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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.

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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.

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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.

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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

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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.

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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.

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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.

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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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The World Health Organization reports that there are 7.7 million new cases of dementia every year and projects that the number of people with dementia will nearly double every 20 years (WHO Dementia Fact Sheet).

One of the most frustrating things about dementia and related diseases like Alzheimer’s is that there is no known cause. Likewise, doctors have no effective treatment or cure for these progressive conditions. As men and women enjoy longer lives, the thought of developing dementia can be a very real and scary possibility.

Doctors and researchers have found evidence to support that a healthy lifestyle can reduce the risk of dementia and promote overall health and well-being. Patients are encouraged to have a healthy diet, exercise and quit smoking. Recent studies suggest it might be wise to add brushing, flossing and seeing your dentist regularly to this list.

Philadelphia dentist Pamela G. Doray encourages all of her patients to aware of the importance of their dental health. We already know that gum disease is linked to diabetes, heart disease and other health conditions, but researchers in the UK have found gum disease may also be linked to dementia.

In July, researchers from the University of Central Lancashire in Preston, UK released the findings of a study that established a link between gum disease and Alzheimer’s disease. The Oral & Dental Sciences Research Group compared brain tissue from ten Alzheimer’s patients to ten healthy patients of similar age with no signs of dementia.

In four of the ten Alzheimer’s patients, scientists found Porphyromonas gingivalis, an organism that is highly prevalent in patients with chronic gum disease. The healthy patients had no signs of the bacteria.

“This new research indicates a possible association between gum disease and individuals who may be susceptible to developing Alzheimer’s disease, if exposed to the appropriate trigger!” said Professor Stjohn Crean, Dean of UClan School of Medicine and Dentistry. “It remains to be proven whether poor dental hygiene can lead to dementia in healthy people…It is also likely that these bacteria could make the existing disease condition worse.”

For Dr. Doray, this study underscores her belief that a healthy mouth is critical to a healthy body. Maintaining healthy gums and teeth can prevent a build-up of bacteria, reducing the  amount of bacteria entering the blood stream and circulating through the body.

The important steps to achieve optimal periodontal health are brushing twice a day and flossing at least once a day. Dr. Doray also encourages patients to have a healthy diet, limit sodas and other sweets and drink plenty of water. Chewing sugar-free gum between meals can increase saliva which will help to wash away bacteria.

Patients are encouraged to visit the dentist at least twice a year for a periodontal screening and routine examination. Even those who have the most diligent at home care routine are susceptible to gum disease. The dentist can often intercept problems in their earliest stage and prevent the progression of gum disease and possibly other serious health problems.

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Teeth whitening is one of the most popular cosmetic dentistry treatments. In a recent survey by the American Academy of Cosmetic Dentistry, participants were asked to name the one thing they would most like to improve about their smiles. The most common response was “whiter and brighter teeth”. For many patients, teeth whitening is the easiest and most cost effective solution to whitening the smile.

What’s The Best Teeth Whitening For You?

When it comes to teeth whitening, there is no “one-size-fits-all” solution. Philadelphia cosmetic dentist Dr. Pamela Doray offers several options and will help you choose which teeth whitening method is best for your situation.

The most important step we take in all of our treatments, including teeth whitening, is the exam and consultation. During this appointment, you will meet our dental team and we will review your oral health. Dr. Doray will carefully check for undetected conditions that could affect the outcome of the esthetic result.

Steps to Prevent or Reduce Tooth Sensitivity

Patients concerned about sensitivity will be happy to know that with new products and refinements in teeth whitening procedures patients are reporting significantly less sensitivity. Any sensitivity that occurs during professionally supervised whitening is transient – that is, it goes away when the whitening is completed.

Making Sure You Get the Best Results

Patients who are considering teeth whitening treatment are often very concerned that their results look natural. Dr. Doray selects the highest quality teeth whitening products, to deliver the most natural looking results.

In addition, we monitor the patients whitening treatment and give the teeth a chance to stabilize in color before proceeding with other cosmetic dentistry or restorative treatments. You can be assured that your whiter, brighter teeth will look attractive and natural.

Schedule a Teeth Whitening Consultation with Dr. Doray

If you have discolored teeth, contact our Philadelphia dental office to schedule a teeth whitening consultation with Dr. Doray. Call 215-395-6076 or request a consultation online.

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