Wednesday, February 29, 2012

The Importance of Dental X-rays

Dental X-rays are an important part of your dental treatment.  X-rays allow us to see what is underneath your gums and helps us evaluate for tooth decay, infection and bone loss.  Without X-rays we cannot do a thorough exam, nor can we be sure that we are diagnosing you properly.  Some of the things we can see only with an X-ray include: small areas of decay between the teeth or underneath a filling, tooth and gum abscesses, developmental abnormalities, cysts and tumors.
Dental X-rays are taken for different reasons.  When you first visit a new dentist, normally they will take a Full Mouth Series of x-rays.  This can be up to 26 films taken to show every tooth and every root in your mouth.  This will give us a base line to start treatment.  After that, once a year you will need check-up x-rays, or bitewings.  This is 2-8 films used to check between the teeth for decay and bone levels.  Every 5 years, a Full Mouth Series is done, instead of check up x-rays, with a complete examination.   If you have pain, we may take 1 or 2 x-rays to help diagnose the problem. 
Some people think they should not have dental x-rays because of radiation exposure.  But, dental x-rays only expose us to a very small amount of radiation.  Much smaller than naturally occurring cosmic radiation and radon.  We also limit your full body exposure with the use of a lead apron.  This apron also has a thyroid collar that goes around the neck. 
If you have questions about Dental X-rays, talk to your dental professional today!

Monday, February 27, 2012

Gum Recession

What is Gum Recession?
Gum Recession is one if the leading causes of sensitivity today.  After the gum recedes, there is dentin (root surface) exposed.  Dentin is full of tubules that have open access to the nerve of the tooth.  Without the gum covering and protecting the dentin, exposure to heat, cold and pressure can cause pain. 
What Causes Gum Recession?
There are several things that can cause this condition.  Brushing with a hard bristle toothbrush, using to much pressure when brushing and highly abrasive toothpaste can wear away at the gums and push them away from the tooth. 
Grinding and clenching your teeth also causes gum recession.  The pressure placed on the teeth from grinding and clenching not only causes gum recession, but can create structural problems for the teeth as well. 
Genetics is another factor that plays a role in your risk of gum recession.  If you have a family history of this and/or gum disease you are more likely to have this problem.
What can be done to fix it?
Your dentist may send you to a periodontist to evaluate you for grafting.  Grafting is a surgical procedure where tissue is taken from a donor, or the roof of your mouth, and used to replace the missing gum tissue.  Only certain patients are eligible for this type of treatment. 
A more conservative approach involves home care.  Working with your dental hygienist to create an oral health routine that can limit damage is the best defense.  Using an extra soft manual toothbrush with a non-abrasive toothpaste can help maintain gum levels in your mouth.
If you are grinding or clenching your teeth, you need a night guard.  This appliance protects your teeth from   pressure. 

If you are having problems with sensitivity or you notice gum recession in your mouth, talk to your dental professional today. 

Friday, February 24, 2012

Dr. Cohen on Palm Beach Perspective

Deborah Knepp, one of our great patients and host of local radio show Palm Beach Perspective, invited Dr. Cohen on her show to talk about Oral Cancer.  When she heard about our Free Oral Cancer Screenings for the whole month of March, she had to help us spread the word. Thanks Deb! Click on the link below to hear the interview. 

Thursday, February 23, 2012

Sensitive Teeth Products - Dental Care West Palm Beach FL, Dentist, Dentistry West Palm Beach FL

Jeffrey Cohen, DMD
4324 Forest Hill Boulevard
West Palm Beach, FL 33406
Tel:(561) 967-8200

It's All About Toothbrushes! Recommended Toothbrushes - Dentist West Palm Beach FL

Jeffrey Cohen, DMD
4324 Forest Hill Boulevard
West Palm Beach, FL 33406
Tel:(561) 967-8200

Oral Hygiene Care West Palm Beach FL - Dry Mouth

Jeffrey Cohen, DMD
4324 Forest Hill Boulevard
West Palm Beach, FL 33406
Tel:(561) 967-8200

Patient Testimonial - Dentist West Palm Beach FL - Cosmetic, Family & General Dentistry

Jeffrey Cohen, DMD
4324 Forest Hill Boulevard
West Palm Beach, FL 33406
Tel:(561) 967-8200

Wednesday, February 22, 2012

Dental Anxitey

Dental Anxiety is one of the most common fears today.  75% of people have some form of dental related fear.  No matter what the cause, this is a matter we take very seriously at The Cosmetic Dentist.  We know that it takes a lot of courage for some people to take that first step to better dental health.  We are here to help.  It is our priority to make sure that your experience with us goes smooth.  We have several things throughout the office to help keep you feeling relaxed. 
  • We offer nitrous oxide, laughing gas, to help keep you calm and comfortable during treatment.  We describe it like having a glass of wine.  At the end of your appointment, we give you oxygen for 5-10 minutes.  This will clear you out and allow you to drive home. 
  •  There are medications we can prescribe that will help relax you before you even walk in the door.  These do require that someone bring you and pick you up from your appointment.
  • You are welcome to use one of our IPods with headphones during your visit.  This will cancel out the sounds of the dentist office.  These sounds can be very intimidating to some people and music is a great distraction.  
  • In some cases, we can use topical numbing gels for your cleaning appointments.  These range from use during a regular cleaning to use during periodontal scaling and root planning, also known as a deep cleaning.   
  • Most importantly, we have a super caring staff that puts your comfort first!  We want you to feel comfortable during your visits and we will do everything we can to achieve that goal.  During your first visit with us, we will take the time to find out what your specific needs are so we can maintain your comfort.
If you have questions about dental anxiety check out this website:

Monday, February 20, 2012

It's National Children's Dental Health Month!

Many parents have questions about caring for their children's teeth.  When do I start brushing their teeth?  When should I take them to the dentist?  How do I keep them cavity free?  February is National Children's Dental Health Month, and we want to help get the word out.  Starting a child out with good dental habits and regular checkups can send them on the road to healthy teeth and gums for life!
Here are some tips to help:
  • Teeth are formed during pregnancy and mom's good nutrition plays an important role in the development of teeth.
  • Running a wet cloth over the gums after feedings helps to keep bacteria down before teeth come in. 
  • When teeth come in, use a small, soft, child's toothbrush to clean off teeth at the end of the day.
  • NEVER put a baby to bed with a bottle unless it is water.  The sugar in juice and milk will sit on the teeth all night and cause damage.  Parents need to also be aware that having bottles frequently or sipping on bottles during the day can cause the same type of damage. When giving a child milk or juice, have them drink it within a few minutes.  If they want to sip on something, give them water.  This will neutralize the acids in their mouth and keep them from getting cavities.   
  • At around age 2, most of your child's teeth will be in. You can now use a drop (about the size of a pea) of fluoride toothpaste to brush their teeth.  You will need to assist them with brushing till they are around 7 or 8 years old.
  • Around 1 or 2 years old, start bringing them to your dental hygiene visits with you.  They can sit on your lap and start to get used to the dental enviroment.  
  • Talk to your dentist about having a "Happy Visit" for your child.  This is a slow going appointment where nothing that overwhelms the child occurs.  We show them the mirror and water sprayer, count their teeth, and polish them if the child does well.   The dentist can also help you determine when to start this process with your child. 
Below is a chart of primary teeth eruption.  Just remember, each child is different and some may get their teeth sooner or later than other children.  Ask your dental care provider is you have questions.
Check out this website for more information:

Thursday, February 16, 2012

SOS 4 Paws!

We are so excited that we could make a donation to help out our friends at SOS 4 Paws, Inc.  Two of our wonderful patients, JoAnn and Kenny Goodrich, are very involved with this cause.  We love what they are doing to help educate the public and find forever homes for rescued dogs.  Our very own Johanna Gambale has fostered 4 dogs and adopted the 4th one, Mr. Bogangles.  We are proud to support this organization.  Check out the links below to their website, blog and facebook page for more info. 

Wednesday, February 15, 2012

Are Your Teeth Sensitive?

Tooth sensitivity can be a difficult condition to live with.  It can affect the way you eat, how you care for your mouth and can be very uncomfortable.  There are many causes from gum recession to tooth decay.  Most of the time we can isolate the cause and eliminate it with home care products or in office treatments.  If you have tooth sensitivity, talk to your dentist or hygienist about it.  They can check for serious situations and help get you back to normal. 

Monday, February 13, 2012

Helping Out Our Community

We have taken the initiative to help the young athletes in our community keep their smiles healthy.  By providing athletic mouth guards to all the sports programs at Palm Springs Community Middle School, we are helping students protect their teeth from sports injuries.   For more information about sports mouth guards follow this link

Friday, February 10, 2012

What is Plaque?

Plaque is a sticky, colorless deposit of bacteria that is constantly forming on the tooth surface. Saliva, food and fluids combine to produce these deposits that collect where the teeth and gums meet. Plaque buildup is the primary factor in periodontal (gum) disease, including gingivitis.

How to Get Rid of Plaque
To help prevent plaque buildup, be sure to brush your teeth at least twice a day with an anti-plaque toothpaste such as Crest Pro-Health Toothpaste for around the clock protection against plaque buildup, and floss once a day.

Adding a mouth rinse such as Crest Pro-Health Multi-Protection Rinse to your routine can help against plaque buildup, without the burning sensation of alcohol. Eating well-balanced meals and brushing after snacks will reduce the formation of plaque. Visit your dental office regularly for oral exams and cleanings, during which your dental professional will scrape away any accumulated plaque with a special instrument.

Above posting from:

Jeffrey Cohen, DMD
4324 Forest Hill Boulevard
West Palm Beach, FL 33406
Tel:(561) 967-8200

It's All About Toothbrushes!

People often ask what kind of toothbrush they should use and how often it should be changed.  This is a good question.  There are so many products on the market and it is easy to get confused when trying to find the brush that is right for you.  Here are some tips to help: 
  • Always choose a soft toothbrush.  Having hard bristles on your brush can do more harm then good.  Brushing with those hard bristles can cause gum recession and abrasion cavities at the gum line. 
  • Price is not always the best indicator of quality. 
  • Look for rounded bristles, not sharp. 
  • Manual toothbrushes are the preferred brush for most healthy adults.  If you have problems with dexterity, an electric brush may be a better choice.  If you have gum disease, we recommend the Rotadent and sell it here in the office. 
  • Toothbrushes need to be changed every 3 months, or after you have been sick.  Electric brushes are no different and have removable heads that need to be changed just as often.  Bristles become frayed over time.  This causes the bristles to lose their effectiveness and can become a breeding ground for germs and bacteria. 
Just remember, talking to your hygienist is the best way to find out what kind of toothbrush will fulfill your specific needs.

Thursday, February 9, 2012

Dry Mouth

Dry Mouth, also know as Xerostomia, is a condition that results from a lack of saliva production.  One of the most common reason for dry mouth is prescription medications.  Over 400 medications list dry mouth as a side effect, including blood presure medication, antihistimines, antidepressants and sleeping pills.  Dry mouth can also come from a number of diseases so it is important to find out the cause of this condition.  When you have dry mouth, other things can occur like bad breath, increased risk of dental caries (cavities), and periodontal disease (gum disease).  It is very important to stay on top of this to prevent possible damage.  There are many products on the market to deal with dry mouth.  Also, you can use sugarfree gum, sip on water frequently, and avoid products with alcohol in them to help maintain the moisture in your mouth.  Talk to your hygienist today about getting a plan together for a healthier mouth. 

Wednesday, February 8, 2012

What is Gingivitis?

Gingivitis is an early stage of gum disease — an inflammation of the gum tissues surrounding the teeth. Bleeding and swollen gums are signs of gingivitis. In fact, what may seem like a little “problem area” in your gums can actually be the early stages of gingivitis. If left untreated, gingivitis can progress to periodontitis, which can be a major cause of tooth loss in adults. Gingivitis can sometimes be painless and, therefore, people may be unaware they have it.

Causes of Gingivitis
One of the primary factors contributing to gingivitis is plaque buildup, a sticky colorless deposit of bacteria that regularly forms on teeth. These bacteria build up and can produce byproducts that damage the gums.

While gingivitis is a milder and reversible form of gum disease, it may lead to more serious, destructive forms if left untreated.

Help Prevent Gingivitis
Helping prevent gingivitis requires removing plaque buildup, and that starts with good brushing habits.But it’s also essential to have the right products on your side. That’s why we recommend the following dental hygiene routine:

  • Brush twice a day with a soft-bristled or power toothbrush, such as the Oral-B® Vitality™ Precision Clean electric rechargeable brush. It removes up to two times more plaque than a regular manual toothbrush.
  • Be sure to use an anti-gingivitis and anti-plaque toothpaste containing fluoride to strengthen teeth. Crest® Pro-Health™ Toothpaste is a good option because one of the medicinal ingredients it contains is therapeutic stannous fluoride, an effective anti-microbial agent that kills harmful bacteria that cause plaque and gingivitis.
  • Rinse thoroughly after brushing with an anti-bacterial rinse, such as Crest® Pro-Health™ Multi-Protection Rinse. It contains a clinically proven anti-microbial agent, cetylpyridinium chloride (CPC), which is attracted to bacteria in your mouth, making it effective at fighting plaque, gingivitis and bad breath.
  • Floss at least once a day with a product like Glide® to help remove food particles and plaque between teeth. Glide is the #1 dentist-recommended dental floss brand, and it gently stimulates gums and helps remove plaque to prevent gingivitis.
  • Removing plaque is an important step to help prevent gingivitis. Try using the Oral-B® Vitality™ Precision Clean toothbrush along with Crest® Pro-Health™ Toothpaste and Crest® Pro-Health™ Multi-Protection Rinse for up to 7x better cleaning.*
  • Visit your dentist regularly for oral exams and cleanings.

* On teeth with regular use versus a regular manual brush and regular anti-cavity toothpaste.

Gingivitis Symptoms
If you are experiencing the following symptoms, visit your dental office as soon as possible to determine if you have gingivitis.
  • Mild inflammation of the gums
  • Red or swollen gums
  • Gums that bleed easily
Above posting from:

Jeffrey Cohen, DMD
4324 Forest Hill Boulevard
West Palm Beach, FL 33406
Tel:(561) 967-8200


Tuesday, February 7, 2012

Do You Have White Spots On Your Teeth?

There are many reasons for white spots on your teeth, but healthy teeth should appear smooth and have a unifom color.  Some of the reasons for this include fluorosis,enamel demineralization, erosion, and infectious disease episodes.  In certain situations, a cause cannot be identified.  We are trying some new things here at The Cosmetic Dentist to get rid of these spots and make happier smiles.  Ask your hygienist what this new treatment can do for you.

Monday, February 6, 2012

Flossing Techniques for the Best Oral Health

Making the effort to brush twice everyday is a great start.  However, without flossing, your oral health will suffer.  Use these techniques to make your dental routine complete!

  •  Wrap the floss around your middle fingers and use your pointer fingers to guide the floss where it needs to go.   
  • Keep the floss pulled tight, no slack between your hands. 
  • GENTLY use a sawing motion to get the floss between the teeth.  BE CAREFUL not to snap the floss down this can damage your gums.
  • Curve the floss in a C-shape around the tooth and then gently scrape the side of the tooth.  Don't forget to slide the floss all the way down under the gums.
  • Make sure to floss both sides of each tooth, and the back side of the last tooth.
Here are some extra tips for successful flossing.
  • Establish a regular pattern for flossing so that you don't miss any teeth.
  • If you have not been flossing regularly, your gums will probably bleed.  Use a salt water rinse (8oz warm water and 1/2 teaspoon salt) after flossing to calm the gums.  
  • If you are still having trouble, talk to your dental hygienist.  They can address your concerns and work with you to establish the best routine for your mouth.  

Dental Emergencies

If a dental trauma occurs, the best advice is to remain cool, calm and collected. Read and learn the following steps now, and you'll know what to do in an emergency. Keep in mind that the advice of a dental professional should be sought any time there is an injury to the teeth or mouth.

Dental Emergencies
Unlike a chipped or cracked tooth, some dental hygiene injuries are not obvious. Trauma to the mouth can cause damage that may not be seen, but could result in loss of one or more teeth. So check with your dental professional as soon as possible after any injury to the teeth or mouth.

If a tooth is knocked out during an accident:
  • Do not scrub or clean the tooth.
  • Place the tooth in a small container of milk, saline solution if available, or a special tooth-preserving solution available at your pharmacy.
  • See your dental professional as soon as possible, preferably within 30 minutes. Don't forget to take the tooth with you.
With prompt attention, a permanent tooth may be re-implanted into the tooth socket and remain normal and healthy-looking.

Above posting from:

Jeffrey Cohen, DMD
4324 Forest Hill Boulevard
West Palm Beach, FL 33406
Tel:(561) 967-8200