Scott Greenhalgh DDS - Cosmetic Dentistry

Wednesday, July 29, 2009

What does the FDA say about silver fillings?



The recent expected update from the FDA regarding the status of dental amalgam (silver filling) was released yesterday. There has been controversy for decades about the mercury in these fillings. Some have been very adamant about the mercury vapor causing all sorts of many illnesses and diseases.  In fact the dentist who really helped form my interest for me to go into dentistry, later became very anti-amalgam (it's some sort of ironic twist that I actually have a couple of silver fillings placed by that dentist before he went on the Anti-amalgam bandwagon).

I have found that good dentistry is generally healthful dentistry. Cosmetic dentistry creates smiles that people love. When you love something, you take care of it better. So, cosmetic dentistry is actually more-healthful for your teeth than regular dentistry. In fact, I'm sure cosmetic dentistry kept my patient Bob from going on to losing some teeth and having some sort of denture.
    

The FDA ruled as expected: they placed dental amalgam and dental mercury in a moderate risk class. (big deal). This may give them grounds to regulate it more in the future, but for now, there is really no big change for dentistry or patients. There's a lot of science and research to consider. In the end, it's best to discuss with your dentist exactly what will be right for you. In our Denver cosmetic dentistry office, we spend time with people to find out what their concerns are and spend the time to craft the right solutions. Solutions that create results and solve problems (and look great!). 
The beauty of healthcare here in Denver, is that you have a choice of what you put in your teeth. And, I think it might as well bypass the controversy and just create something to smile about! 


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posted by Dr. Scott at 3:56 PM

Monday, July 27, 2009

Is this the end of Silver Fillings?

Tomorrow we are expecting a ruling by the FDA on the classification for "encapsulated amalgam" (that is a cartridge that holds the liquid Mercury and the powder made from other elements). There has been controversy following amalgam for many years. And too often, it becomes the whipping boy for health extremists. In my experience of over 20 years in dentistry, I cannot say I personally have observed or treated someone who has suffered some ill or neurological effect from having silver fillings. 
Amalgam has been around for more than 100 years. That was the main material that I was taught to fill teeth with in 1988. Personally, it can work great, but I stopped using it over 10 years ago. There is simply no way to make it part of cosmetic dentistry
My personal belief is that amalgam persists because it is a fairly easy and forgiving material to put into teeth. In general, you can be a very average dentist or dental assistant and fix a cavity with silver filling. In my opinion, it takes greater skill and ability to place white fillings that produce both a beautiful and comfortable result. You just simply can't have a bad day with white (or composite) fillings because it is a demanding material. 

Beyond fillings, lies the realm of porcelain restorations. There are many times that NO filling materials (silver amalgam or white composite) are strong enough. In my cosmetic dentistry practice in Denver, we often use porcelain inlays or onlays to repair teeth beautifully. These restorations can be invisible even to the trained eye and can repair a tooth that has had a larger cavity for many years.
So... we'll see what the FDA says tomorrow. 

Actually, in my practice it won't make any difference, since I don't use it anyway. I'll just stick to the great resources that I already have for cosmetic dentistry (visit our smile gallery). We'll just keep on making back and front teeth look natural and smiles looking great!

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posted by Dr. Scott at 10:24 PM

Wednesday, July 15, 2009

Oral Cancer and Vizilite

Many people are shocked when they hear that one person dies each hour from oral cancer in America. However, when the disease is caught early, treatment is 90 percent successful.

The Vizilite exam has been developed to help dental professionals like Lakewood Cosmetic Dentist Dr. Greenhalgh identify any tissue abnormalities in your mouth. This will help catch and treat cancer early, increasing your chance of survival.

During the Vizilite exam, your mouth will be treated with a rinse solution, and a simple device will pass over your oral tissue. Healthy tissue will absorb the light and appear dark. Abnormal tissue will appear noticeably white.

A ViziLite Plus exam is particularly important if you are at increased risk for developing oral cancer. You are at a higher risk if you:

  • Use tobacco (including cigarettes, cigars, pipes, snuff)
  • Drink alcohol in excess
  • Repeatedly expose unprotected lips to the sun's harmful rays
  • Have a family history of head or neck cancer


An annual Vizilite exam, in combination with a regular visual examination, offers a comprehensive oral screening procedure and may save your life.

If you live in the Denver, Colorado area and are at a high risk for developing oral cancer, you can learn more about the exam in an initial consultation. Please call or email Lakewood Cosmetic Dentist Dr. Greenhalgh today. We look forward to hearing from you.

posted by Erica at 8:53 AM

Tuesday, July 7, 2009

Oral Cancer and Lance Armstrong



 The Tour De France bicycle race is in full force. Lance Armstrong is making an unprecedented bid to win an 8th time. After fighting cancer, winning 7 other times and at 37 years of age, he is within one second of the overall lead. I've never had cancer, but when I’m not busy with cosmetic dentistry in Denver, I enjoy cycling myself..

 

One of my theories on reasons why Lance has returned this year is that it gives him unparalleled visibility to speak about cancer survival. While he's still a celebrity in general, the whole world stops and watches when he is riding. That's a pretty good platform to advance your cause. 

With that in mind, we have chosen to make July Oral Cancer Awareness Month. Lance's LiveStrong organization is a great compilation of resources for people who have been diagnosed with cancer, and to support their families. 


My part in all of this is to try to prevent as many cases as possible, and to improve the odds for those who we identify it for. Oral cancer can be beaten when identified early (you'll hear more about how we are using new tests to identify oral changes earlier and more accurately in another blog next week). 

All this month (or while supplies last, we are giving away the popular LiveStrong yellow bracelet. Statistics show that 1in 3 of us have either had cancer or are close to someone who has had it.

 

Cosmetic dentistry is more than just amazing smiles. It’s also about creating and maintaining great oral health as well. One of my favorite patients-Bob, commented on how cosmetic dentistry changed his health-it’s true.

 

Specifically we are getting the word out that more people die from Oral cancer than either cervical cancer or skin cancer.  

Think about that for a second--how much attention and how much prevention is targeted at these diseases. For decades the dental profession has been unable to make an impact in these statistics. Now more than ever, you will hear more and more about the importance of regular oral cancer exams. Many other regular cancer screenings are performed, yearly like colonoscopies, PAP smears, etc. The oral cancer screening is not invasive, (you don’t need to be sedated or take your clothes off) and in a few minutes we have some new and reliable tests to identify early mouth skin changes. You don't have to be in a high risk group to be affected by oral cancer. For every new patient, we take the time to do a thorough oral cancer screening using state-of-the-art testing (click here for more information what else is checked at your first visit).

 

SO contact us today or phone us at 303 988 9060, to reserve your yellow bracelet. Join with us in supporting Lance in his race to win another Tour De France, and in the fight to beat cancer.

 

Go Lance Go!

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posted by Dr. Scott at 8:04 PM

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