The 5 Invisible Enemies that are Damaging your Smile

The 5 Invisible Enemies that are Damaging your Smile

Startling information about how your smile effects your health, self-confidence and your income

© Copyright - 2010 2

Researched and produced by

EMPIRE RESEARCH

GROUP

Sponsored by


Why did we commission a study?

• Individuals we come into contact every day have expressed a desire to develop and maintain confidence through a healthy smile

• In response, NYC Smile Design commissioned an independent research company to investigate every day practices that could be damaging your smile

• We are pleased to share this informative study with you!


Areas Covered

• Dental care in America today

• The 5 enemies that may be damaging your smile

• How to have a beautiful smile and feel good about yourself

• How to find a dental partner who understands your dental care needs

The Current Landscape in

Dentistry


Our limited number of teeth

• As children, we have 20 teeth

• As adults, we have 32 teeth

• These 32 teeth must last us a lifetime!

Lifecycle of Teeth

Adulthood 32

Bir

th 0

Childhood 20

Source: www.arovadeen.com/med


Source: Preventing Dental Caries with Community Programs, CDC, 12/17/09

16 - 19 20 - 39 40 - 59 60+0

20

40

60

80

10067.9

86.795.1 93.1

People with tooth decay

Age Groups

Perc

en

tag

e

Dental visits are down…


People are simply living longer

Source: www.data360.org

In the last sixty years, there has been a 15% increase in life expectancy… as people live longer, the need for our teeth to stay healthy becomes even more important

Year Life Expectancy (years)

1950 68.20

1970 70.80

1990 75.50

2000 76.62

2010 78.56


Mouth infections are more prevalent

• Heart disease• Diabetes• Stroke• Sleeping problems• Digestive issues• Respiratory issues• Low birth weight babies

Studies show that there is a direct correlation between infections of the mouth and the above illnesses

Source: Poor Dental Care Affects Overall Health, Windsor-Essex County Health Unit, 2009


You are what you eat…

• We learn from a study conducted by Weston Price in the 1930’s that those eating an indigenous diet did not have any of the plagues of modern civilization…muscle fatigue, heart disease, asthma, cavities, tuberculosis and cancer

• Once refined sugars, flour and canned goods were added to the indigenous diet all of the above ailments began to show up in their culture in just one generation

Source: Principals of Healthy Diets, The Weston A. Price Foundation


The 5 Biggest Challenges

1. Chemicals

2. Medications

3. Toxins

4. Health Conditions

5. Self Confidence

Challenge #1: Commonly found chemicals in our

hygiene products and foods


Fluoride added to water for decades

• Fluoride is found in some rat poisons

• Studies show that the rates of bone cancer are substantially higher in areas with fluoridated water

• Fluoride affects the thyroid gland, causing hypothyroidism

• Fluoride is found in many common household products including toothpaste, vitamins and dietary supplements

• A build-up of fluoride can cause darkening of the teeth, weakened bones and neurological problems

Source: Holistic, Natural Dentistry and Oral Care, Buzzle, 10/31/97


Mercury can cause lasting damage

• A sudden high exposure to mercury vapor can cause chest pain, soreness of the mouth, loss of teeth, shaking of the hands, eyelids, lips, tongue and headaches

• A mother’s consumption of shellfish and fish can cause serious damage to a babies nervous system and cognitive development

• Ingestion of mercury can also cause mouth sores and swollen gums

Source: Health Effects of Mercury, EPA, 10/7/09


Amalgam fillings contain 50% mercury

• It is estimated that amalgam fillings will release up to half of its mercury content over a ten year period (50% corrosion rate)

• Between 68 and 130 micrograms of mercury is released each day from each filling

• High levels of mercury vapors can have adverse effects in the brain and kidneys

• Many currently claim that the mercury in amalgam fillings is too low to cause concern….are you willing to take that risk?Source: www.yourhealthbase.com


Pesticide damage to our teeth - undetermined

• In 1997, Congress passed the Food Quality Protection Act, requiring pesticides to be proven safe for infants and children

• The EPA sets the standards for safety

• Some pesticides are rated as known or possible carcinogens and are not approved

• Some dentists believe pesticides cause yellowing of the teeth and enamel to weaken

• But the long term risk from pesticides is still unknown = risky business here!

Source: Environmental Working Group, Julie Redfern R.D.N., April 2006

Challenge #2: Medications we take can harm our teeth


Lack of saliva promotes tooth decay

• Saliva protects and repairs our teeth from the constant assault of bacteria from our foods

• But more than 600 medications can cause dry mouth, reducing saliva flow… common medications in this group include antidepressants and blood pressure medications

• Reduced flow of saliva means bacteria is not being removed from our teeth in between brushings

• Resulting in more tooth decay!

Source: Nutrition and Rheumatic Disease, 2008


Medications may cause Bruxism

• Bruxism is gnashing of the teeth• Antidepressants known as selective

serotonin reuptake inhibitors work by suppressing the brain chemical dopamine

• Dopamine controls muscular and motor activity

• Tremors associated with Parkinson’s disease are believed to be from a lack of dopamine

• Suppression of dopamine has been linked to gnashing of teeth which can cause headaches

• Gnashing is also responsible for wearing down of our precious teethSource: Study Shows Link Between Antidepressants, Bruxism, Journal of American Dental

Association, 2006


The dangers of aspirin…

• Dental erosion is the phenomenon of the day to day wearing down and erosion of your teeth

• Dental erosion is caused by acids found in products that are being more and more widely consumed in the U.S.

• When consumed in excess, these products wear down the enamel on our teeth leaving them brittle and more sensitive to pain

• Some of these everyday products are soft drinks, herbal teas, sports drinks and aspirin

Source: Acid Eating Away at Our Teeth, Consumeraffairs.com, March 6, 2008

Challenge #3: Toxins can cause harm to our teeth


Bacteria can cause toxins to form

• Not all bacteria is bad but…

• Your body is constantly producing bacteria – it is a normal process

• If left unchecked, too much bacteria can turn toxic and will begin to damage the gum tissue and bone around the tooth

• At this stage, you will notice swelling, bleeding and calcified plaque which allows further toxins to gather in your gumsSource: www.oramd.com/swollengums.htm


Examining the effects of smoking

• Smoking and tobacco products lead to gum disease by affecting the attachment of bone and soft tissue to your teeth making smokers much more susceptible to infections like periodontal disease

• Toxins from smoking cause tooth discoloration, loss of bone within the jaw, increased levels of oral cancer, and delayed healing after dental treatments

A closer look at what we put into our mouths when we smoke

Source:www.webmd.com/oral-health/guide/smoking-oral-health


Studies link mouthwash to oral cancer

• According to the American Cancer Society, oral cancer strikes 34,000 Americans each year

• In January 2009, the Dental Journal of Australia determined that there was sufficient evidence to show that alcohol in mouthwash can be linked to oral cancers

• Research found that acetaldehyde, a toxic byproduct of alcohol may accumulate in the mouth when rinsing with mouth wash

• Ethanol, another ingredient in some mouthwashes, is thought to allow cancer-causing substances to permeate the lining of the mouthSource: Study Links Mouthwash Use to Oral Cancer, Karen Stephenson, May 26, 2009

Challenge #4: Poor dental health can be a sign of

other health issues


Health issues affected by poor dental health

• Serious infections of the mouth

• Oral pain and discomfort• Heart disease and stroke• Diabetes• Respiratory diseases• Premature babies• Depression and low self-

esteem• Sleeping problems• Digestion issues

Source: Poor Dental Care Affects Overall Health, Windsor-Essex County Health Unit, 2009


Obesity linked with periodontal disease

• A Harvard School of Public Health study followed nearly 37,000 men for a period of 16 years

• At the start of the study, all participants were free of periodontal disease

• Obesity was associated with a 29% increased risk of periodontal disease over the coarse of the study

• Men with a waist of 40 inches or more had a 19% higher risk of developing gum disease than those with a waist under 40 inches

Source: New Research Suggests Link Between Obesity And Periodontal Disease, Harvard School of Public Health 4/13/09


Sleep Apnea linked with TMJ disorder

• According to the National Institute of Health, sleep apnea affects more than 18 million Americans – many who remain undiagnosed

• 1 in 4 patients with sleep apnea suffer from teeth grinding which has been linked to TMJ

• More than 15% of American adults suffer from some chronic facial pain related to TMJ

• Signs to look for: jaw tenderness, clicking of the jaw, headaches, neck aches, tooth wear

Source: TMD/TMJ, American Dental Association, 2009

Challenge #5: Self-confidence

begins with our smile


Appearance has a correlation to success

A study showed…

• 5 years after graduating, a male lawyer with above average appearance had nearly 10% higher earnings than his fellow classmates with below average appearance

• 15 years after graduation, the income spread increased to 12%

Source: So Much for That Merit Raise: The Link between Wages and Appearance, The Regional Economist, Federal Reserve Bank of St. Louis, April 2005


The effect of a smile on first impressions

• A first impression is made within 30 seconds

• 55% of that impression is made through the way one looks

• Researchers consistently find facial attractiveness affects personal success in school and employment settings

• The appearance of one one’s smile are vital components of facial attractiveness

Source: Journal of dental education, H. Asuman Kiyak, M.A., Ph.D, 2008


Our smile affects our relationships

The most important features of a partner…

Personality 30%Sense of humor 14%Smile 12%Looks 11%Eyes 10%Hair 7%Education 7%Physique 5%Career 3%Other 1%

Source: Dating Statistics: Top Dating Tips Poll Statistics, NewVisionForDating.com, accessed 03-06-10


The Results…

• The quality of our smile will continually impact all aspects of our lives… social, mental and physical

• These aspects in turn have a profound affect on our happiness, sense of well-being and our overall health

There are steps and strategies for those who wish to have a healthy smile and the self-confidence in their appearance that they deserve!


5 steps to success

• Make safe product choices

• Take corrective action

• A whole mouth approach

• Feel good about yourself

• Find a caring staff of well trained dental professionals

Step #1Make safe product choices

36


Avoid fluoride in your water

• Stop ingesting fluoridated tap water. Stop drinking it, stop making ice cubes with it and washing produce in it

• Buy bottled spring water or buy reversed osmosis water from a water store

• You should only buy water that has under 0.1 part per million fluoride in it

• Fluoridated tap water has at least 1 part per million



Avoid fluoride and alcohol

• Buy all natural toothpaste from a health food store

• It is especially important to buy all natural toothpaste for children since they have been known to swallow while brushing

• Read labels and make sure that your mouthwash and toothpaste products do not contain alcohol

• If you find your gums swell you may have sensitivity to the toothpaste or mouthwash you are using, change your products right away



Know your medications…

• Many commonly prescribed medications cause dry mouth which promotes bacteria so keep hydrated

• If you notice that a new medication cause you to clench your teeth while sleeping, be sure to let your dentist know

• When visiting the dentist, be sure they are aware of all medications you are currently taking


Step #2: Take corrective action

40


Commonly used dental techniques

• Bonding

• Veneers

• Crowns

• Dental implants

• Invisalign (straightening teeth without braces)

Source: New Techniques in Cosmetic Dentistry, Cosmetic Dentistry Houston, JULY 10, 2009


Straightening has become popular for adults

• 1 out of 8 individuals over the age of 20 receive treatments to straighten their teeth

• According to the American Dental Association straight teeth lead to less periodontal disease in later life

Source: Crooked Teeth Can Damage Dental Health, NCHS/ADA, 12/09


Veneers can give you that healthy smile

Veneers are routinely used to fix• Discolored teeth from

medications, coffee, smoking or excessive fluoride

• Worn down teeth• Chipped or broken teeth• Misaligned or irregularly shaped

teeth• Gapped teeth

Advantages of Veneers• Stain resistant• Veneers strengthen teeth• Gum tissues tolerate porcelain

wellSource: Dental Veneers, Recover Your Smile and Your Confidence, Houston Home and Lifestyle, Cheryl Alexander, Feb 2010

Step #3: Take a whole mouth approach

44


You are what you eat

Learn how to eat the best diet for your teeth…

• Eat whole foods that are rich in calcium

• Eating fruits and vegetables acts to scrub away bacteria on your teeth

• Vitamin C helps fight infections – including infections which could effect your mouth and gums

• Drinking plenty of water will keep the saliva flowing in your mouth, rinsing away bacteria

Source: The Tooth Friendly Diet, Anne Fritz, Everyday Health 2010


Focus on keeping stress away…

• It has been determined that dentists are seeing up to 25% more clients with jaw clenching and teeth grinding as a result of stress brought on by the economy

• Regular, physical exercise can help decrease stress and help you to have a more relaxed sleep

• If grinding still occurs, seek your dentists help

• Dental mouth guards help protect your teeth while sleeping

Source: Gritting Out Economy Hard On Your Teeth, Monifa Thomas, Chicago Sun Times, Feb, 17. 2010


Follow your dentists advice

• Visit the dentist at lease twice a year for cleaning, polishing and debridement if too much tartar is built up

• Brush and use dental floss daily to prevent tartar build up

• Avoid sugary drinks like soda and fruit juices

• Bad breath may be a sign of infection and you should seek out the advice of your dentist

Source: Why Dental Hygiene is Crucial for Overall Health, Adam Boulton, Articlesbase.com, Feb. 1, 2008

Step #4: Feel good about yourself

48


Cosmetic dentistry may be the answer

• Cosmetic dentistry offers many options for patients who may have good dental health but are unhappy with their smile

• A smile makeover is a complete assessment of your smile esthetics

• Technological advances in natural-looking, tooth colored materials make cosmetic procedures more durable and predictable than in years past

• Dentists are now using conservative techniques in order to preserve as much as your natural tooth structure as possible

• With cosmetic dentistry you can have the self-confidence that a healthy smile can bring!Source: Cosmetic Dentistry: Treatments, Trends and Cosmetic Dentists, Allison DiMatto, Conumer Guide to

Dentistry, May 2009


A great looking smile is on the rise

• More and more people are turning to their dentists for a great smile…men and women under the age of 30 make up 20% of the cosmetic dentistry patients while 51% of the patients are between 41-60 years old

• The top procedures patients are seeking are dental bonding, veneers, dental inlays, teeth whitening and dental implants

• A survey done by the American Academy of Cosmetic Dentistry found that cosmetic dentistry is now the most popular form of cosmetic services

Source: Cosmetic Dentistry For Total Dental Makeover, Winston Jenkins, March 5,2010


You deserve to feel good about your smile

• Feeling good about your smile will give you the confidence to go out for that new job, meet new people and try new things

• A recent survey by the American Dental Association found that a person’s smile outranked hair and body as the most important physical featureSource: Make Your Smile Worthy!, CBS News, Jan.1, 2010

Step #5: Find a caring staff of well- trained dental professionals

52


Provider qualifications to look for

• Has obtained the highest level of training, qualifications, expertise

• Listens to clients and strives to meet their specialized needs

• Provides a safe, comfortable environment and is focused on the clients comfort

• Office offers state of the art equipment that is updated on a regular basis


Provider qualifications to look for

• Can provide verifiable results, testimonials and before and after photos of clients

• Is respected by other professionals throughout various health-related industries

• Remains committed to educating their clientele on various options available

• Has a caring and committed staff so that your dental experience is comfortable from start to finish!


And now a word from our sponsor…

NYC’S Premier Cosmetic Dental Team

56© Copyright - 2010

Our Mission

Our mission is to achieve the esthetic and oral well-being that you desire through technical excellence and superior skills, while respecting your time, comfort and peace of mind.


WE

What sets us apart…

• We give our clients peace of mind and heightened confidence

• We treat our clients with the upmost respect, courtesy and confidentiality

• Our clients know we have their best interests in mind

• We have time for you – our average consult appointment is 40 minutes in length


Benefits we bring to you

• Our team has the highest level of training and expertise available in our fields

• We make a point of listening to our clients and educating them on the various options available

• Our customer experience encompasses ultimate care and comfort for the patient

• We maintain a high client retention rate and provide referrals


Our unique value…

Because we want you to feel comfortable with the cosmetic dentist you select, we’d like to offer you a FREE Consultation with the mention of this presentation

This is a $160.00 Value but it is our gift to you…

© Copyright - 2010

Education

1991 DDS Degree, Columbia University

Specialized Training

Diagnosis and Placement of Dental Implants Oral and Maxillofacial SurgeryDental Emergencies and TraumaCosmetic and Restorative DentistryPain Control and Anesthesia

Professional Memberships

International Congress of Oral ImplantologyThe American Academy of General DentistryFirst District Dental SocietyAmerican Academy of Implant DentistryAmerican College of Implantology

Faculty Member of NYU College of Dentistry

60

Meet Dr. Ramin Tabib

© Copyright - 2010

Education

1991 DDS NYU

Specialized Training

Peridontics, Orthodontics, and Oral SurgeryPeriodontal Therapy and Periodontal Plastic SurgeryDental Trauma and EmergenciesPain ControlPediatric Dentistry

Professional Memberships

American Academy of Cosmetic DentistryAcademy of General DentistryFirst District Dental SocietyAmerican Academy of Periodontology

Assistant Professor at NYU College of Dentistry and Practitioner for Battered Women “Smiles for Success” program

61

Meet Dr. Elisa Mello

© Copyright - 201062

An example of our work…








Testimonials

Dear Dr. Tabib, Dr. Mello, Stephanie, Yael and Christine,

I am still not entirely used to my new smile and sometimes I am caught off guard by my reflection in the mirror – but I must say thank you.My life has changed. I have always loved to smile and now I do it with something close to abandon.

Stephanie, thank you for reassuring me when I was anxious. Yael, thank you for the noodle soup and for making me laugh so hard I spit it out. Christine, especially, thank you for your kindness and willingness to help – you got me through the door that changed my life forever.

And Drs. Mello and Tabib, Thank you for your excellent care. I’ve been complimented by a few I’ve told I’m having work done but I most enjoy the compliments from people who can’t put a finger on what I’ve done differently – but let me know whatever it is keep it up – ‘cause I look greatI am forever grateful to you all.

Thank you,

Zakia


Testimonials

Dear Dr. Tabib and Dr. Mello,I am grateful to you both for many reasons. Last year I walked into your office without an appointment. Christine’s warm smile and kind assistance in answering some basic questions on cosmetic dentistry made me feel welcome. The professionalism that was executed left a lasting impression and I was compelled to return for an official consultation and formal with you and your staff. I was relieved after researching many dentists to have finally found an office that delivers quality across the board on all my key criteria: doctor’s credentials, portfolio, associated lab, professionalism, and sincerity of staff, as well as hygiene. My experience has been very positive. One year later, I am so pleased with the results that I am now considering a career in cosmetic dentistry! Working with people to achieve their desired outcome, enhancing their lives, all the meanwhile practicing medicine and always staying abreast of the current health topics and advancements in very alluring. Your leading example has played an integral role in helping me shape my future, both personally and professionally.

Thank you Drs. Tabib and Mello: Your commitment to excellence has transformed my life.

Sincerely,Daniela


Testimonials

Dear Dr. Tabib and Team,

I just wanted to write to say thank you very much for giving me the best smile I could have ever wanted on my wedding day. We had the most fantastic day and I think I was either smiling or laughing for all of it! At last I have got rid of my awkwardness and feel I finally have the smile that reflects how happy I really am. Thank you also for looking after me so well and always making me feel comfortable during the whole process. I am now back in NY and will be here until September so I’m sure I will get a chance to pop in and see you and show you our wedding photos…enclosed are just a couple for you.

I hope you are well and many thanks again,Caroline


Protect your health…

Protect your smile…

Choose a dental office that cares about your health

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(212)452-3344Or visit

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