown) which requires special attention.


The lower wisdom teeth are the ones which most often get trapped while emerging. They usually erupt in late adolescence, after all the other teeth are in place and there isn’t enough room in the jaw for them. The emerging teeth are often partially trapped under a flap of gum tissue called an operculum. The space between the operculum and the tooth may be too small to be brushed, but acid and food debris can accumulate there, allowing decay to set in and spread to the surrounding gum tissue.


We can clean an operculum and may recommend that a patient use oral antibiotics and wash their mouth with salt water. But a long-term solution will likely require us to cut away the operculum, remove the tooth, or both. When adolescent patients maintain regular check-ups, we can monitor the progression of their teeth with x-rays and anticipate whether a tooth is likely to be impacted.


Dr. Allen Ressler, Dr. Andrew Hirschl, and Dr. Ira Lelchuk operate from two locations. To schedule an appointment at the location at Mount Sinai Medical Center, 4300 Alton Road, Suite 1190, Miami Beach, Florida, 33140, call 305-532-1444. To schedule an appointment at Intracoastal Mall, 3909 NE 163rdSt, Suite 310, North Miami Beach, Florida, 33160, call 305-949-2630. They can also be reached on their website, Miami Dental through a contact form.