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20950 N. Tatum Blvd, Ste. 280 | Phoenix, AZ 85050
480.860.4300

Dentistry & Oral Cancer

Posted on: February 9th, 2012 by DesertRidgeSmiles No Comments

With 35,000+ new cases of oral cancer diagnosed in the US every year, mostly in stage 3 or 4, dentists will be the key to earlier evaluation and treatment of oral lesions. Earlier diagnosis could increase the current survival rate of 50% fatality within the first 5 years of diagnosis. Having a celebrity spokesperson like Michael Douglas, who was diagnosed with stage 4 throat cancer, will certainly make people more aware of the problem of oral cancer.

Though there are common risk factors such as tobacco and alcohol usage, prolonged exposure to the sun, and a diet low in fruits and vegetables, the current findings are also linking Human Papilloma Virus (HPV), which is a sexually transmitted virus, in up to 50% of oral cancers.  These behaviors can increase your risk of oral cancer, but even if you are not in a high risk category, you should consider getting an oral cancer exam by your dentist regularly.  We would prefer to get a diagnosis at an earlier, more treatable stage, than the more commonly diagnosed stages of 3 or 4. We recommend an oral cancer screening exam once/year, for all patients over age 18.

The oral cancer examination is a simple one.  We look for changes or abnormalities in the tissues of the mouth, face and neck.  These can be red or white discolorations, sores that do not heal, lumps or bumps, or changes in feeling, such as numbness, pain or tenderness. Frequent oral cancer sites are the tongue, floor of mouth, soft palate, tissues of the lips, gums and back of tongue.

There are adjunctive devices that may also be used in addition to the visual exam, such as Vizilite, Identafi, or Velscope.  These use tissue reflectance, autofluorescence or a combination of the two.  If we do find a suspicious looking lesion, we will reevaluate the area in 10-14 days,  a normal time for trauma and innocuous areas to heal.  If it is still present at the reevaluation appointment, we will send you for a biopsy of the lesion.

Dentistry has traditionally been concerned with the treatment of disease.  It is now evolving into a profession that is also concerned with a patient’s wellness.  There are 150,000 dentists in the US who can screen patients to help with the early detection and improved patient outcomes in the area of oral cancer.  Get your oral cancer exam at your dental office today!

http://youtu.be/6mCZhLPYeZY

Elizabeth J Fleming and the staff at Desert Ridge Smiles 480-860-4300

 

 

Making It Happen in 2012

Posted on: January 2nd, 2012 by DesertRidgeSmiles No Comments

Do you plan, set goals, make resolutions every year to make the new year better than the last?  Good for you!  You are creating a vision, which will enable you to work at changing things to achieve a better result.

Did you know that the simple task of writing down your goals makes them more likely to happen?  Or that doing the same old things, the same old way, will achieve the same old results? 2012 is the year to shake things up, go along a different path, make some different routines!

One of my goals has been to find balance in my life, with the constant tugging from work, family, and spiritual needs, in addition to finding the time for rest and relaxation.  It is a challenging goal, but I found it’s okay to say, “No”, when my plate gets too full, which has been a liberating experience.

2011 was a tough year.  I implemented many changes within my practice, learned to stand up and be heard, and not to be derailed, even after hearing negatives a time or two.  The ultimate outcome?  Lots of goals reached in 2011!  It was hard work, but the rewards are outstanding!

Set your goals, believe in yourself, work hard, and make it happen in 2012!

Elizabeth Fleming, DDS and the staff at Desert Ridge Smiles 480-860-4300

 

In My Neighborhood

Posted on: December 16th, 2011 by DesertRidgeSmiles No Comments

If you are in Arizona, you may have heard rumblings about the Centennial happening this February 2012.  One of my patients, Lisa Schnebly Heidinger has put together the Official Book of the Arizona Centennial, which is a wonderful perspective of the history of the state. 

Lisa is a descendent of pioneers of Arizona, so knows about Arizona history. (Her great-grandmother was who the town Sedona was named after.)  When she brought this book into our office at her last visit, I was awed by the beauty of this book, and how it was artfully arranged by year.  What a great gift for Arizona lovers!  I promptly bought 2 books, one for me, and one for my mom, an Arizona native who remembers the cable cars in central Phoenix, and Indian School Road being the northern end of town. 

If you are looking for that last-minute holiday gift, or something to commemorate the upcoming 100th year anniversary of our statehood, be sure to check out Lisa’s book: Arizona 100 Years Grand.  You will be glad you did!

Dr. Elizabeth Fleming & the staff at Desert Ridge Smiles                                            20950 N Tatum Blvd Ste 280 Phoenix, AZ  85050  480-860-4300

Need a quick “pick-me-up”? Try whitening your Teeth!

Posted on: November 8th, 2011 by DesertRidgeSmiles 6 Comments

The Holidays are coming! What better way to brighten your smile, than with a quick bleaching of your teeth!

There are a few different techniques that can be done to accomplish whiter, brighter teeth.  Are you a do-it-yourself person? Then over-the-counter bleaching strips or take home whitening kits may be the answer for you.  The main difference between OTC strips and Professional strips from the dental office is in the concentration of bleach.  The stronger the bleaching solution, the quicker the whitening is accomplished.  The professional strips offer the highest concentration of bleach, so will give you the biggest bang for your buck.  The cost ranges from $40-99.

There are also bleaching toothpastes, rinses and gum that propose to whiten your teeth, but remember the bleach is most effective when in contact with your teeth.  In these OTC forms, the bleaching result will be negligible.

In office bleaching trays with professional strength bleaching solution are the most popular in our office.  (Cost is around $199-250.) Not only are the trays custom made for you, but we can vary the concentration of the bleaching solution to achieve the desired results.  Once your teeth have been whitened, put your trays away until you need a touch up (usually 1 year). You can get a touch-up kit of bleaching solution to use inside your trays, for next to nothing! (or approximately $50)

If you are needing to whiten for an upcoming event such as a reunion or wedding, consider in office power bleaching, which can dramatically change the color of your teeth in one sitting.  Because it uses one of the highest concentrations of the bleaching solution for a short time, sometimes coupled with a light, it is possible to have more sensitivity during this bleaching technique than with the others.  This is a one time exposure to bleaching, so often we recommend following up with take-home trays to reach the desired final shade.  Cost for power bleaching ranges from $399 and up, power bleaching and trays $499 and up.

The bleaching solution is generally either carbamide peroxide or hydrogen peroxide.  How quickly you whiten and what shade you can bleach to, are dictated by the starting shade of your teeth.  What are the possible complications, you ask?  Sensitivity while bleaching can occur.  You may also experience gum irritation from the bleaching solution.

Keep in mind that crowns, veneers, bonding and white composite fillings do not bleach, so be careful if you have any of these conditions within your “Smile Line” where you will be bleaching.  Avoid any cosmetic dentistry until 2 weeks after the completion of your bleaching process, to allow the color change to stabilize before final shading of your newly whitened teeth.  Yellow root surfaces are very difficult to bleach, as are tetracycline stained teeth.  Avoid bleaching if you are pregnant or nursing.

Treat yourself to a whitening procedure, to “brighten” your day!

To answer any other questions about bleaching your teeth, call our office.  We can make a great impact on the power of your smile!

Dr. Elizabeth Fleming & the staff at Desert Ridge Smiles: 20950 N. Tatum Blvd. Ste 280, Phoenix, AZ  85050  480-860-4300

Is Your Stress Level Harming Your Teeth?

Posted on: August 15th, 2011 by DesertRidgeSmiles No Comments

Do worries about the economy or your work, stress you out?  Do you wake with headaches, sore jaw muscles, or sensitive teeth? Have you noticed chips in your enamel or broken teeth, fillings or crowns?

You may be experiencing a behavior that is called bruxism.  Bruxism is an oral parafunctional activity, which includes clenching and grinding of the teeth in a horizontal direction, using forces that are damaging to the teeth and muscles. Bruxism is considered the most common sleep disorder.

As a dentist, I look for damage to the teeth that may be caused by bruxism.  Often my patients are unaware of this behavior, unless informed by their sleeping partners.  Some common signs in bruxers may include:

  • Headaches
  • Notched teeth
  • Chipped teeth or restorations
  • Pain in teeth, muscles or jaw joints
  • Mobility of teeth
  • Broken crowns or fractured teeth
  • Recession of gums

Causes of bruxism include stress, anxiety, worry, depression, bite problems such as uneven bite, medical conditions and some medications.  Bruxism can be further complicated if it includes a disorder such as sleep apnea. In these patients a sleep study is needed for full treatment of the disorders.

Treatments for bruxism vary from conservative methods such as a protective hard acrylic night guard appliance or bite adjustments that help to equilibrate the minor bite discrepancies, to complete orthodontics, repair of broken teeth with crowns, or full mouth rehabilitation to recreate the most stable bite,  lost due to the parafunctional habit of bruxism.

If you feel you might be suffering with these symptoms, make an appointment for an evaluation today.

Dr. Elizabeth J Fleming & the staff at Desert Ridge Smiles  20950 N. Tatum Blvd Ste. 280 Phoenix, AZ 85050                   480-860-4300

Your Comprehensive Dental Exam at the New Family Dentist: What should you expect?

Posted on: July 24th, 2011 by DesertRidgeSmiles No Comments

With the ever increasing links between dental health and over-all health, your oral examinations may be more extensive than they were in the past.

Be sure to bring a list of the prescription and over-the-counter (OTC) medications that you take to your first visit.  These will be reviewed to see how they may impact your dental treatment and outcome.  In our office, we take blood pressure readings to evaluate that your heart health does not adversely affect your dental treatment, also.

Times have changed!  Your exam may be more interactive than in the past.  Digital x-rays are commonly taken, which use less radiation and are viewable on the computer monitor.  An intra-oral camera can be used, which easily shows problems when the teeth are magnified.

Because there are 35,000 new cases of oral cancer reported every year in the United States, it is recommended that an enhanced oral cancer screening be performed yearly on all patients over age 18.  Our exam includes a visual examination and a VelScope luminescence exam, as well as palpation of the head and neck, checking for lumps and changes within the oral cavity. http://youtu.be/6mCZhLPYeZY

Periodontal charting will be done to evaluate you for periodontal disease, which is an inflammatory process that targets the bone and gums in your mouth.  http://www.mayoclinic.com/health/dental/DE000  Other inflammatory diseases include heart disease and diabetes, only the targeted areas of the inflammation are different than the oral cavity.  Why is this important?  Controlling inflammation can lead to optimum overall health, not just optimum dental health. Now does this make sense?

Commonly, patients mention that they have never had such a thorough screening as our comprehensive new patient dental examination.  It gives us great satisfaction to uncover underlying health problems such as heart disease, high blood pressure, acid reflux, Sjogren’s disease, and oral cancer while checking for periodontal disease and dental decay.  The oral/systemic link is there!

Would you rather get just a dental checkup, or be evaluated for contributing factors in your quest for optimum dental health?  Our goal is optimum overall health in addition to optimum dental health.  Seek out a dentist who realizes the oral/systemic connection and make your appointment today!

Elizabeth J Fleming, DDS and the staff at Desert Ridge Smiles 20950 N. Tatum Blvd  Ste 280  Phoenix, AZ  85050  480-860-4300

Do you believe in Guardian Angels?

Posted on: May 30th, 2011 by DesertRidgeSmiles No Comments

Somewhere back in your early religious training, you may have been taught about Guardian Angels.  A guardian angel is an angel assigned to protect and guide a particular person or group.  Your angel may be in your conscious mind, helping you to make those tough decisions, or helping to guide you through a dangerous situation.  There is an element of hope and wonder in this belief of guardian angels, and in my recent experiences, I have validated that I have a guardian angel looking out for me.

There are chance encounters with people who come into your life, be it employees, lecturers, teachers or friends.  There may be a lesson to be learned from these people, which will help to guide you through your life.  I believe your guardian angel causes these encounters, but it is your responsibility to gain the knowledge presented to you, to help you on your path in life.

These past few years of economic upheaval have been difficult for many people, including myself.  I have seen many of my advisors and friends make decisions that have proven to be irreparable.  In some cases, trusting my guardian angel became a better decision than following my advisor, whose information was tainted due to the previous poor decisions they had made, from which they were trying to recover. 

Lately, I have had the feeling of being lucky.  Contacts of people from the past were instrumental in finding the perfect caregivers for my mom.  I won video editing software during my quest to make dental videos for my social media influence.  Being a member of the Council on Dental Education for the AZ state meeting has allowed contacts from influential dental speakers all over the world.  Are these chance encounters?  Maybe, but I think not!

This is an altruistic society.  Look out for #1, which is YOU!  Listen to advisors, get plenty of advice, but also listen and learn from the people who are in your life currently. They may be there for a reason, planted by your Guardian Angel.  Life lessons can happen all the time.  Make sure you are open enough to experience this guidance your Guardian Angel may be providing for you!  May you feel lucky, too!

Elizabeth J. Fleming, DDS and the staff at Desert Ridge Smiles 20950 N. Tatum Blvd.  Ste. 280  Phoenix, AZ  85050 480-860-4300

From Teething to Toddlers: What you should know about early dental care.

Posted on: April 21st, 2011 by DesertRidgeSmiles No Comments

Congratulations on your new baby!  Develop good practices for your child’s oral health now, for your baby’s dental future.  Your child’s teeth began to develop in utero, and will continue this process long before any teeth will erupt.  The use of systemic fluoride can strengthen your baby’s teeth, while they develop, to make them less cavity-prone.  A small amount of fluoride exposure is good at this stage, and is probably available in your city water.  Do you drink city water?  It is an easy way to get the added fluoride protection for your baby’s teeth. In the Phoenix water supply, there is .7mg/L of fluoride in the water, as is recommended by the EPA. http://phoenix.gov/WATER/wsdfaqfluoride.pdf If your child uses bottled water for drinking and in with formula, you may be able to request bottled water with fluoride added.

At age 6 months, you can request a prescription from your pediatrician or dentist for vitamins with fluoride, if your child is not utilizing fluoridated water.  A little fluoride exposure is good for cavity protection, but a lot of fluoride can cause problems such as fluorosis. American Academy of Pediatric Dentistry – AAPD Publications The optimum exposure is .7mg/L up to 1.2mg/L.  Supplementation can be given daily from age 6 months to 16 years for this added cavity protection in the formative years. Fluoride and Water

As your child begins teething, around 6 months of age, you should use a moistened washcloth to rub on the gums, which may be swollen and sore.  Drooling may increase, and your baby may get comfort by chewing on objects, their fingers, or a chilled teething ring.  Try to avoid teething biscuits which may contain sugar, and could decay newly erupted teeth.

If you put your child to bed with a bottle, make sure it is water only! When babies fall asleep with the bottle nipple clasped between their teeth, sugars from any liquids other than water can pool on the teeth and cause a syndrome called nursing bottle decay. Baby Bottle Tooth Decay or Nursing Bottle Syndrome – Oral Health For All

Once teeth start to erupt, the teething process will occur off and on from age 6 months to 2 years of age, until all 20 baby teeth erupt.  During this time, incorporate brushing your child’s teeth 2 times/day with plain water.  For kids over age 2, use a pea sized amount of toothpaste twice daily. Most kids cannot do an adequate job of brushing their teeth before age 5, so your supervision is necessary.

If you see discoloration, staining, or what looks like decay on your child’s newly erupted baby teeth, you may need to take your child to a pedodontist, who specializes in children’s dental health.  If no immediate problems are seen by you while brushing your child’s teeth regularly, we recommend that children be seen for their first dental visit between the ages of 2-3.  We invite you to call our office to see if we are the right dental practice for you and your family!

Elizabeth J Fleming, DDS and staff at Desert Ridge Smiles  480-860-4300

It’s the Inflammation, baby!

Posted on: March 21st, 2011 by DesertRidgeSmiles 1 Comment

My instructor for aerobics class in the 80′s used to always say, “Exercise! It’s your life insurance policy!”  I have made exercise a part of my life because it makes me feel good, look good, and makes my body function better overall. (and will most likely help me to live longer than a non-exerciser, as an extra benefit! Thank you Linda!) 

Being a part of the health care industry as a dentist, I find it interesting that there are links between many disease processes, including heart disease, diabetes, periodontal disease, Alzheimer’s and more.  What is the common link between these diseases?  It is the inflammation, baby! Inflammation is your enemy!  Reduction of inflammation is the key.

If your physician tells you that you have high blood pressure and need to take prescriptions to control your HBP, do you calmly accept that?  Or do you look for ways to improve upon your current habits to minimize the need for taking prescription medication, such as a better diet, more exercise, and decreasing stress? http://on-msn.com/mIO7vm

In the dental field, something as simple as regular flossing can drop the incidence of periodontal disease due to removing plaque from the teeth.  Plaque causes inflammation and inflammation causes periodontal disease.  Simple, but many people just don’t get it!

What are some other things that cause inflammation in your body and how can you work to eliminate them?

  •  Stress causes major inflammation, causing the release of cortisol which amps you up for the “fight or flight” response.  Chronic exposure to stress can result in high blood pressure, heart attack or stroke.  Work at relieving your stresses by doing yoga, exercising, relaxing or finding “me” time for yourself.  Do something you enjoy in your spare time.  You deserve it!
  • Improper diet, eating too few fruits and veggies. You body needs to function like a finely tuned machine.  Give it the proper fuel!  Your body may have problems processing certain foods, like those people who have gluten allergies.  So even certain foods  can act like irritants and cause inflammation, too.  Eat a well balanced diet with fruits and veggies and plenty of anti-oxidants for optimum function of your body.
  • Alcohol.  Too much alcohol causes you to throw up.  That’s the ultimate response to irritation…throw up and get rid of the inflammation, RIGHT NOW!  If you drink too much and don’t throw up, you get a horrible hangover.  What is a hangover? It is brain inflammation in the form of a headache, and stomach/intestinal inflammation, which may keep you close to the bathroom to get rid of the alcohol, but out the other end!
  • Lack of sleep.  Your brain and body need time to rejuvenate. Isn’t sleep deprivation a form of torture?  Why are you torturing yourself by not getting enough sleep?
  • Smoking.  Have you ever noticed how smokers get sick all of the time?  My theory is that their bodies are so used to fighting off the self-inflicted smoke irritation, so their immunity is “overworked” and can’t fight off the smallest exposure, and they catch everything!  Just don’t do it! There is no redeeming value in smoking, EVER!

If you are content with taking medications to control your disease processes, then don’t floss, don’t exercise, smoke, drink plenty of alcohol and wait for the inflammation in your body to do you in, because it will!  But if think controlling the inflammation seems to make better sense,  in an effort to achieve overall health, try changing your habits, even a few at a time.  Let me know how much better you feel!

Dr. Elizabeth J. Fleming and Staff

Desert Ridge Smiles  20950 N. Tatum Blvd  Ste. 280  Phoenix, AZ  85050  480-860-4300

New Beginnings 2011

Posted on: December 31st, 2010 by DesertRidgeSmiles 2 Comments

Let’s face it, 2010 was a tough year.  Who wants to think about resolutions for 2011?!  It is time to put 2010 behind you, and plan for a great 2011!  Start off by setting some goals for yourself.  Write them down, and share them with others.  You are now accountable!

Take care of yourself.  Eat plenty of fresh fruits and vegetables. Eat fish and chicken.  You are what you eat!  Your body, which is like a finely tuned machine, requires nutrients to function at an optimum level.  If you fill it up with junk food, you will not be giving your body the proper fuel to function at the best level possible.  Give yourself the best nutrition, and see how well you feel!

Drink plenty of water.  Not only does it keep your insides hydrated, but your skin will be clearer, too! Years ago, I found I drank less water on weekends, and began to get migraines on the weekends.  Some would say it was due to alcohol intake, which could be a contributing factor.  But I found my migraines were due to dehydration!  So keep yourself hydrated!

Find time in your life to exercise.  Whether it is a walk around the block, taking the stairs instead of the elevator, working out in the gym, or taking yoga classes, JUST DO IT! Not only will your metabolism be better, but it is also good for your mental health.  You may just drop some weight besides!

Work up to flossing daily!  The main goal of flossing is to reduce the inflammation in your gums.  Medical research is proving that many disease processes are caused by inflammation, including heart disease, diabetes and periodontal disease. Why not reduce the inflammation of your gums by flossing regularly, an easy non-prescription way to help control a disease process!  Get started today!

Work on changing your mental attitude.  See the positives in people.  Recognize beauty in this world, whether the innocence of a rainstorm, or the peacefulness of the outdoors.  Forgive people for their transgressions.  Recognize tomorrow will be a new day, especially if today wasn’t as great as you had planned it to be.  Celebrate your achievements, however small. Realize that you are human, and you may have set-backs.  You are not a failure.  You need to learn from the set-backs and move on again.  You are loved!

Once you are able to work on improving yourself, you will feel better physically and mentally.  You can then gain a true sense of inner peace by helping others, less fortunate than yourself. Feed the homeless at a shelter or build a house at Habitat for Humanity.  You do not need to donate money, which may be in short supply during this recession.  You will gain much more by donating your TIME!  Try volunteering, and see how good it makes you feel.

Happy 2011! Make it a great year for yourself and others by establishing new habits.  Make it a new beginning!

Elizabeth Fleming, DDS and staff at Desert Ridge Smiles

20950 N. Tatum Blvd Ste 280

Phoenix, AZ 85050 480-860-4300

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