Antibiotic Prophylaxis: Prosthetic Joints and Orthopedic Implants

If you have had a joint replacement and taken antibiotics before dental work in the past, you may not need to make a trip to the pharmacy before your next procedure. The American Dental Association has found it is no longer necessary for most dental patients with orthopedic implants to have antibiotic prophylaxis to prevent infection.

What Is Antibiotic Prophylaxis?

Antibiotic prophylaxis (or premedication) is simply the taking of antibiotics before some dental procedures such as teeth cleaning, tooth extractions, root canals, and deep cleaning between the tooth root and gums to prevent infection. We all have bacteria in our mouths, and a number of dental treatments—and even daily routines like chewing, brushing or flossing—can allow bacteria to enter the bloodstream (bacteremia). For most of us, this isn’t a problem. A healthy immune system prevents these bacteria from causing any harm. There is concern, however, that bacteria in the bloodstream could cause infection elsewhere in the body.

Prior to 2012, premedication prior to dental procedures was common for joint replacement patients, even though there was little evidence to support the practice and experts recommended against its practice for most dental patients. In 2012, the American Dental Association and American Association of Orthopedic Surgeons published updated guidelines, stating that dentists “might consider discontinuing the practice of routinely prescribing prophylactic antibiotics”. In January 2015, the ADA’s Council on Scientific Affairs issued another guideline, which continued to discourage prophylactic antibiotic use for most patients with prosthetic joint implants. Guidelines are re-evaluated every few years to make sure that they are based on the best scientific evidence.

Why Don’t I Need Antibiotic Prophylaxis? 

Based on careful review of the scientific literature, the ADA found that dental procedures are not associated with prosthetic joint implant infections, and that antibiotics given before dental procedures do not prevent such infections.

In fact, for most people, the known risks of taking antibiotics may outweigh the uncertain benefits. Risks related to antibiotic use include nausea, upset stomach and allergic reactions, including anaphylactic shock (a severe allergic reaction that can be life threatening). Other risks include developing antibiotic resistance in bacteria, which can complicate treatment of infections such as strep throat, pink eye and meningitis; as well as increasing the risk of C. difficile infection, which causes diarrhea and other intestinal problems. Patients over 70 years old are also at increased risk of experiencing adverse  reactions to some antibiotics. 

Who Can Antibiotic Prophylaxis Help?

Depending on your personal medical history, you may still be a candidate for premedication. For example, antibiotic prophylaxis might be useful for patients undergoing dental procedures who also have compromised immune systems (due to, for instance, diabetes, rheumatoid arthritis, cancer, chemotherapy, and chronic steroid use), which increases the risk of orthopedic implant infection. It may also benefit others with heart conditions. Always talk with your dentist or physician about whether antibiotic prophylaxis before dental treatment is right for you.

The above article is from mouthhealthy.org

Solace Dental
Bill Skinner, DDS
14381 Hickman Rd.
Urbandale, IA 50323
(515) 412-4200

SolaceDental.com

Dental Emergency

Accidents happen, and knowing what to do when one occurs can mean the difference between saving and losing a tooth.

Here are some tips for common dental emergencies: 

• For a knocked-out permanent or adult tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your cheek and gums, in milk, or use a tooth preservation product that has the ADA Seal of Acceptance. Then, get to your dentist’s office right away. 
• For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down. 
• If you bite your tongue or lip, clean the area gently with water and apply a cold compress. 
• For toothaches, rinse the mouth with warm water to clean it out. Gently use dental floss to remove any food caught between the teeth. Do not put aspirin on the aching tooth or gum tissues. 
• For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with sharp or pointed instruments. 

When you have a dental emergency, it’s important to visit your dentist or an emergency room as soon as possible.

Here are some simple precautions you can take to avoid accident and injury to the teeth:   

• Wear a mouthguard when participating in sports or recreational activities. 
• Avoid chewing ice, popcorn kernels and hard candy, all of which can crack a tooth. 
• Use scissors, NEVER your teeth, to cut things. 

Most dentists reserve time in their daily schedules for emergency patients. Call your dentist and provide as much detail as possible about your condition.

The above article is from mouthhealthy.org

Solace Dental
Bill Skinner, DDS
14381 Hickman Rd.
Urbandale, IA 50323
(515) 412-4200

SolaceDental.com

New Year, Healthier Mouth

Below is an excerpt from an article found on mouthhealthy.org

What does ringing in the new year have to do with being mouth healthy? 

More than you may think. Did you know that you should replace your toothbrush every three to four months? Bristles that become frayed and worn are less effective at cleaning your teeth. That means, celebrating the new year with a brand new toothbrush is actually smart dental hygiene.

Here are MouthHealthy resolutions:

• Start brushing 2min2x. Always brush twice a day for two minutes for healthier teeth, good breath, fewer cavities, and to avoid painful dental problems. 
• Floss daily. Flossing is part of being mouth healthy.
• Chew sugarless gum. Chewing sugarless gum for 20 minutes following meals can help prevent tooth decay.
• Eat a healthy diet. Eat a balanced diet and limit between-meal snacks.
• Drink fluoridated water. Fluoride helps prevent cavities by making teeth more resistant to the acid attacks that cause cavities.
• See your dentist. Regular dental visits will help you be Mouth Healthy for Life.  

To read the entire article visit mouthhealthy.org

Solace Dental
Bill Skinner, DDS
14381 Hickman Rd.
Urbandale, IA 50323
(515) 412-4200

SolaceDental.com

Finding A Dentist

Below is an excerpt from an article found on colgate.com

How Do I Look for a Dentist? 

A good place to start is by asking for a referral from people you trust — your friends, family, acquaintances, work associates, pharmacist or family doctor. Ask them how long they've gone to their dentist, how comfortable they feel asking questions, what type of dentist they go to (general or specialist). It is important that you find a dentist with whom you feel comfortable.

Other ways to find a dentist include:

• Calling your local dental society for a list of recommended dentists in your area. Your local dental society can be found in the Yellow Pages under "dentist."
• Searching online for dentists in your area. More and more dentists have websites explaining their approach and treatment methods.

What Kind of Dentist Should I Look for?

General dentists are trained to do all types of treatment. If you have difficult or unusual problems, your dentist may refer you to one of the following specialists:

• Pediatric Dentists/Pedodontists specialize in pediatric (children's) dentistry.
• Endodontists diagnose and treat diseased tooth pulp and perform root canal work (many general dentists also perform root canals).
• Prosthodontists specialize in crowns, bridges and dentures.
• Oral pathologists use laboratory procedures to diagnose diseases of the mouth. They also specialize in forensic dentistry.
• Oral/Maxillofacial surgeons perform surgical treatments, such as removing cysts, tumors and teeth. They can correct fractures or other jaw problems that require surgery, including temporomandibular joint (TMJ). They also use methods similar to those of plastic surgery to treat cosmetic problems of the jaw and face.
• Orthodontists correct improperly positioned teeth, using braces and other appliances to move teeth into a better position.
• Periodontists specialize in the diagnosis and treatment of gum disease.

How do You Become a Practicing Dentist?

A general practitioner or specialist can be degreed as either a D.D.S. (Doctor of Dental Surgery) or a D.M.D. (Doctor of Dental Medicine), depending on the school from which he/she graduated. The requirements for each degree are identical: four years of post-graduate study for general practice plus one to two years of advanced study for a particular specialty. A graduate must then pass a state licensing examination in order to begin practice.

To read the entire article visit colgate.com

Solace Dental
Bill Skinner, DDS
14381 Hickman Rd.
Urbandale, IA 50323
(515) 412-4200

SolaceDental.com

Top Dental Symptoms: Cracked or Broken Teeth

A cracked or broken tooth can happen for a variety of reasons- brittle teeth, teeth grinding, injury. The crack may be invisible to the naked eye and even X-ray, but they can be incredibly painful and create bigger problems if left untreated. If you experience pain when chewing see your dentist. They can diagnose the cause and develop a plan for treatment.

Above article from: MouthHealthy.org

Solace Dental
Bill Skinner, DDS
14381 Hickman Rd.
Urbandale, IA 50323
(515) 412-4200

SolaceDental.com

Root Canals: FAQs About Treatment That Can Save Your Tooth

If you have a severely damaged, decaying tooth or a serious tooth infection (abscess), your dentist may recommend a root canal treatment. Root canals are used to repair and save your tooth instead of removing it. 

What’s Involved in Root Canal Repair?

The pulp is soft tissue inside your tooth that contains nerves, blood vessels and provides nourishment for your tooth. It can become infected if you have: 

• A deep cavity
• Repeated dental procedures that disturb this tissue
• A cracked or fractured tooth
• Injury to the tooth (even if there’s not a visible crack or chip)

If untreated, the tissues around the root of your tooth can become infected. When this happens, you will often feel pain and swelling and an abscess may form inside the tooth and/or in the bone around the end of the root of the tooth. An infection can also put you at risk of losing your tooth completely because bacteria can damage the bone that keeps your tooth connected to your jaw.

Can I Get This Treatment Done During My Regular Check-up Visit?

Your dentist will need to schedule a follow up appointment, or you may be referred to a dentist who specializes in the pulp and tissues surrounding the teeth. This specialist is known as an endodontist.

What Should I Expect?

A root canal treatment usually takes 1 or 2 office visits to complete. There is little to no pain because your dentist will use local anesthesia so you don’t feel the procedure. Once the procedure is complete, you should no longer feel the pain you felt before having it done. 

Before treatment begins, your dentist will:

• Take X-rays to get a clear view of your tooth and the surrounding bone. 
• Numb the area around and including your tooth so you are comfortable during the treatment. 
• Put a thin sheet of latex rubber over your tooth to keep it dry, clean and protected from viruses, bacteria and fungus that are normally in the mouth.

During treatment, your dentist will:

• Create an opening in the top of your tooth.
• Remove the tooth’s nerve from inside the tooth and in the areas in the root, known the root canal. 
• Clean inside the tooth and each root canal. Your dentist may treat the tooth with germ-killing medicine.
• Fill the root canals with a rubber-like material to seal them against future infection.
• Place a temporary filling on the tooth to protect it until a definitive restoration like a permanent filling or crown can be placed at the earliest opportunity.

After root canal treatment:

• Your tooth and the area around it may feel sensitive for a few days. You can talk with your dentist about how to relieve any discomfort you may have.
• Your dentist may prescribe antibiotics if the infection spread. Use as directed, and follow up with your dentist if you have any problems taking it.

You will need a follow-up visit after the root canal treatment. At this visit, your dentist will remove the temporary filling on the tooth and replace it with a regular filling or a crown to protect your tooth from further damage. A metal or plastic post may also be placed in the root canal to help make sure the filling materials remain in place. This helps support a crown if you need one.

How Long Will a Root Canal Filling Last?

With proper care, your restored tooth can last a lifetime. Make it a point to brush twice a day for two minutes with fluoride toothpaste, clean between your teeth once a day and see your dentist regularly to make sure your teeth are strong and healthy.

To read the entire article visit mouthhealthy.org

Solace Dental

Bill Skinner, DDS
14381 Hickman Rd.
Urbandale, IA 50323
(515) 412-4200

SolaceDental.com

Tooth Enamel

Tooth enamel is very hard but...
That doesn't mean you can't break it.

Our office recommends to avoid eating "hard foods" such as popcorn. Don't crack nut shells with your teeth or chew on ice. Opening packages with your teeth can also damage the enamel.

It's not just the sugar - it's also the acid
Sugar and acids are your teeth's worst enemies. What are we talking about? Soft drinks, energy drinks, fruit juices, and candy.

Because of the acid content, Mountain Dew seems to be the worst of the worst. There is even a name for the damage it does and it is called "Dew Mouth."

These erode the tooth enamel, making it highly susceptible to decay. Parents, watch your kid's consumption of these because young children's enamle hasn't developed fully. This makes these drinks even more damaging for kids.

As well as eliminating the above (or at least reducing their consumption), it is recommended to always brush and floss after every meal. If you can't, use a sugar-free xylitol chewing gum after a meal. Also rinse your mouth with a high quality dental mouthwash.

Solace Dental
Bill Skinner, DDS
14381 Hickman Rd.
Urbandale, IA 50323
(515) 412-4200
SolaceDental.com

Adult and Braces: Why Are More Adults Getting Braces? and How Do I Know If Adult Braces Are Right For Me?

Why are more adults getting braces?

As braces have become less bulky and visible in recent years, more and more adults are wearing them, for a variety of reasons. Some adults want to correct problems with their teeth or jaws before they cause serious or further damage. Others want to feel better about their appearance by addressing longstanding cosmetic concerns. Keep in mind that even "cosmetic" problems can cause real damage over time. Teeth and jaws that are not aligned properly can lead to premature wear and tear, advanced tooth decay and gum disease, dentures or other reconstructive solutions and even more extensive surgery to correct serious problems.

New techniques and the advent of clear, less noticeable braces means that adults are increasingly turning to braces to correct:

• Gaps between teeth (spacing)
• Teeth that push against one another (crowding)
• Crooked teeth
• Overbites
• Underbites
• Crossbites

How do I know if adult braces are right for me?

If you think you might benefit from braces, ask your dentist to recommend an orthodontist — someone specially trained to fix problems with teeth that are not aligned properly. The orthodontist will look at your teeth and maybe take X-rays to study the underlying bone structure. Based on what he or she finds, a treatment plan will be recommended. While braces are a popular option for fixing misaligned teeth, an orthodontist can tell you whether you may benefit more from other types of orthodontics like removable retainers, headgear or aligners.

To read the entire article visit colgate.com

Solace Dental
Bill Skinner, DDS
14381 Hickman Rd.
Urbandale, IA 50323
(515) 412-4200

SolaceDental.com

Dentist Urbandale IA

Bill Skinner, DDS, is pleased to be able to offer beautiful smiles to his neighbors in Urbandale and the surrounding communities.

Dr. Skinner attended Luther College for his undergraduate education and was accepted early to the University of Iowa College of Dentistry, where he obtained his dental degree. He then served an externship at Broad Lawns Dental Clinic and worked as an associate dentist before opening his own practice.

Since his graduation from dental school in 1997, Dr. Skinner has engaged in extensive postgraduate education. This has encompassed a broad range of topics, from orthodontics to dental implants and more. He has obtained certifications in IV sedation, Invisalign™ clear aligners, advanced rotary endodontics (root canal therapy), and BioLase™ laser treatment. His commitment to lifelong education allows him to provide his patients with the best results in the least invasive manner with a high emphasis on comfort and ensures the highest level of care, both today and tomorrow.

Dr. Skinner is also a very active participant in the community. He volunteers with his church and works with Meals from the Heartland. He is a volunteer with the Iowa Mission of Mercy and participates in an annual day of free treatment for veterans and current military members. Additionally, Dr. Skinner donates free dental care to the local needy through Donated Dental Services and has participated in many mission trips. He can also be found volunteering with numerous nonprofit organizations.

Dr. Skinner and his wife Kelly have three beautiful daughters. He enjoys spending time with his family, traveling, fishing, boating, going to the gun range, and reading.

Professional Memberships: 
American Dental Association
Iowa Dental Association
Des Moines District Dental Association
International Association for Orthodontics
Gnathos (orthodontics)
American Academy of Dental Sleep Medicine
Urbandale Chamber of Commerce
Johnston Chamber of Commerce
American Academy of Implant Dentistry

Solace Dental
Bill Skinner, DDS
14381 Hickman Rd.
Urbandale, IA 50323
(515) 412-4200
SolaceDental.com