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June is National Men’s Health Month

As you probably know, heart disease is the leading cause of death in men. What you may be surprised to learn, however, is that most systemic disease – including heart disease, hypertension and diabetes – have oral symptoms.

Oral Health is About More Than a Pretty Smile

“Men, as well as women, who suffer from gum disease are two times as likely to suffer from heart disease,” says Philadelphia dentist Dr. Pamela Doray. “There is strong scientific evidence to support the link between oral infections and systemic diseases. It is as important to visit your dentist as it is to visit your doctor. Your dentist can actually help you identify potential health risks and possibly avoid chronic disease or oral cancer.”

Of Mice and Men…

Now, there’s new research from the American Society for Microbiology supporting a causal link between the periodontal disease and heart disease. At the ASM annual conference, researchers presented a preliminary report that showed how mice infected with gum disease displayed increased risk factors for heart disease including inflammation and cholesterol levels.

Scientists have been trying to prove how mouth disease can cause disease elsewhere in the body. Whether it is through brushing, flossing or simply chewing, bacteria from the mouth enters the bloodstream. Plaque that builds up along the teeth can also build up in the arteries and blood vessels. That build up can lead to heart attack and stroke.

Another theory is that oral bacteria in the blood stream causes an immune system response which can weaken the walls of blood vessels or cause blood clots.

Can Visiting The Dentist Lower Your Risk?

A 2011 study from Taiwan suggested that patients who had their teeth professionally cleaned at least once a year lowered their risk of heart attack and stroke. The study followed more than 100,000 participants for an average of seven years and found that patients who had their teeth professionally cleaned had a 24% lower risk of heart attack and 13% lower risk of stroke.

“We have yet to prove a causal relationship, but the evidence is clear that there is a link,” says Dr. Doray. “Without a doubt, you can reduce your health risks by adopting healthy habits, including visiting the dentist.”

How to Prevent Gum Disease:

  • Brush teeth for two – three minutes, twice a day
  • Floss every day to remove plaque from between teeth
  • Visit the dentist at least every 6 months for dental cleanings & exams
  • Eat a healthy diet with fresh fruits and vegetables and drink plenty of water
  • Avoid tobacco products

Healthy Smile Recipes from the American Academy of Cosmetic Dentistry

Crunchy Chopped Salad

The ingredients in this simple salad help to promote healthy gums and reduce bacteria and inflammation in the mouth.

Celery: activates saliva production which assists in cleansing food particles from the teeth. It also dilutes sugars or acids in the mouth. Chewing celery massages gums.
Onions: contain sulfur compounds that have been show to kill tooth decay causing bacteria.
Basil: is a natural antibiotic, fighting off oral infection and reducing bacteria in the mouth.

Ingredients
  • 1 cup of celery, chopped
  • ¼ cup red pepper, chopped
  • 1 tablespoon onion (red, green or white), finely chopped
  • 4 leaves fresh basil, chopped (substitute ¼ teaspoon of dried basil)
  • 1 teaspoon honey, to taste (substitute 2 drops stevia)
  • 1 teaspoon raspberry vinegar
  • 1 teaspoon cold pressed extra virgin olive oil
  • Sea salt, to taste
  • Fresh ground pepper, to taste
Directions
  1. Combine chopped vegetables and fresh basil in a medium bowl. If using dried basil, keep in separate bowl.
  2. In a small bowl, combine vinegar, honey, salt, pepper, olive oil and 2 teaspoons of water. Add dried basil if using instead of fresh basil.
  3. Pour mixture over vegetables and toss to coat. Divide into two equal servings.

The American Academy of Cosmetic Dentistry is launching the first ever “Smile Story Contest”. A Smile Makeover by Philadelphia dentist Dr. Pamela Doray was selected as the featured photo for the contest.

Smile Makeover by Philadelphia Dentist Dr. Pamela Doray

Tawanda’s case was also included in the Showcase of Excellence at the 2013 AACD Conference in Seattle, WA, where Dr. Doray was awarded her Accreditation status with the Academy.

Transform Your Smile…Your Confidence

This Smile Makeover provided not just an aesthetic transformation, but a dramatic improvement in Tawanda’s self confidence. She had a congenitally missing lateral incisor tooth, which means the permanent tooth never developed. The space created by the missing tooth was not only a source of embarrassment, but a health concern. Missing teeth increase the risk of gum disease, tooth decay and bone loss, as well as alignment problems with neighboring teeth.

Dr. Doray designed a treatment plan to restore Tawanda’s missing tooth using a dental implant with custom abutment and emax press ceramic dental crown. The result is clear: a radiant, natural looking smile that transforms Tawanda’s face and lets her inner beauty shine through.

Your Smile Becomes You

The Smile Story Contest, launched by the AACD at this year’s Scientific Seminar in Orlando, FL, will award a Smile Makeover to one lucky winner. Entries have a chance to upload a photo and tell their Smile Story and why they deserve a smile makeover. The entry with the most votes will win!

Enter the AACD Smile Makeover Contest

Everyone deserves the best smile – if you’re unhappy with the appearance of your smile, give us a call to schedule a cosmetic dentistry consultation with Dr. Doray.

Many people think oral cancer is a rare disease. In fact, it is not. The Oral Cancer Foundation estimates that more than 43,000 people will be diagnosed with oral cancer in 2014. What’s more staggering are the estimates that oral cancer will cause over 8,000 deaths.

Oral cancer is not a difficult cancer to detect or diagnose, yet the death rate is higher than cancers that receive more attention like cervical cancer, skin cancer and Hodgkin’s lymphoma.

The reason for the low survival rate (about 57%) is because of the fact that most oral cancer is discovered late in its development. The survival rate increases dramatically (more than 80%) when it is diagnosed in the early stages.

You Don’t Have To Be A Smoker To Get Oral Cancer

The most obvious risk factors for oral cancer are tobacco use and alcohol consumption. The Oral Cancer Foundation states that, “tobacco use remains the single most important and preventable cause of this disease.”

A growing area of concern is the number of oral cancers diagnosed in young, non-smoking adults. HPV is now the leading cause of oropharyngeal cancers, in the very back of the mouth and throat.

What makes HPV related oral and oropharyngeal cancer difficult to diagnose is individuals may not realize they have the HPV virus and symptoms of HPV related oral cancer can be very subtle and painless.

Oral Cancer Screening is Quick and Painless

Is five minutes too much time to spare for something that could save your life?

An oral cancer screening from a dental health professional is the best way to prevent the progression of the disease.

Philadelphia dentist Dr. Pamela Doray says one of the most important components of the screening is a conversation between the dentist and patient. “It is critical that the dentist review your medical history and ask you questions about problems you may be experiencing or changes you may have noticed. The signs patients tend to ignore or painless symptoms are the ones that actually raise the red flags.”

What can you expect?

  • A series of questions to find out if you’ve noticed any changes in swallowing or speaking, noticed any lumps, chronic hoarseness, chronic earaches or sores in your mouth.
  • Your dentist or hygienist will perform an exam of the face, neck, lips and mouth to look for signs of cancers.
  • It is important that the dentist use his or her hands (with rubber gloves) to feel the external area of the jaw and neck as well as the inside of the mouth.
  • The dentist will also examine the tongue and floor of the mouth, inside of the cheeks, roof of the mouth and back of the throat.
  • Some dental offices will also use a special light that illuminates abnormal cells, making it easier to detect signs of cancer.

April is Oral Cancer Awareness Month, Schedule Your Screening Today

Dr. Doray wants you to know that an oral cancer screening is part of every comprehensive and every hygiene exam at our practice. We also offer the Microlux/DL oral cancer screening for patients as an option for an additional fee. To learn more or schedule your appointment, call our office at 215-395-6076 or visit our website drdoray.com.

Tooth Fairy For Adults with Missing Teeth Philadelphia Dentist Dr. Pamela DorayIf you’re a kid, losing a tooth is a pay day. The 2013 Tooth Fairy Survey by Visa revealed that the average kid living in the north east gets $4.10 for a missing tooth. But what happens if you lose a tooth as an adult? There is no tooth fairy – and if there were, she’d need to fork over much more than a few bucks.

According to the American Association of Oral & Maxillofacial Surgeons, more than two-thirds of adults age 35 to 44 are missing at least one permanent tooth. By age 74, nearly a quarter will be missing all of their permanent teeth.

How Much Does A Missing Tooth Cost?

Philadelphia dentist Dr. Pamela Doray says, “replacement options for missing teeth might seem expensive, but choosing not to replace a missing tooth is the most expensive decision you could possibly make.”

A missing tooth sets off a chain reaction in your mouth:

  • Supporting bone begins to deteriorate
  • Gums are exposed to more bacteria and more susceptible to gum disease
  • Neighboring teeth shift and move

If you replace a missing tooth right away, you’ll avoid these problems and have more conservative and less expensive treatment options available to you.

Dental Implants For Missing Teeth

The gold standard in cosmetic dentistry for replacing a missing tooth is a dental implant, which replaces the root of the tooth. Through a process called osseointegration, the dental implant will integrate with the living bone and form a strong, stable bond.

Depending on how many teeth are missing, the dentist will place either a dental crown, partial or full denture over the implant(s) to restore the smile and proper function.

Average Cost of Dental Implants in Philadelphia

It’s nearly impossible to quote an average price for a dental implant because the treatment is so unique to the individual patient. In the Philadelphia area, a dental implant can cost in the range of $4,000 to $6,000 per tooth. Keep in mind this cost will increase if other dental work is needed.

Dental Implants Vs. Dental Bridge

A dental implant is a one-tooth solution to a one-tooth problem. An alternative to an implant is a bridge, which may cost the same or slightly less than dental implant treatment. But, a dental bridge involves placing caps on the teeth adjacent to the missing tooth, which may compromise their health over the long term. Also, a dental bridge may only last 8-10 years compared to a dental implant which could last a lifetime.

What About Dental Insurance?

It would be nice if dental insurance worked more like the tooth fairy, but unfortunately, it does not. Dental insurance is a health benefit designed to offset very basic preventive care. When dental work is needed, most dental insurance plans will only allow benefit on the least expensive alternative treatment solution, which is generally the minimum standard of care.

In our Philadelphia dental office, we do what’s best for the patients, not the insurance companies. While we don’t participate in any dental insurance networks, we do offer assistance for patients to help recover the dental insurance benefits to which they are entitled.

How Can You Save Money on Dentistry?

The best advice, says Dr. Doray, is to invest in excellent preventive care. “Investing in preventive care is key to saving money on dentistry. Most major dental problems can be avoided if you visit your dentist on a regular basis, follow a good at-home oral care routine and maintain a healthy diet. Our goal is to help people avoid major dental work.”

If you already have problems, you can still save money by choosing the right dentist.

“You never want to go for the cheapest option when it comes to dentistry. This tends to result in a never-ending cycle of dental work.” says Dr. Doray. Instead, “research and choose a skilled dentist who will work to solve the underlying cause for your dental problems, rather than simply mask the symptoms. A comprehensive approach to dental care yields more conservative treatment options and provides more stable, longer lasting results.”

Schedule an Appointment with Dr. Doray

Philadelphia Cosmetic Dentist Dr. Pamela G DorayOver the last 25 years, Dr. Doray has established a reputation as one of the leading cosmetic and reconstructive dentists in the Philadelphia area. In 2012 she was selected by her peers for recognition in Philadelphia Magazine as a “Top Cosmetic Dentist.” In 2013, Dr. Doray became Philadelphia’s only AACD Accredited cosmetic dentist, an accomplishment achieved by only 350 dental professionals to date.

Call our office: 215-395-6076 or request an appointment online.

Growing older is unavoidable, but that doesn’t mean your smile has to look old and dull. Philadelphia dentist Dr. Pamela Doray can help you keep a youthful looking smile and maintain a healthy mouth which will promote an improvement in overall health.

Smile Stats on Seniors from the American Academy of Cosmetic Dentistry

More Adults Are Keeping Their Teeth

Dentures are not an inevitable fate for aging adults…

More adults are keeping their natural teeth today than ever in the past. Dentists expect this trend to continue, improving the overall health and quality of life for adults in the future.

As you age, though, you may notice that your smile has teeth that are chipped, worn, or yellow. Often simply whitening your teeth will make your smile more youthful. Repairing chipped or worn teeth with bonding or porcelain veneers can also revitalize your appearance. Today’s dental porcelains are beautiful and may offer a solution for the replacement of older crowns and bridges that look dull and which may no longer match your other natural teeth. A smile makeover can be designed to address these and other issues which make you look older than you feel!

How to Maintain Oral Health

Keep a beautiful smile that lasts a lifetime with tips from Philadelphia dentist Dr. DorayIn order to maintain health and vitality of your teeth, they must be routinely cared for with daily brushing and flossing and regular visits to the dentist. Preventive dental care is important at all ages. In fact, older adults may require more frequent visits to the dentist than their younger counterparts.

There are many things you can do to maintain a healthy, youthful smile well into your golden years:

  • Brush teeth twice daily using a fluoride tooth paste and floss once a day. Fluoride will promote healthy tooth enamel and prevent cavities. Flossing reduces the risk of gum disease, which can lead to tooth loss.
  • Avoid tobacco and alcohol which are both risk factors for oral and throat cancers. Additionally, people who smoke or chew tobacco are seven times more likely to develop gum disease than non-smokers.
  • Visit your dentist at least twice a year. The dentist not only checks the health of your teeth and gums, but can screen for oral lesions and oral cancer. It is important to visit the dentist prior to and throughout chemotherapy and radiation therapy to ensure optimal oral health.
  • Let your doctor or dentist know if you are experiencing dry mouth. Many older adults take prescriptions and over-the-counter medications to manage chronic diseases. An unfortunate side effect of many medications dry mouth which can contribute to oral health problems such as cavities and gum disease. If no substitute medication is available, increase intake of water and chew sugarless gum to promote saliva production. Avoid tobacco, alcohol and nighttime sedatives which can further contribute to dry mouth.

With proper care and treatment you can have a natural, healthy & attractive smile for a lifetime.

There are nearly a million people in the Delaware Valley who are at risk of food insecurity. This year, in lieu of mailing holiday cards to our patients, Dr. Pamela Doray has decided to donate $500 to Philabundance to help needy children, families and seniors.

The Philadelphia-based charity has seen a 26% increase in the number of people seeking their services compared to last year. Our donation will provide meals for 1,000 families this holiday season. Philabundance serves member agencies in nine Delaware Valley counties in Pennsylvania and New Jersey. The organization distributed 30 million pounds of food in 2013. Food comes into the charity through local food drives, food manufacturers, wholesalers and retailers. It is then redistributed to member agencies and people in the community that need it most.

Our staff makes an effort to give back to the local community at the holidays and all year long. For several years the practice has adopted needy families during the PHMC’s annual Holiday Gift Drive. Dr. Doray has participated in the American Academy of Cosmetic Dentistry’s (AACD) Give Back a Smile program to help victims of domestic violence. We also support our hygienist, Alison and her work with the Animal Adoption Center, a no-kill animal shelter in South Jersey.

For more information about Philabundance click here

For more information about PHMC click here

For more information about the Animal Adoption Center click here

Tips from Philadelphia Dentist To Keep Your Smile WhiteFollow these tips from Philadelphia dentist Dr. Pamela Doray to keep your smile bright and white this holiday season.

Best Foods To Prevent Tooth Stains

When you’re browsing the buffet at your next holiday party, go for crunchy, fibrous foods like apples, celery, carrots and nuts. Not only are these healthier choices, but they require a lot of chewing and

Don’t skip your greens! Spinach, kale and broccoli are also great for keeping teeth white. Dark leafy greens contain mineral compounds that form a film over teeth and prevent stains from penetrating the tooth’s enamel.

Avoid Tooth Stains From Coffee and Red Wine

It is possible to enjoy your favorite drinks without worrying about stained teeth. How? Keep a glass of water nearby. As you sip your favorite merlot or holiday latte, periodically take a sip of water. The occasional swish of water will help to rinse dark pigments from your teeth and prevent staining.

Skip The Candy, Go For The Gum

Sugarless gum is a great choice if you’re looking for something sweet to snack on between meals. Not only does chewing gum freshen breath, but it increases saliva production which will naturally clean the mouth and wash away staining pigments. When selecting a gum, be sure to choose one that is sugar-free and has the ADA seal.

Don’t Forget to Brush and Floss

Brushing and Flossing Will Help Keep Teeth WhiteNo matter how tired you are at the end of the night, never go to bed without brushing and flossing. Dr. Doray says, “Daily brushing and flossing are the easiest and best tools that people have to keep their teeth white.” The longer you wait to brush your teeth, the more opportunity that stains have to set in.

When flossing, Dr. Doray suggests using a “C” shaped technique to remove both plaque and stain molecules from the teeth and gum. Download this helpful guide from the American Dental Association

Need A Whitening Boost?

If you have stubborn stains on your teeth, you might need a professional teeth whitening “boost”. Dr. Doray offers several types of teeth whitening treatment in her Philadelphia dentist office and can help you choose which type is best for you. Once you’ve got the bright, white teeth you want, you can use these tips to maintain your smile.

Visits to the dentist aren’t just important for keeping your smile healthy, they’re important for maintaining overall wellness. The dentist is a crucial member of any person’s health care team and can even help you prevent life-threatening disease.

Many patients are surprised to learn that many serious diseases like diabetes and cancer can be detected by their dentist during routine exams. The dentist may notice signs inside your mouth before you have experienced any physical symptoms.

Oral Cancer

Oral Cancer Dentist Philadelphia PA
One of the rising concerns in the dental and medical fields is oral cancer. Smoking and tobacco use increase the risk of oral cancer, but the fastest growing population of patients with new occurrences of oral cancer are actually young, non-smoking adults. HPV is believed to now be the leading cause of oral cancer in the United States.

Philadelphia dentist Dr. Pamela Doray performs an oral cancer screening at all dental check-up appointments to look for signs of the disease. When detected early, the prognosis for oral cancer is very good.

Dr. Doray’s examination includes an oral cancer screening device as well as a physical evaluation to look for sores, lumps or hard spots, discolored patches and changes in the lymph nodes. Other signs that the dentist can check for are changes in the way the teeth fit together and tenderness, pain or numbness in the mouth.

Diabetes & Dentistry

Diabetes is one of the leading chronic diseases in the United States, affecting more than 25 million people. Increased levels of blood sugar lower resistance to infection, increasing the risk for periodontal disease. As gum disease advances, it can lead to tooth loss, bone loss and further contribute to chronic disease like diabetes, heart disease and stroke.

Diabetes can also reduce saliva production, causing dry mouth, which increases the risk of cavity formation and can contribute to halitosis (bad breath).

Diet & Oral Health

One of the biggest impacts on oral health is diet. Patients who drink lots of soda, regularly suck on candies, abuse alcohol or have eating disorders are likely to have significant problems with their teeth and gums.

Acid erosion is common in patients who consume significant amounts of soda, sports drinks and alcohol as well as patients suffering with anorexia or bulimia. Digestive disorders such as GERD can causes erosion as well. The sugars in these drinks or acids from the stomach attack and erode tooth enamel. As the enamel wears away, the dentin becomes exposed which leads to cavity formation, discoloration and sensitivity.

Another health risk associated with poor diet and eating disorders is gum irregularities and gum disease. As the body is deprived of important nutrients and minerals, the gums loose their healthy pink color, become sore or swollen and eventually begin to recede. Gum disease can also lead to tooth loss and contribute to other health conditions.

What You Can Do

The best thing to do is visit your dentist regularly and remind your loved ones about the importance of good oral health. Eat healthy foods and drink plenty of water to reduce your risk for gum disease and tooth decay.

If you have dental concerns like tooth erosion, contact our Philadelphia dentist office for a consultation with Dr. Doray. We can offer you solutions to improve your oral health and restore your beautiful smile.

Philadelphia Cosmetic Dentist Dr. Pamela G DorayPhiladelphia dentist Dr. Pamela Doray just returned from four days in St. Paul, MN, with 3M-ESPE, a worldwide leader of innovative dental products.

Dr. Doray is a consultant on the 3M ESPE Council for Innovative Dentistry. Working with 3M-ESPE and a select group of dentists from North America, Dr. Doray shares her expertise in clinical dentistry and also participates in the evaluation and development of the next generation of dental materials and technologies. Dr. Doray not only practices state-of-the-art dentistry – she helps to develop it!

If you’re looking for a leader in restorative and cosmetic dentistry to transform your smile, give us a call! Dr. Doray is the only Cosmetic Dentist in Philadelphia to be Accredited by the American Academy of Cosmetic Dentistry.

Visit drdoray.com for more information about our practice and to see cosmetic dentistry before and after photos.

We all know that a healthy diet should include dairy products for bone health. Philadelphia dentist Dr. Pamela Doray wants to share a new study that shows the benefits of dairy, particularly cheese, to oral health.

A study was recently published in a journal of the Academy of General Dentistry (AGD) promoting the cavity-fighting benefits of eating cheese and other dairy products.

The pH level of the mouth is an important indicator to oral health and risk level for tooth cavities. A pH level lower than 5.5 increases the risk for tooth erosion, a process that wears away tooth enamel. As this protective layer of the tooth wears away, it increase the risk of developing cavities.

The study sampled 68 subjects ages 12 to 15. The researchers checked each subject’s dental plaque pH to establish a baseline. The subjects were then randomly assigned to three groups. The first ate cheddar cheese, the second drank milk and the third ate sugar-free yogurt. The subjects ate for three minutes and the swished with water. Researchers measured pH levels in the mouths of each subject at 10, 20 and 30 minute intervals.

What they found was that the subjects who consumed cheddar cheese had a rapid increase in pH levels at each interval compared to the other two groups who had no changes. Dr. Doray says that the study provides preliminary evidence that cheese may hold anti-cavity properties.

Researchers say the benefits of eating cheese could be due to increased saliva production, which is the body’s natural way of balancing acidity in the mouth. Cheese requires chewing, which stimulates saliva, while drinking milk or eating yogurt does not require the same function.

“The most important thing to remember,” says Dr. Doray, “is to maintain a balanced, healthy diet that includes dairy, fresh fruits and vegetables. Instead of reaching for candy or chips, go for the cheese. It’s a healthier choice and it could also help you fight cavities.”

The study sampled children, but kids aren’t the only ones who get cavities. According to the National Health and Nutrition Examination Survey from 2005-2008, one in five people had an untreated tooth cavity. The survey also noted that 75% of adults have an existing dental restoration such as a filling or dental crown.

Prevention is the best way to fight cavities but if you already have problems, Dr. Doray can help. We offer a full range of cosmetic dentistry treatments to repair teeth with cavities, old metal fillings or broken tooth caps.

As Philadelphia’s only Accredited Member of the American Academy of Cosmetic Dentistry, Dr. Doray is a top choice for patients who want beautiful, healthy results. Depending on your needs and goals, Dr. Doray may recommend tooth colored fillings, ceramic inlays or onlays or porcelain crowns.

Contact our Philadelphia dentist office to learn more about treatment options for tooth cavities and to schedule your visit with Dr. Pamela Doray.

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