The coronavirus is all anyone can think about right now, but
one way to take a break from all the heavy news is to think about the good
things ahead. You can plan for the future and look forward to the many ways
life will improve. If you’ve long been considering ways to improve your smile,
now is the time to research cosmetic dentistry treatments so you’re prepared to
discuss the details with your Fort Lauderdale dentist
when the time comes.
Now that dental offices are only
seeing emergency patients and not doing any elective procedures, I want to shed
some light on what is considered an emergency procedure.
According to The American Dental Association, emergency procedures are: “potentially life threatening and require immediate treatment to stop ongoing tissue bleeding [or to] alleviate severe pain or infection.”
Conditions include uncontrolled bleeding; soft tissue bacterial infections with swelling that potentially compromises the patient’s airway; or trauma involving facial bones that potentially compromises the patient’s airway.”
Examples of urgent dental care treatments, include:
Severe dental pain from a root canal infection
Wisdom teeth pain.
Pain after an extraction – possibly from a dry socket.
Abscess or localized bacterial infection resulting in localized pain and swelling.
Tooth fracture resulting in pain or causing soft tissue trauma.
Dental trauma when a tooth gets knocked out.
Dental treatment cementation if the temporary restoration is lost, broken or causing gum irritation.
Other emergency dental care includes:
extensive decay or defective restorations causing pain;
denture adjustments on radiation/oncology patients;
denture adjustments or repairs when it affects the function;
replacing temporary filling on a root canal treatment in patients experiencing pain;
snipping or adjustments of an orthodontic wire or appliances piercing or ulcerating the oral mucosa.
Non dental emergencies include:
Routine checkups and cleanings
Extraction of teeth that have no symptoms
Routine fillings and crowns
Still not sure if you have a dental emergency? If you are experiencing: bleeding gums, a broken tooth, mouth injury, or severe pain, then give us a call at 954-566-7479. If you do need an appointment, we’ll do our best to get you in right away.
a) For most people, the immediate risk of becoming seriously ill
from the virus that causes COVID-19 is thought to be low. Older adults and
people with underlying health conditions, such as diabetes, lung disease, or
heart disease are at a greater risk.
b) Someone who has completed quarantine or has been released from
isolation does not pose a risk of infection to other people.
c) There are simple things you can do to help yourself and others:
wash your hands with soap and water for at least 20 seconds
avoid touching your face with unwashed hands
stay home when you are sick
cover your cough or sneeze with a tissue, then throw it in the trash
use hand sanitizer
d) The coronavirus has a weak lipid or fatty lining that makes it
easy to kill by disinfecting surfaces with a diluted bleach solution, an
alcohol solution with 70% alcohol and any household disinfectants. Good old
soap and water works just fine as well.
e) Most people who are infected with the coronavirus exhibit
symptoms similar to the cold or flu.
f) According to WHO statistics, people are recovering from the
g) China has closed it’s last temporary hospital due to not enough
new cases to support them.
h) Apple reopens all 42 China stores.
i) A vaccine has been developed and is being fast tracked into
j) Italy has one of the oldest
populations in the world. In Italy, 23% of the population is over age 65,
compared to the US, where that population is 16%. We know that the mortality is
higher in the elderly.
k) Children don’t seem to get that sick with Covid-19 because kids
seem to have pristine lungs that have not been damaged by a lifetime of
inflammation from pollutants, allergies and diseases.
So, it’s not all bad. There is a silver lining. In the meantime, I
encourage you to all practice self love:
Take care of yourselves. Stay healthy by getting good sleep, eat healthy, exercise
Take care of your mental health by reading, listening to your favorite music, take a walk outside. Turn off the TV or watch something positive and uplifting.
Reach out to friends and family via Skype, facetime or Whatsapp.
Be patient and kind to others. This is a difficult time for everyone.
Help your elderly neighbors or friends who are immunocompromised get groceries.
Premier Dental Center is currently only open to help patients with dental emergencies. We are following the current guidelines from local and national health authorities, keeping ourselves and our patients healthy and remaining ready to serve you. You can call us as we have extended our phone hours and staff will be able to answer your questions on your oral health.
The Centers for Disease Control and Prevention (CDC) recommends washing hands with soap and
water for 20 seconds as the top way to clean our hands. “But if soap and water
are not available, using a hand sanitizer with at least 60% alcohol can help,”
Not all hand sanitizers are the same . They have different percentages of
alcohol. The only ones that are effective against viruses are those that have
more than 60% alcohol, so look at the label when you buy your hand sanitizer.
The news media has created this sanitizer frenzy and our store
shelves are empty with people fighting each other at the stores. However, good
old fashioned soap and water is still shown to be the best way to get rid of
bacteria and viruses on our hands. Many studies have shown that hand sanitizer does
not get rid of all bacteria and viruses. In addition, it has to be used
correctly in order for it to be effective. You have to apply a decent amount on
your hands and you have to rub it in until it is dry. It takes about 30 seconds
for it to dry. If your hands a dirty or greasy, it does not penetrate the dirt
or grease and is ineffective.
So how does soap and water work and why is it better than hand
Soap is made up of molecules that have 2 ends. The one end is
attracted to fats and proteins and the other end is attracted to water. So,
take some oil and pour it into water. The oil pools in a clump. Add detergent
to it and it breaks up. This is because the fat loving end of the soap attaches
to the oil and the water end stays in the water. The water end then pulls the
Studies have shown by using a dye how much soap gets rid of germs
vs hand sanitizer and hands down, there is more dye on the hands in this study
after using hand sanitizer.
Coronavirus is an enveloped virus. This means it has a lipid or
fat layer around it. When we use soap to wash our hands, the fat loving end of
the soap attaches to the lipid wall of the virus. The water loving end stays in
the water and pulls the wall of the virus apart. The now harmless broken up
bits of virus now get washed down the drain.
So, make hand washing your number one choice. You also don’t need special antibacterial soap. All soap whether antibacterial or not has molecules that have a fat loving side and a water loving side. If you are not able to wash your hands then use a hand sanitizer but make sure it has at least 60% alcohol and that you are rubbing it all over your hands including between your fingers for at least 30 seconds until it dries.
We know that there is a lot of concern about the spread of Covid -19 and as an office we are being vigilant and attentive to what we need to do to prevent the spread of the virus. However, at the same time, we are healthcare practitioners and our job is to help patients become healthy or stay healthy. Dental offices treat dental emergencies like pain, swelling, broken teeth. Thus we plan to stay open to help you with your needs as long as the benefits outweigh the risks to our community.
There’s so much information out there about this virus, it’s often hard to discern what is real and what is a myth. Here are some myths according to the WHO.
The virus cannot be transmitted in hot, humid environments.
False – The virus is transmitted in all environments.
Taking a hot bath prevents you from catching the virus
False – your body temperature remains around 36.5 – 37 degrees celcius even in a hot bath
Coronavirus can be transmitted through mosquito bites.
False – coronavirus is a respiratory virus which spreads primarily through droplets generated when an infected person coughs or sneezes, or through droplets of saliva or discharge from the nose.
Are hand dryers effective in killing the virus?
No. Hand dryers are not effective in killing the coronavirus. To protect yourself against it, you should frequently clean your hands with an alcohol-based hand rub or wash them with soap and water.
Can an ultra-violet disinfection lamp kill the virus
No. UV lamps should not be used to sterilize hands or other areas of skin as UV radiation can cause skin irritation.
Can spraying alcohol or chlorine all over your body, kill the virus?
No. Spraying alcohol or chlorine all over your body will not kill viruses that have already entered your body. It is harmful to clothes or mucous membranes (i.e. eyes, mouth). However, alcohol and chlorine can be useful to disinfect surfaces, but they need to be used under appropriate recommendations.
Can regularly rinsing your nose with saline prevent infection from the virus?
No. There is some limited evidence that regularly rinsing your nose with saline can help people recover more quickly from the common cold. However, regularly rinsing the nose has not been shown to prevent respiratory infections.
Can eating garlic help prevent infection from the virus?
Garlic is a healthy food that may have some antimicrobial properties but there is no evidence that eating garlic has protected people from the virus.
Are antibiotics effective in preventing and treating the virus?
No. Antibiotics work against bacteria and not viruses. Now if you are in the hospital and you develop a bacterial infection on top of having the virus, the antibiotics will help with the bacterial infection.
Do vaccines against pneumonia protect you against the virus?
No. The virus is new and there is no vaccine available yet. Vaccines are in human trials now.
Don’t neglect your oral health during this time. Premier Dental Center is open for emergency dental appointments only. If you are experiencing severe swelling, bleeding, or have suffered a dental injury, please call our office to be seen.
I have had a few questions from patients as to what mouthwashes will help protect against the coronavirus.
At this point, there is no evidence that mouthwashes protect you
from Coronavirus. Some people are thinking that Listerine with alcohol will
help. However, this is not true as the only 60% alcohol content will kill the
virus. But please don’t rinse with alcohol or rubbing alcohol or any of those.
The other question from patients who have had gum disease is :
does peridex, the prescription mouth rinse we use after a scaling work. There
is no evidence that it works against viruses as it is designed to work against
the gum disease bacteria.
However, it appears from a recent study, that 1% hydrogen peroxide will reduce the salivary load of the coronavirus. The American Dental Association is recommending dentists have patients rinse with 1% hydrogen peroxide before we start any dental procedure on them.
One of the most encouraging aspects of the COVID-19 is that it is
an enveloped virus. This means that it has a weak fatty envelope, which
is easily broken down by most disinfectants.
Hydrogen peroxide easily attacks the envelope lining and destroys
it by chemical action.
Thus at home we recommend you disinfect your toothbrush with
hydrogen peroxide; even soak your mouthguard and retainers in it for 5-10
minutes. If you use a waterpik, fill it with hydrogen peroxide and irrigate
your mouth with it instead of just water. You can even rinse your mouth with
hydrogen peroxide for 60 seconds.
However, the concentration most commonly sold in the pharmacies is
3% hydrogen peroxide. If you want to use it as a mouthwash, dilute it 1:2. This
means 1 part of hydrogen peroxide to 2 parts of water.
I hope this helps, stay safe!
(A preoperational antimicrobial mouthrinse is generally believed
to reduce the number of oral microbes. However, as instructed by the Guideline
for the Diagnosis and Treatment of Novel Coronavirus Pneumonia (the 5th
edition) released by the National Health Commission of the People’s Republic of
China, chlorhexidine, which is commonly used as mouthrinse in dental practice,
may not be effective to kill 2019-nCoV. Since 2019-nCoV is vulnerable to
oxidation, preprocedural mouthrinse containing oxidative agents such as 1%
hydrogen peroxide or 0.2% povidone is recommended, for the purpose of reducing
the salivary load of oral microbes, including potential 2019-nCoV carriage. A
preprocedural mouthrinse would be most useful in cases when rubber dam cannot
Smile makeovers come in all shapes and sizes. Some upgrades take
one visit to a dentist near Fort Lauderdale to complete, other makeovers take
multiple visits over several months. There is no one right way to get a healthy,
strong, pain-free, attractive smile. The only question is: What’s the right smile makeover for you?
Is it possible to walk into a dental office with terrible teeth
and walk out with a whole new set of beautiful teeth held in place by implants?
Is that even safe? The answer is YES! However, many things have to line up
correctly in order for this to be done safely and predictably.