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Root Canal FAQs

October 25th, 2017

Most people hear the word root canal and panic. With today’s state of the art equipment and improved local anesthetic devices, and some knowledge, a root canal does not have to cause panic. Root canals are a common dental procedure, done quite often at our Walpole, MA office.

Why do I need a root canal?

There are several reasons why Dr. Mischley may suggest a root canal including:

  • An infection in your tooth that has reached the nerves
  • A deep cavity that cannot be filled because the pulp and nerves are also effected
  • Injury to the tooth
  • A deep cracked tooth
  • Broken tooth
  • Repeated fillings of the effective tooth

What is a root canal?

A root canal is a dental procedure that is used to prevent the loss of a tooth and relieve pain. Inside your teeth is pulp which consists of soft tissue blood, connective tissue, blood vessels, and nerves. When the pulp becomes infected, swollen or diseased a root canal is necessary to save your tooth. During a root canal, Dr. Mischley will remove the infected pulp. The tooth’s root canals and pulp chamber of your tooth will be cleaned, so all the diseased pulp is removed and then your tooth will be sealed.

What to Expect During a Root Canal

Your root canal will start out just like any other dental procedure. We will go over any questions you may have, and then numb the area surrounding the tooth. After the area is numb the root canal will begin.

The amount of time it takes to do your root canal varies depending on number of roots that need to be cleaned. Most teeth have one root canal, while others have between two and four. For a single canal, the procedure usually lasts less than an hour. The more canals your tooth has the longer amount of time it will take and in some cases, you will require more than one visit.

How much pain will I have after a root canal?

Once the local anesthesia wears off, your pain can be controlled by over the counter pain medications such as Ibuprofen, Naproxen, or Acetaminophen. In some cases, Dr. Mischley may prescribe a prescription dose of pain medication. Within two days you should be feeling much better and able to return to your regular lifestyle.

How do OTC whitening treatments compare to in-office whitening?

October 18th, 2017

If you are unhappy with the color of your teeth, teeth whitening may be an excellent choice for you. Many patients of Dr. Mischley suffer from darkened teeth due to the natural aging process, regular consumption of coffee or tea, or nicotine staining from cigarettes.

Some people may have darkened teeth due to long-term use of medication. Certain medication-related stains on the teeth cannot be lightened, but virtually every other type of teeth stains can be effectively lightened using either professional dental whitening or at-home whitening.

While both types of whitening have benefits, at-home kits are less expensive and less effective overall. Professional teeth whitening is a highly effective option, but it requires a bit more of an investment. Here is the basic info on each type of whitening.

At-Home Whitening

At-home whitening is done in a number of different ways today. Some of the most popular options include:

  • Whitening strips that are applied to teeth and then removed after a specified period. These will typically be used once a day for at least a week.
  • Whitening gels or pastes that are placed in a one-size-fits-all plastic tray. These trays are worn, retainer style, for a set period of time once a day.
  • Whitening toothpaste, which is used daily, and whitening mouthwashes are also available today. These products require constant use to realize results.

In-Office Whitening

In-office whitening is the fastest way to achieve whiter teeth. If you want an almost immediate difference in the color of your teeth and their overall appearance, this is probably the option for you.

Dr. Mischley will typically apply the whitening formula directly to your teeth. Following the application, we will have you relax in our office between half an hour and an hour.

Some office-whitening formulas are strengthened with the use of heat, specialized lighting, or laser application. Patients will usually notice whitening results after only one application, but it usually takes at least a few appointments at Kevin P. Mischley, DMD to notice a truly dramatic change in tooth color.

The Effects of Sleep Apnea on Dental Health

October 11th, 2017

Sleep apnea is an increasingly common medical condition, and one that can have a truly devastating effect on the waking life of the sufferer. Those who suffer from the disorder may find that they suffer any or all of the following side effects:

  • Saliva has several important jobs, and one of them is to protect and heal your tongue, your gums, and the inside of your mouth. Snoring and sleep apnea dry out your mouth, meaning there isn’t enough time for your saliva to do all this vital work.
  • Over an extended period of sleep apnea, it’s likely that the sockets of your teeth will begin to dry out overnight as a result of your gasping for air and snoring between breaths. If this happens too frequently over a long a period of time, it can start to loosen your teeth.
  • Those with sleep apnea often also practice bruxism, which is the habit of clenching and grinding your teeth together as you sleep. This can lead to all manner of problems, including TMJ disorder, damage to the enamel, headaches, and toothaches.
  • For obvious reasons, sleep apnea does not lead to a particularly good night’s sleep. This means that sufferers are often tired and irritable, and suffer from the many other ill effects of sleep deprivation.
  • While it is unclear whether the reasons behind this are correlative or causative, it has been suggested there are links between sleep apnea and cardiac arrests, depressive disorders, Type Two diabetes, cancerous tumors, “silent” strokes, and various complications of pregnancy.

While sleep apnea can be a troubling condition, Dr. Mischley and our team at Kevin P. Mischley, DMD will tell you it is eminently treatable. There are a number of ways to combat it, ranging from simple sleep hygiene to use of a CPAP machine. Of course, if it is possible for you to reduce your weight a little in a safe and healthy way, some have found that is also helpful in combating the problem. Sleep apnea is very easy to treat, once it has been correctly identified.

If you think you may be suffering from sleep apnea, or if you would like to know more about the condition, please give us a call at our convenient Walpole, MA office to schedule an appointment with Dr. Mischley.

Does the placement of implants hurt?

October 4th, 2017

If you're scheduled to get a dental implant, it's only natural to have questions about it. The pain involved is usually on the mind of most patients. Of course, some discomfort is possible, as with any major dental procedure. Having a well-defined plan ahead of time, which is carried out by Dr. Mischley, reduces the risk of complications or side effects post-surgery.

During the procedure you won't feel a thing, since it is performed under general or local anesthesia that totally numbs your mouth. It's more likely that you will feel some pain or discomfort after the anesthesia has worn off.

There are usually three things that will affect the length and intensity of any discomfort:

  • The complexity of your surgery (for example if you need a bone graft or sinus lift beforehand)
  • How well-trained the dental team which works on your case is (it may be multiple people, including a periodontist, oral surgeon, and/or general dentist)
  • How quickly your body is able to heal itself post-surgery

The pain experienced from an untreated case will usually far outweigh that experienced from a dental implant. Good oral hygiene after your surgery is important to avoid infection. Salt water rinses are generally recommended 24 hours after your surgery. Brush your teeth gently around the implant.

It's also a good idea not to eat any food that is too hot, cold, or hard. Soft or pureed foods will help you to avoid chewing for the first few days after surgery and will help your mouth to heal faster. You'll typically be prescribed pain medication, but some patients find that ibuprofen or acetaminophen work well enough. Just remember, the most severe discomfort is usually experienced within the six hours after your anesthesia wears off.

Getting a dental implant is a big decision, and we want to make sure you get through it easily. Our Walpole, MA team is here to help if you have any questions about the procedure or post-surgery care.

Steer clear of that candy!

September 27th, 2017

At Kevin P. Mischley, DMD, we know how tempting candy can sometimes be on our sweet tooth, but it’s important to remember that every candy and sugary treat you consume elevates your risk of developing tooth decay, which can break down your teeth.

While not all bad in moderation, when eaten in excess, candy can lead to big problems, especially if good oral hygiene habits are not followed. We have a few helpful tips if you just can’t stay away from all those treats:

1. Consume candy and other sweets during meals when your saliva can help neutralize the acids that are found in some candies, especially the sour variety.

2. Avoid sticky or hard candies, which can stay in your mouth longer than you think, resulting in acids being constantly exposed to your teeth. That leads to cavities and tooth decay.

3. Make sure the water you drink is fluoridated. Water that is fluoridated has been shown to help prevent cavities.

4. Make sure to maintain your daily oral hygiene habits. This includes brushing twice a day, and flossing at least once.

5. Visit our office twice a year for regular dental checkups and cleanings with Dr. Mischley. During your visit, we can help catch problems such as cavities early to reduce the effects they have on your teeth, as well as give you tips for improving your oral health.

We hope these tips have helped! To learn more about cavity prevention, or to schedule your next visit at our convenient Walpole, MA office, please give us a call!

Which toothpaste should I use?

September 20th, 2017

Toothpastes come in many forms and boast different flavors, benefits, and endorsements. All are designed to remove surface bacteria and prevent the buildup of plaque that can cause tooth decay. With so many choices, Dr. Mischley and our team at Kevin P. Mischley, DMD know that selecting the right toothpaste can be intimidating. After all, some benefits are welcome bonuses, while others are absolutely essential. So how can you know which toothpaste is best for you?

ADA Seal of Approval

While all toothpastes must first be approved by the Food and Drug Administration for sale to consumers, the American Dental Association puts these products through further rigorous tests for safety and effectiveness. Toothpaste that boasts the ADA Seal of Approval can be trusted to do exactly what it claims.

Fluoridated

Fluoride is an essential ingredient in a daily toothpaste. It helps to protect the tooth from decay by removing plaque and strengthening the enamel. Although fluoride is found in many public water supplies, many people are deficient in it due to the consumption of bottled water instead of tap water. All toothpastes with the ADA Seal of Approval contain fluoride.

Other benefits

If a toothpaste meets the ADA’s standards and contains fluoride, the next step is to clear it with your dentist. This is especially true if you decide to use a whitening toothpaste, which often contains abrasives to remove surface stains. Though abrasives are an effective aid in tooth whitening, they may not be recommended if you have weak tooth enamel.

Specialty toothpastes

In certain situations, Dr. Mischley may suggest or prescribe specialty toothpaste, depending on your oral health needs. For example, patients who are prone to tooth decay and cavities despite frequent brushing and flossing may benefit from prescription-strength fluoridated toothpaste to help prevent the weakening of tooth enamel. Others who suffer from tooth sensitivity may benefit from the use of desensitizing toothpaste. Talk with Dr. Mischley if you think a specialty toothpaste could be right for you by scheduling an appointment at our Walpole, MA office.

Does chronic stress impact periodontal health?

September 13th, 2017

Many studies over the past several years have focused on this question. Since we will all face stressful situations during our life, it is a good question to ask. This question also delves into the mind-body connection—the psychological having an effect on the physical and vice versa.

Studies were performed as far back as the 1940s and continue today. Many of them have shown that stress "downregulates" or hinders cellular immune response. The most common periodontal diseases related to this stress-induced downregulation are gingivitis and periodontitis.

It is believed that stress and depression contribute to a state of chronic inflammation within the body. Stress also raises levels of cortisol in your body, which has been linked in studies to higher levels of tooth loss and deeper pockets between the gums and teeth.

Perhaps the biological side of this equation makes sense, but an important factor is that people who are stressed and/or depressed tend to neglect oral hygiene and other health-promoting activities. The studies seem to support both the behavioral and biological effects as risk factors for periodontal disease.

Here are some things you can do to help prevent stress-related periodontal problems:

  • Daily relaxation –You may consider meditation or yoga. Both have been proven effective at easing stress.
  • Practice good oral hygiene – Don't let your oral hygiene fall by the wayside. Doing so will obviously have a detrimental effect on your oral health. You should also aim to quit smoking if you do smoke.
  • Get regular dental checkups – Getting regular checkups will help you to spot anything that's amiss before it gets out of hand. You can speak with your dentist if you have any pain or concerns and have them take a look.

Stress is something that affects all of us but it can be managed. Each one of us may manage it in a different way. Find what works for you and always make sure to keep up with your oral hygiene routine. For more information about stress-related periodontal issues, schedule an appointment with Dr. Mischley at our Walpole, MA office.

Oral Health Concerns for Infants

September 6th, 2017

Because babies’ teeth don’t appear until around six to eight months of age, it’s a natural misconception that they don’t need dental care. But the steps you take as the parent of an infant can help your baby maintain good oral health and develop healthy dental habits in the future.

It’s easy to take care of a baby’s teeth and gums, especially when oral hygiene for your infant becomes part of the normal daily routine. Learn more about how you can promote good dental health for your baby with these tips and considerations.

Taking Care of Baby’s Oral Hygiene

  • Dental Hygiene for Birth to Six Months. Cleaning your infant’s gums is as important as cleaning teeth will be later. Hold your baby in your arms, and with a clean, moistened washcloth wrapped around your index finger, gently massage his or her gums.
  • Dental Hygiene for Six to 12 Months. After teeth begin to appear, it’s time to switch to a soft, children’s toothbrush for teeth cleaning. New research has shown that fluoride toothpaste is safe and recommended for use once your baby’s first tooth arrives. Gently brush your baby’s teeth after each feeding, in the morning, and before bedtime, just as you did before teeth appeared.
  • Good Bedtime Habits. One of the most important things you can do to protect your infant from tooth decay is to avoid the habit of putting baby to bed with a bottle. Use other soothing bedtime activities, such as rocking and lullabies, to help your baby drift off to sleep.
  • A Note about Dental Decay. Many people are unaware that dental decay is transmissible. Avoid placing your baby’s bottle, sippy cup, or pacifier in your own mouth to test the temperature. Likewise, don’t share utensils with your baby.

Partner With Your Dentist

Your baby should receive his or her first dental health checkup by the age of six months. Even though your infant may not have teeth yet, Dr. Mischley can assess the risk your baby might face for oral diseases that affect hard or soft tissues. Dr. Mischley can also provide you with instructions for infant oral hygiene, and explain what steps to add as your baby grows and develops.

Kevin P. Mischley, DMD is your partner for good oral health, and we’re here to make caring for your baby’s dental hygiene and health easier and more enjoyable for you.

What is a crown?

August 30th, 2017

Dr. Mischley and our team at Kevin P. Mischley, DMD hear this question all the time. Millions of people have dental crowns that artificially restore the chewing surface of a tooth. Also known as caps, these restorations surround the entire portion of the tooth that is above the gum line. Crowns are custom fabricated to match the color, shape, and size of other teeth and are visually undetectable to others. Several types of materials can be used to create crowns, including stainless steel, resin, metal alloys, porcelain fused to metal, or ceramic. When properly cared for and accurately fit, crowns can stay in place for a decade or more.

There are many reasons to get a dental crown, including:

  • To restore a broken or cracked tooth
  • To protect a tooth after a root canal
  • To restore a severely decayed tooth
  • To help anchor a dental bridge
  • To complete a dental implant
  • To protect a tooth that is at high risk for developing decay
  • For cosmetic purposes

Getting a dental crown

The process of getting a dental crown begins at our Walpole, MA office. X-rays are used to ensure the teeth are healthy enough to receive a crown. If the roots and surrounding bone are in satisfactory condition, the tooth will be numbed, filed, and reshaped in preparation for the crown. If the tooth root is not healthy, a root canal may be necessary first.

After the tooth is prepared, a special paste is placed over the upper and lower teeth to make impressions. These impressions serve as blueprints for the dental laboratory responsible for making the crown. They also help ensure the position of the new crown will not negatively affect a patient’s bite. The prepared tooth is protected by a temporary crown while the permanent one is made. When ready, the permanent crown replaces the temporary crown and is cemented in place.

To learn more about crowns, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

What did the first dentures look like?

August 23rd, 2017

Remember hearing about George Washington and his wooden choppers? Not his tools for cutting down cherry trees, but his false teeth.

Actually, George’s teeth were made of ivory but were so stained that they appeared to be made out of wood. You might think those were the earliest dentures. In fact, the history of false teeth goes back centuries before President Washington.

Ancient Times

The earliest known dentures consisted of human or animal teeth tied together with wires. Examples of such dentures have been found in Egyptian and Mexican archeological sites. Other ancient peoples use carved stones and shells to replace lost teeth. These early dentures were probably made for cosmetic purposes. The materials they used were not likely to stand up to the pressure placed on teeth during eating.

The earliest surviving set of complete dentures were actually made out of wood (sorry, George). They were found in Japan and date back to the 16th century.

Human and animal teeth continued to be popular materials for dentures until the 20th century in some parts of the world. But the difficulty obtaining healthy teeth (and the risk of disease from unhealthy teeth) led dentists to search for other substances.

Modern Era

In the 18th century, dentists began using porcelain, ivory, gold, silver and even rubber as tooth substitutes. Dentures made with these substances could be used in eating. They were often ill-fitting, however, which may explain why George Washington looks puffy and glum in many portraits.

Porcelain and metals were the most popular denture materials until about 1950, when plastics and resins were developed. Tough and durable, these materials make up most of the dentures Dr. Mischley and our team use today.

Still, what goes around comes around. Researchers at the University of Texas are looking at using human teeth for dentures once again. Only in this case, the researchers hope to use biotechnology to spur the growth of new sets of teeth to replace those lost over a lifetime.

Germs living on my toothbrush? Say it ain’t so!

August 16th, 2017

You may have heard talk about the germs that can reside on your toothbrush and thought, “really?”

It’s true—there are several kinds of bacteria that can lurk on the bristles of your toothbrush, including streptococci, staphylococci, Herpes Simplex I, and the Influenza virus. To protect your toothbrush from bacteria, Dr. Mischley and our team want you to consider the following three tips:

  • Wash your hands before and after brushing.
  • Allow the brush to air dry after each use, as harmful bacteria dies after being exposed to oxygen. It is best to disinfect your toothbrush weekly and allow it to dry in between use. Store the toothbrush in an upright position to allow water to drain and dry faster
  • Replace your toothbrush every three to four months, or after being ill. Worn bristles are less effective in properly cleaning your teeth, and can actually be damaging to teeth if used too long!

We hope these tips help! Feel free to give us a call at our Walpole, MA office or ask us on Facebook if you have any questions!

How do I overcome my dental anxiety?

August 9th, 2017

Do you feel anxious before every dentist appointment? If the answer is yes, you are not alone—more than 75 percent of Americans feel anxious when visiting their dentist. Today, Dr. Mischley and our team thought we would provide some tips to reduce your stress about visiting our Walpole, MA office.

The first thing we want you to do is plan ahead. If at all possible, book an appointment at a time when you know you won’t be in a rush to get somewhere else, such as picking up your children from school or an important meeting at the office. We also recommend you avoid caffeine and sugar prior to your visit as too much of either can make you feel even more anxious, not to mention jittery.

Once you’re here at our office, take some slow, deep breaths to relax. Then, try to relax your muscles by sitting back comfortably. If you are still feeling anxious, let Dr. Mischley or someone on our team know. We deal with nervous patients all the time and may have additional relaxation techniques for you to try. If you’d like, we also encourage you to bring headphones and listen to music of your choice to distract yourself while we work on your teeth.

If you have additional questions about relaxation techniques, or would like to schedule an appointment, please give us a call!

What's the connection between gum disease and diabetes?

August 2nd, 2017

People who have diabetes are usually familiar with many of the other health risks they face, including damage to the nerves, eyes, heart, and kidneys. But did you know that if you have diabetes you also have a much greater chance of developing gum disease? It's true, and like other diseases related to diabetes, the risk potential severity of gum disease is directly related to how well blood sugar is controlled.

The Causes

In diabetics, there are two primary mechanisms that increase the risk of developing gum disease, also called periodontal disease:

  • Bacterial growth: Bacteria love sugar including the glucose found in blood and bodily fluids. Elevated levels of sugar in saliva can provide a very hospitable environment for bacterial growth. The risk may be elevated if your gums bleed.
  • Circulatory changes: In diabetes, the blood vessels become thick, making it more difficult for blood to carry oxygen to the gums and to carry away harmful waste products. This decrease in circulation can weaken the mouth's natural resistance to decay. If you smoke, circulation can become even more compromised, significantly increasing your risk of periodontal disease.

Preventing Gum Disease

If you're diabetic, the number-one key to preventing gum disease is to make sure you do all you can to keep your blood sugar under control. In fact, studies show diabetics who have excellent control of their blood sugar levels have no more risk for gum disease than those who don't have diabetes. Here are some other tips to keep your gums healthy:

  • Floss your teeth gently, curving the floss so it can gently reach just below your gum line to remove plaque and food particles. Rinse your mouth when you're done flossing.
  • Use a soft-bristle brush to brush teeth twice daily, using small circular motions. Avoid pressing too hard on tooth surfaces.
  • Brush your tongue gently to remove germs that can hide there.
  • Use an anti-bacterial mouthwash to kill germs that are hard to reach.
  • Keep track of how well your blood sugar is controlled and let Dr. Mischley know at each visit.
  • Be aware that having diabetes may mean it takes you longer to heal after undergoing oral surgery.

Most importantly, be sure to visit our Walpole, MA office for regular checkups and tell Dr. Mischley about your diabetes so you can be sure to get the care you need. Follow these steps, and you can enjoy healthy teeth and gums for years to come.

How does a tooth decay?

July 26th, 2017

When acids are allowed to erode tooth enamel long enough to leach calcium and other minerals from your enamel and dentin, a process called demineralization occurs. This rapidly leads to tooth decay unless reversed by good oral hygiene and professional dental cleanings at our Walpole, MA office. Acids responsible for tooth decay come from the wastes of mutans streptococci and lactobacilli bacteria that thrive in dental plaque, a substance that is the leading cause of periodontitis.

Where do demineralizing acids come from?

Dietary sugars comprise the bulk of tooth-decaying acids, including table sugar, cooked starches, fructose, glucose, and lactose. In fact, as soon as you bite down on a sugary cookie or into a French fry, bacteria start digesting sugars, breaking them down and eventually excreting them as demineralizing acids. As this bacteria colony grows and becomes organized, plaque develops and forms that tough, yellowish coating you often see on the tops of teeth at the gumline.

Plaque is the Problem

Dental plaque is a filmy type of nesting place for bacteria that also keeps acids pressed against tooth enamel. Since plaque cannot be removed by brushing, it is important that a person who suffers tooth decay visit Kevin P. Mischley, DMD immediately so we can use special tools to scrape and thoroughly clean teeth.

Signs of Tooth Decay

Early tooth decay and cavities remain asymptomatic until demineralization creates a hole deep enough to reach the tooth’s inner tissues and nerve endings. Eventually, tooth decay will cause tooth sensitivity, toothache, vague pain when biting down on the affected tooth, and possibly pus seeping around a tooth’s gum line if the decay creates an infection. If treatment is delayed long enough, a decaying tooth may loosen, crumble, and ultimately fall out, which leaves an empty or partially empty socket.

Preventing Tooth Decay

Getting regular checkups with Dr. Mischley, brushing and flossing twice a day, and eating fruits or crunchy vegetables at snack time instead of a candy bar or doughnut are the three best ways to keep your teeth healthy, white, and where they should be: in your mouth.

Radiation and the Safety of Dental X-Rays

July 19th, 2017

It is not uncommon to be concerned about your safety when you have dental X-rays performed. Putting on a heavy lead vest may make you apprehensive. The benefits of dental X-rays far outweigh the risks when safety procedures are followed and the number of X-rays is limited to the required number.

About Dental X-rays

Intraoral X-rays are the most common, and include bitewing X-rays. These allow Dr. Mischley and our team at Kevin P. Mischley, DMD to detect caries (cavities) and check the health of your bone and root structure. Extraoral X-rays provide the information we need to monitor your jaw and temporomandibular joint (TMJ), as well as look for impacted teeth and tooth development.

X-ray Safety

A set of four bitewing X-rays exposes you to about 0.005 mSv (millisievert) of radiation, which is equal to the amount of radiation you receive in an average day from natural sources. A panoramic X-ray exposes you to about twice the amount of a bitewing. In both cases the risk is negligible and worth the diagnostic benefits.

Guidelines from the American Dental Association are offered for individuals who are not at high risk for cavities. Children in this group should have X-rays every one or two years. Teenagers should have X-rays every one-and-a-half to three years. Adults can go two to three years between X-rays. If you are at higher risk, yearly X-rays are not harmful and can save your teeth.

No matter what type of X-ray you are having, it is extremely important to tell Dr. Mischley or one of our technicians if you are pregnant or may be pregnant. If you are concerned about the number of X-rays you are having done, or about any radiation you are exposed to, please give us a call at our convenient Walpole, MA office and talk to us about your concerns.

Dental Crowns with Kevin P. Mischley, DMD

July 14th, 2017

Our office provides a dental crown for patients who need a tooth repaired due to a very large cavity or fracture. A crown or “cap” replaces the tooth structure while providing long term reinforcement, strength and protection of the tooth.

A crown is often recommended after a root canal procedure. This is because the reason for the root canal is usually a large cavity and/or fracture which has involved the nerve of the tooth. After that procedure is completed, the tooth must be protected from the future fracture. However, while most “root canaled” teeth require crowns, not all teeth need to have a root canal done before a crown is placed. Crowns, while they may sound involved, are relatively superficial as far as how much of the volume of the tooth is involved in the procedure. Essentially, one may think of a crown as “replacing the enamel of a tooth”. When the portion of a tooth that is missing and/or decayed is about a third of the overall size of the tooth, a large filling won’t do much good as far as protecting the tooth from future fracture. In cases like these, crowns are the best treatment to preserve a tooth’s integrity.

Another instance in which a tooth may require a crown is to remedy a condition known as "cracked tooth syndrome". Sometimes, a tooth has a crack that cannot be detected by examination or x-ray. Instead, it may just hurt to bite on, and temperature sensitivity can be present. This condition can be remedied by placing a crown on a tooth to keep it from flexing.

Historically, crowns were made of either gold or metal, or a gold or metal substructure with porcelain fused to it for esthetics. With dental labs taking advantage of the precision of computer assisted design and computer assisted manufacturing these days, ceramics have become the norm. The materials used now not only look excellent, but also match and can surpass the strength of the metals traditionally used before them. In the last few years this technology has been perfected to the point that our office was willing to make a considerable investment in it. We now proudly provide patients with these same ceramic crowns without having to send out to a lab to have them made.

When receiving a crown, we create a tooth which is shaped to match the precise measurements of your former tooth. Measurements are taken with a digital scanner in our office. A crown is then designed to have the same natural shape, size, and contours of the old tooth. Finally, the crown is cemented or bonded onto the tooth and just like that, becomes one of the strongest teeth in your mouth.

Having a crown made at our office is now a one-time appointment affair! Preparation no longer requires an unpleasant gooey impression, followed by three weeks of a temporary crown, and a second appointment to have the permanent crown put on. Instead, while you relax for about 40 minutes, Dr. Mischley takes a digital scan of the tooth, designs the crown, mills it, fires it in the oven to solidify it, and finally, bonds the crown onto the tooth. The result is a having a crown placed in a simple two-hour appointment! If you think you may be in need of a crown, please contact our Walpole office for more information.

Seven Foods that will Give You a Smashing Smile

July 12th, 2017

As the saying goes, you are what you eat. But did you know that what you eat also affects your smile? Chow down on these seven tasty treats, recommended by Dr. Mischley and our staff, for a healthier mouth and a smashing smile!

Sesame Seeds

These tiny seeds that you find in some Chinese and Thai dishes (as well as on top of your hamburger bun) are packed with bone-building calcium. They help to preserve and protect the bone that supports your teeth and gums. As a bonus, they also help to build up your tooth enamel while sloughing away plaque.

Kiwi

This funny little fruit has the highest amount of Vitamin C of any fruit, including oranges! What does this mean for your chompers? Well, you need Vitamin C to keep your gum tissue healthy and strong. Without it, they are more susceptible to periodontal disease.

Sweet Potatoes

These are not just for Thanksgiving and Christmas dinner! You should add sweet potatoes to your regular diet. These tasty spuds are rich in Vitamin A, which your body uses to form tooth enamel and heal gum tissue.

Onions

You know those strong vapors from onions that make you cry? Well, they come from the sulfur compounds in the vegetable, which gives them a superpower-packed antibacterial punch. Get ready, though: Onions are most effective for your smile when you eat them raw!

Cheese

If you love cheese, you will love this news! Munching on some cheese helps prevent gum disease and cavities. The reason is that cheese is very high in calcium and phosphate, which help to balance the pH levels in your mouth. This in turn helps to preserve your tooth enamel and kill harmful bacteria.

Green Tea

Sipping on some green tea can not only help prevent cavities and gum disease, it can also kill the bacteria that cause bad breath. Score! Green tea has catechins, which actually kill the bacteria that cause plaque. So drink up! Your smile depends on it!

Celery

Have some fun with that crunchy stuff because, guess what? It is great for your smile! When you chew celery you produce saliva. Your saliva neutralizes cavity-causing bacteria. As a little added bonus, while you are chewing, it is giving your gums a little massage and cleaning between your teeth.

So grab some of these healthy snacks and give your mouth something to smile about!

Don’t let a dental emergency ruin your summer vacation!

July 5th, 2017

For many of our patients at Kevin P. Mischley, DMD, summer means a season of relaxation, vacation, and outdoor fun and activities. While you can’t take a vacation from dental emergencies, you can always be prepared for anything that can happen. Today, Dr. Mischley and our team thought we would give our patients a few tips on handling a dental emergency when you’re far from home (and our office).

Throbbing Toothache – Try brushing and flossing to ease the pain; the issue could be simply that a piece of food is nestled in an uncomfortable spot between your teeth. If that is the case, try to gently remove the object with dental floss. If it still hurts, stick to soft foods, try an over-the-counter pain reliever, or dip a cotton ball in clove oil and insert it on the affected area until you can get to a local dentist.

Bitten Lip or Tongue – Clean the area gently with a cloth and apply cold compresses to reduce swelling. If the bleeding doesn’t stop, go to a hospital emergency room immediately.

Lost Filling or Crown – Dental wax will work to keep the sharp edges of your tooth from bothering you. If you can, save the crown or filling, and if you happen to have denture adhesive handy, you can use it to temporarily reattach the crown until you can get to a local dentist.

Broken Tooth – Hold the tooth by the crown and rinse off the root of the tooth in water if it’s dirty. If possible, gently insert and hold the tooth in its socket. If that isn’t possible, put the tooth in a cup of milk and get to a local dentist as quickly as possible.

Broken Jaw – Apply cold compresses to control swelling. Visit a hospital emergency room as soon as possible.

If you have a dental emergency after regular office hours and you happen to be in town, please give us a call. If you are calling us after hours, please follow the emergency prompts to contact Dr. Mischley.

How many times a day should I floss?

June 28th, 2017

Flossing is one of the most important parts of your oral care routine. Many patients know they need to do it but find it difficult to fit into their busy lives. Well, here's the good news: flossing once a day is enough if you're doing a good job!

Some patients like to brush before they floss and others like to floss before they brush. Some like to floss in the morning when they have more energy, others like to floss at night so they can go to bed with a clean mouth. Don't get hung up on any of this, the important thing is that you floss and floss effectively no matter when you do it.

Effective flossing contributes to oral health in these ways:

  • It reduces the chance of cavities between teeth, since cavities can only form on teeth covered with dental plaque and you're scraping that plaque away when you floss.
  • Along with brushing, it reduces the amount of time the plaque is left on your teeth, allowing them to be in a state of healing and remineralization for longer.
  • It removes plaque that accumulates at or below the gum line, aiding in the prevention of gum disease.

As you can see, flossing offers many benefits for such a simple and inexpensive technique. So if you're still wondering how much to floss, don't worry about it. Don't mistake the frequency of your flossing with the effectiveness of it. Choose a dental floss that you like and one time during the day when you can floss thoroughly and just do it! If you need more tips on how to floss correctly, ask Dr. Mischley or any member of our Walpole, MA team—we'd be glad to help you pick up this healthy habit!

Tooth Worms? The History of Cavities and Tooth Fillings

June 21st, 2017

Scientists have discovered tooth decay in specimens that are more than 15,000 years old. The ancients once thought that cavities were caused by something called “tooth worms” … Eew! They didn’t exist, of course, but how else could humans explain the holes that cavities make in teeth?

The appearance of cavities on a widespread basis is often traced to the rise of farming. The new diet filled with grains and carbs made our mouths a haven for cavity-causing bacteria. As we added more sugar to our diets, our teeth got worse.

The “tooth worm” idea didn’t completely disappear until the 1700s when scientists finally began to understand the process of dental caries. Once that part of the puzzle was solved, they began focusing on filling existing cavities and preventing new ones.

Dental Fillings Come of Age

Many different materials, including beeswax, cork, aluminum, tin, and even asbestos, have been used to fill the holes caused by dental decay. Sometime in the mid-1800s, however, dentists began to use metal fillings such as gold, platinum, silver and lead amalgams.

The amalgam we use today is mixed from liquid mercury, silver, tin, copper, zinc, and other metals, but some patients still like the look of a gold filling. Newer options include composite-resin fillings, which are made from a tooth-colored mixture of plastic resin and finely ground glass-like or quartz particles that form a durable and discreet filling. Porcelain or ceramic fillings are natural in color, but more resistant to staining.

Dr. Mischley can help decide which filling is best for you, based on cost as well as your dental and lifestyle needs. You may not have “tooth worms,” but if you have cavities, contact our Walpole, MA office so we can take the proper action to protect the health of your mouth.

What are dental sealants, who should get them, and how long do they last?

June 14th, 2017

Dental sealants are an excellent way to protect children’s teeth from tooth decay by coating them with a thin plastic material. Their teeth look and feel like normal, but they are protected from plaque build-up and decay early on. Dr. Mischley and our staff recommend sealants as a preventive measure for children before any decay appears on their teeth.

Who should get dental sealants?

Dental sealants are intended for young children as soon as their first teeth come in. Decay is most common in the molars, so taking your child to Kevin P. Mischley, DMD for sealants right when you see the molars grow in gives your child the best chance to fight tooth decay.

A child’s first set of permanent molars grow in between ages five and seven, while the second permanent molars come in between 11 and 14 years of age. Some teens and adults who don’t have tooth decay may get sealants as well, but it is less common.

How long do dental sealants last?

Once the sealant has been placed on the teeth, it lasts up to ten years. Expect to have Dr. Mischley check the sealant at every visit to our Walpole, MA office, which should be twice a year. We will look at the sealant and determine if it needs to be replaced.

What is the process of getting sealants?

Applying sealants is a simple, pain-free procedure that is done quickly at Kevin P. Mischley, DMD. There is absolutely no effect on the tooth structure from sealants.

For starters, the teeth are cleaned carefully, then dried with an absorbent material. A mild acid solution is applied to them to roughen them slightly. This is done so the sealant can bond properly to the teeth. Then the teeth are rinsed and dried, and the sealant material is painted on and dried with a special light.

Molars are susceptible to decay early on, which is why sealants are an important treatment to get for your children’s first set of teeth.

Summer Break: An ideal time for wisdom teeth removal

June 7th, 2017

After your son or daughter departs for college, the last thing you want to get is a call or text to learn he or she is in pain. Dr. Mischley and our team at Kevin P. Mischley, DMD will tell you there aren’t many emergency situations that can be avoided when it comes to dental health, but one crisis that can easily be prevented before your teen heads hundreds of miles away for college is wisdom tooth extraction.

What are wisdom teeth?

Wisdom teeth are the third set of molars that erupt in the late teen years to early 20s. Spacing and crowding problems often cause impaction and infections, which is why many people elect to have their wisdom teeth removed. Wisdom teeth can go from barely noticeable to extremely painful in a very short period of time.

When your teen’s wisdom teeth erupt, they may cause overcrowding of his or her teeth, which can have a negative effect on their alignment. Most people’s mouths do not have enough room for wisdom teeth to erupt fully and remain perfectly aligned. Thus, pain, swelling, infection, damage to adjacent teeth, and decay are often the most common problems associated with wisdom teeth. These problems can brew beneath the surface for weeks or months, offering no warning before painful symptoms hit.

If your child does elect to go through wisdom tooth extraction, we want to inform you that the first few days of recovery consist of careful measures to control bleeding and swelling, an adherence to a special soft diet, as well as a medication routine that must be followed as recommended by Dr. Mischley after surgery.

Dr. Mischley and our team are dedicated to providing exceptional service before, during, and after your wisdom tooth procedure, so you can have peace of mind knowing that your child’s oral health is in good hands. We will do everything we can to minimize discomfort and help your child heal safely and quickly.

Summer break is the perfect time to remove wisdom teeth so that your child can avoid the stressful scenario of experiencing this medical emergency far away from home. If you have any questions on wisdom teeth removal or to schedule an initial consultation with Dr. Mischley, give us a call today!

Alleviating Anxiety before Your Implant Procedure

May 31st, 2017

Does the thought of getting a dental implant put knots in your stomach? There are many people who don't enjoy getting dental work done and there is a myriad of reasons why. For whatever reason you aren't at your best when you arrive at our Walpole, MA office, we'd like to offer some tips that can help put you at ease for your implant procedure.

Sedation

For lengthy visits like an implant procedure, sedation dentistry may be an option for you. With sedation dentistry you are given sedation medication, usually orally with a pill or intravenously, which allows you to drift through the entire procedure without any memory of it afterward. If you decide on oral sedation, typically you take the medication about an hour before your procedure starts.

To avoid any complications, a complete medical background check is made along with a record of any allergies before any sedation is administered. Your vital signs are also monitored throughout the entire procedure.

If you decide sedation is not the right option for you, there are other techniques that you can benefit from. Some of these include:

  • Communication: This may seem obvious, but communicating any fears or anxiety you may have about your procedure with us is extremely helpful. Not only does this build a relationship of trust but it allows us to try and alleviate your anxiety as much as we can.
  • Herbal teas: Drink some herbal tea (like chamomile or lemon balm) before you visit the office. Many patients find this is a great help in relieving anxiety and putting them sufficiently at ease.
  • Relaxing music: Bring a pair of headphones along and listen to your favorite music during treatment (preferably something low-key). Or why not catch up on your reading when you visit us — some patients like to listen to audiobooks too!
  • Meditate or practice deep breathing: Meditation and deep breathing are good to practice in general, since they relax both the body and mind. They can be effective in the case of anxiety, too!

Are you a tooth grinder?

May 24th, 2017

Perhaps you had a particularly irritating commute home from work, and you realize at the end that your jaw was clenched tight the entire time. Or maybe you grind your teeth when you are nervous or anxious about an upcoming business meeting. Most people grind their teeth from time to time, but it’s important to recognize the signs and symptoms of chronic tooth grinding. Known as bruxism, this condition can lead to oral health problems and dental issues later.

Signs and symptoms of bruxism

  • Your partner might complain about the fact that you grind your teeth while you sleep. People who grind their teeth on a regular basis often do so during the night, and aren’t necessarily aware it is happening. However, your partner will more than likely notice if you develop this condition. If he or she mentions that it happens often, you might want to contact our team at Kevin P. Mischley, DMD.
  • You may experience a persistent and unexplained headache if you grind your teeth too often. You may not realize why you have this headache, because you are not aware of the fact that you have been grinding your teeth. Take note of any headaches you have, and if you cannot attribute them to another source, please give us a call to set up an appointment with Dr. Mischley.
  • Your jaw will more than likely become sore if you suffer from bruxism. If you wake up in the morning and have any discomfort in your jaw, you might have spent the night grinding your teeth. Our team can give you tips and advice for managing bruxism.

While many people associate their teeth grinding with stress, it actually is caused more often by crooked teeth, an overbite, or an under bite. If left untreated, bruxism can lead to a variety of complications, including dental injuries, hearing loss, and the onset of TMD. If you think that you might be a chronic tooth grinder, it might be time to set up an appointment at our Walpole, MA office in order to find out which treatment options are available to you.

What are mini implants used for?

May 17th, 2017

The use of mini dental implants (MDIs) is on the rise. MDIs are about the diameter of a toothpick (1.8 to 2.9 millimeters with lengths between ten to 18 millimeters) and are primarily used to secure loose upper or lower dentures or partial dentures.

MDIs are particularly useful for patients who suffer from osteoporosis or otherwise aren't well enough to get the bone grafts sometimes required by traditional dental implants. Their diminutive size also allows them to replace smaller teeth where the placement of a dental implant isn't feasible or called for.

Some of the benefits of MDIs include:

  • The procedure is quicker and less invasive – Since MDIs don’t require the cutting of gum tissue or sutures, Dr. Mischley can place the implant quickly, resulting in a shorter healing process. MDIs go directly through the gum tissue and into the jawbone.
  • Lower cost – MDIs run in the range of $500 to $1500, whereas traditional dental implants can cost around $4,000.
  • Less risk of surgical error – Since MDIs don't go as deep into the tissue or jawbone, there is less risk of surgical error, like hitting a nerve or sinus cavity.
  • Can be used in thinner areas of the jawbone – Since MDIs don't require as much gum tissue or jawbone, they can be used in thinner areas of the jawbone, where a traditional dental implant would require a bone graft.

Although there are many advantages to MDIs, they aren't for everyone or every situation. There are some drawbacks, especially when it comes to their durability and stability. MDIs also haven't been studied nearly as much as dental implants.

Whatever your situation, it's best to speak with Dr. Mischley about your options, and whether an MDI or a dental implant would work best for your specific case. Schedule an appointment at our Walpole, MA office to learn more.

My gums are shrinking!

May 10th, 2017

Have you ever looked in the mirror and noticed that your teeth looked longer? Does it seem like your gums are shrinking? This condition is called recession—many adults have it. Let’s look at some of the causes and what you can do about it.

During your exam at Kevin P. Mischley, DMD, we will take measurements to check for periodontal disease. Dental professionals take recession measurements to see how much attached gingiva is present. This is the kind of tissue that is most resilient to infection.

The more recession, the less attached gingiva. The less attached gingiva, the less bone support. The less bone support, the higher your chances of tooth loss. It is quite a domino effect.

Don’t lose hope. The effect can be halted once you know the cause of your recession.

Do you ever wake up with your jaw clenched, and/or a headache that originates just above your ears? Clenching or grinding your teeth can cause recession. When there is added stress on a tooth, it flexes at the gum line.

Over time this causes microscopic breaks in the enamel and then a notch appears. The gum line is forced to move away from its original position. If this is something you see in your mouth, we can discuss the possibility of an occlusal guard at your next visit.

How do you brush your teeth? Do you brush in a straight line or circles? What kind of bristles do you use? Are the bristles on your toothbrush frayed?

When you brush in a circle, you are sweeping all along the gum line, removing the plaque from most angles. When you brush in a straight line, you may often miss the concave portion of the gums. This leaves plaque behind and leads to gingivitis. Whenever gingivitis occurs, the body attacks supporting structures like bone while trying to get rid of the infection. This is periodontal disease, which can cause recession.

Recession may also result from an irritant on the gums, such as a bar from a partial denture or orthodontic appliance (braces).

Gums do not “grow back.” The most common treatment for advanced recession is a tissue graft. There are many different kinds of tissue grafts.

Other factors can cause recession. If you think recession is happening in your mouth, schedule an appointment with Dr. Mischley to discuss your options, so you can make the appropriate treatment choice.

What are dental implants?

May 3rd, 2017

Do you have a space where a tooth used to be? Were you born with a missing tooth? Are you getting ready for dentures? You may be a good candidate for a dental implant. Metal dental implants were invented in 1965. Technology continues to advance with millions of implants placed in the United States and Canada. Placing implants has become mainstream and a common practice for offices like ours.

A dental implant is a small titanium post, which resembles a screw with threads. The post also has holes for bone to integrate. A dental implant is placed into the jawbone during a short dental procedure. It is relatively painless with very little post-operative pain. The threads on the implant post allow for the bone to fill in and integrate. To facilitate this process the implant is re-covered with gum tissue and allowed to heal and integrate for nearly three months. The implant acts as the root for the tooth to provide solid and stable support for the crown that’s yet to be placed.

The next step in the dental procedure is to uncover the implant and place a healing cap to allow the gum tissue to heal. After a short period of healing, an impression is taken to fabricate a crown to fully restore the missing tooth. The crown is then cemented on top of the post, at which point you can resume normal eating activities.

Dental implants do require some special care, but that is easily managed when you follow the directions outlined by Dr. Mischley. During your regularly scheduled cleaning, special instruments are used to clean implants. While a dental implant cannot get a cavity, a condition known as peri-implantitis can occur. This is very similar to periodontal disease as the end result is dental implant loss and loss of bone structure. Be sure to floss the dental implant daily and run the floss under the implant crown as far as it can go to remove food and plaque. If you use any picks or small brushes to go in between your teeth, make sure they are plastic. Metal will scratch the implant making it more susceptible to infection. Be sure to keep your regular dental visits and cleanings to monitor the implant and help preserve your investment.

I have fluoride toothpaste and fluoridated water; do I need a fluoride treatment?

April 26th, 2017

Fluoride is a naturally found ion with a history of greatly reducing the incidence of tooth decay in children. However, over the past decade, people have increasingly consumed bottled water, most of which does not contain fluoride, and children are no longer getting the recommended dosage of fluoride. In addition, many areas do not add the optimum amount of fluoride to the town drinking water.

Everyone’s dental needs are different. The amount of fluoride a person needs is determined by age (children), tooth sensitivity, risk for cavities, and medical conditions. When a patient needs additional fluoride it can be applied in a foam or varnish.

Children receive additional topical fluoride because teeth in the early development stages have a higher mineral uptake. The future strength of the enamel depends on this. When a tooth absorbs the fluoride ion, it creates hydroxyapatite, a harder mineral compound than enamel alone.

Those who have a dry mouth from medication also need extra fluoride. A daily fluoride rinse and a semi-annual fluoride varnish treatment are standard. If you are on medicine for high blood pressure, anxiety, diabetes, depression, or cholesterol, you may fit in this category.

Cancer treatments can also greatly impact your oral health. Fluoride varnish treatments prior to, during, and after radiation and chemotherapy can be beneficial. There are other mouth conditions which coincide with cancer treatments which make it difficult to brush and floss daily, and can contribute to an increased risk for decay. An infection during cancer treatment can be especially harmful, which is why preventive measures are important.

Fluoride treatments, administered topically, are highly beneficial in preventing decay. Feel free to call Kevin P. Mischley, DMD to schedule an appointment or if you have any questions.

How do I know when I have a cavity?

April 19th, 2017

Dr. Mischley and our team at Kevin P. Mischley, DMD frequently field questions about cavities and what causes them. Patients will typically ask, “I brush twice a day and floss regularly, as well as rinse with hydrogen peroxide, so a cavity is unlikely, right?”

Not quite.

When cavities, also known as caries, are in their initial stages, people often will feel no symptoms, and they won’t experience any pain or discomfort. It’s not until the tooth decay has reached a certain level that patients begin to notice the signs. If you are experiencing any of the following symptoms, you may want to consider scheduling an appointment with Dr. Mischley as soon as possible:

  • Dull or sharp toothache
  • Tooth sensitivity or mild to sharp pain when eating or drinking something sweet, hot, or cold
  • Persistent bad breath or a bad taste in the mouth
  • The presence of a sticky, tarry feeling when biting down
  • Puss or discharge around a tooth, especially when pressing on your gums
  • Visible holes or discoloration in your teeth (usually black or brown)

Cavities can happen at any time, to anyone, no matter how old you are. Routine dental care is important to prevent cavities or the onset of tooth decay, so it is important to visit Dr. Mischley and our team at Kevin P. Mischley, DMD for regular cleanings. If you are overdue for a checkup or think you may have a cavity, please give us a call at Walpole, MA office to schedule an appointment.

What type of toothpaste is right for you?

April 12th, 2017

Toothpaste no longer comes in simple choices of fluoride and fresh breath. Paste is not even the only option! You can choose gel forms and even some with ribbons of color and flavor. With so many varieties available, it may be difficult to know which features or combinations of ingredients are best for your mouth. Dr. Mischley and our team are here to help!

Fluoride

The majority of all dental patients should use toothpaste with fluoride. Fluoride helps to strengthen the enamel on your teeth; it makes them stronger and more resistant to cavities. Even if you live in an area that adds fluoride to your drinking water, the fluoride protection in toothpaste is necessary.

Some individuals can have an allergic reaction to fluoride. Fluorosis can occur in children or adults that swallow too much toothpaste while brushing. If swallowing cannot be prevented, fluoride use should be reduced. The American Dental Association has updated guidelines that recommend fluoride be used as soon as the first teeth erupt in children. However, the amount should be minimal and swallowing should be prevented.

Sensitivity Protection

If your teeth are sensitive to temperatures, toothpaste with sensitivity protection can work wonders for your discomfort. Ingredients in these pastes or gels work to block the pathways to the nerves that react to hot or cold. Do not give up on this type of toothpaste after a few days; the full results may take a few weeks.

Plaque, Tartar, and Gingivitis Protection

Everyone has bacteria in his or her mouth, and this bacteria is normal. Unfortunately, some bacteria also cause plaque. If the plaque remains on your teeth, it hardens into tartar or calculus. Tartar is an almost cement-like substance that cannot be removed by brushing alone. When bacteria and tartar are left behind, the deposits will form under the gum line. This leads to gingivitis and gum disease.

Since there is a wide variety of toothpastes and ingredients for preventing tartar and gingivitis, ask Dr. Mischley and our staff what the best choice is for your teeth. We can help you select the right combination of ingredients.

Whitening

White teeth are desirable, and manufacturers are heavily marketing whitening toothpastes. Most brands do not contain bleaching ingredients; they use abrasives to polish stains away. Unfortunately, too much abrasive use can be damaging to your teeth. If you’re interested in teeth whitening, our Walpole, MA team can recommend a number of safe and effective options.

Feel free to ask Dr. Mischley and our staff at Kevin P. Mischley, DMD about the best choice in toothpaste to meet your individual needs. Remember to look for the ADA approval seal on any toothpaste you are considering.

Ease up on your gums — don’t brush your teeth too hard!

April 5th, 2017

A lot of patients go at their teeth like they were sanding an old floor—that is to say, way too hard! Brushing too hard is probably the most common mistake patients make in their oral care routine, and it can be detrimental to the gums and teeth.

What can brushing too hard cause?

  • Receding gums
  • Bone loss around teeth
  • Loss of teeth
  • Tooth sensitivity, especially to hot and cold
  • Worn down enamel

Brushing too hard wears away at your gums, which can lead to the neck of the teeth being exposed. This part of the tooth isn't covered by hard enamel like the rest of the tooth and hence the soft inner layer, or dentin, is exposed. Dentin is very sensitive to hot and cold and much more susceptible to bacterial decay. Once the gums recede due to improper brushing, it’s usually irreversible.

How to brush your teeth properly

You know you're supposed to brush your teeth twice a day, so why not do it right? First and foremost, you should only ever brush with a soft bristled brush—not medium or hard—unless directed otherwise by Dr. Mischley. Unless you have braces or specific oral health issues, brushing twice a day for two minutes is usually plenty.

The main purpose of brushing is to remove plaque from your teeth and gums. Plaque is actually soft and is a buildup of bacteria, saliva, and food debris. You really don't need to brush hard to remove it, just make sure you aim your toothbrush at the gum line (where plaque grows) and brush in small circular motions, never a back-and-forth motion.

It's also wise to hold your toothbrush gently. People tend to brush harder the tighter they hold their toothbrush.

Still have questions about proper tooth brushing technique or gum health? Ask any staff member or Dr. Mischley during your next visit to our Walpole, MA office; we'd be happy to help!

How Smoking Increases the Risk of Oral Cancer

March 29th, 2017

Cigarette smoke contains more than 6,000 chemicals, and at least 200 of those chemicals are known to be harmful to your health. When smoke is inhaled, moist oral tissues are saturated with excessive amounts of carbon monoxide, hydrogen cyanide, and a host of other known carcinogens. Most oral cancers originate in abnormal squamous cell activity, which are cells found on the lips, inside the mouth, and in the throat.

How Oral Cancer Begins

Cells exposed to consistently high levels of cigarette smoke may eventually suffer abnormal mutations within their DNA. Since deoxyribonucleic acid (DNA) is responsible for providing cells with instructions about growth, reproduction, and death, these instructions become distorted, which causes the cells to reproduce uncontrollably.

Essentially, that is what cancer is: rapid, unchecked growth of genetically mutated cells that encourages the development of malignant tumors. Unfortunately, the chemicals in cigarette smoke are strongly associated with oral cancer.

Signs of Oral Cancer

Early-stage oral cancer is often asymptomatic, which means symptoms appear only after the cancer intensifies and spreads. Possible signs of oral cancer include:

  • Ulcers inside the mouth or on the lips that do not heal
  • White or dark red patches inside the mouth
  • Lumps inside or around the mouth (a lump could appear on your neck)
  • Bleeding, numbness, and soreness in the mouth
  • Chronic halitosis
  • Loose teeth in the absence of tooth decay

Diagnosis and Treatment of Oral Cancer

Squamous cell oral cancer is the most common type diagnosed in smokers. Dr. Mischley and our staff often discover squamous cell carcinoma lesions during dental examinations or cancer screenings. Depending on the stage of the oral cancer, treatment may begin with a biopsy or an exfoliative cytology procedure that involves collecting cells from the oral cavity using a scraper.

According to the Oral Cancer Foundation, oral cancer patients may need surgery, radiation therapy, a combination of surgery and radiation therapy, or chemotherapy to eradicate oral cancer.

Smoking, Cancer, and Tooth Decay

Not only is smoking the number-one cause of cancer but it is also detrimental to the overall health of your teeth and gums. Yellow teeth, bad breath, dry mouth, and expedited tooth decay are all caused by smoking, not to mention the damage smoke does to the heart, lungs, and kidneys.

In other words, don’t smoke!

Three Signs You May Have Gingivitis

March 22nd, 2017

Gingivitis, or inflammation of the gums, is an early stage of gum disease. If you have gingivitis, it’s important to visit Dr. Mischley to get proper treatment, since home care isn’t enough to get rid of the plaque that leads to tartar and eventually to gum disease. Monitor yourself to see if you have these signs of gingivitis, and get help as soon as you can to prevent the progression to periodontitis. Your vigilance could save your teeth.

1. You have one or more risk factors.

Having risk factors for gingivitis doesn’t mean that you have or will get the disease, but it does mean that you should be especially watchful. You’re more likely to get gum disease if you have the following risk factors:

  • You are a smoker.
  • You are a female going through puberty, pregnancy, or menopause.
  • You have diabetes.
  • You have a compromised immune system, as is the case if you have HIV/AIDS.
  • You have a family history of gum disease.

2. You have inflammation in your gums.

Gingivitis is inflammation of the gums, and that is a tell-tale sign of the condition. Gingivitis or periodontitis can involve a bacterial infection, and inflammation is your body’s response to an injury or infection. The four standard signs of inflammation are pain, redness, swelling, and a higher temperature than normal.

If you have inflammation around your teeth, your gum disease may have progressed to the more serious condition of periodontitis. Dr. Mischley can evaluate your case using a scope, or small ruler. The ruler is used to measure the pockets around your teeth, with a depth of one to three millimeters being normal.

3. Your teeth seem to be moving around.

Loose teeth are a classic sign of periodontitis. You may also have them if you have gingivitis. They can occur when your gum line recedes, or as the result of having soft bone in your jaw.

You might also notice other signs of your teeth moving around. For example, they may seem to be oddly spaced, or they could be separating from each other. You might also notice that your partial dentures don’t fit properly anymore, even if they’re not that old.

Gingivitis is a very treatable condition, but you need the help of Dr. Mischley to keep it in check. Contact our Walpole, MA office to schedule an exam today!

Don’t procrastinate about dental work!

March 15th, 2017

When you have dental issues or just need routine care, you may try to put off making an appointment at Kevin P. Mischley, DMD. Common reasons for procrastination are not having the time or fear of pain. Avoiding Dr. Mischley is not a good idea, though. Putting off dental care can turn small problems into large ones. Short appointments turn into long ones with significantly more work and expense.

What happens when you wait?

The small cavity that could have been filled easily has turned into a large cavity. The larger the cavity, the more work required to fill it. However, this is only a minor problem compared to more advanced issues. The minor toothache you are trying to ignore could be a small fracture or an abscess. Small fractures can sometimes be repaired, but if you wait and the fracture increases, you may need to get a crown.

An abscess can be treated in the early stages. Ignoring an abscessed tooth may lead to root damage and the need for a root canal. Infection can spread to other teeth, which multiplies the damage. These treatments will require more of your time than you would have spent taking care of the problem early.

Perhaps you are just putting off a routine cleaning. Even if you brush, rinse, and floss the way you are supposed to, you need a professional cleaning at Kevin P. Mischley, DMD. Plaque that is left behind hardens into calculus or tartar that you cannot remove by yourself. A build-up of calculus can also lead to gum disease.

Unfortunately, avoiding appointments due to a lack of time may mean that you have to give up substantially more time later on. You also can experience needless pain from tooth problems. It’s always best to visit Dr. Mischley for regularly scheduled cleanings and exams to ensure your smile stays healthy and beautiful.

Fluorosis: What is it?

March 8th, 2017

Many people think dental fluorosis is a disease, but it’s not; it’s a condition that affects the appearance of your tooth’s enamel, not the function or health of the teeth. These changes may vary from tiny, white, barely noticeable spots to very noticeable staining, discoloration, and brown markings. The spots and stains left by fluorosis are permanent and may darken over time.

Dental fluorosis occurs in children who are excessively exposed to fluoride between 20 and 30 months of age. Only children ages eight years and younger can develop dental fluorosis. Why? That is the period when permanent teeth are still developing under the gums. For kids, fluorosis can cause significant embarrassment and anxiety about the appearance of their teeth. No matter how much they might brush and floss, the fluorosis stains do not go away.

Many well-known sources of fluoride may contribute to overexposure, including:

  • Fluoridated mouth rinse, which young children may swallow
  • Bottled water which is not tested for fluoride content
  • Inappropriate use of fluoride supplements
  • Exposure to water that is naturally or unnaturally fluoridated to levels well above the recommended levels

One way to reduce the risk for enamel fluorosis is to teach your children not to swallow topical fluoride products, such as toothpaste that contains fluoride. In fact, kids should use no more than a pea-sized amount of fluoride toothpaste when brushing, and children under the age of two shouldn’t use fluoride toothpaste at all.

Dental fluorosis can be treated with tooth bleaching, microabrasion, and conservative composite restorations or porcelain veneers. Please give us a call at our office to learn more or to schedule an appointment with Dr. Mischley.

I have sensitive teeth. What are my options?

March 1st, 2017

At Kevin P. Mischley, DMD, we have patients coming in asking us why a taste of ice cream or a sip of coffee becomes a painful experience, or why brushing or flossing makes them wince or cringe. The answer, usually, is sensitive teeth. Tooth sensitivity typically occurs when the underlying dentin layer of the tooth is exposed in the oral cavity, and most people experience tooth sensitivity at some point in their lives.

So, why do people experience sensitivity and how do you know if tooth sensitivity is something to be worried about? The most common cause of the sensitivity is exposure of the dentin, which is the layer surrounding the tooth’s nerve. Contributors to tooth sensitivity include teeth whitening and dental work such as fillings, periodontal treatment, and the placement or adjustment of braces. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment at Kevin P. Mischley, DMD. The first step is to determine the cause, and that begins with a visit to our Walpole, MA office.

The reasons your teeth may become sensitive vary, but possible causes include:

  • Tooth decay (cavities) near the gum line
  • Cracked or fractured teeth
  • Fillings that are worn
  • Gum (periodontal) disease, or recession of the gums
  • Worn tooth enamel
  • Brushing too hard
  • Consuming acidic foods

Dr. Mischley and our team at Kevin P. Mischley, DMD want you to know that sensitive teeth can be treated, and the type of treatment will depend on what is causing the sensitivity. Dr. Mischley may suggest one the following treatments:

  • Desensitizing toothpaste, which contains ingredients that seal off the microtubules inside the exposed dentin to reduce tooth sensitivity
  • Fluoride gel, which strengthens compromised tooth enamel, helps prevent tooth decay, and decreases hypersensitivity of the teeth
  • A crown, inlay, or bonding, which is used to treat tooth decay and prevents sensitivity
  • A surgical gum graft. If gum tissue has been lost from the root, this procedure will protect the root and reduce sensitivity.
  • Root canal: If you are experiencing severe and persistent sensitivity which cannot be treated by other means, Dr. Mischley may recommend you undergo a root canal to eliminate the problem.

If you are experiencing tooth sensitivity, give us a call today so that Dr. Mischley can provide you with some much-needed relief!

Are you at risk for oral cancer?

February 22nd, 2017

Nearly 40,000 people are diagnosed with oral cancer annually in the United States, with more than 8,000 dying every year from the disease. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Dr. Mischley and our team want you to know that cancers of the mouth and throat, which account for about three percent of all cancers in the United States, are largely preventable. However, we want you to know about certain risk factors that affect the likelihood of developing the disease.

  • Use of tobacco products including smoking cigarettes, cigars or a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially, is a serious risk factor because it contains substances called carcinogens, which harm cells in your mouth.
  • Consumption of alcohol in excess can also increase your risk. If you drink alcohol regularly, you have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
  • Excessive sun exposure. People who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.

If you notice unusual lumps, bumps, or red or white patches in your mouth that don’t go away, sores that won’t seem to heal, persistent soreness, or pain or difficulty swallowing please consult Dr. Mischley and our team immediately.

Other factors that may influence your risk for developing oral cancer include:

  • Age: Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
  • Gender: Oral cancer strikes men twice as often as it does women.
  • A history with viral infections, such as human papillomavirus (HPV)
  • A diet low in fruits and vegetables

During your next visit, Dr. Mischley will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Walpole, MA office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

The Importance of Oral Cancer Screenings

February 15th, 2017

In our continuing efforts to provide the most advanced technology and highest quality care available to our patients at Kevin P. Mischley, DMD, we proudly screen our patients for oral cancer. The fact is, every hour of every day in North America, someone dies of oral cancer, which is the sixth most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved.

Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. Symptoms of oral cancer may include a sore in the throat or mouth that bleeds easily and does not heal, a red or white patch that persists, a lump or thickening, ear pain, a neck mass, or coughing up blood. Difficulties in chewing, swallowing, or moving the tongue or jaws are often late symptoms. While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes we want you to know about. In some cases, it is possible to minimize these risk factors.

  • Age (most patients diagnosed with oral cancer are over the age of 40)
  • Tobacco use, either from cigarettes or smokeless chewing tobacco
  • Excessive alcohol consumption
  • Persistent viral infections, such as HPV16
  • A diet lacking or low in fruits and vegetables

Finding out you have oral cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk. Through a routine visual inspection, Dr. Mischley and our team at Kevin P. Mischley, DMD can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less expensive and more successful, and can potentially save your life. Ask Dr. Mischley and our team at Kevin P. Mischley, DMD about a screening at your next appointment!

Anatomy of a Smile Makeover

February 8th, 2017

A smile makeover is usually a combination of one or more cosmetic dental procedures. To achieve your desired result, Dr. Mischley may perform or suggest a variety of options. The entire process is designed specifically for your unique cosmetic needs, and Dr. Mischley will make sure all your concerns regarding your smile are addressed.

Here are some of the most common procedures in cosmetic dentistry and how they work:

  • Tooth whitening – Whiter teeth are achieved through a bleaching process typically using hydrogen peroxide or carbamide peroxide. Yellower teeth usually respond well to this procedure, while brown-colored teeth stained by fluorosis or taking tetracycline do not respond as well to whitening. Tooth whitening is not for everyone; if you have sensitive teeth, gum disease, or poor enamel, Dr. Mischley may recommend against tooth-whitening services.
  • Orthodontics – Braces are one of the tried-and-true ways of achieving a healthier smile. Braces are typically worn between 12 and 24 months to reposition the teeth in a straighter and safer alignment. Since your bite is also corrected during this process, it helps ensure you won't have any trouble down the line. There are several different types of braces available these days including: traditional metal braces, clear ceramic braces, lingual braces, and clear aligners.
  • Veneers – Veneers are thin, tooth-colored material (porcelain or resin) designed to be placed on the front surface of teeth to improve their overall appearance. They can be used in cases where the color, shape, size, or length is not as desired. Veneers are usually used in cases where teeth are discolored, chipped, worn down, misaligned, irregular, or have gaps.
  • Implants/bridges – Dental implants and bridges are used to replace missing or broken teeth. Nowadays, both implants and bridges are commonly performed procedures. Implants integrate directly with the jawbone, while bridges are placed over the adjacent teeth to the missing tooth. Implant technology has advanced a great deal in recent years and highly biocompatible ceramic materials are becoming more commonplace.

Getting your perfect smile will take time and patience, but the end result will be well worth it! Please schedule an appointment at our Walpole, MA office about the cosmetic dental services we offer, and achieve the smile you've always wanted!

How Sedation Dentistry Can Help You Overcome Dental Anxiety

February 1st, 2017

Putting off your dental visit to Kevin P. Mischley, DMD because of fear or anxiety only increases the potential for tooth decay or gum problems. At our office, Dr. Mischley and our team offer solutions that allow you to relax, without any pain, so you can keep your mouth healthy. Our solutions can help with many different anxiety issues for both adults and children.

Help with minor anxiety

Nitrous oxide is an excellent choice for most patients. Sometimes referred to as laughing gas, nitrous oxide can be regulated to provide you with the amount of sedation you need. When used before a local anesthetic, the injection will not be uncomfortable and you should not notice any pain during your procedure.

If you plan to use nitrous oxide, you can drive yourself to your appointment. In most cases, you will be fine to drive after your treatment: the sedation wears off quickly. Nitrous oxide can also be used along with other sedation techniques to produce a higher level of sedation.

Oral sedatives are available in a liquid or pill form. If you experience moderate anxiety levels, you can be given a tablet to take before your appointment. This type of sedation will be beneficial in relieving the anxiety that can build before your procedure. However, if you choose this method, you cannot drive yourself to your appointment.

Help with major dental anxiety

If you experience extreme levels of stress and anxiety about dental treatment, you may wish to discuss deep sedation or general anesthesia. With these techniques, you will be barely conscious or unconscious during your procedure. You will not feel discomfort or pain. Once you have experienced dentistry with a sedation technique, your anxiety level may decrease on its own.

People are not born with the fear of a dental exam. Unfortunately, most anxiety issues are due to a bad dental experience or childhood trauma. Sometimes anxiety comes from listening to the tales of others, who may have exaggerated their story. Talk to Dr. Mischley and our team about your dental concerns or fears. Let us help you so you can get the dental care you need for a healthy mouth for life.

For more information about overcoming dental anxiety, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

Minimally Invasive Dentistry

January 25th, 2017

As the field of dentistry advances and the use of technology in the field increases, the concept of minimally invasive dentistry has emerged. Preservation of a healthy set of natural teeth for each patient should be the objective of every dentist. Minimally invasive dentistry is characterized by the following core beliefs:

  • Regard original tissue as more valuable than its artificial counterpart.
  • Preserve, rather than replace, original tissue.
  • Focus on the prevention of disease above its treatment.
  • When treatment is necessary, use invasive means as little as possible.

Prevention

  • Prevention begins with good oral hygiene.
  • Dental caries are considered an infectious disease.
  • Early detection of caries and other diseases can prevent the spread of infection and, consequently, further damage to healthy tissue.
  • Infection control can reduce the incidence of restoration practices by as much as 50 percent.
  • Focus on remineralization of enamel and dentin as a preventive effort in treating caries.

Preservation

Our team at Kevin P. Mischley, DMD will tell you the goal of minimally invasive dentistry is to preserve as much original tissue as possible. The preservation of original tissue leaves a tooth stronger in structure than one which has been modified through invasive measures.

When a restoration, such as a filling, must be made to a tooth, a greater amount of healthy tooth tissue than actual decayed tissue is often removed. An estimated 50 to 71 percent of the work a dentist completes involves repair or replacement of previous restorations. The use of durable restoration materials decreases the need for later repair or restoration work.

Treatments

Tooth tissue can be preserved at a greater percentage through the use of innovative adhesive materials. Glass ionomer cements release minerals into the surrounding tooth tissue and help prevent future cavities. Resin-based composite and dentin bonding agents are designed to bond to the enamel and preserve it.

New technology and the invention of small, hand-held tools allow for a less-invasive form of restoration. One such form is air abrasion, a technique that involves using powerful air pressure to direct aluminum oxide particles toward the tooth, which results in a gentler, less-damaging cut to the tooth.

For more information about minimally-invasive surgeries, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

Oral Health during Pregnancy

January 18th, 2017

Pregnancy can be one of the most exciting times in a woman’s life, as you eagerly wait for the birth of the new addition. Needless to say, pregnancy comes with a lot of responsibilities. Everything you do to your own body can affect your baby’s health, so you eat right and try to avoid anything that could harm your baby.

You may not realize it, but even your oral health affects your baby. You have a lot to worry about during this time in your life, but it’s important not to let your oral health slide. Maintaining good routines before and during pregnancy can improve the health of your baby.

Gum Disease and Pregnancy

Gum disease includes gingivitis and the more severe condition called periodontitis. Pregnancy gingivitis is a condition that results from bacteria in your teeth. Symptoms include gum inflammation and bad breath. If it progresses to periodontitis, your baby is at higher risk for preterm delivery and low-birth weight. You can also develop pregnancy tumors, or pyogenic granulomas, which can interfere with speaking and eating. Throughout pregnancy, continue to visit Dr. Mischley at your regularly scheduled appointments to look for signs of gum disease.

Pregnancy and the Role of Our Office

Make an appointment with Dr. Mischley at our Walpole, MA office when you first learn that you’re pregnant, especially if you have unresolved oral health issues. If possible, try not to schedule necessary treatment during the first trimester or second half of the third trimester.

Oral Health Care Habits to Follow

Maintain a normal good oral health care regimen, which includes brushing your teeth at least twice daily with a fluoride toothpaste and soft toothbrush, and flossing daily. If your regular regimen is not up to par, now is a good time to develop good habits. You can use an unflavored toothpaste if you have morning sickness and regular toothpaste makes you feel nauseous. Also, rinse your mouth with water or mouthwash if you experience morning sickness to prevent acid damage to your teeth.

Zirconia Dental Implants

January 11th, 2017

Since dental implants first started being implemented in the 1980s, they have been primarily made of titanium. Recent advances in implant technology have allowed dental implant manufacturers to shift from all-metal implants, to part-metal and part-ceramic implants, to the newer all-ceramic or zirconia implants.

Zirconia implants are made of high-impact resistant ceramic called tetragonal zirconia polycrystal (ZrO2+Y2O3). They remedy many of the issues and complaints doctors and patients have with traditional metal implants and have several advantages—let’s take a look at some of them.

Advantages of Zirconia Implants

  • Do not cause allergic reactions – Although titanium is considered non-toxic, some people still have allergic reactions to titanium. Zirconia implants are inert, non-corrosive, and hypoallergenic.
  • Have been used for decades in medical applications – Millions of patients have had zirconia used safely and effectively as the base material for their hip replacements. The zirconia used for medical applications also undergoes strict radiation monitoring to ensure its safety for use within the body.
  • They are incredibly strong – Unlike titanium implants, zirconia offers a much higher degree of resistance to scratching, corrosion, and fracture. The aerospace industry even uses zirconia (ZrO2) due to its high resistance to heat and fracture. This all means a safer and more aesthetically pleasing result for the patient.
  • One-piece design is more hygienic – Zirconia implants are a one-piece design, meaning there is nowhere for bacteria to build up or liquids to penetrate like with titanium implants. They are highly biocompatible (how a material reacts with the human body) which leads to healthier gums and no risk of corrosion.
  • Implant margin is at gum not bone level – With titanium implants the margin (or gap between the implant and the tooth) is at bone level, which can lead to bacterial buildup since you can’t brush there. The zirconia implant margin, which is at gum level, allows you to brush and clean your implant and restoration regularly.

If you are in need of a restorative dental implant, it would be wise to consider zirconia due to its many advantages. It might not work in every situation, but feel free to discuss your options with Dr. Mischley or one of our Walpole, MA staff members.

How can parents help prevent tooth decay?

January 4th, 2017

Children are born with a set of primary teeth – 20 to be exact – that help them learn to chew and speak, and develop enough space in the jaw for the permanent teeth that will appear several years later. Kids are especially susceptible to decay, which can cause pain and tooth loss – a problem that could interfere with oral development. As a parent, it is important that you take proactive steps to keep your child’s teeth as healthy as possible.

Bottles and “Sippie Cups”

One of the biggest culprits of childhood tooth decay is poor diet. This begins as early as a few months old, when children are often allowed to go to bed with bottles and “sippie cups” of milk or juice. The sugars in these beverages – even natural sugars – can steadily decay the teeth.

Dr. Mischley and our staff suggest serving children milk and juice only at meal times, and limiting juice intake to just a few ounces per day. If your child becomes thirsty between meals or likes to go to bed with a bottle, serve water during these times.

Hygiene

As a parent, you can establish healthy dental habits long before your child’s first tooth erupts. Start by gently wiping your baby’s gums with a clean wash cloth during the first months of life. By age one, graduate to an appropriately sized toothbrush with fluoridated toothpaste, and brush at least twice a day.

Dental Visits

Dental visits should start young and continue on a regular basis throughout your child's life. Dr. Mischley and our staff recommend parents bring their children to Kevin P. Mischley, DMD for the first time no later than the child’s first birthday. Initial visits concentrate on parental education, while later visits may include thorough cleanings and fluoride treatments as your child grows.

For more information about keeping your child’s teeth cavity-free, contact our Walpole, MA office to schedule a dental consultation and checkup.

Proper Flossing Techniques

December 28th, 2016

Of all the dental hygiene techniques you can use at home to promote clean teeth and good oral health, flossing is likely to be the one that troubles most people. It can be viewed as confusing and time-consuming, but when you learn how to floss your teeth correctly, you’ll find it’s easy to do on a daily basis.

Proper flossing techniques are vital to the health of your teeth and gums. These tips will help you with the correct flossing procedures. Likewise, Dr. Mischley and our team can also help you learn how to floss effectively and efficiently.

Steps to Flossing Your Teeth Properly

  1. Choosing Dental Floss. You can find dental floss in various flavors, as well as waxed or unwaxed. If the floss you use seems to get stuck between your teeth, switch to waxed to make it easier.
  2. Flossing “Helpers.” Beginner flossers who have trouble coordinating the floss and the movements of their hands can use a floss holder to help them get in and around teeth.
  3. Preparing the Floss. Cut an 18-inch piece of floss to use for flossing a few teeth. This allows you to make progress before you must stop and cut another piece of floss.
  4. How to Hold It. Wind the ends around your middle fingers. Hold the floss taut, pinching each side with your thumbs and index fingers. Leave a couple inches free in the middle.
  5. The Process of Flossing. Use your index fingers to guide the floss toward your gum line. Bring it down between the teeth with a zigzag motion. Hold the floss in a C-shape around the tooth, and move it up and down along the side.
  6. Where to Floss. Use a clean portion of the floss to clean around and in between each tooth. Don’t forget about the molars in the back of your mouth, too!

Flossing: A Vital Part of Oral Care

Periodontal disease begins at the gum line; this is where flossing comes in. Regular flossing helps you remove plaque from the gum line and between your teeth to avoid gum disease. In conjunction with daily brushing and twice-a-year visits to Kevin P. Mischley, DMD, floss each day to maintain good oral hygiene and overall health. Gum disease can have an impact on your general health, but it doesn't have to. This easy-to-prevent condition can be avoided with regular visits to our Walpole, MA office and daily flossing. Allow our team to partner with you in maintaining a bright, shiny smile and good oral health.

Oral Health Problems: An indicator of overall health problems?

December 14th, 2016

If you are like many people, you might think of your oral health as separate from your overall health. After all, most dental coverage plans are distinct from health care coverage. However, your oral health goes far beyond being able to chew nutritious and enjoyable foods. Oral health problems may be an indicator of a variety of other health problems.

Links between Oral Health and Overall Health

In the late 1980s, researchers noticed a trend among patients who had recently suffered from heart attacks. As the Journal of the American Dental Association reported, they observed that these patients were more likely to have dental caries or cavities, periodontitis or inflammation around the tooth, and other forms of gum disease. Later studies found similar results, and dentists and doctors now recognize poor oral health as a risk factor for a variety of heart conditions, such as heart attacks, atherosclerosis, and coronary heart disease.

There are even more links between oral health problems and overall health problems. Some individuals do not find out that they have Type 2 diabetes until a dentist sees that they have periodontitis. If you have diabetes, worsening periodontitis can indicate that your diabetes is not under control.

Poor oral health is also associated with rheumatoid arthritis. Furthermore, poor oral health puts you at higher risk for respiratory infections, such as pneumonia, because harmful pathogens can enter your body through your mouth.

Take Care of Your Teeth

Keeping your teeth healthy remains important, especially as you grow older. Older adults are more prone to dental caries and other oral health problems, as well as to chronic diseases. While taking care of your oral health might not prevent a specific disease, a healthy mouth is a significant factor in your overall health.

You can take care of your teeth by continuing to brush twice a day and floss every day. Avoid consuming too many sugary and starchy foods, and drink water after each meal or snack to rinse your teeth. See Dr. Mischley for regular checkups, and contact Kevin P. Mischley, DMD if you have any concerns about your teeth or gums.

Best Tips to Make Your Teeth Look Whiter

December 7th, 2016

Your teeth were once naturally white and bright. Wouldn't it be great to keep them that way all of your life? Unfortunately, everyday living can dim our smiles. Food, coffee, some juices, and soft drinks can stain your teeth. Poor brushing and flossing can also leave tooth stains. Injuries to teeth or gums can cause some yellowing as well, and in some cases, medicines can discolor teeth.

So, you may need some extra help to maintain or restore your teeth's natural beauty. Here are some of the best ways to whiten your teeth:

1. Reduce additional staining by drinking with a straw or cutting back on coffee and soft drinks.

2. Brush and floss every day.

3. Try a whitening toothpaste or mouthwash.

4. Visit our office for teeth cleaning and an exam every six months.

We can also help you whiten your teeth with in-office professional teeth whitening at our Walpole, MA office. These whitening products are much more effective than whiteners you can buy at the store and are completely safe. Since they're stronger, application by a member of our team is essential to achieve the best results.

Some teeth can resist bleaching. If that's the case, we can try several techniques:

  • Deep bleaching that applies whitening agents over several visits.
  • Veneers and bonds that cover existing stains with a whiter, brighter surface.
  • Laser whitening that uses light to clean stubborn stains off teeth.

Take Care!

You may come across “bleaching stations” in shopping malls or at fairs. Avoid using these as the so-called whitening techniques can irritate your teeth and gums, leaving them highly sensitive to pain. Note too, that the operators of these whitening stands will make customers apply the bleach themselves, to avoid charges of practicing without a license. That should serve as a red flag and a caution to seek trained professionals, like Dr. Mischley, instead.

The Evolution of the Toothbrush

November 30th, 2016

Oral hygiene has always been an important part of maintaining overall health. For thousands of years, humans have found ways to keep their teeth and mouths clean. According to the American Dental Association (ADA), “early forms of the toothbrush have existed for nearly 5,000 years.” But what exactly did the first toothbrush look like?

Toothbrush Timeline

With help from The Library of Congress, Dr. Mischley and our team have compiled a timeline with some interesting details about the evolution of the toothbrush:

  • 3000 BC – Perhaps the earliest form of the toothbrush, the “chew stick” was used by Ancient civilizations. People would rub this thin twig with a frayed end against their teeth to remove food and plaque.
  • 1498 – The bristle toothbrush was invented in China and had many similarities to the toothbrushes used today. These devices were made by attaching the stiff, coarse hairs from the back of a hog’s neck to handles that were typically made from bone or bamboo.
  • 1938 – Signaling the end of the boar bristle, Dupont de Nemours introduced nylon bristles, and Americans welcomed Doctor West’s Miracle Toothbrush, the first nylon toothbrush.
  • 1960 – The Squibb Company introduced Broxodent, one of the first electric toothbrushes, to the American market.

Toothbrushes Today

Today, there are many brands of toothbrushes that often advertise different benefits. The variety of options may seem overwhelming, but the most important thing is for you to find a toothbrush that you like and find easy to use.

The ADA recommends that you choose a toothbrush that fits comfortably and allows you to effectively reach all areas of your mouth. Whether you decide to use a manual or a powered toothbrush, make sure that you thoroughly clean all surfaces of your teeth twice a day.

Society has come a long way since the days of the chew stick, but one thing that remains the same is the importance of consistent and effective personal oral hygiene.

Toothache: A dentist or the emergency room?

November 23rd, 2016

Emergency care dentists are equipped to handle any tooth emergency. Seeing us first takes less time than having to sit in a hospital emergency room, only to be told to see a dentist. When dental emergencies occur, seek emergency care with Kevin P. Mischley, DMD as soon as possible. We are prepared and equipped for any type of dental emergency: day or night, seven days a week, we stand ready to advise and treat you with great dental care.

There are several types of dental emergencies, but only one or two should require a hospital emergency room visit. If you suspect you have a broken jaw or nose, emergency medical attention is required. For pain associated with teeth and gums or injury to a tooth, Kevin P. Mischley, DMD is the better choice. Dental pain almost always becomes worse without treatment, and can create other serious health issues.

If a tooth has been traumatized or knocked out of your mouth, our team can treat the sensitive nerves and tissues that could be damaged. If you can replace the tooth quickly enough, chances are it can be saved. There are certain precautions to take during a dental emergency that could help preserve a tooth until you can see our professional dentists for emergency dental care.

Call our Walpole, MA office at the first onset of pain. If you have lost a tooth, crown, or filling, try to keep the tooth or restoration moist. Teeth are strong, but they will crack and shift after an injury or the loss of a bridge or crown. If the crack extends to the root, or the loss of a tooth or crown leaves sensitive tissue or nerves exposed, the pain can be excruciating. Our emergency care dentists will always treat your pain immediately upon examination, and fix the problem or advise you of a plan to address the cause of the pain.

Make your appointment immediately if you have suffered an accident-causing tooth injury. If the pain is the result of decay or cavities, medication for infection may be necessary. Depending on the extent of the decay, a filling, extraction, or root canal may be recommended. These treatments are not available in a hospital emergency room, but can be completed quickly and comfortably at Kevin P. Mischley, DMD .

Top Five Things to Keep Your Dentist Smiling

November 16th, 2016

Come say hello twice a year. The American Dental Association says two times is the charm. Multiple visits a year lets us keep an eye out for any developing issues. It’s important to remember that this goes for the whole family. Children over one year old should be seeing Dr. Mischley!

Stay fresh. At Kevin P. Mischley, DMD, we have a virtually unlimited stock of toothbrushes and floss, which means you have no excuse to be using a sad, ineffective toothbrush. As soon as bristles begin to fray, pick up a new one or stop by our Walpole, MA office and we’ll replace yours. On average, you should be opening a new one every two to three months.

For goodness sake, floss! Flossing is an efficient way to keep your whole mouth healthy. It not only protects your teeth by removing aggregated plaque, it keeps your gums happy, too.

And brush. Practicing regular healthy habits is essential to keeping your mouth—and us—happy! When it comes to brushing that means two minutes, two times a day. If your kids need some encouragement, try making a calendar or playing a song like this.

Tell a friend. One way you can help us is by spreading the love. Tell your friends about what a good thing we’ve got going here. The more the merrier. And the healthier.

Headaches, TMJ, and Dentistry

November 9th, 2016

That ache in your head may stem from your jaw. If your jaw falls out of alignment, you could have temporomandibular joint disorder, or TMD.

It's not clear what causes TMD. Obesity may factor in. Stress and pressure on the jaw may also contribute. A misaligned bite (that is, where your upper and lower teeth don't fit together when you close your mouth) may cause TMD symptoms, too.

TMD can affect your life and your health by making it painful to eat and hard to sleep. Some people find the nagging pain difficult to bear.

Symptoms of TMD include:

  • Recurring headaches with no other cause
  • Pain along and behind your ears
  • Pain in your cheeks or lower face
  • Clicking noises when you talk or chew
  • Tired or sore jaw muscles after eating
  • Limited jaw movement

If you experience the symptoms listed here, make an appointment with our office. We’ll take an X-ray to look at your bite, and determine if TMD could be the culprit. If you have TMD we can offer a number of treatments, including:

  • Relaxation and stress reduction techniques
  • Pain reduction recommendations, which might involve visualization or medication
  • Jaw joint exercises that can help reduce stress and improve your alignment

Left untreated, TMD headaches and other symptoms can become quite severe. If you suffer the symptoms of TMD, you do not have to live in pain. Make an appointment at our Walpole, MA office to learn how we can reduce your pain and restore comfort to your life.

Does getting a dental implant hurt?

November 2nd, 2016

Getting a dental implant is a surgical procedure and everyone’s pain tolerance level is different. Therefore, what one person may perceive as pain is only a slight discomfort for another person. The general consensus about pain and dental implants is that the majority of people feel discomfort, not pain.

A dental implant is a complex procedure. Let’s take a look at what may cause discomfort:

  • Some people may find that having the IV put in is uncomfortable, especially if the healthcare worker has to try more than once. If you have a fear of needles or if you have anxiety about the procedure, we can prescribe a sedative, which you take before you arrive.
  • Of course, during the dental implant surgery, you will be asleep. Therefore, you will not feel any pain or discomfort at all.
  • When you awake from the surgery, your mouth should still be numb. In many cases, we can give you a “block” – it is basically a 24-hour pain medication, so you will not feel any pain or discomfort at all.
  • We will also provide you with a prescription for a strong pain killer, and you will most likely sleep while you are taking them. If you are still in pain, do not take more than is prescribed without calling us first. You will need someone to stay with you for 24 hours after the surgery, and they will be instructed on how to give you any prescription medication. The anesthesia tends to make people a bit loopy and forgetful the first 24 hours.
  • After the first 24 hours you may feel some discomfort. The most important thing you can do is take your pain medication regularly, whether you are taking the prescription medication or an over-the-counter pain reliever such as Tylenol or Advil.
  • You should not need pain medication for more than the first few days.

Most people do say there mouth is sore and they have to be careful what they eat, so it’s best to stick to soft foods. If you have any additional questions, please contact our Walpole, MA office and speak with Dr. Mischley.

How do I avoid bad breath?

October 26th, 2016

At Kevin P. Mischley, DMD, we see a lot of patients who are concerned about their bad breath, also known as halitosis. So today we thought we would educate our patients about what you can do to keep your pearly whites clean and your breath minty fresh!

Naturally, good oral hygiene on your part is the first step. With proper brushing and flossing you can keep halitosis in check. Even though you may have done an excellent job of brushing and flossing your teeth, if you fail to brush your tongue, you may still have bad breath. Bad breath is caused by odor-producing bacteria that grow in your mouth. Certain foods, medications, smoking, sinus issues, or even gum disease can cause bad breath.

Besides proper brushing and flossing, bad breath can be prevented if you:

Stop smoking/chewing tobacco-based products: Ask Dr. Mischley and our team for tips on kicking the habit.

Keep your mouth hydrated: Because a dry mouth typically leads to bad breath, drinking water or eating oranges or celery may help.

Visit our Walpole, MA office for regular dental checkups: By visiting Kevin P. Mischley, DMD at least twice a year, you will keep bad breath at bay. Dr. Mischley will conduct an oral exam and will be able detect and treat periodontal disease, dry mouth, or other problems that may be the cause of bad mouth odor.

Aging and Dental Health

October 19th, 2016

As you grow older, your mind may be preoccupied with the health of your bones, heart, or brain. However, our team at Kevin P. Mischley, DMD will tell you that keeping your teeth healthy is an equally important part of the aging process. Older adults are at increased risk for a variety of oral health conditions, which makes it essential for you to speak with your dentist to create a prevention plan that’s best for you.

Oral health conditions associated with aging

Just as the rest of your body continues to change as you age, your mouth changes, too. Certain conditions become more likely to develop as you reach older adulthood, including:

  • Dry mouth. Although your salivary glands continue to produce saliva as you get older, medications and chronic health problems often cause dry mouth.
  • Root decay. Your teeth have lasted you a lifetime, but improper nutrition or cleaning may lead to decay at the roots of your teeth.
  • Diminished sense of taste. Your eyesight and hearing aren’t the only senses affected by aging. The ability to taste naturally diminishes over the course of older adulthood.
  • Tissue inflammation. Are your gums tender, bleeding, or inflamed? Tissue inflammation may indicate gum disease or may be a consequence of wearing dentures that don’t fit well.
  • Oral cancer. Risk for most cancers increases with age, and oral cancer is no exception. Older adults are at increased risk for oral cancer compared to younger individuals.

Ways you can prevent dental problems

Fortunately, many age-related oral health problems are preventable. Begin by improving your diet to include plenty of fruits and vegetables. Choosing water over coffee or soda will keep your teeth whiter and cavity-free. Also remember to practice good brushing habits to prevent cavities and gum disease.

Visiting the dentist at least twice a year is vitally important when you reach older adulthood. Your dentist is familiar with your oral health and may be the first person to notice a sore, discolored patch, inflammation, or other abnormality that indicates oral cancer or gum disease.

If you’re experiencing any problems with dental health, let your dentist know immediately. Together, you can troubleshoot solutions and create a plan that keeps your mouth and gums healthy.

For more information, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

What stinks?

October 12th, 2016

Spilling soda on someone’s white shirt, telling an off-color joke at an inappropriate time, or sneezing chewed food all over the dinner table all pale in comparison to the socially unacceptable, embarrassing blunder of having ... bad breath!

Five Possible Causes of Halitosis

  • Poor oral hygiene practices. Failing to brush your teeth encourages anaerobic bacteria growth, which involves a type of bacteria that emits volatile sulfur compounds (gases) responsible for smelly breath.
  • If you have tonsils, you may have tonsil stones embedded in the fissures of your tonsils. Tonsil stones are hard, tiny pieces of bacteria, dead oral tissue, and mucus that form inside tonsil crevices. When accidentally chewed, they release extremely foul odors that others can smell and you can actually taste.
  • You have a chronically dry mouth due to medications, allergies, or persistent sinus conditions that force you to breathe through your mouth. Anaerobic bacteria thrive in dry, stagnant environments where oxygen content is minimal. Consequently, a dry mouth tends to lead to smelly breath.
  • You have acid indigestion or GERD (gastroesophageal reflux disease). If you constantly belch stomach gases, this not only causes your breath to smell fetid but it can lead to enamel erosion and tooth decay.
  • You have one or more oral diseases: gingivitis, periodontitis, or infections in the gums known as abscesses.

Improving oral hygiene practices may eliminate bad breath, but if brushing, flossing, and rinsing with a fluoride mouthwash twice a day doesn’t stop people from backing away from you when you open your mouth, it’s time to visit Kevin P. Mischley, DMD.

Getting to the Bottom of Chewing Gum Myths

October 5th, 2016

It's a moment many of our patients have experienced. One second you're chewing on a piece of gum, then suddenly you forget to keep chewing and swallow the entire rubbery gob whole! It's at this point you remember your mother warning you as a child that if you swallow gum it will stake a claim and take up residency in your belly for seven years. Dr. Mischley and our team at Kevin P. Mischley, DMD hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter your stomach and move through your digestive system just like any other piece of food. So, if you ever accidentally swallow a piece of gum, there is no need to worry!

That being said, it's important to know that gum does not have any dietary benefits, so while it’s not exactly harmful to swallow, you still want to avoid swallowing it. If you are an avid gum-chewer, we encourage you to chew sugarless gum, especially if you are wearing braces, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but has fewer cavity-causing ingredients. In fact, many brands contain an additive called xylitol, a natural sweetener known to fight cavity-causing bacteria. Xylitol is also known to increase salivary flow as it rinses away plaque and acid.

The fact is, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long-term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!

If you have any questions about chewing gum, please contact our office. Happy (sugar-free) gum chewing!

How do I care for my dental implant?

September 28th, 2016

Dental implants are designed to be strong and durable, able to withstand the everyday rigors of chewing and biting, but to keep them functioning the way they should and looking their best, you need to care for them properly. Luckily, dental implant care is fairly straightforward; in fact, your implants can be cared for the same way you care for your natural teeth, with regular brushing and flossing performed correctly, as well as regular visits with Dr. Mischley to ensure your implants, the neighboring teeth, and your gums are as healthy as possible.

Before the actual replacement tooth is attached to the implant post, you may want to avoid harshly abrasive toothpastes, such as those with baking soda or those designed to get rid of significant staining. These abrasives may damage the threads of the posts or irritate the gum and soft tissue surrounding the posts, causing inflammation or bleeding.

As the implant heals and “settles in,” a special kind of protective tissue called “keratinized” tissue will form where the implant meet the gum. This natural development in healing helps ensure the implant post and the soft tissue beneath the gum line are protected from bacteria.

As you care for your implants, always look for signs of infection, like swollen, tender, or bleeding gums – just as you would with your normal teeth. If you're nervous about caring for your implants or you feel you may be reluctant to floss around them, ask our team to provide you with care tips and walk you through the process of flossing.

Your implants represent a considerable investment both in time and money, so it's only natural you'd want to be sure you're doing all you can to keep them in top shape. Remember: dental implants are designed to replace your natural teeth, and they're also designed to be cared for in much the same way as you care for your natural teeth. Although you may be a little nervous at first, you'll soon become as used to your new implants as you are to your natural teeth, and caring for them will become second nature.

More questions? Simply as at your next visit to our Walpole, MA office!

Happy Gums, Happy Heart!

September 21st, 2016

Medical doctors and dental health professionals, like Dr. Mischley, have debated over the connection (or lack thereof) between gum disease and heart disease. While there still is no unanimous consensus on whether there is a link – or the extent to any link there may be – several studies offer some interesting insight into possible correlations that may prove that there are some common factors that point to a likely correlation between the two.

Could there be a link between gum disease and heart disease?

Dr. Simone Ricketts reported on the findings of an Australian study of 80 patients in Profile Magazine. That study showed that 70% of the patients who participated in the study and needed heart transplants also had gum disease. She noted that other studies show a similar pattern, indicating that patients who needed heart transplants or other cardiac surgery procedures, were more likely to have dental problems.

Not Just Heart Disease Linked to Gum Disease

It isn’t just heart disease that experts are linking to periodontal disease, however. More and more evidence is showing that many chronic inflammatory diseases such as diabetes can be linked to periodontal disease. Poor oral hygiene resulting in gum disease was evident in blood tests that showed positive markers for inflammation.

Experts looked at a combination of over 120 medical studies focusing on a link between dental health and heart health. The findings of that research were published in the Journal of Periodontology and the American Journal of Cardiology. While there was no agreement on a definitive link, the research showed some promising results, and offer information that may be helpful to both dental health professionals and their patients.

On its own, gum disease increases the risk of developing coronary artery disease. Data from the National Health and Nutrition Examination Survey (NHANES) showed that gum disease increases the risk factor for blood vessel and artery diseases when those arteries supply blood to the brain.

This is especially important for strokes because they are a common cause of inadequate blood flow to the brain. Data from another study of 50,000+ people found a higher risk of stroke among people with gum disease and tooth loss.

The study did, however, show two very important connections between gum and heart disease:

  • Both the gums of people with gum disease and the blood vessels of people who had atherosclerosis tested positive for similar types of bacteria.
  • Both patients with atherosclerosis and those with gum disease showed the presence of inflammation in their bodies.

Patients need to understand the importance of taking care of their mouths and doing whatever is necessary to ensure or support heart health – even if there is no guarantee that doing so will prevent either disease.

Oral Health Concerns for Teens

September 14th, 2016

You have a lot more freedom as a teenager than you did as a young child. You also have a lot more responsibilities, and one of your jobs is to take care of your teeth. Develop and maintain good dental habits now so you can have great dental health for life!

Tooth Decay

As a teenager, you risk tooth decay, or dental cavities, if you are not careful. In fact, 59% of adolescents aged 12 to 19 have at least one cavity, according to the National Institute of Dental and Craniofacial Research. Dr. Mischley and our staff recommend keeping your teeth strong and healthy by brushing at least twice a day and flossing every day.

If you suspect that you have tooth decay, do not be embarrassed. Instead, ask your parents to bring you to Kevin P. Mischley, DMD to get it looked at. When you do not treat your dental cavities, they can turn into more serious problems. A severely damaged tooth may need to be treated with a root canal or even an extraction.

You can take easy steps to prevent tooth decay when you are at school or hanging out with your friends. Carry a bottle of water around with you so you can take a sip after you eat any kind of food. Choose water or milk instead of soda or sports drinks, and if you chew gum, select a sugar-free flavor.

Other Oral Health Concerns

You can probably think of many reasons why you should not smoke or use tobacco. Your oral health is another one. Tobacco gives you bad breath and stains your teeth yellow. It also increases your risk for gum disease and cancer of the mouth. Smoking even slows the speed of healing after you have dental procedures done.

Here are a few more tips that can keep your mouth attractive and healthy during your teen years.

  • Drink plenty of milk.
  • Limit candies and sugary snacks.
  • Wear a mouthguard if you play a contact sport.
  • Visit Kevin P. Mischley, DMD twice a year.
  • Reduce infections and avoid piercing your tongue and lips.

You only get one set of permanent teeth in your life, so get in the habit of taking care of them now!

What was your favorite part of summer?

September 7th, 2016

It's the end of summer, and fall is just around the corner. Soon the temperatures will cool down, the leaves will start to change, and Dr. Mischley and our team at Kevin P. Mischley, DMD are sure that you’ll soon be thinking about Halloween costumes and Thanksgiving plans in no time. But wait! First, we want to know about your favorite parts of the summer! Did you go on a wonderful family trip? Did you pick up a new hobby? Did you try to spend as much time outside and in the sun as possible?

Share your favorite memories, stories, or photos with us by leaving a comment below or on our Facebook page.

Dental Infections

August 31st, 2016

Dr. Mischley and our team at Kevin P. Mischley, DMD will tell you that dental infections can be very serious; sometimes, they develop into a life-threatening situation. Cavities are caused by acid-generating microorganisms that deposit themselves on teeth surfaces. Over time, acid erodes tooth enamel, compromising tooth strength. The major culprit or cause of cavities is sweets, but even diet soda plays a substantial role in tooth erosion, largely because the phosphoric acid it contains alters the oral pH. Cavities can pave the way for other, more serious infections to develop.

Types of infections

Pulpitis

Pulpitis is an inflammation of the tooth pulp. It typically occurs when cavities get deep enough to allow infection to reach the pulp. When this happens, bacteria travel through the pit or fissure that the cavity created. It can also develop from a fractured tooth. The symptoms may include moderate pain that comes and goes. Pain may intensify when cold liquids touch the pulp.

Periodontitis

Periodontitis is a consequence of chronic gingivitis, which occurs when the supportive bone structure of the tooth erodes, causing the periodontal tooth ligament to detach from the tooth. Kids between the ages of 12 and 17 and adults over age 30 are most likely to develop this disease. In severe cases of periodontitis, a periodontal abscess may form. Symptoms of the infection typically include redness, sensitivity to touch, and swelling.

Pericoronitis

Pericoronitis is an infection that occurs when food particles and other microorganisms get trapped under gum flaps. It typically happens when impacted wisdom teeth erupt. Pain at the site of the infection is a common symptom. You should try to prevent food particles from lodging in the gingivitis flaps.

Dental abscesses

A dental abscess is one of the most serious dental infections anyone can get. It begins at the base of the tooth, but without treatment can spread rapidly. When the abscess is more severe, the bacteria spread, often very rapidly, and cause severe facial swelling, pain, and discomfort.

The best way to minimize the risk of developing a dental infection is by practicing good oral hygiene, making sure that food or other particles aren’t trapped between the teeth for too long, flossing, using oral rinses that bear the ADA seal of approval, and seeing the dentist regularly. If or when there are any symptoms of infection, even if the only symptom is pain, be sure to visit the dentist. Early intervention may prevent the infection from escalating into something far more severe, painful, and costly to treat.

To learn more about dental infections, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

Are dental implants painful? What You Need to Know

August 24th, 2016

Whether it is the result of tooth decay, gum disease, or injury, millions of people suffer tooth loss. Dental implants provide a strong replacement tooth root for fixed replacement teeth that are designed to match your natural teeth. Of course, there is one question all patients have about dental implants: are they painful?

Dental implant placement is performed under local or general anesthesia and is not considered a painful procedure. However, if the surgery is more complicated and involves bone or tissue grafts, there may be slightly more discomfort and swelling. At the same time, every patient has a different threshold for pain, so what may bother one person may not bother another. If you experience any pain from dental implants, there are several things can do to relive it.

Relieving Pain from Dental Implants

1. The initial healing phase can last up to seven to ten days. Over-the-counter painkillers such as Tylenol, Ibuprofen, and Motrin work well to alleviate any pain or discomfort you may experience. However, only take these if instructed to by Dr. Mischley.

2. Once you leave our Walpole, MA office, you can reduce inflammation and any swelling to your cheek or lip by holding an ice-pack on your face over the implant area.

3. Your gum will be tender for the first few days. We often recommended that you bathe your gums with warm salt water.

4. Steer clear of crusty or hard foods for the first day or two. Ice cream, yogurt, and other soft foods are ideal as your gums will be tender.

5. Dental implants are a relatively straightforward oral procedure. Many people take time off from work to have dental implant surgery, and then return to regular activities. However, if you are feeling any pain or discomfort, there is nothing wrong with taking the day off, relaxing, and putting your feet up.

There is typically no severe post-operative pain with dental implants. When most people return for a follow-up appointment about two weeks later, they often say that getting a dental implant was one of the least painful procedures they’ve experienced.

What can I expect during my implant procedure?

August 17th, 2016

Dental implants are a surgical procedure done by Dr. Mischley right here at our Walpole, MA office. Screw-like parts made of titanium are inserted into your jaw bone and act as the root of your tooth. An artificial tooth will be placed on top of the screw, usually made out of ceramic or layered porcelain. The dental implant will look and feel just like the natural tooth you lost.

How much time will the dental implant surgery take?

There are numerous factors that determine the length of time for the dental implant procedure:

  • If you’re having one tooth replaced or several
  • The teeth that are being replaced
  • If you need a tooth or teeth extracted before the implant placement
  • The amount of time it takes for your IV to be placed
  • Any last minute questions or concerns you may need addressed

All of the above factors will also govern the amount of visits to our Walpole, MA office you will need to make throughout your dental implant treatment period. For example, a single tooth dental implant surgery typically takes one to two hours from the time you arrive until you awaken from the anesthesia. This also includes the amount of time it takes to put on your gown, hair cap, and other surgical dressing preparations before you are able to enter the sterile surgical environment.

Does getting an implant hurt?

With nearly any surgical procedure, you will feel some sort of discomfort. Whether it is the insertion of the IV for the anesthesia, or discomfort you may feel after the surgery. However, most patients report that their pain was tolerable after their dental implant surgery. In fact, the majority of patients said the discomfort was a lot less than they expected. Dr. Mischley will prescribe pain medications to help with any discomfort you may experience once you get home.

How will I feel after the dental implant treatment?

It is normal to have some bruising and swelling in the soft tissue and gum area. Usually the pain or discomfort does not require the use of anything more than an over-the-counter pain medication such as Tylenol or ibuprofen. In addition, you will have the prescription for a stronger pain medication if you need it. You should be able to work the following day.

TMD Problems and How You Can Prevent Them

August 10th, 2016

Temporomandibular joint disorders (TMD) describe a set of conditions that involve trouble with your jaw and face muscles. They result from a problem in the temporomandibular joint (TMJ), which is a hinge that connects the temporal bones, in your skull in front of each ear, to your jaw. The joint enables you to talk, yawn, and chew by letting your mouth move.

TMD can be very painful and interfere with functions such as eating and speaking. This what to watch for and how to try to prevent TMD.

Risk Factors for TMD

You are at higher risk for TMD if you are a women than if you are male. The disorder is most common among adults between the ages of 20 and 40 years. Other risk factors for TMJ disorders include the following.

  • Arthritis in the area, making movement more difficult
  • Excessive tooth grinding, because it increases stress on the joint
  • General stress, which can lead you to clench your teeth and strain facial muscles

Symptoms of TMD

Symptoms of TMD can last for just a short while, or for several years. Seeing Dr. Mischley is important if your symptoms make it impossible for you to eat regularly or if you have unbearable pain or discomfort. The following symptoms can occur on both or one side of your face.

  • Aching or very tired facial muscles
  • Jaws that are fixed open or shut without you being able to unlock them
  • Grating or popping sounds when you chew or close or open your mouth
  • Pain in the entire area, including the mouth, jaw, neck, or shoulders, that comes on when you chew or yawn

Preventing TMD

You can try to prevent TMD by focusing on reducing risk factors. If you grind your teeth at night, ask Dr. Mischley about wearing a mouthguard. If you are overly stressed, look into ways to better manage your stress and relax your muscles. Another strategy for trying to prevent the development of TMD is to avoid chewing gum, since that puts stress on your jaw.

If you have questions about TMD, don’t hesitate to contact our Walpole, MA office.

What causes tooth loss?

August 3rd, 2016

When children lose baby teeth, it’s a time to rejoice. But when adults suffer from tooth loss, it may be a sign of a serious problem. That’s when it’s time to give us a call at Kevin P. Mischley, DMD.

What are the reasons for missing teeth?

The loss of permanent teeth can occur for a variety of reasons, ranging anywhere from hereditary factors to tooth decay to traumatic injury. Here are the following reasons why adults suffer tooth loss:

  • Gum disease: The number one cause of lost teeth in adults is gum disease, also known as periodontal disease, an infection of the structures that support the teeth. Once gum disease reaches and destroys the alveolar bone, the teeth begin to loosen and will eventually fall out or need to be extracted.
  • Tooth decay: If cavities are left untreated, they can destroy tooth structure as well as cause infection in the supporting bone.
  • Tooth injury: An injury can either knock out a tooth immediately or cause damage to the root or pulp that will later require extraction. We recommend using a mouthguard if you play sports.
  • Tooth fracture: A fracture in a tooth is often caused by teeth grinding, or what Dr. Mischley and our team call bruxism. A crown may be the answer, but depending on the location of the crack or fracture and how deeply it extends, the tooth may not respond well to repair with a crown and may need to be extracted instead.

What are the risk factors for tooth loss?

  • Poor oral hygiene: Patients who only occasionally brush or floss their teeth are more likely to develop tartar, plaque buildup, and other bacteria that cause decay.
  • Not visiting the dentist: Seeing Dr. Mischley every six months for a cleaning and checkup prevents any developing oral health issues, as well as ensures that plaque and tartar do not build up over time.
  • Smoking: Smokers and users of smokeless tobacco are more likely to develop periodontal disease that can cause tooth loss. If you are a smoker it is crucial to visit us on a timely schedule.
  • Various health conditions: Patients with high blood pressure, diabetes, rheumatoid arthritis, and other chronic health issues are more likely to suffer from gum disease.

Scheduling an appointment with Dr. Mischley at our Walpole, MA office will give you an accurate diagnosis and a variety of treatment options. It’s important to know that periodontal disease is “silent,” meaning you will not always experience pain as a signal of infection. When caught early, treatments are usually successful.

Give us a call today to schedule your next visit!

Help! My gums hurt when I floss!

July 27th, 2016

By no stretch is it rare for your gums to hurt during and after flossing. Even some bleeding is to be expected. This is especially true if you have not flossed in a long time. However, if your gums do indeed hurt when you floss, and unbearably so, there are some things you can do.

Be Gentle

Perhaps the most obvious way to combat gum soreness and bleeding is to be gentle. One of the most common occurrences of these gum problems is over-aggressive flossing. In other words, if you are too rough on your gums while flossing, either because you are out of practice or because you are in a hurry, soreness and hurting is to be expected. Instead, try taking your time and be gentle. Also, if you are just starting out, be patient and consistent, your gums will become more conditioned over time.

Use an Alternative Method

If being consistent and gentle does not work, there are other alternative methods of flossing that you can try. You can also try a water floss machine, or what is sometimes called a water pick. The device essentially shoots water into the crevasses between your teeth, and in other areas of your mouth, in order to dislodge food and plaque. These oral instruments also come with different attachments that allow you to reach many of the hard to see and reach areas of your mouth. And lastly, you can always buy floss that is not as abrasive to your gums. There is floss that comes with soft and gentle coatings that will do less harm to your gums while they are adjusting to the good oral hygiene habit you are creating.

Flossing is one of the easiest parts of oral hygiene to overlook. When you first start out, it is common that you may want to stop because of the pain it can initially cause. However, if you try one, or all, of the above mentioned methods, you will give yourself the best chance of being success with your flossing, and it won't hurt as much.

For more flossing tips, schedule an appointment at our Walpole, MA office and askDr. Mischley or a member of our team!

Canker sores, cold sores, and mouth sores: What's the difference?

July 20th, 2016

At Kevin P. Mischley, DMD, we know many people have experienced some form of mouth sores or irritation. Some mouth sores are harmless and go away on their own after a few days, while others are more serious and should not be ignored. Mouth sores occur for many different reasons, but bacterial infections, viruses, or funguses often trigger them. The best way to tell the difference between a canker sore and a cold sore is that canker sores occur inside the mouth while cold sores occur on the outside the mouth.

The most common mouth sores are:

Canker sores: A non-contagious, small, grayish ulcer with a red border, canker sores appear inside the mouth. While outside factors such as stress, fatigue, or allergies may increase the chances of developing a canker sore, most health experts believe they stem from bacteria or a virus that attacks the immune system. Canker sores typically heal within a week or two.

Cold sores: Also called fever blisters, cold sores are contagious groups of fluid-filled blisters that often erupt around the lips and sometimes under the nose or around the chin. Cold sores are the result of the herpes simplex virus, and once infected, the virus remains in the person’s blood stream.

Leukoplakia: A potential warning sign of oral cancer, leukoplakia is a premalignant lesion that appears as a white patch on the inside of the mouth, tongue, or gums. The lesions, which are caused by excessive cell growth, usually afflict those who smoke tobacco. Dr. Mischley may choose to have the lesion biopsied if the outbreak appears severe.

Oral candidiasis: Also called oral thrush or moniliasis, this condition is caused by the overgrowth of a type of yeast called candida. Common symptoms of oral candidiasis include white spots inside the mouth and on the tongue, redness or discomfort in the mouth area, sore throat,difficulty swallowing, and cracking at the corners of the mouth. It is important to visit Dr. Mischley if you have oral candidiasis. If left untreated, it may infect your bloodstream, which can be very dangerous. Healthy adults do not usually get thrush, and the condition is most often seen in infants, the elderly, patients undergoing chemotherapy, or people with AIDS or other diseases that are known to weaken the immune system.

Should you have a mouth sore that lasts a week or longer, we encourage you to give us a call and schedule an examination at our Walpole, MA office.

Is gingivitis preventable?

July 13th, 2016

The earliest sign of gum disease is called gingivitis (sometimes called periodontal disease), and is an inflammation of the gums. If left untreated, gingivitis can lead to gum tissue loss, loss of bone that supports the teeth, and eventually tooth loss. The good news is that gingivitis is easily treatable at Kevin P. Mischley, DMD. Better yet, gingivitis is nearly 100 percent preventable.

Gingivitis is usually caused when plaque and bacteria accumulate on the gums, generally due to poor oral hygiene. A patient with gingivitis will have red and puffy gums that will likely bleed when he or she brushes or flosses.

It is almost entirely within our patients’ power to prevent gingivitis by brushing and flossing on a daily basis. In addition to good oral health habits, regular visits to see Dr. Mischley will also help with early detection. We can often detect minor inflammation and other signs of gingivitis before it causes any discomfort or issues.

If left untreated, gingivitis will eventually progress to periodontitis, a breakdown of the tissue and bone that support the teeth. Smokers, women who are pregnant or menopausal, people with heart disease, diabetes, epilepsy or HIV infection, and people who suffer from poor nutrition are more likely to have gum disease.

To learn more about gingivitis, or if you suspect you have gingivitis, we encourage you to give us a call at our Walpole, MA office today!

Tell us about your summer!

July 6th, 2016

The dog days of summer are upon us, and what better time for Dr. Mischley and our team to ask our patients about their summer!

Whether you visited our nation’s capital, went on a camping trip, or just stayed in Walpole, MA and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!

What are dental crowns?

June 29th, 2016

A dental crown is often called a “cap.” A dental crown covers all of the visible parts of the tooth and has many functions and reasons for placement.

There are several different types of crowns available at Kevin P. Mischley, DMD. They vary in their material, appearance, and functionality. A PFM, or porcelain fused to high-noble metal, is the most common. A full cast, high noble metal crown is a gold crown, and a stainless-steel crown is meant to be temporary. The most natural-looking crown is one that is all porcelain. These are often used for front teeth.

Getting a crown typically requires two appointments. The first is a preparation with impressions, shaping, and placing a temporary. The impressions are either sent to a dental lab, where the process generally takes two weeks, or done in-office with a machine that can make a crown without needing a second appointment. These crowns are made from a high-quality solid block of porcelain. The shape of the tooth is constructed from a digital 3D image of your tooth.

To accurately determine which type of crown is best, you must first know why you need the crown and in what area of your mouth is it needed, which can be answered when you visit us at Kevin P. Mischley, DMD. For instance, if you have a gold crown on the lower right and need a new crown directly above on the upper right, the best durability and long-lasting relationship is another gold crown.

If you need a crown on a front tooth, a gold crown may not be the best choice. A PFM has strength but is not ideal, as a dark line will appear at the gum line. A full porcelain crown is going to look as close to a natural tooth as possible, but will have less strength than a gold crown.

There are two types of porcelain crowns, depending on how they are made. A dental lab makes a full porcelain crown by baking layer upon layer to make the porcelain look like natural enamel. A full porcelain crown made in-office out of a solid piece of porcelain will have increased strength. However, the natural layered appearance is extremely difficult to achieve.

A crown is placed on a tooth when added strength is needed. Cracks, large broken-down fillings, or previous root canal treatment are all conditions where a crown is the standard care. The type of crown that is most appropriate depends greatly on location.

Warning Signs of Impacted Wisdom Teeth

June 22nd, 2016

You might suspect that your wisdom teeth are starting to emerge, but knowing the signs of impacted wisdom teeth can help you be more proactive about your dental care. Impacted wisdom teeth can be extremely painful and can make your life truly miserable until they are removed. Therefore, looking for the early warning signs listed below, and seeing Dr. Mischley if you experience them, can help you conquer the problem before it conquers you.

There are three primary signs of impacted wisdom teeth. While every person may not have all three of these signs, you can usually expect to experience at least one of these if your wisdom teeth are impacted.

Unusual Pain

If you are feeling a type of teeth pain you've never felt before, especially when it is focused in the back area of your jaw, this may be a sign that you have a tooth impaction. You may be fortunate enough to catch it early, before all of your wisdom teeth become impacted, if you see Dr. Mischley as soon as you feel the pain.

Swollen Jaw

If your jaw is suddenly swollen and the area feels tender to the touch, you have a high chance of having an impacted tooth. Since the wisdom teeth are set so far back in your jaw, the swelling tends to show itself low in the jaw, towards the ears, when they are impacted.

Bleeding Gums

If your gums are bleeding, something you may notice when you see a pink or red tinged toothbrush, you may be dealing with a wisdom tooth issue. When the wisdom teeth are impacted, they put a lot of pressure on your back teeth and gums, which often leads to bleeding.

Visit our Walpole, MA office as soon as possible if you have any of the above signs of impacted wisdom teeth. The sooner you get treatment, the sooner the pain will be behind you for good!

Periodontal Disease Associated with Cardiovascular Risk

June 15th, 2016

We all know that brushing your teeth and flossing regularly keeps your smile sparkly and bright, but did you realize that cleaning your teeth can actually help your heart? Recent research suggests that people with periodontal disease also have a higher cardiovascular risk, which means they are more vulnerable to heart attacks or stroke. It’s probably not time to throw away those running shoes in favor of a new toothbrush, but this is an added incentive to maintain good oral hygiene.

Relationship between Periodontal Disease and Cardiovascular Health

In 2003, researchers from the University of Buffalo conducted analyses which suggested that patients with gum disease were also at elevated risk of cardiovascular problems. Furthermore, people with more severe cases of gum disease have even poorer heart health. Although the exact causes of this relationship remain unknown, scientists continue to explore the impact of oral hygiene on broader health.

One hypothesis is that poor oral hygiene leads to inflammation, which negatively affects the heart. Gum disease occurs when bacteria build up in the mouth, and feed off sugars found in food. These bacteria release compounds that contribute to inflammation and red, swollen gums. The same inflammatory compounds may affect the heart, increasing overall cardiovascular risk.

Protect Your Teeth, Protect Your Heart

Taking a few commonsense measures can go a long way to improving your oral health and your cardiovascular risk. Consider the following:

  • Brush twice daily, and floss at least once per day. Brushing your teeth at least twice a day cleans away the harmful bacteria that contribute to gum disease. Similarly, flossing your teeth ensures that dangerous bacteria that build up between each tooth get swept away. These simple steps are the easiest ways to reduce your risk of periodontal disease.
  • Eat healthy foods. Those sugary snacks that you love so much don’t help your teeth. Whenever possible, stick to a healthy diet of fruits, vegetables, and whole-grain foods. For example, grab an apple or a few celery sticks for a mid-afternoon snack, rather than indulging in that candy bar.
  • Drink water. Staying hydrated doesn’t just help your body – it also swishes bad bacteria away from your tooth and gum surface. Drinking plenty of water improves your overall oral health. It’s particularly helpful after eating a sugary or sticky snack, because water can reduce plaque buildup.
  • Visit Kevin P. Mischley, DMD. Dr. Mischley and our staff will monitor your mouth for signs of periodontal disease and can make specific recommendations to keep your mouth – and your heart – safer.

Hypersensitive Teeth

June 8th, 2016

It is common to experience dentine hypersensitivity, with symptoms ranging from moderate to severe. Why does it happen and how do you know if this sensitivity is something to be concerned about? The first step is to determine the cause.

The most common cause of the sensitivity is exposure of the dentin. Dentin is the layer immediately surrounding the nerve of the tooth. It is alive and usually covered by the gum tissue. When gum recession is present hypersensitivity is common. Other contributors to temporary tooth hypersensitivity include teeth whitening and dental procedures such as fillings, periodontal treatment, and braces placement or adjustment. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment. To understand the cause of sustained hypersensitivity, let us explain the structure of dentin and why it serves as a ‘hot spot’.

The dentin contains a large numbers of pores or tubes that run from the outside of the tooth to the nerve in the center. When dentin tubes are exposed, there is a direct connection between the mouth and dental pulp, which houses the nerve and blood supply of the tooth. External stimuli, such as mechanical pressure (tooth grinding or clenching - bruising the ligaments holding the teeth in place), temperature changes, as well as chemical stimuli (sweet–sour) are transmitted to the pain-sensitive dental pulp and activate nerve endings. A short and sharp pain is the result. These external stimuli cause fluid movement in the open tube that is transmitted as pain sensations. Something needs to be placed into the dentin tube to plug it and stop this fluid movement.

The first step in doing something about dental hypersensitivity is to determine the cause; our professional team at Kevin P. Mischley, DMD can help you with this. Whether the sensitivity is due to exposed dentin or an underlying cause such as abscess or decay, corrective measures are needed. Contact us sooner rather than later so Dr. Mischley can reduce the sensitivity, and provide you with some relief!

Getting Ready for Summer Sports

June 1st, 2016

With the warmer and longer days here, we know many of our patients at Kevin P. Mischley, DMD will be much more active in the summer. Though most of our patients are probably already ready to hit the field for some summer fun, we thought we would discuss a few precautions to take when it comes to keeping your teeth safe as you enjoy playing your favorite sports.

Use a Mouthguard

Are your kids participating in contact sports this summer? If the answer is yes, we strongly encourage you to have them fitted for a mouthguard at Kevin P. Mischley, DMD before the season starts. Athletes can avoid serious mouth and jaw injuries by using a mouthguard.

Be Mindful of Sports Drinks

While sports drinks can be refreshing after a game, they unfortunately contain high levels of sugar and citric acid, which are known to erode the teeth and reduce the minerals in the outer tooth enamel. The simplest way to prevent sports drinks from damaging your teeth? Avoid them completely and drink water instead. Water is a great option to keep you hydrated before, during, or after a game.

Floss, Floss, Floss

While we always tell our patients about the importance of flossing, it is especially important on the day of the game. Athletes are likely to consume more sugar; from energy bars and chews to gum, you are not doing your teeth any favors. All that sugar may give you that extra bounce in your step when out on the field, but we want you to remember to floss when you get home, or else contend with an increased risk of cavities down the road.

If you have any questions about keeping your teeth and mouth healthy while participating in summer sports, please give us a call at our Walpole, MA office! Have fun!

How do I know if I’m at risk for oral cancer?

May 25th, 2016

Every year, over 50,000 North Americans are diagnosed with oral or throat cancer, which has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Because oral cancer is typically painless in its early stages and often goes undetected until it spreads, many patients aren’t diagnosed until they are already suffering from chronic pain or loss of function. However, if detected early, Dr. Mischley and our team at Kevin P. Mischley, DMD want you to know that early detection of oral cancer improves the survival rate to 80 percent or more.

If you visit our Walpole, MA office regularly, you have probably received an oral cancer screening and didn’t even realize it. That’s because the exam is quick and painless; Dr. Mischley and our team check your neck and mouth for signs of oral cancer such as discolorations, lumps, or any changes to your tissue. Oral cancer is typically found on the tongue, lips, gums, the floor of the mouth, or tissues in back of the tongue.

Factors that may influence your risk for developing oral cancer include:

  • Use of tobacco products. Smoking cigarettes, cigars, a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially is a serious risk factor because it contains substances called carcinogens, which are harmful to cells in your mouth.
  • Excessive consumption of alcohol. Those who drink alcohol regularly have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
  • Excessive sun exposure. Those who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.
  • Your age. Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
  • Your gender. Oral cancer strikes men twice as often as it does women.
  • A history with viral infections, such as human papillomavirus (HPV).
  • A diet low in fruits and vegetables.

In between your visits to our office, it is critical for you to be aware of the following signs and symptoms, and give us a call if these symptoms don’t go away after two weeks.

  • A sore or irritation that doesn’t disappear
  • Red or white patches
  • Pain, tenderness, or numbness in mouth or lips
  • Difficulty chewing, swallowing, speaking, or moving your jaw or tongue
  • A change in the way your teeth fit together when you close your mouth

During your next visit, Dr. Mischley will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Walpole, MA office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

What is gum recession?

May 18th, 2016

Gum (gingival) recession occurs when gums recede from the tops of the teeth enough to expose sensitive roots. People typically experience increased sensitivity to sugary or cold foods when gums no longer cover and protect teeth roots. In addition, untreated gum recession may lead to loosening of teeth and accelerated tooth decay, something Dr. Mischley see all too often.

Causes of Gum Recession

  • Periodontal disease – a serious oral disease arising from poor oral habits
  • Gingivitis – gum disease characterized by bleeding and swollen gums
  • Aging
  • Overly aggressive brushing and/or flossing – brushing hard in a scrubbing fashion will erode gum tissue at the roots of teeth
  • Genetic predisposition to gingival recession – having inherited thin, insufficient gum tissue facilitates gum recession
  • Bruxism – a condition where someone regularly grinds their teeth, usually during sleep
  • Chewing tobacco/smoking – promotes chronically dry mouth and reduced gum health

Periodontal gingivitis may also cause causing drooping of the gums instead of gum recession. A gingivectomy removes excess gum tissue weakened by bacterial decay while a gingivoplasty can reshape gums around the teeth. If sagging or receding gums are left untreated, they may develop pockets (gaps) that provide hiding places for food particles, mucus and other mouth debris conducive to anaerobic bacteria growth. As the most destructive type of oral bacteria, anaerobic bacteria is responsible for tooth decay, cavities, gum disease, and chronic halitosis.

Treatments for Gum Recession

Corrective actions need implemented as soon as possible to reverse gum recession by addressing the cause. For example, people who brush with hard-bristled toothbrushes should switch to a soft-bristled toothbrush and brush more gently. If gum recession is the result of poor oral hygiene, improve oral hygiene habits by brushing after meals, flossing, rinsing with non-alcoholic mouthwash, and getting dental checkups and cleanings every six months. For severe cases of gum recession, soft tissue grafts can add gum tissue to exposed roots by removing tissue from the person's palate and attaching it to existing gums at the area of recession via laser surgery.

If you’re worried about gum recession, visit our Walpole, MA office and talk to a member of our team.

Women’s Medications and Dry Mouth

May 11th, 2016

Women using medication to treat a variety of medical conditions are often unaware of the potential side effects. One common side effect of medications such as blood pressure medication, birth control pills, antidepressants, and cancer treatments is dry mouth. The technical term for dry mouth is xerostomia.

Xerostomia can lead to undesirable effects in the oral cavity including periodontal disease and a high rate of decay. Many women who have not had a cavity in years will return for their routine exam and suddenly be plagued with a multitude of cavities around crowns and at the gum line, or have active periodontal disease. The only thing that the patient may have changed in the past six months is starting a new medication.

Saliva washes away bacteria and cleans the oral cavity, and when saliva flow is diminished harmful bacteria can flourish in the mouth leading to decay and gum disease. Many medications can reduce the flow of saliva without the patient realizing the side effect. Birth control pills can also lead to a higher risk of inflammation and bleeding gums. Patients undergoing cancer treatments, especially radiation to the head and neck region, are at a greatly heightened risk of oral complications due to the possibility of damage to the saliva glands.

There are many over the counter saliva substitutes and products to temporarily increase saliva production and help manage xerostomia. One great option for a woman with severe dry mouth or high decay rate is home fluoride treatments. These work in a number of ways, including custom fluoride trays that are worn for a short period of time daily at home, a prescription strength fluoride toothpaste, or an over the counter fluoride rinse. If you have more questions on fluoride treatments, make sure to ask Dr. Mischley at your next visit to our office.

The benefits of many of the medications on the market outweigh the risks associated with xerostomia, however, with regular exams you can manage the risk and prevent many oral consequences of medications.

HPV and Oral Cancer

May 4th, 2016

Human papillomavirus, or HPV, is best known as a sexually transmitted infection. In the United States, HPV is the most common sexually transmitted disease, with 79 million Americans currently infected, according to the Centers for Disease Control and Prevention. In addition to increasing risk for cervical cancer, HPV is a contributing factor in some cases of oral cancer. Each year an estimated 1,700 women and 6,700 men develop oropharyngeal cancer, which affects the tongue and throat.

Connection between HPV and oral cancer

There are more than 40 strains of HPV that live in the skin and mucosal areas. Some of these affect the genitalia, while others are found in the mouth and throat. Of the strains of oral HPV, only one, called HPV16, increases the risk of oral cancer, the Oral Cancer Foundation reports. A retrospective study conducted found that oral cancer developed an average of 15 years after exposure to HPV, making it a relatively slow-growing form of cancer.

In general, 80% of Americans will have an HPV infection at some point in their lifetimes, while 99% develop no ill effects. Getting oral HPV is associated with multiple sexual partners and engaging in oral sex; however, even some individuals who have been with only one partner may contract the infection. Although overall risk of oral cancer from HPV infection is low, it is essential to be proactive about oral health.

How to prevent HPV-related oral cancer

Scientists continue to study how HPV infections lead to oral cancer, so little is known about the progression of the disease. However, one recent study found that poor oral health, including gum disease and poor oral hygiene, is associated with oral cancer risk. Thus, being vigilant about brushing and flossing your teeth regularly may reduce HPV-related oral cancer. Getting the HPV vaccine also protects against the oral form of the virus.

Another key way to reduce mortality from oral cancer is to have regularly scheduled appointments with at Kevin P. Mischley, DMD. Having Dr. Mischley examine your mouth at least two times a year increases the likelihood that a sign of oral cancer, such as a sore or patch, will be detected. If you’re concerned about HPV-related oral cancer, please give us a call at our Walpole, MA office for advice about oral hygiene and disease prevention.

Four Oral Health Issues Seniors Face

April 27th, 2016

Oral health is an important and often overlooked component of an older person’s general health and well-being. Dr. Mischley and our team know that for many of our older patients, oral health can become an issue when arthritis or other neurological problems render them unable to brush or floss their teeth as effectively as they once did. Today, we thought we would discuss four common oral health issues our older patients face and how they can avoid them:

Cavities: It’s not just children who get tooth decay—oral decay is a common disease in people 65 and older. Ninety-two percent of seniors 65 and older have had dental caries in their permanent teeth, according to the National Institute of Dental and Craniofacial Research. The risk for tooth decay increases because many older adults don’t go to the dentist as often as they used to, thus cavities go undetected and untreated for longer than they should. Keeping regular appointments with Dr. Mischley is the key to getting cavities treated in a timely manner.

Difficulty eating: Oral health problems, whether from missing teeth, cavities, dentures that don’t fit, gum disease, or infection, can cause difficulty eating and can force people to adjust the quality, consistency, and balance of their diet.

Dry mouth: Also called xerostomia, dry mouth is a common issue for a lot of seniors. Our friends at the Oral Cancer Foundation estimate that 20 percent of elderly people suffer from dry mouth, which means the reduced flow of saliva (saliva plays a crucial role in preventing tooth decay). Many seniors are on multiple medications for a variety of chronic illnesses or conditions. Common medications taken that may cause dry mouth are decongestants, antihistamines, blood pressure medications, pain pills, incontinence medications, antidepressants, diuretics, muscle relaxers, and Parkinson’s disease medications. To help counter this, we suggest drinking lots of fluids and limiting your intake of caffeine and alcohol. We also encourage you to check with Dr. Mischley during your next visit if you think your medications are causing your mouth to feel dry.

Gum Disease: Gum (periodontal) disease is an infection of the gums and surrounding tissues that hold teeth in place. While gum disease affects people of all ages, it typically becomes worse as people age. In its early stages, gum disease is painless, and most people have no idea that they have it. In more advanced cases, however, gum disease can cause sore gums and pain when chewing.

Gum disease, which can range from simple gum inflammation to serious disease, is usually caused by poor brushing and flossing habits that allow dental plaque to build up on the teeth. Plaque that is not removed can harden and form tartar that brushing simply does not clean. Only a professional cleaning at our office can remove tartar. The two forms of gum disease are gingivitis and periodontitis. In gingivitis, the gums become red, swollen, and can bleed easily; in periodontitis, gums pull away from the teeth and form spaces that become infected.

Proper brushing, flossing, and visiting our office regularly can prevent gum disease. Seniors with limited dexterity who have trouble gripping a toothbrush should ask Dr. Mischley about modifying a handle for easier use or switching to a battery-powered toothbrush.

DIY Cures for Bad Breath

April 20th, 2016

Are you afraid to open your mouth because you have bad breath? You’re not alone bad breath or Halitosis happens to everyone, at one time or another. If you have chronic bad breath there could be a number of reasons, including:

  • Gum disease
  • Sinus problems
  • Bacterial infection in your mouth
  • Stress
  • Strong odor from something you ate
  • Dry mouth

The good news is, none of the causes of bad breath are serious, and they can all be treated. There is a long list of DIY home remedies that have proven effective. Before you try any of them you should be evaluated by Dr. Mischley to make sure you do not have a serious oral infection. Of course, you should also always practice good oral hygiene. If you go a week without brushing your teeth, your bad breath is going to be horrible!

1. Cinnamon Mouthwash

Cinnamon is known to help prevent bacteria in your mouth, and lemon has strong citrus properties that will eliminate your bad breath problem.

Preparation

  • Put a half teaspoon of cinnamon in a jar or bottle that has tight fitting lid.
  • Next add the juice from two lemons freshly squeezed lemons.
  • Combine all of the ingredients in a cup of lukewarm water and pour into your jar.
  • Shake the jar well and set it aside for two to three hours.
  • Before using the mouthwash always shake it well.
  • Gargle and swish one to two tablespoons of the mouthwash for about a minute

2. Tea

Black and green tea are beneficial in prevent bad breath. Black tea aids in controlling plaque and bacteria that can cause bad breath. Green tea contains antibacterial properties that fight off the natural occurring germs in your mouth, keeping your breath fresh. Both black and green tea contains polyphenol, a property that can prevent the formation of the foul odor caused by bacterial growth.

Preparation

  • Steep a black of green tea bag in one cup of hot water and drink one to two cups a day to keep your bad breath away.

3. Tea Tree Oil

Tea tree oil contains natural antiseptic and anti-fungal properties that help kill bacteria and fungi in your mouth, caused by particles of food left behind.

Preparation

  • You will need one teaspoon of tea tree oil, peppermint oil, and lemon oil.
  • Combine all three in eight ounces of lukewarm water and stir well. Use daily as a mouthwash to get rid of your bad breath.

Quit Smoking to Save Your Smile

April 13th, 2016

You’ve likely heard that smoking increases risk of lung cancer and emphysema. But did you realize that your cigarette habit also has an impact on your smile? Chronic smokers suffer from increased dental problems that make their smiles unsightly. Understanding how smoking affects your oral health may provide the momentum you need to kick the habit for good.

Cosmetic Changes Associated with Smoking

Cigarettes contain more than 600 ingredients that, when lit, create in excess of 4,000 chemicals. Of these chemicals, many are known carcinogens while others have been shown to have serious negative effects on health. The nicotine and tar in tobacco products are absorbed by the enamel of your teeth. The result is yellowed teeth that look unsightly; with heavy smoking, your teeth may eventually turn nearly brown in color.

The chemicals in cigarettes and cigars also cause your teeth to become less clean. Smoking is associated with a build-up of tartar and plaque on the surface of your teeth. Over time, this increases your risk of developing cavities and other oral health problems. Furthermore, pursing your lips while smoking leads to wrinkles around your mouth, which detracts from your smile.

More Serious Dental Conditions

In addition to having unsightly teeth, smoking can cause serious health conditions. Because of the carcinogens in cigarettes, smoking is associated with an increased risk of oral cancer, which can be deadly. Smokers are also more likely to develop gum disease, which can lead to tooth loss. You may experience an increased loss of bone within your jaw, which will cause significant problems later in life.

Treatment for Smoking-Related Oral Health Problems

Dr. Mischley and our team at Kevin P. Mischley, DMD will tell you that the best defense against smoking-related oral health problems is to ditch your nicotine habit. By decreasing the amount of nicotine and other chemicals you consume, you can decrease your risk of oral cancer and gum disease. Remember to mention your smoking habit when you’re at our Walpole, MA office. We frequently treat smokers and can recommend smoking cessation programs to help you quit. Dr. Mischley can also advise you about whitening treatments and gum disease prevention activities that ensure you’ll have a beautiful smile for years to come.

Drill-Free Dentistry with Air Abrasion

April 6th, 2016

Do you dread the dentist? Do you hate the sound of the drill, fear anesthesia or needles, and put off your regular checkups because you dread being told you will have to undergo dental procedures? Then drill-free air abrasion dentistry is for you. Air abrasion is a drill-free technique used by Dr. Mischley to remove tooth decay, prepare teeth for bonding, and remove old fillings and stains. It is particularly appropriate for young children or people with dental anxiety, because it is sound- and vibration-free. It allows the creation of a relaxing atmosphere, requires less anesthesia in many cases, and involves much less noise.

How does drill-free dentistry work?

Air abrasion is like a mini sandblaster; it sprays away decay-causing tartar and plaque. Tartar and plaque is removed by a fine stream of particles, comprised of silica, aluminum oxide, or a baking soda mixture, which is sprayed toward the tooth by compressed air or a gas in a dental hand-piece. The debris is then suctioned away.

Advantages of air abrasion dentistry

  • Leaves more of the healthy tooth matter
  • Reduces the risk of chipping or fracturing the tooth
  • Generates no heat, sound, vibration, or pressure
  • Reduces the need for anesthesia
  • Is a relatively simple, quick procedure
  • Allows treatment of multiple teeth in one visit
  • Is a relatively dry procedure, which allows for easy placement of composite fillings

Drill-free dentistry can go a long way to easing your dental anxiety. To enter Kevin P. Mischley, DMD and not hear the high-pitched squealing of the drill is, in itself, a big plus. Then to know you will have to receive little or no anesthesia to have a cavity filled with air abrasion, and that this method will be a quiet, relatively pain-free procedure … can you imagine it?

Contact Kevin P. Mischley, DMD at our convenient Walpole, MA office to see if air abrasion dentistry is right for you!

How safe are dental X-rays?

March 30th, 2016

Dr. Mischley and our staff rely on digital X-rays to help us diagnose oral conditions and process images at incredibly high speeds. You can also view digital X-rays in real time while we examine your mouth with an intraoral camera and upload the images to a software program. A chairside computer monitor lets you see these images as we refine areas of concern to ensure an accurate diagnosis.

But are dental X-rays safe?

Yes! They emit 80 percent less radiation than exposure-type X-rays and provide detailed images to improve diagnosis and treatment. We can now detect dental problems in their earliest stages without subjecting you to unnecessary radiation. The amount of radiation released by digital X-rays is “negligible,” which means the amount is so small, that it can be safely disregarded.

Safe enough for children and pregnant women, digital X-rays detect microscopic pitting in tooth enamel and other abnormalities in the oral tissues that might have remained undetected with traditional X-rays. When Dr. Mischley and our staff discover dental caries in their earliest stages, we can initiate treatment measures that will effectively prevent cavity development, tooth decay, and potential tooth loss.

Patient appointment lengths are shortened with digital X-rays as well, because images are immediately viewable and do not require the exposure time associated with old-style X-rays.

How Digital X-Rays Differ from Traditional X-Rays

Instead of using cardboard-contained film, we insert a small sensing device about the size of a pen in your mouth and engage the digital X-ray machine by manually manipulating control buttons. Within seconds, images appear on the monitor that can later be stored in your file or sent to another doctor for further examination.

The increased resolution afforded by digital X-rays means that patients are able to understand the seriousness of their dental issues better, and are more inclined to follow through with procedures recommended by Dr. Mischley.

Safer, Better and Faster

For detection of cancerous tumors in their early states, digital X-ray technology offers vast improvements over film X-rays because of its cutting-edge image processing capability. Early detection of oral cancer and dental caries is the best way to prevent any type of oral health problem from exceeding the treatable stage.

The History of Dental Implants

March 23rd, 2016

The earliest endeavors for dental implant tooth substitutes on record dates back to the Mayan civilization, to 600 AD. Archeologists recovered primeval skulls in which the teeth had been replaced with materials the ranged from wood, stones, and jewels to small pieces of seashells.

Like most scientific progresses, the finding of what makes todays dental implants so successful was unexpected. In 1952, a Swedish orthopedic surgeon, named Dr. Branemark, placed a very small titanium cylinder into a bone to learn how the bone would heal. What he discovered was that the titanium cylinder had fused (melded to the bone.) Out of this experiment dental implants would be born within two decades.

In 1970s, modern dental implants made their first appearance. Of course, over the past four decades, the original dental implant has undergone several improvements in both structure and design, but has always been based on the original theme.

Dental implants were first made available to individuals who had lost all of their teeth and had difficulty wearing dentures, mainly because they had lost of much of their jawbone were dentures set. Today, most dental implants are used in place of dentures, for multiple teeth that are missing, or to replace a single tooth.

When dental implants were first designed, they were a one size fits all. The original dental implants were all the same circumference, while the length of each tooth varied depending on the type of tooth it was replacing. The dental implants were smoothed out and polished by a machine, but still did not produce the natural looking dental implants we have today.

Now, with the help of state-of-the-art equipment and advanced technology, implants come in a wide variety of sizes and shape to match the teeth that are missing. The surfaces of today’s dental implants give them a more natural look and feel. In addition, the surface of the dental implant also attaches to the bone much easier and for a longer period of time.

Dr. Branemark's discovery has left an impression on dental professionals, all over the world, including Dr. Mischley. If you are considering dental implants to improve your smile’s health, beauty, and function, be sure to contact our Walpole, MA office to schedule an appointment.

Go Green for St. Patrick’s Day

March 16th, 2016

Millions of people, around Walpole, MA and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. Dr. Mischley thought of a few ideas that will help you take your holiday spirit to the next level:

Visit Chicago’s Green River

If you happen to be near the Windy City during St. Patrick’s Day or you’re thinking of planning a trip, don’t miss out on going downtown to watch the large-scale celebration that kicks off when the city dyes the river bright green. According to the Chicago Sun-Times, Chicago has been celebrating the holiday with this tradition for more than 50 years, with tens of thousands of people gathering annually to witness the mysterious dying process and the stunning result.

Don Green Face Paint

Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.

Eat Green All Day

Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.

If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from Kevin P. Mischley, DMD!

Dental Veneers

March 9th, 2016

Are you looking to improve the appearance of your front teeth? Dental veneers are widely used to improve the appearance of front teeth and are a much more conservative option than a full dental crown. Veneers can be used to improve the appearance of staining, large gaps, large fillings, chipped teeth, or overall shape. Veneers are a thin covering over the front and biting end of the tooth used to restore the beauty of a smile. Over the years we have helped many patients who opted for veneers and now have the confidence to smile again.

Dental veneers are made in a lab from long-lasting porcelain materials. The shade can be chosen to a desirable color to whiten the appearance of your smile. Dental veneers are usually placed on the anterior, or front teeth, where the chewing forces are not as hard as the back teeth. The process of placing veneers is relatively easy requiring only two dental appointments. In some cases, only one appointment is needed. It depends on the fabrication process.

The first appointment is to “prep” the teeth and take an impression to be sent to a lab to fabricate the veneers. Veneers are fairly conservative in the preparation as it requires a small amount of space to be created on the face (front), bottom, and sides of each tooth to allow space for the veneer to be placed and look natural. You will leave the office with temporary veneers for the next week or two while the permanent veneers are being made.

The second appointment is to place the veneers and make minor adjustments if needed. What a difference it makes in the appearance of the teeth! If you’re interested in learning more, give Dr. Mischley a call today!

March is National Nutrition Month!

March 8th, 2016

While you don’t have to wait to start eating right, March is the month the Academy of Nutrition and Dietetics asks everyone to pay special attention to what goes into our bodies. The Academy has designated the month of March for focusing the public’s awareness on what they eat.

What Not to Eat

The academy points out that the foods you eat have a direct effect on the health of your teeth and specifically on tooth decay. Bacteria rely on carbohydrates to thrive. That is why Dr. Mischley and our team at Kevin P. Mischley, DMD tell our patients to cut back on both candy and sweets. They consist of simple sugars that feed the bacteria in your mouth and enhance tooth decay.

It’s the hidden sugars that will cost you, though. Get in the habit of reading labels on food and looking for products with added sugar. This includes ingredients that end with the suffix “ose.” When it comes to nutrition, these foods offer little value beyond satisfying that sweet tooth.

What You Should Eat

Turn to foods that not only taste good but are good for your teeth too. Dairy products, for example, provide the body with nutritional items that support tooth enamel. Foods high in protein feature phosphorus, a nutrient critical to oral health.

You can’t really go wrong by adding color to your diet, either. Fruits and vegetables make for a colorful plate and a healthy meal. Use some caution with acidic fruits like oranges or even tomatoes, because the acid can erode tooth enamel. It is better to include these foods in a meal instead of eating them by themselves.

Remember, good nutrition is something you should worry about all year long, not just when celebrating National Nutrition Month. March just serves as a fun reminder that eating right is a proactive step in managing your dental health.

We encourage you to give us a call at our Walpole, MA office to learn more!

Dangers of Alcohol and Oral Health

March 8th, 2016

We often have patients who ask, “Can drinking alcohol affect my oral health?” There are, in fact, a few reasons why that martini may not be good for your pearly whites.

In addition to creating an overly acidic environment in your mouth, alcohol severely dehydrates oral tissues because of its desiccant and diuretic properties. Because alcohol saps oral tissues of their moisture so readily, saliva glands can't keep enough saliva in the mouth to prevent dry mouth. In addition, saliva contains antibacterial properties that inhibits growth of anaerobic bacteria, a destructive type of oral bacterial responsible for tooth decay, gingivitis, chronic bad breath, and periodontitis.

What are anaerobic bacteria?

When there is a lack of saliva flow in the mouth and the mouth cannot naturally cleanse itself of oral debris (food particles, dead skin cell, mucous), conditions develop that promote activity of anaerobic bacteria, or bacteria that thrive in dry, airless places. These anaerobes also flourish when an unending supply of proteins (food debris) are available to consume, creating rapidly multiplying layers of plaque that stick to teeth and demineralizes tooth enamel unless removed by brushing and professional dental cleanings.

Oral Cancer and Alcohol

Acetaldehyde is a chemical compound leftover after the liver has metabolized alcohol. Capable of causing genetic mutations, acetaldehyde is also a known carcinogen that contributes to the ill feelings of hangovers. Although most metabolism of alcohol is done in the liver, evidence shows that metabolism also occurs outside the liver and that enzymes in the mouth could encourage accumulation of acetaldehyde in oral tissues.

When combined with poor oral health, smoking, and other detrimental lifestyle factors, alcohol may be considered a primary contributory factor in the development of oral cancer.

Even if you don't drink or drink only occasionally, remaining aware of symptoms that may indicate oral cancer will improve your chances of recovering successfully when you start treatment in the early stages of oral cancer. Signs include red or while speckled patches in the mouth, unexplained bleeding, lumps/swellings, chronic ear or throat pain, and areas of numbness in the mouth or on the face.

If you have any questions about alcohol and its connection to oral health, don’t hesitate to ask Dr. Mischley at your next visit to our Walpole, MA office.

Thumb Sucking, Pacifiers, and Your Baby's Teeth

February 17th, 2016

Sucking is a common instinct for babies and the use of a pacifier or their thumb offers a sense of safety and security, as well a way to relax.

According to the American Academy of Pediatric Dentistry, the majority of children will stop using a pacifier and stop sucking their thumb on their own between the ages of two and four years of age. Prolonged thumb sucking or use of a pacifier can have dental consequences and needs be taken care of sooner, rather than later.

Many dentists favor pacifier use over thumb sucking because it makes it easier for parents to control and even limit the use of a pacifier. If thumb sucking lingers, the same strategies used to break the baby from using the pacifier can be used for thumb sucking.

Precautions

  • Try to find "orthodontically correct" pacifiers, as they may reduce the risk of dental problems.
  • Never dip a pacifier in sugar or honey to calm the baby.
  • Give your baby a bottle of water at bedtime, never juice.

Dental Complications

Long term pacifier use can lead to an assortment of dental complications including:

  • The bottom teeth leaning inward
  • The top teeth slanting outward
  • Misalignment of the baby’s jaw

The risk of any or all of these things happening is greatly increased if thumb sucking and pacifier use is sustained after the baby’s teeth start to come in.

Breaking the Thumb Sucking and Pacifier Habit

Most toddlers and children will stop sucking their thumb or using a pacifier between the ages of two and four on their own. However, if intervention is necessary here are a few tips to help your child break the habit:

  • Slowly decreasing the use of a pacifier can be effective for many children. This method does not work very well with thumb sucking.
  • Thumb sucking can be more difficult to break. Dr. Mischley may recommend using an over the counter cream that you put on the child’s thumb; it doesn’t taste good and usually does the trick.
  • Rewards can also help with the process.
  • If these simple commonly used strategies do not work, there are oral devices that will prevent a child from sucking their thumb or a pacifier.

Talk to Dr. Mischley and our team, as we have many tricks up our sleeves that will be effective in breaking your child’s thumb sucking or pacifier use.

Valentine's Day History

February 10th, 2016

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 million stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at Kevin P. Mischley, DMD wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

My mouth is dry. What can I do?

February 3rd, 2016

Nobody likes a dry mouth. It is an uncomfortable and sometimes oddly unexplainable sensation that most people like to avoid. It is not a condition that automatically sends you into a panic about your health, however, a dry mouth can be a bother and something you certainly want to change if possible. So, if you find yourself in the unpleasant position of having a dry mouth, here is what you can do.

Chew Sugar-free Gum: Chewing sugar-free gum will stimulate saliva in your mouth. The chewing motion of your jaw and teeth should take care of at least some of your dry mouth problem.

Suck on Sugar-free Candy: Similarly to chewing sugar free gum, if you suck on sugar free candy it should create more saliva in your mouth and moisturize it in the process.

Cut out the Caffeine:Caffeine can contribute to a dry mouth so by limiting, or eliminating your intake all together, you may find that your dry mouth is no more.

Stop Using Tobacco Products: Tobacco is another cause of dry mouth. Whether it is smokeless tobacco products or cigarettes, if you stop using them your dry mouth will likely improve. And not to forget, these products are exceedingly bad for your oral health to begin with, so you will be doing your mouth a favor even more so.

Drink Lots of Water: It may seem obvious, but drinking lots of water will likely improve your dry mouth. This is because dry mouth is usually a sign of dehydration, so plenty of fluids will surely help.

Dry mouth can be unpleasant, but it is often easily solved by either drinking more water, or trying one of the previously mentioned techniques. If the problem still persists you can always visit our Walpole, MA office to see Dr. Mischley. More often than not, doing one of the above will leave your mouth more moisturized than it was previously, and hopefully it will be long-lasting as well.

Can my body reject my dental implant?

January 27th, 2016

According to the International Congress of Oral Implantologists it is rare that your body will reject your dental implants. However, this does not mean that your dental implant will not fail. A successful dental implant is one that is placed in healthy bone and is properly cared for after the surgery takes place.

There is only one major reason why a dental implant would be rejected: a titanium allergy. The majority of dental implants are made with titanium because it has proven to be the most biologically compatible of all metals. On average, less than one percent of potential dental implant recipients reported an allergy to titanium.

Dental Implant Failure

The most common cause of dental implant failure in the upper and lower jaw is bacteria. Everyone has bacteria in their mouth. If you have bacteria in your jawbone at the time of your dental implant, it can spread from implant to implant, causing dental implant failure.

If you do not take proper care of your dental implants, that could also cause them to fail. You also have to take proper care of the implant and keep your mouth clean. The development of excessive bacteria around the implant and in surrounding tissues can lead to implant failure.

Teeth grinding is another reason dental implants fail. When you grind your teeth, it can move the implants out of position. Therefore, you should wear a mouthpiece when you go to sleep if you know you grind or clench.

If you take care of your implants by practicing good oral hygiene and visit our Walpole, MA office, you should not have any problems with your new dental implants. As always, ask Dr. Mischley about any questions or concerns you have about you dental implants.

How long do dental implants last?

January 20th, 2016

The average dental implant can last a lifetime if taken care of properly. In fact, studies have shown that the success rate of implants after ten years is about 90%! Of course, Dr. Mischley and our team know that the better you care for your implant, the longer it will last.

There are a few factors that must be taken into consideration, when you are considering dental implants. These factors all play a role in how long your dental implants will last.

  • Bone Structure – You must have enough bone in your mouth for the implants to be inserted. Over time, the bone can wear down and become too thin or to short. In cases, where you may have just enough bone for the implants, over the years, the bone will continue to become smaller and thinner and the implants will not last nearly as long as the suggested minimum of ten years.
  • Healthy Gums – Diseased gums will not support dental implants for very long. It is important to maintain regular dental visits to maintain your healthy gums.
  • Good Oral Hygiene – Just because your implants are not your “real” teeth, doesn’t mean you have to take care of them. That means brushing, flossing, and regular professional cleanings.

Bone structure, healthy gums, and good oral hygiene all play a crucial role in the length of time your dental implants will last. Whether you have full dental implants, partial implants, or a single tooth implant. The bottom line is you have to take care of them if you want them to last as long as possible.

For more tips on how to maintain the health of your dental implant, visit our Walpole, MA office!

Top Reasons People Choose Veneers

January 13th, 2016

Dental veneers are a way to correct and transform your smile by using “contact lens”-thin shells of porcelain or ceramic material and bonding them to the front of your teeth. They are strong and durable, look and feel like natural teeth, and improve your smile immediately. Here are some of the top reasons to consider getting dental veneers.

They Correct Multiple Cosmetic Issues

Dental veneers can help with cosmetic and dental health issues, and treat multiple problems at once. Some common reasons that individuals choose veneers is to close gaps and spaces between the teeth, fix alignment issues, change the overall shape and appearance of a tooth, whiten a smile by covering stained or discolored teeth, and cover chipped or cracked teeth.

If you have teeth that are already worn down and weakened, veneers help prevent further damage by covering them with a thin, tooth-colored shell.

Durability

Dental veneers are also extremely durable. They last several years longer than traditional composite fillings. You’ll have peace of mind when you choose veneers, knowing that you’ll have your new smile for many years. On average, dental veneers last about ten to 15 years. Just like your natural teeth, when you take good care of your veneers, they last longer.

Easy to Clean and Maintain

Keeping your veneers healthy and white is easy: You simply brush and floss them the way you do all of your teeth. Shortly after having your veneers installed, you’ll begin to think of them as your natural teeth because the thin shells lie right on top of your existing teeth. This makes it easy to floss and brush the way you normally would and keep them as clean as possible.

The Process is Simple

Getting dental veneers is a quick and easy process. You have a few short visits at Kevin P. Mischley, DMD and see results. On average, it only takes about four weeks from your first appointment to your last to complete the veneer process.

If you are considering getting dental veneers, schedule a consultation appointment with Dr. Mischley to find out exactly how they can benefit you.

What are the advantages of dental implants?

January 6th, 2016

Losing a tooth can affect a lot more than just the look of your smile. Missing teeth affect your ability to chew and can also cause problems for your other teeth. It is essential to replace missing teeth in order to maintain oral health as well as your overall well-being. Dental implants are an excellent option to replace your natural tooth and its root without affecting your neighboring teeth, and are available from Dr. Mischley.

Why choose dental implants?

There are many reasons to choose dental implants to replace your lost or damaged teeth. According to the American Academy of Implant Dentistry, dental implants are often considered more predictable than other treatment options and are known to provide long-term successful outcomes.

Dental implants provide many benefits over other treatments such as bridgework and dentures:

  • Unlike other treatment options for missing teeth, dental implants allow Dr. Mischley to replace your tooth without impacting the healthy teeth surrounding the space.
  • Dental implants also protect healthy bone by preventing potential bone loss and deterioration in the jaw.
  • This treatment option allows you to speak and eat normally without worrying about slippery or uncomfortable removable dentures.
  • The closest thing to natural teeth, dental implants allow you to maintain your smile and natural face shape.
  • These implants are built to last, providing you with a long-term solution to missing teeth.

Overall, dental implants are the next best thing to natural, healthy teeth. Choosing to undergo surgery to replace your lost or damaged teeth is an important decision. To avoid the issues caused by lost teeth, consult Dr. Mischley or visit our Walpole, MA office to see if you are a candidate for dental implants.

New Year's Day Around the World

December 30th, 2015

New Year’s Day marks the beginning of the calendar year in most parts of the world. The holiday is celebrated on January 1st of each year. Customs and celebrations vary by country, religion, and even individual desires. Whether celebrated quietly or with gusto, the day brings the start of new opportunities for those that observe it.

United States and Canada

In both the US and Canada, celebrations begin on New Year’s Eve. At midnight on January 1st the New Year is welcomed with bells, horns, whistles, and other noisemakers. Fireworks are often part of the celebrations. In New York City, Times Square comes alive with revelers. In Toronto, there are large celebrations which may feature concerts, late-night partying, sporting events, and fireworks, with free public transit service during peak party times. Many individuals in North America greet the year by making resolutions for improvements in their lives.

China

In China, many people celebrate two forms of a new year. They may observe January 1st, but the traditional Chinese New Year is based on a lunar calendar. Parades with paper lanterns and dragons made from silk are a significant part of the festivities. Legends say that the dragon spends most of its time in hibernation so fireworks are used to keep the dragon awake.

Jewish Celebration

Jewish New Year’s observances begin with Rosh Hashanah, the first day of the New Year, and end with Yom Kippur, the Day of Atonement. This ten-day celebration is held in September or October, based on the Hebrew calendar. The New Year is not marked as much with loud celebrations as with personal insight to mend wrongs and resolve to better oneself.

Other countries and cultures also have different dates for New Year’s Day observances:

  • Vietnam observes the New Year in February
  • In Iran, the day is celebrated on March 21st
  • Islamic cultures often observe the tenth day of the month of Muharram
  • Russian Orthodox observers use the Julian calendar and celebrate on January 14th
  • Buddhist celebrations are held from April 13th through 15th

If you observe New Year’s Day by making healthy resolutions, include dental care in your plans with Dr. Mischley. The health of your teeth and gums contributes to your overall health. Caring for your mouth now can prevent many dental problems later in life. Kevin P. Mischley, DMD wishes you a healthy, prosperous, and happy New Year!

Why should I have my child’s wisdom teeth removed?

December 23rd, 2015

The wisdom teeth are the last of the permanent molars to emerge from the gums. This can occur as early as age 17 or as late as 21. Though some teens and young adults experience a completely normal tooth eruption with ideally aligned molars that pose no health threat, this is not the case for everyone.

According to the American Association of Oral and Maxillofacial Surgeons (AAOMS), wisdom teeth must meet specific criteria to avoid a required extraction. These guidelines include:

  • Completely erupted and non-impacted
  • Completely functional
  • Painless
  • Free of decay
  • Disease-free
  • Capable of being properly cleaned

If one or more of your child’s wisdom teeth do not meet these conditions, we recommend scheduling an appointment with Dr. Mischley; an extraction may be necessary.

Impacted wisdom teeth

One of the most common reasons for extracting a wisdom tooth is due to impaction. An impacted wisdom tooth is one that has not erupted and will not fully erupt from the gums. Usually this occurs because there is not enough room for the tooth to emerge. Impaction can be painful and can also lead to infection if left untreated. According to the AAOMS, roughly 90 percent of the teen and adult population has at least one impacted tooth. Extracting an impacted wisdom tooth early can help prevent future complications, such as periodontal disease, infections, and damage to neighboring teeth.

Extracting fully erupted wisdom teeth

Even if your child’s wisdom teeth are fully erupted, Dr. Mischley and our team at Kevin P. Mischley, DMD may recommend removing them as a preventive measure. Fully-erupted third molars often interfere with a healthy bite. This can lead to problems with tooth and jaw alignment and may also contribute to the development of headaches. Your child’s wisdom teeth may also be more prone to tooth decay and gum disease, because their location in the back of the mouth makes them more difficult to reach for brushing and flossing.

To learn more about wisdom teeth, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

Is soda really bad for your teeth?

December 16th, 2015

You take a sip of soda – and someone remarks, “That’s going to ruin your teeth!”

Is that true? Is sweet soda the enemy of a healthy smile? The answer, unfortunately, is that one glass might not hurt your teeth, but drinking soda regularly can do some real damage.

Sodas are one of America’s favorite drinks. The American Academy of Cosmetic Dentistry says about half of us drink soda regularly, averaging 2.6 glasses each day.

That’s a lot of soda considering the drinks are acidic, full of sugar, and have little or no nutritional value. It may surprise you to learn that it’s actually the acidity of cola, not the sugar, which poses the biggest threat to teeth. Over time, repeated exposure to soda wears down tooth enamel, leaving teeth stained and less able to prevent cavities.

As enamel wears away, teeth can become discolored, take on a rough texture, and become highly sensitive to hot or cold. Your teeth may start to tingle, and brushing or flossing can cause pain. If not checked by dental care, teeth may start to erode, becoming thinner and more likely to crack. It’s a pretty high price to pay for a glass of soda.

Of course, sodas are not the only culprits in tooth erosion. Coffee, wine, and some fruit juices are also acidic, though these drinks tend to have less acidity that a typical soda.

So what can you do to protect your teeth?

1. Cut back – way back – on acidic drinks.

2. Add more water to your daily diet in place of sodas.

3. Use a straw when you drink.

4. Don’t confuse diet soda with a healthy alternative. Diet drinks are just as acidic as regular sodas.

5. Rinse your mouth with water after drinking soda. The rinse may remove some acid from your teeth, although abstaining from the soda would do more good.

6. Hold off on brushing your teeth after drinking soda. Brushing too hard can weaken enamel that is already covered in acid.

7. Pay attention to your teeth, both how they look and how they feel. Let Dr. Mischley know if you see signs of discoloration or erosion, or feel tingling. Make an appointment at our Walpole, MA office if you feel tooth or gum pain when eating or drinking.

Are you nervous about seeing the dentist? You’re not alone!

December 9th, 2015

With advances in modern dentistry, a trip to Kevin P. Mischley, DMD these days is pretty routine. But visiting Dr. Mischley and our team still makes some patients anxious—so much so that they don’t go as often as they should and end up with costly complications down the road, such as tooth decay or gum disease.

When it comes to dental care, prevention is the best medicine. And that begins with regular checkups and dental cleanings at our convenient Walpole, MA office. Today, we thought we would offer five tips for taking the pain out of a visit to see Dr. Mischley:

1. Ask yourself: What are you most afraid of? Is it the sound of the drill? Do you have needle phobia? Have you been traumatized by previous dental visits? Write down your fears, one by one and talk about them during your visit.

2. Don’t wait. The more frequently your visit our office, the less work will need to be done at any given visit. Simply having your teeth cleaned professionally by Dr. Mischley twice a year prevents many, if not most, problems down the road.

3. Bring a distraction such as music to your appointment. Just plug in those earphones, close your eyes, and get lost in the music. Listening to tunes can also be a pain killer.

4. Unwind. Inhaling slowly and counting to five helps. Try holding your breath for ten seconds, then exhale slowly to the count of eight, and repeat as needed.

5. Ask us. Before any given procedure, we encourage you to ask Dr. Mischley or one of our assistants why we’re using the tools we’re using. Ask us what we’re doing, what the tool is used for, and how it benefits you. Also, please ask about anti-anxiety medications we may prescribe to help you relax during your appointment.

If you suffer from dental anxiety, a visit to Kevin P. Mischley, DMD might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our Walpole, MA office, there is nothing to be afraid of.

Remember, you’re not alone. We understand that going to the dentist isn’t easy for everyone. In fact, the Journal of the American Dental Association estimates that as many as 12 percent of adults suffer from dental anxiety so bad that they avoid the dentist altogether. Many more suffer from varying degrees of dental anxiety, which often results in poor oral health.

If you suffer from dental anxiety, your fears don’t have to keep you from seeing Dr. Mischley. Our patients at Kevin P. Mischley, DMD are our most important asset, and we strive to create a comfortable experience, no matter how long it has been since your last visit at our Walpole, MA office. We hope to see you soon!

The Effects of Biting Your Nails

December 2nd, 2015

Also known as onchophagia, the habit of nail biting is one of the so-called “nervous habits” that can be triggered by stress, excitement, or boredom. Approximately half of all kids between the ages of ten and 18 have been nail biters at one time or another. Experts say that about 30 percent of children and 15 percent of adults are nail biters, however most people stop chewing their nails by the time they turn 30.

Here are four dental and general reasons to stop biting your nails:

1. It’s unsanitary: Your nails harbor bacteria and germs, and are almost twice as dirty as fingers. What’s more, swallowing dirty nails can lead to stomach problems.

2. It wears down your teeth: Gnawing your nails can put added stress on your pearly whites, which can lead to crooked teeth.

3. It can delay your orthodontic treatment: For those of our patients wearing braces, nail biting puts additional pressure on teeth and weakens roots.

4. It can cost you, literally: It has been estimated that up to $4,000 in extra dental bills can build up over a lifetime.

Dr. Mischley and our team recommend the following to kick your nail biting habit:

  • Keep your nails trimmed short; you’ll have less of a nail to bite.
  • Coat your nails with a bitter-tasting nail polish.
  • Ask us about obtaining a mouthguard, which can help prevent nail biting.
  • Put a rubber band around your wrist and snap it whenever you get the urge to gnaw on your nails.
  • Think about when and why you chew your nails. Whether you are nervous or just bored, understanding the triggers can help you find a solution and stop the habit.
  • If you can’t stop, behavioral therapy may be an effective option to stop nail biting. Ask Dr. Mischley and our team for a recommendation.

Thanksgiving

November 25th, 2015

At Kevin P. Mischley, DMD, we love to celebrate the holidays with vigor! Dr. Mischley would love to share some unique ways of celebrating Thanksgiving from beyond the Walpole, MA area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

Is sleep apnea linked to cancer? Studies say, ‘Yes’.

November 18th, 2015

Recently, multiple studies have concluded that people with sleep apnea, a disorder that causes snoring, fatigue, and dangerous gaps in breathing at night due to throat muscles collapsing, are five times more likely to develop cancer. In fact, one of the studies found that people with the most severe forms of sleep apnea had a 65 percent greater risk of developing cancer of any kind.

Researchers believe this could be due to the body lacking enough oxygen, a condition known as hypoxemia. When people are deprived of oxygen, their bodies react by producing more blood vessels, which can feed cancer cells, and as a result cause tumors to grow and spread.

Approximately 28 million North Americans suffer from sleep apnea, with many cases going undiagnosed. This is due to most cancer patients not mentioning any sleep problems they experience unless their physician asks them.

Patients at Kevin P. Mischley, DMD who suffer from sleep apnea can be treated using continuous positive airway pressure (CPAP) therapy, which produces a stream of air to keep the upper airways open while you sleep. An oral appliance may be another option if CPAP therapy isn’t an option. If you have sleep apnea, Dr. Mischley and our team will help you understand all of your treatment options, finding one that suits your needs.

If you think you may have sleep apnea, please give us a call at our Walpole, MA office to schedule an appointment.

What's the best dental floss?

November 11th, 2015

Dental floss is similar to a lot of products that depend mainly on the consumer’s preference. Fact is, floss comes in a wide variety of flavors, coatings, and other variations, but all types of floss essentially do the same thing. After all, that is what is most important: that the dental floss you buy is functional—cleaning the areas in between your teeth. If you want to know what the best dental floss is, the answer is the kind that enables you to successfully and regularly clean those areas. So to help you find the right type of floss for you, here are some options.

Flavored Dental Floss

Many people that floss prefer a flavored dental floss because it freshens their breath even more than unscented floss. The latter can also take on the smells associated with bacteria in your mouth. And we all know how bad that can be. So, if flavored dental floss is what you prefer, and it allows you to floss your teeth regularly, then it is automatically best for your mouth.

Flossers

There are also products on the market called flossers, which usually consist of a plastic instrument with strung floss and a pick on the opposite end. This option can be both effective at cleaning the areas in between your teeth and scraping off plaque. These flossers also come flavored in mint and various other varieties.

Gentle Dental Floss

Some people find that typical dental floss is too harsh on their gums. For that reason some companies make floss with soft coatings that are less abrasive on the gums. For the most part these types of floss are just as effective as regular floss, and for those people that require a more sensitive approach to flossing, especially when just starting out, this is the best option.

Of the aforementioned options, it is difficult to name an absolute best type of floss. However, Dr. Mischley and our team say that the type of floss that works best for you, giving you the greatest chance of succeeding at regular flossing, is the best. For more information on floss, contact our Walpole, MA office.

Do adults need fluoride treatments?

November 4th, 2015

Many dentists and hygienists recommend fluoride treatments for their adult patients. You might ask yourself, “Do I really need a fluoride treatment? I thought those were just for my kids.” After all, most insurance plans cover fluoride treatments only up to the age of 18.

What you need to know as a dental consumer is that studies have shown topical fluoride applications performed by a dental professional create a significant benefit for adults who have moderate to high risk for cavities.

There are several circumstances that warrant extra fluoride protection among adults. Many prescription medications reduce saliva flow or otherwise create dry mouth. A reduction in saliva increases cavity risk.

Adults often experience gum recession, which exposes part of the root surface of teeth. These areas are softer than the hard enamel at the top of the tooth, which makes them more susceptible to decay.

In addition, adults often get restorative work such as crowns or bridges. Fluoride can help protect the margins of these restorations, ultimately protecting your investment.

Today many people opt for orthodontic treatment (braces) as adults. Braces make it more challenging for patients to maintain good oral hygiene. Just ask your kids! Fluoride can keep the teeth strong and cavity-free even with the obstacle of orthodontic appliances.

Have you had a restoration done within the last year due to new decay? If you have, that puts you at a higher risk for cavities. Fluoride treatments are a great way to prevent more cavities in patients who are already prone to them.

How is that flossing coming along? You know you should floss daily, but do you? If your oral hygiene is not ideal, fluoride could be just the thing to keep your neglect from leading to cavities between your teeth.

Fluoride can also help with the growing problem of sensitive teeth. Diets high in acidic foods and beverages, general gum recession, and increased use of whitening products all tend to produce sensitive teeth. Fluoride treatments re-mineralize tooth enamel and reduce that sensitivity.

Patients who undergo radiation treatment for cancer also benefit from topical fluoride applications. Radiation damages saliva glands, thus greatly reducing the flow of saliva. Saliva acts as a buffer against the foods we eat and beverages we drink. Once again, less saliva greatly increases the risk of cavities.

If one or more of these conditions applies to you, consider requesting a topical fluoride treatment. Be sure to ask Dr. Mischley at your next appointment whether you might benefit from a topical fluoride application.

The Intriguing History of Halloween

October 28th, 2015

Halloween is fast approaching, and Dr. Mischley wanted to be sure to wish our patients a happy day, no matter how you might celebrate this holiday. The Halloween that is familiar to most people today bears little resemblance to the original Halloween; back in the "old days" it wasn't even called Halloween!

Festival of the Dead

Halloween started out as a Celtic festival of the dead that honored departed loved ones and signified a change in the cycle of the seasons. The Celtic people viewed Halloween, then called "Samhain," as a very special day – almost like our New Years day in fact, as their new calendar year began on November 1st. Samhain was the last day of autumn, so it was the time to harvest the last of the season's crops, store food away for winter, and situate livestock comfortably for the upcoming cold weather. The Celts believed that during this day, the last day of winter, the veil between this world and the spirit world is the thinnest, and that the living could communicate with departed loved ones most effectively on Samhain due to this.

Modern Halloween

Halloween as we know it today started because Christian missionaries were working to convert the Celtic people to Christianity. The Celts believed in religious concepts that were not supported by the Christian church, and these practices, which stemmed from Druidism, were perceived by the Christian church as being "devil worship" and dangerous.

When Pope Gregory the First instructed his missionaries to work at converting the Pagan people, he told them to try to incorporate some of the Pagan practices into Christian practices in a limited way. This meant that November 1st became "All Saints Day," which allowed Pagan people to still celebrate a beloved holiday without violating Christian beliefs.

Today, Halloween has evolved into a day devoted purely to fun, candy, and kids. What a change from its origins! We encourage all of our patients to have fun during the holiday, but be safe with the treats. Consider giving apples or fruit roll-ups to the kids instead of candy that is potentially damaging to the teeth and gums.

Remind kids to limit their candy and brush after eating it! Sweets can cause major tooth decay and aggrivate gum disease, so to avoid extra visits to our Walpole, MA office, make your Halloween a safe one!

The Invisalign® Treatment Process

October 21st, 2015

Invisalign is gaining traction as a sought-after solution for orthodontic problems. Unlike traditional braces, which require the placement of brackets on teeth and the connection of unsightly wires, Invisalign works nearly invisibly (as its name suggests). Particularly for those who do not wish to draw attention to their orthodontic work, Invisalign provides an attractive solution.

Consultation with a Treatment Provider

Our practice has received specialized training to work with Invisalign. During your consultation appointment, Dr. Mischley will assess your smile needs. In some cases, the type of problem may not lend itself to correction through Invisalign, and we may offer an alternative solution.

Creation of a Custom Treatment Plan

Invisalign works using a series of customized clear trays that fit almost perfectly over the teeth. To create these trays, Dr. Mischley will take X-rays and impressions of your teeth. These are submitted to a specialized laboratory that makes a 3D image of your smile. This is used to create a specialized treatment plan that provides an estimate of how long treatment will take.

Arrival of Custom Trays

Once your customized trays have arrived, the treatment begins. For Invisalign to work properly, you must wear the aligners 20 to 22 hours per day, removing them only to eat, drink, and brush your teeth. The trays gently draw your teeth into proper alignment, correcting your orthodontic problems as you go about your everyday life.

In general, you will replace your aligners with a new set every two weeks. This is to encourage your teeth to continue moving throughout the treatment process. You’ll need to check in with our Walpole, MA office every six weeks or so to ensure treatment progresses smoothly.

Beautiful Smile: Complete!

Once you complete your individualized treatment plan, you’ll have the smile you’ve always dreamed of. Like with traditional braces, Dr. Mischley may recommend that you wear a retainer to ensure that your teeth remain in their new positions.

Thanks to Invisalign®, you can have a perfect smile without metal wires or brackets!

October 14th, 2015

When it comes to straightening your smile, our team at Kevin P. Mischley, DMD knows that having a mouth full of metal braces may not be your idea of fun. Luckily for you, Dr. Mischley can offer a cosmetic alternative: Invisalign!

Using a series of clear, comfortable, and completely customized aligners, you can get the smile you’ve always wanted without traditional braces.

Since Invisalign aligners are discreet, they’re hardly noticeable when you speak and smile, and because they’re removable, you can eat and drink whatever you want. Just remember to brush and floss before putting your aligners back in! Treatment with Invisalign is just as effective as with metal braces, and the results are just as amazing!

If you want to know more about Invisalign, contact our Walpole, MA office to schedule an appointment.

Year-End Insurance Reminder

October 7th, 2015

Dr. Mischley, as well as our team at Kevin P. Mischley, DMD, would like to give those patients with flex spend, health savings, or insurance benefits a friendly end of the year reminder that it’s high time to schedule your dental visits so you optimize your benefit.

Now is the time to reserve your appointment with us. Space is limited and we tend to get busy around the holidays, so don’t wait to give us a call at our convenient Walpole, MA office!

The Secret to Keeping Your Teeth for Life

September 30th, 2015

The secret to keeping your teeth for life involves more than one secret. The first is that there is no secret; and in fact, there really is no difficulty involved. Follow this simple four-step process – brush, floss, rinse, and visit our Walpole, MA office regularly – and you will have healthy teeth for life!

Brush

You should brush your teeth twice a day, preferably once in the morning and once at night. Three times a day will not hurt. Use a soft-bristled toothbrush and light pressure; you do not want to scrub away your gums or tooth enamel.

Brush for a minimum of two minutes, and carefully clean all tooth surfaces. Three minutes is better. Use quality toothpaste; Dr. Mischley and our staff can recommend the best type for your needs. Keep your toothbrush clean and replace it about every three months.

Floss

Make flossing part of your daily routine, at least once a day. Flossing is important for more than just removing food particles between your teeth. The process also helps to remove bacteria that you cannot see. Bacterial build-up turns into plaque, or calculus: a cement-like substance that cannot be removed by brushing alone.

Use floss gently; you do not want to cut your gums. There are many different types of flosses and flossing tools. Dr. Mischley and our staff will be happy to help you find the style that works best for you.

Rinse

Mouthwash does more than freshen your breath. Rinses help kill the bacteria that lead to plaque formation and gum disease. This extra step can go a long way toward having healthy teeth for life.

Keep your appointments

You should have a professional cleaning at Kevin P. Mischley, DMD twice a year. Some patients benefit from more frequent cleanings. Your hygienist will remove any plaque build-up to prevent gingivitis, which left untreated becomes full-blown gum disease. Periodontitis leads to tooth loss.

You also need to see Dr. Mischley twice a year for a teeth and mouth exam. We can find problems such as cavities, and treat them before the situation becomes critical. Ask our Walpole, MA team any questions you have; together we can make your teeth last for life.

My child has canker sores! How can I help?

September 23rd, 2015

According to the American Association of Pediatric Density, roughly one in five children suffers from canker sores. Canker sores are small sores that appear inside the cheeks, on the lips, on the surface of the gums, and under the tongue.

Even though, canker sores are not contagious, they do tend to run in families. There are several reasons your child may be suffering from canker sores including:

  • Children who have Vitamin B12, iron, and folic acid deficiencies tend to get canker sores more often than children who have normal levels of these vitamins and minerals.
  • Children who suffer from food allergies are also at a higher risk for developing canker sores. It’s difficult to determine what your child may be allergic to. If you feel strongly that the canker sores are related to an allergy, then a visit to an allergist is highly recommended.
  • Biting their lip or cheek can also result in a canker sore.
  • Any injury to mouth, where the skin breaks can cause a canker sore.
  • Brushing their teeth too hard can also be a problem.
  • Your child may be sensitive to an ingredient in their toothpaste. Try switching toothpastes and see if it makes a difference.
  • Emotional disturbances and stress are also factors to consider.

If your child has frequent canker sores a visit to our Walpole, MA office will be beneficial. Canker sores are painful and usually last about 14 days. Dr. Mischley may recommend one or a few of the following treatment options:

  • Avoid food that is acidic, salty, and spicy.
  • A toothbrush with soft bristles may be helpful.
  • Avoid mouthwash and toothpaste that contain SLS.
  • Do not feed your child foods that they may be allergic to.

Canker Sore Remedies

  • Eating yogurt that contains Acidophilus will relieve the pain and help the canker sore heal faster.
  • Put one teaspoon of baking soda in an eight-ounce glass of lukewarm water. Have your child gargle and swish it around his or her mouth several times a day. Not only does this remedy relieve the pain, the canker sore could be gone in as little as 24 hours.
  • Place a wet tea bag on the sore and hold it there for a few minutes several times a day. This remedy will help with the pain and quickly heal the sore.
  • Camphor, Benzocaine, Lidocaine, and Orajel are over-the-counter medications that can help.

If you have questions about your child’s canker sore, contact Dr. Mischley to schedule an appointment.

Toothbrush App That Makes Kids Brush Too Much?

September 18th, 2015

We would guess that the majority of parents have had a hard time getting or keeping their children brushing their teeth. Recently, we found a case where an app has been making their children brush too much.

Check out this article from Gizmodo which talks about the Sonicare for Kids toothbrush and how it can help motivate your children to brush their teeth!

http://gizmodo.com/kids-are-getting-addicted-to-an-app-enabled-toothbrush-1730527892

Good Teeth Lead to Sporting Success

September 16th, 2015

You already know that taking care of your teeth can help prevent tooth decay and the need for extensive work such as root canals or implants, which can be inconvenient and expensive. But the benefits of good teeth can go far beyond having an attractive smile and being able to crunch carrots and chew meat.

The American Dental Association explains that healthy teeth are linked to a lower risk for heart disease and diabetes. Furthermore, recent research published in the British Journal of Sports Medicine states that good teeth can improve athletic performance among elite athletes.

Researchers examined the oral health of nearly 300 athletes in 25 sports at the 2012 Olympics in London. They looked for conditions such as dental caries, gingivitis, dental erosion, and periodontal disease, and asked about recent visits to a dentist.

Study investigators also asked athletes whether their oral health interfered with quality of life or athletic training and performance. The study concluded that poor oral health and fewer dental visits led to interference with preparation for competition.

This can happen for a few reasons. Tooth pain can disrupt sleep, which leads to slower reaction times. Oral health conditions can indicate chronic inflammation in the body, which means suboptimal performances on an elite level. Tooth pain can interfere with focus during training and competition.

Unfortunately, merely taking good care of your teeth won’t turn you into an Olympic gold medalist. However, the benefits can still be worthwhile. Even if healthy teeth provide little if any detectable gain in your athletic abilities, the potential benefits of maintaining a healthy mouth clearly go far beyond an attractive smile.

Practicing good oral hygiene and seeing Dr. Mischley regularly can promote your physical health, and maybe – just maybe – you will start to achieve an advantage over your weekend athletic opponents.

Is it possible to over brush?

September 9th, 2015

Our team at Kevin P. Mischley, DMD will tell you brushing on a regular basis is critical for a healthy mouth, but you can definitely overdo a good thing. Known as “toothbrush abrasion,” over brushing can lead to sensitive teeth and receding gums, not to mention the wearing down of the protective layers of your tooth enamel. Over brushing can also push back your gums, and in the process, expose the dentin layer under the enamel.

“So, how do I avoid over brushing?”

  • Use a soft or extra-soft bristled toothbrush to prevent gum damage and wear on the soft tooth dentin
  • Keep in mind which direction bristles face when you brush. They should be perpendicular, not parallel. Place the head of your toothbrush with the tips of the bristles at a 45-degree angle to the gum line and brush away!
  • Move the toothbrush with short strokes and a scrubbing motion, several times in each spot – don’t saw back and forth across the teeth with your toothbrush.
  • Apply just enough pressure to feel the bristles against the gums. If you are squashing the bristles, you're brushing too hard.
  • Replace your toothbrush when you notice frayed and bent bristles.
  • Brush for two minutes at a time

If you have any questions about proper brushing techniques, ask us about it at your next appointment or give us a call today!

Labor Day: Our favorite holiday to rest!

September 2nd, 2015

Labor Day, celebrated on the first Monday each September here in the United States, is a holiday devoted to the American working community. The purpose of the holiday is honoring the country's workers and their contributions to the strength of our country as a whole.

How Labor Day Started

There is actually some debate as to the origins of Labor Day. It is uncertain whether Peter McGuire, a cofounder for the American Federation of Labor, or Matthew Maguire, who was the secretary of Central Labor Union of New York, had the great idea. However, the Central Labor Union's plans were what launched the first Labor Day in America.

The First Labor Day

The very first Labor Day was celebrated on September 5th, 1882. The Central Labor Union then held annual celebrations on September 5th for what they called a working man's holiday. By the year 1885, the Labor Day celebration had spread to many different industrial areas, and after that it began spreading to all industries in the United States.

Labor Day Today

Labor Day today is a huge United States holiday during which we honor the country's workers with a day of rest and relaxation or a day of picnics and parades. This holiday is truly one to honor the many people who work hard to contribute to the economic well-being of our great country!

Our team at Kevin P. Mischley, DMD hopes all of our patients celebrate Labor Day, and every holiday, safely and happily. Whether you stay in the Walpole, MA area, or travel out of town, have fun, and don't forget to brush!

Alleviate Tooth Sensitivity

August 26th, 2015

If a sip of ice water, spoonful of ice cream, or piping hot latte is enough to send shivers up your spine from tooth sensitivity, be assured you are not alone. It’s estimated that as many as one in eight adults suffers from tooth sensitivity.

What causes sensitive teeth?

Some of the causes of tooth sensitivity include brushing too hard, a cracked tooth, receding gums, periodontal disease, tooth bleaching, or other conditions that expose the sensitive roots of your teeth. For example, brushing too aggressively can injure your gums, and lead to exposed roots and tooth sensitivity.

When the enamel on the outside of the tooth or tissue located between the teeth breaks down or wears away, nerves inside the tooth trigger sensitive teeth that are particularly noticeable when you drink or eat anything hot or cold.

How to alleviate tooth sensitivity

Fortunately, there are a number of things you can do, both at home and at the dental office, to reduce the discomfort of sensitive teeth. Brushing with desensitizing toothpaste is one of the ways to reduce tooth sensitivity: it works well for many patients, and is typically the first course of action.

  • Brush with toothpaste specifically designed for sensitive teeth.
  • Change the way you brush by using a soft toothbrush and not brushing too aggressively.
  • Avoid brushing teeth after consuming acidic foods and beverages, like orange juice and pickles.
  • Drink water or milk after eating or drinking acidic foods or beverages.
  • Sip through a straw when you drink acidic beverages.
  • Wear a mouthguard at night to prevent teeth grinding that wears down teeth.
  • Ask Dr. Mischley about fluoride dental treatments or plastic resin.

For moderate-to-serious cases of tooth sensitivity, more invasive professional dental treatments are available. These include a bonding agent designed to seal/cover the exposed root, obtaining new gum tissue through graft (for receding gums), fillings, crowns, inlays, or bonding. When tooth sensitivity is persistent and results in hypersensitivity, endodontic treatment in the form of root canal may be recommended.

To learn more about tooth sensitivity, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

Caring for Your Smile after Invisalign® Treatment

August 19th, 2015

You have done a lot of work to get the perfect smile. You wore your Invisalign aligner trays and cared for your teeth, and now your treatment is done. You still need to take care of your teeth to keep your beautiful smile. Keeps these things in mind when you think about your oral care routine.

Retainers

Many patients do require a retainer after Invisalign treatment. This will be based on your unique situation. If a retainer is recommended by Dr. Mischley, use it as directed. Retainers prevent your teeth from shifting back into their original position. You should also avoid hard, crunchy foods for the first couple of weeks as your teeth adjust. For younger patients, retainers are normally used until the wisdom teeth come in or are extracted.

Brushing and Flossing

Brushing and flossing must be part of your daily oral care. Flossing helps remove the plaque, which becomes tartar or calculus. This build up can lead to gingivitis and gum disease. Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm salt water rinse may relieve discomfort.

Your teeth may be slightly sensitive for a short time. They have been protected by your Invisalign aligner trays and now are fully exposed. You might want to try a sensitive toothpaste to get through the transition. Just ask; we will be glad to recommend the best type for your needs. If your teeth are stained, a professional whitening treatment can be considered.

Regular Dental Checkups

You still need to have regular dental exams. Professional cleanings and X-rays make sure that both your teeth and gums stay healthy so you can keep your teeth for life. If cavities or other problems are found, they can be taken care of quickly.

If you have any questions about how to care for your teeth after your Invisalign program, please ask our Walpole, MA team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.

Care for Your Dentures

August 12th, 2015

Just like natural teeth, Dr. Mischley will tell you that dentures have a tendency to get coated with plaque, which is a sticky, transparent film that attracts food and bacteria. When you don’t take care of your dentures adequately and regularly, plaque can build up, harden, and become difficult to remove. More importantly, it can result in dental problems, including gum disease and infection. Proper care for your dentures also helps them maintain their shape, fit the way they are supposed to, and last longer.

Cleaning your dentures

Your dentures should be cleaned with the same diligence as you clean natural teeth.

  • Take out dentures and rinse them after eating. To remove food particles, run water over your dentures.
  • Clean your teeth after denture removal. Once dentures have been removed, use a soft-bristled toothbrush to brush existing teeth, gums, and tongue.
  • Scrub your dentures on a daily basis. At least once per day, gently scrub your dentures with a soft-bristled toothbrush and denture cleanser.
  • Soak dentures overnight. In order to keep their shape intact, many dentures must remain moist. Always use a mild denture solution recommended by our office. Never use hot water on your dentures, as they may warp their shape.
  • Rinse dentures prior to placing them back in your mouth. This is especially important if you soak your dentures in a denture solution.
  • Dentures are fragile and can break when dropped. It’s a good idea to hold them in a soft cloth or towel to keep them from falling and breaking.

Over time, even with diligent daily care, your dentures may form difficult-to-remove tartar. When this happens, our team at Kevin P. Mischley, DMD uses a powerful ultrasonic cleaner to remove stubborn, denture build-up.

Proper care for your dentures can help retain their shape, prevent oral issues, and increase their longevity. Visit Dr. Mischley regularly at our convenient Walpole, MA office to maintain your oral health and keep your dentures in tip-top shape.

How do I pick the right toothpaste for my needs?

August 5th, 2015

With so many toothpastes available in so many price ranges, it can be difficult to be sure you are selecting the right one for your needs. You need a product that not only protects against tooth decay, but also addresses any special concerns that Dr. Mischley and our team have raised. Look for the American Dental Association seal and do some research to find the toothpaste that best meets your needs.

Choose a Product Approved by the American Dental Association

The American Dental Association approves dental products such as toothbrushes, dentures, mouthwashes, dental floss, and toothpastes when they meet certain quality standards. Before products can display the seal, the American Dental Association must verify that the product does what it claims to do. Look for the American Dental Association seal on the toothpaste package before you buy it. Also, check to make sure that the toothpaste contains fluoride, which helps protect against decay.

Consider Special Needs

You may be depending on your toothpaste to perform extra tasks beyond cleaning your teeth. These are some common concerns that the right toothpaste can address.

  • Bad breath (halitosis)
  • Sensitive teeth
  • Plaque or gingivitis
  • Tartar
  • Yellowing teeth

The American Dental Association’s website has a tool that lets users input their requirements and view a list of the toothpastes that carry the American Dental Association’s seal and address those particular oral health needs.

Make Your Children’s Tooth-Brushing Experience Fun

If you select toothpaste that contains fluoride and has the American Dental Association seal, most types of toothpaste will be fine for your children as long as they have no special needs. Allowing your kids to select fun toothpaste can encourage them to enjoy the brushing experience more, so that they brush more frequently and do a better job.

The following toothpaste characteristics can make brushing more fun for children.

  • Fun flavors, such as bubble gum, berry, and watermelon
  • Sparkles and swirls that make the toothpaste appear more attractive
  • Toothpaste that comes in a pump
  • Toothpaste with a container decorated with superheroes

Energy Drinks and Dental Health

July 29th, 2015

Are energy drinks bad for your teeth? Many of our patients at Kevin P. Mischley, DMD ask us this question, so here’s the scoop.

Energy drinks have been on the rise, taking up more and more space on grocery store shelves. Drinks such as Red Bull, 5-Hour Energy, Monster Assault, Rockstar, and the like promise to jump-start your day, give you more energy, and help you feel more alert. But they also do a lot more than that. Turns out, they do a pretty good job of stripping your teeth of enamel, which is a very bad thing.

Many of these energy drinks are loaded with a lot of citric acid. In addition, they are laden with preservatives (not to mention sugar), not only to enhance flavor, but extend shelf life. While enamel loss, tooth decay, teeth sensitivity, and cavities cannot be blamed entirely on energy drinks (improper oral hygiene at home and lack of professional dental care also play a role), they can wreak havoc on the health of your teeth and gums, especially when consumed in more than moderation. Over time, energy drinks can strip enamel, which is the outer layer that protects your teeth.

What can you do?

Although Dr. Mischley and our team aren't recommending you drink energy drinks at all, if you must drink one occasionally, there are a few things you can do to minimize the damage to your teeth.

  • Drink through a straw.
  • Don’t hold the drink in your mouth before swallowing.
  • Rinse your mouth with water immediately after drinking this kind of beverage. Water helps both to neutralize the acid and to increase the production of saliva.
  • Chew sugar-free gum immediately after, to increase saliva production.
  • Don’t brush your teeth right after drinking an energy drink. Wait at least an hour instead, because the combination of the acid and brushing will further damage tooth enamel.

The best advice is to refrain from drinking energy drinks altogether. One of the best hydrators is water. Water is a natural energy-booster and hydrator, and it doesn’t contain calories.

Give us a call today at our Walpole, MA  office if you have any questions or concerns about energy drinks and dental health. We can provide additional tips and a treatment plan to help reduce enamel loss, eliminate tooth sensitivity, and repair cavities and tooth decay as a result of drinking energy drinks.

Navigating the World of Dental Insurance Terminology

July 22nd, 2015

Unless you work for an insurance company, you probably do not spend a lot of your time studying all the terminology that dental insurance companies use to describe the treatments and services they cover. If it seems pretty confusing, here are some of the most commonly used dental insurance terms and what they mean.

A Basic Glossary

Annual Maximum–The maximum amount your policy will pay per year for care at Kevin P. Mischley, DMD. It is often divided into costs per individual, and (if you are on a family plan) per family

Co-payment– An amount the patient pays at the time of service before receiving care, and before the insurance pays for any portion of the care

Covered Services– A list of all the treatments, services, and procedures the insurance policy will cover under your contract

Deductible– A dollar amount that you must pay out of pocket each year before the insurance company will pay for any treatments or procedures

Diagnostic/Preventive Services– A category of treatments or procedures that most insurance will cover before the deductible which may include services like preventive appointments with Dr. Mischley, X-rays, and evaluations

In-Network and Out-of-Network– A list of providers that are part of an insurance company’s “network”

  • If you visit in-network providers, the insurance company will typically cover a larger portion of the cost of the care you receive. If you visit someone who is not part of the network, known as an out-of-network provider, the insurance company may pay for a portion of the care, but you will pay a significantly larger share from your own pocket.

Lifetime Maximum– The maximum amount that an insurance plan will pay toward care for an individual or family (if you have an applicable family plan)

  • This is not a per-year maximum, but rather a maximum that can be paid over the entire life of the patient.

Limitations/Exclusions– A list of all the procedures an insurance policy does not cover

  • Coverage may limit the timing or frequency of a specific treatment or procedure (only covering a certain number within a calendar year), or may exclude some treatments entirely. Knowing the limitations and exclusions of a policy is very important.

Member/Insured/Covered Person/Beneficiary/Enrollee– Someone who is eligible to receive benefits under an insurance plan

Provider– Dr. Mischley or other oral health specialist who provides treatment

Waiting Period– A specified amount of time that the patient must be enrolled with an insurance plan before it will pay for certain treatments; waiting periods may be waived if you were previously enrolled in another dental insurance plan with a different carrier

There are many different insurance options available, so you need to find out exactly what your insurance covers. It’s important to review your plan with a qualified insurance specialist. Don’t be afraid to ask questions about the policy so you can understand it fully and be confident that you know everything your policy covers the next time you come in for treatment at our Walpole, MA office.

The Link Between HPV and Oral Cancer

July 15th, 2015

Cancer has become a common word, and it seems like there is new research about it every day. We know antioxidants are important. We know some cancers are more treatable than others. We know some lifestyles and habits contribute to our cancer risk.

Smoking increases our risk of cancer, as does walking through a radioactive power plant. But there is a direct link to oral cancer that you many may not know about—the link between HPV (Human Papilloma Virus) and oral cancer.

This may come as a shock because it has been almost a taboo subject for some time. A person with HPV is at an extremely high risk of developing oral cancer. In fact, smoking is now second to HPV in causing oral cancer!

According to the Oral Cancer Foundation, “The human papilloma virus, particularly version 16, has now been shown to be sexually transmitted between partners, and is conclusively implicated in the increasing incidence of young non-smoking oral cancer patients. This is the same virus that is the causative agent, along with other versions of the virus, in more than 90% of all cervical cancers. It is the foundation's belief, based on recent revelations in peer reviewed published data in the last few years, that in people under the age of 50, HPV16 may even be replacing tobacco as the primary causative agent in the initiation of the disease process.” [http://www.oralcancerfoundation.org/facts/]

There is a test and a vaccine for HPV; please discuss it with your physician.

There are some devices that help detect oral cancer in its earliest forms. We all know that the survival rate for someone with cancer depends greatly on what stage the cancer is diagnosed. Talk to Dr. Mischley if you have any concerns.

Please be aware and remember that when it comes to your own health, knowledge is power. When you have the knowledge to make an informed decision, you can make positive changes in your life. The mouth is an entry point for your body. Care for your mouth and it will care for you!

Fewer Adults are Visiting the Dentist

July 8th, 2015

Our team at Kevin P. Mischley, DMD recently learned that in the decade between 2000 and 2010, the amount of adults who regularly visited their dentist declined, according to research released by the American Dental Association's Health Policy Resources Center (HPRC). In fact, the HPRC found that the percentage of adults who had regular checkups every six months declined from 41 percent in 2003 to 37 percent in 2010. The largest decline in dental care occurred in the 35- to 49-year-old age group. That’s down from 43 percent in 2003 to just 38 percent in 2010.

There is some good news, however. While adult visits may have decreased, children's visits were on the rise, particularly among low-income families. More low-income children are visiting the dentist now than they were ten years ago. And the HPRC notes that between 2000 and 2010, dental visits among low-income children increased in 47 states.

Have you ever wondered why the American Dental Association and Dr. Mischley recommend that you come in for a dental checkup and cleaning every six months? While daily oral hygiene habits are essential to good oral health, professional dental cleanings at Kevin P. Mischley, DMD ensure your and your child’s teeth are treated to a deeper level of cleaning. In addition to a thorough cleaning and teeth polishing, regular visits at our Walpole, MA office help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue for symptoms of any oral disease. We will also check old fillings and restorations, as these can wear away over time from constant chewing, clenching, or grinding at night.

If you are predisposed to oral diseases due to age, pregnancy, tobacco use, or medical conditions such as diabetes or dry mouth, Dr. Mischley may recommend you visit our office more often than every six months.

If you are overdue for your next checkup and cleaning, please give us a call to schedule an appointment!

Fun Facts for the Fourth

July 1st, 2015

The Fourth of July is a great time to get together with friends and family members for BBQ, games, fireworks, and other celebrations in honor of our country’s independence. While your fellow revelers eat hot dogs and wave flags, you can impress them by sharing these fascinating facts and historical tidbits about some of our country’s traditions and symbols from the team at Kevin P. Mischley, DMD.

The Statue of Liberty

With a torch in one hand and a tablet in the other, the Statue of Liberty is one of the most iconic and recognizable symbols of our country. However, as recognizable as certain parts of the statue are, not many people know that broken shackles, which represent oppression and tyranny, are lying at Lady Liberty’s feet. According to the Statue of Liberty-Ellis Island Foundation, the copper-plated lady weighs in at a whopping 450,000 tons and has been holding her torch up for more than 125 years, which must make for some impressive arm muscles.

Nathan’s Hot Dog Eating Contest

Since 1916, people have been flocking to Coney Island on the Fourth of July to witness what some people call the “superbowl of competitive eating.” Nathan’s Hot Dog Eating contest challenges competitors to devour as many hot dogs as they can in just ten minutes, with the current record holder swallowing a whopping 68 hot dogs! If you’d like to witness this bizarre and frenzied eating competition but you won’t be anywhere near Coney Island on the fourth, don’t worry. ESPN has been broadcasting this popular event for several years, so you can watch from the comfort of your couch while you eat a reasonably portioned meal.

The History Behind Fireworks

Viewing the nighttime fireworks display is exciting way to finish off the fourth. Many people know that these brilliant displays probably originated with the Chinese. However, many historians also believe that fireworks were stumbled upon when the Chinese roasted bamboo sticks over fires and watched them explode. After many years of roasting the sticks, a group of alchemists created an early form of gunpowder, which they stuffed into the bamboo sticks to create an even more powerful explosion, paving the way for the today’s modern fireworks.

Whether you’re planning on visiting the Statue of Liberty, watching fireworks in Walpole, MA, or even participating in a hot dog eating contest, Dr. Mischley and our team hope you have a safe and fun-filled holiday. Happy Fourth of July!

How much calcium does my child need?

June 24th, 2015

When you were a kid, your parents may have told you to drink milk to build strong bones and grow tall and strong. Now that you have children of your own, you may hear yourself parroting those instructions you received years ago. Getting enough dairy is essential for young children whose teeth are growing. A child who consumes the recommended daily serving of dairy will develop healthy, strong teeth for the rest of his or her life.

So, which foods are the best in terms of acquiring the right amount of calcium? Milk and other dairy products are excellent sources of calcium. Milk also contains vitamin D, phosphorus, magnesium, and proteins. Magnesium promotes calcium deposits in your enamel, while phosphorus forms a small but important barrier against acidic foods that cause cavities. Vitamin D and protein are used by a child’s body to build bone tissue and maintain dental health.

According to a recent study, the majority of Americans, including children, do not receive enough calcium. In fact, according to the Academy of General Dentistry, only one in five children meets even the minimum standards for calcium consumption. The U.S. Department of Agriculture recommends that children under the age of eight should receive two and a half cups of dairy per day. Children older than eight need three full cups, the same as adult men and women. In addition to milk, eating yogurt is a great way your child can increase his or her dairy consumption. Drinking sugary beverages in place of milk causes cavities and tooth decay.

If your child does not get enough dairy consumption, they run the risk of improper tooth development and other dental health problems. Dr. Mischley and our team at Kevin P. Mischley, DMD encourage you to monitor your child’s dairy consumption to ensure he or she grows healthy teeth to last a lifetime.

Questions? Give us a call at our Walpole, MA office!

Headaches: The Dental Connection

June 17th, 2015

Many people suffer through headaches for years without getting to the root cause of their problem. If you find yourself constantly popping painkillers to get through the day, it might be worth a trip to see a medical professional – but it may not be the person you think.

Talking to Dr. Mischley can be a great start when dealing with chronic headaches, because dental issues frequently contribute to head pain. In fact, the American Academy of Craniofacial Pain estimates that 80% of headaches are caused by muscle tension, which often originates in the jaws.

What Do Tension Headaches Feel Like?

A tension headache can originate on one side of your head or can pervade your entire skull. Typically, tension headaches feel like a dull, throbbing ache inside your head. Some patients at our Walpole, MA office report that they feel as though a metal band has been wrapped around their head and is causing significant pressure. Several common symptoms suggest that tension headaches may be caused by dental issues:

  1. Feeling as though your head or scalp is painful to the merest touch
  2. Experiencing a dull or throbbing pain behind the eyes
  3. Clicking or popping sounds in your jaw joints
  4. Grinding teeth or clenching the jaws, particularly in times of anxiety or during the night
  5. Feeling as though your jaw muscles are sore when you wake up from sleep

Dental Origins of Headaches

Several dozen muscles control your facial expressions, jaw movements, and motions such as swallowing. When these muscles are contracted for long periods of time, tension builds up within the muscle and can lead to headaches. This may happen if you clench or grind your teeth at night, your bite is misaligned, or you have muscle imbalances in the jaw or neck.

Dental Treatments for Tension Headaches

Fortunately, a trip to Kevin P. Mischley, DMD can be a fruitful way to alleviate your headaches, including the following treatments:

  1. Bite. In many cases, correcting your bite through orthodontics releases the stress on your jaw and muscles, and reduces the frequency of headaches.
  2. Nightguard. A nightguard, which resembles a sports mouthguard, may also be helpful if you frequently grind your teeth or clench your jaws during sleep. Nightguards distribute the tension from your clenched jaws and reduce the possibility of dental damage.
  3. Physical therapy and relaxation. Correcting the posture of your shoulders, neck, and head may alleviate muscle tension associated with headaches.

Eating and Invisalign®

June 10th, 2015

One of the greatest advantages to using Invisalign is that it provides maximum results with minimal impact on your everyday life. Invisalign is comfortable, easy to insert, and simple to remove. Because you can remove Invisalign aligners, you can enjoy all your favorite foods and beverages without worries about getting food stuck in the wires and brackets of traditional braces.

Eating and Invisalign

While the aligner is durable and strong, you should remove it before you eat or drink beverages, as the chewing action inside your mouth can break, crack, or distort the aligner. Even minute damage to the Invisalign tray will prevent it from aligning your teeth properly. Furthermore, eating with Invisalign in your mouth can be quite messy.

Beverages and Invisalign

Repeated exposure to hot liquids may also cause the Invisalign aligner to distort. This distortion changes the shape of your aligner in a way that will affect how it straightens your teeth. Contact our Walpole, MA office if your Invisalign aligner has distorted after consuming a hot beverage.

Fluids can settle inside the aligner to “bathe” the teeth. Bathing teeth in acidic fluids can be especially problematic, as the acids can wear away tooth enamel. Exposure to acidic fluids is not normally a problem, as saliva neutralizes and buffers the acid then washes it away. Wearing an aligner, however, prevents the saliva from doing those jobs, increasing your risk for tooth decay.

Colored drinks may also change the color of your teeth. Most discoloration is temporary but stubborn stains may occur.

To prevent discoloration and tooth decay, brush your teeth after every meal or beverage before putting in your Invisalign aligners. If you do not have access to clean water, chew sugar-free gum to remove bacteria, acid, and food particles from your teeth. As a last resort, you may leave your aligners out for an hour or two until you can brush and floss properly. Before inserting Invisalign, rinse the aligner in lukewarm water or use the Invisalign cleaning kit.

Contact our Walpole, MA office for more information about eating and Invisalign.

June is National Smile Month: Show off your smile!

June 3rd, 2015

The community health awareness group Oral Health America has reported that 82 percent of adults are unaware of the role that infectious bacteria can play in tooth decay or cavities, and almost three out of five children aged 12 to 19 have tooth decay. Since June is National Smile Month, Dr. Mischley and our team at Kevin P. Mischley, DMD thought we’d remind our patients about the importance of good oral hygiene visits between office visits.

To keep your family’s smiles healthy and beautiful for years to come, be sure to:

  • Brush at least twice a day with fluoride toothpaste
  • Floss every day to clean between your teeth
  • Eat a healthy, well-balanced diet
  • Reduce your intake of sugary foods and drinks
  • Visit Dr. Mischley for scheduled appointments

If you want to know more about healthy home care habits, feel free to ask our team at your next appointment, or ask us on Facebook!

Implants: Why it's important to replace missing teeth

May 27th, 2015

The average adult has 32 teeth, a combination of molars, canines, and incisors. By middle age, however, most adults are missing at least one tooth due to an injury, decay, or gum disease. Though many people choose to forgo tooth replacement, Dr. Mischley and our team at Kevin P. Mischley, DMD will tell you that every tooth is important. Each plays a vital role in the structure of the mouth and in relationship to the remaining teeth. Leaving the space where a tooth once stood can have serious consequences. There are many reasons why severely decayed or missing teeth should be replaced as quickly as possible.

  • Speech: A missing tooth can negatively affect the way you speak, depending on its location.
  • Bite changes: The loss of one or more teeth can cause the redistribution of bite pressure onto other teeth. Over time, this can cause the teeth to shift and move into the space the tooth once held.
  • Gum disease: Shifting teeth can make it easier for plaque to accumulate in hard-to-reach places. This can increase the risk of gum disease, which can lead to additional tooth loss.
  • Bone loss: The teeth are place-holders in the jaw. When one falls out and is not replaced, the bone that once surrounded it begins to deteriorate and wear down.
  • Aesthetics: A missing tooth leaves a visible gap between the teeth and can be a source of embarrassment and insecurity.

Advancements in modern dentistry have made it easy to replace missing teeth using natural-looking and functioning prosthetics. Dental implants are permanent solutions for replacing missing teeth with the use of special rods that are anchored in the jaw bone. These implants serve as artificial tooth roots that fuse with the jaw over time. When cared for properly, most dental implants can be fitted to last a lifetime.

To learn more about dental implants, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

Memorial Day

May 21st, 2015

Memorial Day is not only a federal holiday in the United States, but it is a day of observance and remembrance of those who died in service. Originally known as Decoration Day, this solemn day has been marked on calendars since the end of the American Civil War as a day to commemorate both the Confederate and Union soldiers who fought and died in the war.

Marking the graves of fallen soldiers with flowers, wreaths, or other tokens has been practiced throughout history, but it wasn't until the mark of the end of the Civil War that a special day was decided upon as the one to spend in remembrance. By 1890, every state in the country was observing Decoration Day. It wasn't until 1967 when the name formally changed from Decoration Day to Memorial Day, in order to encompass all fallen American soldiers in all wars and conflicts. In June of 1968, Congress moved the official date of Memorial Day to the last Monday in May in order to create a three day weekend.

Today, while there is certainly an air of remembrance on Memorial Day, it has become more a day of spending time with family, friends, and other loved ones. This day is also heralded as the start of summer, with many schools finishing for the year around this time. Our team at Kevin P. Mischley, DMD remembers it as a day to take solace and remembered those lost.

Traditional observances of Memorial Day are still held, and they often involve raising the American Flag then lowering it to a half-staff position until noon, and then raising it once again to its full height afterwards. The flag is lowered to remember those who've lost their lives while in service to their country, and then it is raised to signify our willingness to not let their sacrifice be in vain.

From community parades in the Walpole, MA area, backyard cook-outs, and fireworks to formal ceremonies, Memorial Day is commemorated in many different ways. No matter how you choose to spend this day, take a moment to remember those who've lost their lives in an effort to preserve our freedom.

Top Ten Ways to Improve Heart Health

May 13th, 2015

The human heart truly appreciates it when we eat healthy foods, don’t smoke, and exercise regularly. But there’s something else that can improve your heart’s longevity and you may not know about: keeping your teeth and gums in tip-top shape.

Bacteria responsible for periodontal disease have been found in the heart area of subjects who suffer from artery inflammation, high cholesterol, and heart disease. Physicians and dentists, like Dr. Mischley, think that it is not difficult for oral bacteria to enter the bloodstream through diseased, bleeding gums, and abscesses that reach from the gums into veins and capillaries that carry blood to and from the heart.

In addition to practicing good oral hygiene and visiting Kevin P. Mischley, DMD every six months, here are ten other ways you can make your heart love you for the rest of your life:

  1. Avoid eating foods that contain saturated fat (fatty meats, processed meats, pastries, butter).
  2. Craving a crunchy snack? Grab a handful of tree nuts: pecans, almonds, walnuts. They’re rich in monounsaturated fats (the “good” kind of fat) as well as vitamin E, magnesium, and potassium.
  3. Eating a bowl of oatmeal for breakfast nourishes your heart with a soluble fiber called beta-glucan that can reduce cholesterol and help prevent atherosclerosis.
  4. Think “fish” the next time you shop for groceries, especially sardines, salmon, fresh tuna, and mackerel. These fish provide omega-3 fatty acids that lower triglycerides and blood pressure, and may help prevent blood clots from forming.
  5. Opt for whole grains over processed white breads and cereals.
  6. Put that remote control (or computer mouse) down right now and get moving! Walk, swim, ride a bike, plant flowers; your heart likes to pump, so make it pump.
  7. Refresh your brain and improve your heart health with at least eight hours of sleep every night.
  8. De-stress your life as much as possible: relax, stay optimistic, and don’t sweat the petty stuff!
  9. Watch your weight and get regular health examinations, especially if you have a family history of heart disease.
  10. And don’t forget to brush, floss, and rinse twice a day!

Summer is Almost Here: Tips for a bright, white smile!

May 6th, 2015

Summer is almost here, which means a season full of vacations, adventures and great memories is just around the corner for our patients at Kevin P. Mischley, DMD.

Everyone wants a glowing and radiant white smile when the sun comes around and we have a few reminders to keep your pearly whites healthy and beautiful over the summer! Try to stay away from drinks that will stain your teeth like coffee, soft drinks, or dark colored juices. Not only will drinks like this weaken your enamel but they will also darken that fabulous smile you're working on! Another tip is to try and focus on brushing your teeth; everyone knows that when busy schedules start picking up, getting a good brushing session in tends to take the backseat! A good tip for keeping your mouth safe from staining and other possible pitfalls is to rinse your mouth with water after any meal you can’t fully brush your teeth after. Your teeth, inside and out, will benefit!

And remember, whether you are headed to a barbecue, a camping trip, or just having fun in the backyard this summer, we want to hear all about it! Make sure to let us know what you’re up to below or on our Facebook page! We also encourage you to post any photos from your adventures!

FDA approves treatment for fat below the chin

May 1st, 2015

Dr. Mischley is proud to offer Botox and dermal fillers as treatment options for our patients. When the time comes, our practice may offer this service in the future, too!

FDA approves treatment for fat below the chin

The U.S. Food and Drug Administration today approved Kybella (deoxycholic acid), a treatment for adults with moderate-to-severe fat below the chin, known as submental fat. Using Kybella for the treatment of fat outside Kybella is identical to the deoxycholic acid that is produced in the body. Deoxycholic acid produced in the body helps the body absorb fats. Kybella is a cytolytic drug, which when injected into tissue physically destroys the cell membrane. When properly injected into submental fat, the drug destroys fat cells; however, it can also destroy other types of cells, such as skin cells, if it is inadvertently injected into the skin.

The U.S. Food and Drug Administration today approved Kybella (deoxycholic acid), a treatment for adults with moderate-to-severe fat below the chin, known as submental fat. Using Kybella for the treatment of fat outside of the submental area is not approved and is not recommended.

Kybella is identical to the deoxycholic acid that is produced in the body. Deoxycholic acid produced in the body helps the body absorb fats. Kybella is a cytolytic drug, which when injected into tissue physically destroys the cell membrane. When properly injected into submental fat, the drug destroys fat cells; however, it can also destroy other types of cells, such as skin cells, if it is inadvertently injected into the skin.

You can read the full press release here: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm444978.htm

Antibiotics not needed before dental appointments

April 30th, 2015

Have you been taking antibiotics before coming to the dentist? Many dental patients have been for years. The vast majority no longer need to do so, and will be relieved to learn this. According to the January 2015 edition of The Journal of the American Dental Association:

Clinical Recommendation:

In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent joint infection.

Clinical Reasoning for the Recommendation:

  • There is evidence that dental procedures are not associated with prosthetic joint implant infections
  • There is evidence that antibiotics provided before oral care do not prevent prosthetic joint implant infections
  • There are potential harms of antibiotics, including risk for anaphylaxis, antibiotic resistance, and opportunistic infections
  • The benefits of antibiotic prophylaxis may not exceed the harms for most patients
  • The individual patient's circumstances and preferences should be considered when deciding whether to proscribe prophylactic antibiotics prior to dental procedures

Let Dr. Mischley and our team know if you have any questions before or during your appointments!

Dental Anxiety

April 29th, 2015

If you suffer from dental anxiety, a visit to Kevin P. Mischley, DMD might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our Walpole, MA office, there is nothing to be afraid of. We understand you may be anxious about receiving dental treatments, and we’re here to help you have a comfortable, pain-free experience that will put your fears to rest.

You’re not alone!

A 1984 study that appeared in the Journal of the American Dental Association reported that up to 75% of all adults in the United States have some degree of dental anxiety. This includes five to ten percent whose dental anxiety is so severe that they try to avoid a dentist’s office at all costs.

Treatment

If you experience dental anxiety, it is important to let our office know in advance, so we can provide you with the dental care you need with an added touch of TLC. We can assist by explaining behavioral techniques for relaxation, by administering nitrous oxide (laughing gas), or by prescribing a relaxing medication prior to your dental procedure.

Little League Opening Day

April 29th, 2015

Last Saturday, April 25, was Opening Day for Little League in our hometown of Wrentham, MA! A great time was had by all - live symphonic orchestra and a mobile zoo for the kids. Greta, Dr. Mischley's daughter, fell in love with the bunnies! (as did Dr. Mischley). They're getting a couple this weekend!

Check out our Facebook page for more photos!

Every Day is Earth Day

April 22nd, 2015

During the early days of the environmental awareness movement, those who demonstrated against pollution, toxic chemicals, and the general public health were known as hippies. The early 1970s were a time of change, and assertions that we needed to pay more attention to the Earth's atmosphere were generally dismissed. But within a couple decades, it had become clear that the previous generation was right; the citizens of the world needed to become more environmentally conscious.

Many people feel that they can't make a difference if they don't do something big. But caring for the environment doesn't have to be an all-or-nothing concept. In fact, the little things you do can add up to make a great impact, especially in our community. Here are a few ways you can help the environment on Earth Day, April 22nd and all year around.

Four Small Ways to be Environmentally Friendly

  • Recycle Your Textiles. Nearly 21 million tons of textiles are added to American landfills each year, according to the Environmental Protection Agency. Donating your unwanted clothing to a secondhand store or an organization that repurposes fabric helps cut down on solid waste and conserves natural resources.
  • Reduce Usage of Disposables. Plastic bottles and bags, disposable diapers and other things we can use and toss out are convenient, but they're not necessary. Simply choosing to replace one of type of disposable with a reusable product can help you cut down on waste that has a large negative impact on our environment.
  • Conserve Water. If everyone in the United States turned off the water while brushing their teeth, more than 1.5 million gallons of water could be conserved. Turn the water on long enough to wet your toothbrush for brushing and rinsing, and then immediately turn the water off again.
  • Turn Off the Lights. Flip the light switch to "Off" if you're going to leave a particular room for 15 minutes or more. This will conserve energy on incandescent light bulbs and cut down on cooling costs.

It's not necessary to be an activist or install solar panels all over your home to help the environment. Although you can do these things, the little everyday measures make a big difference in helping to conserve energy and the environment, while reducing your carbon footprint. Our team at Kevin P. Mischley, DMD wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

Why do wisdom teeth need to be removed?

April 15th, 2015

Dr. Mischley and our team at Kevin P. Mischley, DMD get this question a lot. Wisdom teeth are the last teeth to come in, once young people get their adult teeth. Because they are the last teeth to break through the gums, they are often called the third molars. There are four wisdom teeth: two on each side of the top and bottom of the mouth.

There is no hard-and-fast rule that says everyone must have the wisdom teeth removed. There are certain situations in which they either cause problems directly, or create a situation where there is a greater likelihood problems will arise eventually.

Impacted wisdom teeth

If Dr. Mischley and our team say you have a soft tissue impaction, it means your wisdom tooth is covered by gum tissue that is preventing it from erupting — most likely because your mouth is too small to provide the tooth with the room it needs to emerge.

The term “partial bony impaction” means that gum tissue is covering the wisdom tooth, but part of the jaw bone is also covering it, in which case there is no room in your mouth for the tooth to erupt. The opposite end of this spectrum is a complete bony impaction, where the wisdom tooth is completely covered by gum tissue and the jawbone, which prevent it from ever erupting.

The importance of removing impacted wisdom teeth

Dentists often want to remove impacted wisdom teeth because of the likelihood that they will cause problems, or because a problem already exists. One such problem is pericoronitis, an acute abscess that affects partially impacted wisdom teeth. Food, bacteria, and other mouth debris can become lodged under the gum flap that covers the wisdom tooth, which prevents it from erupting. Pericoronitis symptoms include pain, swelling, and the presence of an abscess.

Regular dental checkups will enable your dentist to keep an eye on your wisdom teeth, especially if they have some type of impaction. Dr. Mischley and our team at Kevin P. Mischley, DMD typically recommend removal of impacted wisdom teeth because of the likelihood that severe infections such as pericoronitis will develop.

If you have any questions about wisdom teeth, or if you would like to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

The Secret to Lifelong Teeth Whitening

April 8th, 2015

Have you ever noticed your attention being instantly drawn to peoples’ teeth when they smile at you? Some people have dull and yellowing teeth, while others have teeth that appear bright white. Everyone’s teeth naturally dull over time because of aging and the contact your teeth have with staining foods, such as chocolate and coffee. However, teeth-whitening treatments can help you keep your teeth white for life.

Get Regular Treatments

The effects of teeth whitening or bleaching treatments are only temporary, so regular treatments at Kevin P. Mischley, DMD are necessary to keep your teeth white for life. Bleaching too frequently, though, can wear away your tooth enamel. The effects of in-office bleaching can last for several months to a year, while you may need to repeat your use of at-home bleaching kits every few months to maintain your white teeth. Whitening toothpastes do not contain bleach, so you can use them daily. The American Dental Association suggests asking your dentist for advice on which treatment is best for you.

Have Realistic Expectations

Not everyone’s teeth can be turned bright white, according to the American Dental Association. Your teeth may naturally be a light yellowish color that lends itself well to teeth-whitening procedures, but bleach is not likely to be effective for grayish teeth. Brownish teeth fall somewhere in between.

Practice Good Oral Hygiene

Your teeth whitening efforts will not be as effective if your teeth are in poor health. Visible fillings, implants, or bridges that are metallic stand out against the white color you want to achieve. You can help prevent tooth decay and reduce your risk of needing these unsightly treatments by maintaining a good oral hygiene routine. In addition to brushing your teeth twice a day to remove dirt and potential staining agents, the actions below can promote a healthy mouth.

  • Floss every day
  • Visit Kevin P. Mischley, DMD regularly
  • Rinse your mouth with water after each meal and snack
  • Limit sugary and starchy foods and beverages, especially between meals

Four Tips for Soothing a Toothache

April 1st, 2015

Whether it’s a dull and throbbing ache or a sharp pain, toothaches can come in many different forms. Chances are you’ve had the discomforting experience once or twice in your life. It’s the type of experience that nobody wants to have, because a toothache can be as annoying as fingernails scratching a chalkboard.

What’s a good way to describe a toothache? Let’s see … your mouth feels as if it’s being besieged by one of those Loony Tunes-style jackhammers. As fate would have it, toothaches always seem to occur over the weekend or after-office hours, leaving you to suffer and forcing you to cancel your reservation at that high-end restaurant you’ve been anticipating all week.

Not so fast!

While you’re probably going to want to skip the rib-eye steak, there are numerous tried-and-true home remedies you can use to ease the pain until you can make an appointment with our office. Here’s a look at four ways to soothe a toothache.

  1. Don’t underestimate the power of salt water. Rinsing your mouth with warm salt water will both soothe your toothache and disinfect your mouth. However, make sure the water is warm; cold water can further exacerbate a sensitive tooth. Follow up the saltwater rinse by swishing your mouth with hydrogen peroxide.
  2. Clove oil, eucalyptus oil, peppermint oil, and vanilla extract are proven to be comforting elixirs. Dip a cotton swab in one of these mixtures and apply it to your tooth and gums. These substances, which you may even have in your kitchen cupboards, are known to have pain-relieving qualities. For the best results, repeat the application throughout the day.
  3. Eating yogurt is good for toothaches and mouth pain. Yogurt is filled with healthy bacteria that combat pain. Afterward, place a cold compress on your jaw.
  4. Try flossing. Your toothache might be throbbing and severe, but there’s always a chance the pain is caused by a piece of food awkwardly lodged in your teeth.

We hope that helps! Give Kevin P. Mischley, DMD a call to learn more!

Timing Matters!

March 25th, 2015

Many patients at Kevin P. Mischley, DMD are under the impression that harder brushing leads to cleaner teeth, but that is not true. Gentle brushing is just as effective, and less likely to cause damage. Other good brushing habits include brushing your teeth at least twice a day, replacing your toothbrush after a few months, and brushing for at least two minutes each time. It can be tough to keep track of the time when you are aiming for two minutes, but these tips can help.

Set a Timer

Setting a timer is a sure-fire way to hit your two-minute goal on the dot. Leave a kitchen timer in your bathroom so that it is easy to set each time you start brushing your teeth. Hit each surface of all of your top and bottom teeth, and keep brushing until the timer rings. Many electric toothbrushes have a built-in timer that you can use instead of a kitchen timer.

Entertain Yourself for Two Minutes

Time flies when you are having fun, and you can stay entertained as you brush your teeth for two minutes. These are some ideas.

  • Time your favorite song and sing it in your head as you brush your teeth.
  • Find a two-minute video on the Internet that you want to watch, and start it when you begin to brush your teeth.
  • Do squats in the bathroom as you brush. Go down for three slow counts, and up for three slow counts. By the time you get to 20 squats, your two minutes will be over.

Let Your Children Use Technology

Toothsavers is an app designed to inspire children to brush. The app was developed and released by the Ad Council and the Partnership for Healthy Mouths, Healthy Lives. It includes:

  • A game to fight an evil sorceress who causes cavities
  • A two-player version that lets children interact with friends and parents
  • Real-life reminders to brush twice a day
  • A built-in timer that helps kids brush for two minutes

When do children usually lose their baby teeth?

March 18th, 2015

Many parents worry that their children’s teeth are not falling out on time. A lot of concerned parents want to know: When will my child lose his or her first baby tooth? At what age should the last tooth fall out? Is there a specific order in which the teeth are lost?

Dr. Mischley and our team explain that a child's 20 baby teeth (primary teeth) typically come in by age three and begin to loosen and fall out on their own to make room for permanent teeth, which usually appear by the time your child is six. It is important to know that timing may vary, and girls typically lose their baby teeth earlier than boys. The last baby teeth will likely fall out by the time your child is 13.

So, which teeth do children lose first? Baby teeth tend to fall out in the order in which they came, which means the lower center incisors are usually the first to go when your child is between six and seven years old. The next teeth your child will lose are his or her top center pair, also called the upper central incisors.

It’s important to note that if a child loses a baby tooth early as a result of decay or an unforeseen accident, his or her permanent tooth may erupt early and potentially come in crooked due to limited space. If your child suffers an injury or has tooth decay, we encourage you to give us a call to set up an appointment with Dr. Mischley.

While we know some children couldn’t be more excited to lose their baby teeth, we know others are anxious about this childhood milestone. When your child starts to lose teeth, our team at Kevin P. Mischley, DMD encourages you to stress the importance of proper dental care on a daily basis.

Remember to:

  • Remind your child to brush his or her teeth at least twice a day. Supervise and offer assistance as needed.
  • Help your child floss his or her teeth at bedtime.
  • Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks, such as candy and soda.
  • Schedule regular dental visits for your child every six months.
  • Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

To learn more about baby teeth, or to schedule your child's next visit with Dr. Mischley at our Walpole, MA office, please give us a call today!

St. Patrick's Day: Celtic pride, green shamrocks, and lucky charms!

March 11th, 2015

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold – it must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

Wondering what our team at Kevin P. Mischley, DMD is doing to celebrate March 17th? Well, we’ve thought about doing everything from handing out lucky gold coins (you know, the fake ones that are made of chocolate) to shamrock stickers. Maybe we’ll even give away green toothbrushes and floss! You’ll never know unless you come in to see Dr. Mischley !

All kidding aside, St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s Day!

Are your teeth ready for the big day?

March 4th, 2015

Capturing the Moment

At Kevin P. Mischley, DMD we know that just about anyone who has taken on the challenge of planning her own wedding could tell you how important the little details can be. Things like having complementary colors, the right location, show-stopping flowers, and delicious food are all a big part of planning your spring wedding. Another little detail that has a big "I do" related role? Your smile.

Whether you’re the bride, or an attendant, looking your best when you tie the knot (or help someone tie the knot) is essential. If your teeth aren’t ready to make an entrance, turning to one of the many available teeth whitening solutions is a great option.

Reliable Solutions

Before the wedding day arrives, you should take your smile into consideration. If diet and daily wear-and-tear have caused your teeth to lose their original luster, our team can help! In-office procedures do cost more than kits you use at home, but with an in-office treatment, you benefit from a professional taking proper care of your teeth.

In addition, relying on our office to handle teeth whitening before the wedding can give you access to trustworthy advice on how to keep your teeth looking their best for a longer period of time. It’s common for someone experienced in assisting people with their oral health to suggest investing in an in-office whitening technique and then following up with a teeth-whitening kit at home.

This is a season of new beginnings and beauty. Take the time to bring out your most beautiful smile before the big day. Don’t let your smile hold you back on your wedding. With our in-office teeth whitening, you can be sure that you’ll be more confident and comfortable interacting with friends and family. So remember, when in need of some quality oral care in Walpole, MA to think of Dr. Mischley!

Are you at risk for tooth erosion?

February 25th, 2015

Many people consume carbonated or sugary drinks and acidic foods every day but have no idea those beverages may be harming their teeth, making them vulnerable to tooth erosion. The acid in the foods we eat and drink can cause tooth enamel to wear away, making your teeth sensitive and discolored. Dr. Mischley will tell you that in many cases, what’s important is not what you eat and drink, but rather how you consume it.

What is tooth erosion?

Tooth erosion is the loss of tooth structure caused by the weakening of dental enamel, which is the strongest substance in the human body. Enamel is the thin, outer layer of hard tissue that helps maintain the tooth’s structure and shape. When the enamel is weakened, it exposes the underlying dentin, causing your teeth to appear yellow.

What causes tooth erosion?

Tooth erosion may occur when the acids in the foods and beverages you eat and drink, as well as other factors we will discuss later, weaken the enamel on your teeth. Typically the calcium contained in saliva will help remineralize (strengthen) your teeth after you consume foods or drinks that contain some acid. However, the presence of a lot of acid in your mouth does not allow for remineralization to happen.

Acid can come from many sources, including the following:

  • Drinking carbonated or fruit drinks. All soft drinks (even diet varieties) contain a lot of acid and are capable of dissolving enamel on your teeth. Bacteria thrive on sugar and produce high acid levels that can eat away at enamel.
  • Eating sour foods or candies. All those sour candies may taste great, but these treats can be acidic to your teeth. Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.
  • Low saliva volume. Saliva helps prevent decay by neutralizing acids and washing away leftover food in your mouth.
  • Acid reflux disease. Acid reflux, or GERD, brings stomach acids up to the mouth, where the acids can erode enamel.
  • Bulimia or binge drinking. These conditions can cause tooth damage because they frequently expose teeth to stomach acids.
  • Wear and tear. Brushing your teeth too vigorously or grinding your teeth at night can erode enamel.

What are the symptoms of tooth erosion?

Acid wear may lead to serious dental problems. When your tooth enamel erodes, your teeth become more vulnerable to cavities and decay, and you may begin noticing the following symptoms:

  • Severe sensitivity or tooth pain when consuming hot, cold, or sugary foods or drinks
  • Tooth discoloration
  • Rounded teeth
  • Transparent teeth
  • Visible cracks in teeth
  • Cupping, or dents, that show up on the biting or chewing surfaces of the teeth

What you can do to prevent tooth erosion

  • Reduce or eliminate altogether your consumption of carbonated drinks. Instead, sip water, milk, or tea.
  • If you must consume acidic drinks, drink them quickly and be sure to use a straw so that the liquid is pushed to the back of the mouth. Don’t swish them around or hold them in your mouth for a long period of time.
  • Instead of snacking on acidic foods throughout the day, we suggest eating these foods just during meal times in order to minimize the amount of time the acid makes contact with your teeth.
  • After consuming highly acidic food or drinks, rinse with water to neutralize the acids.
  • Chew sugar-free gum to produce more saliva, as this helps your teeth remineralize.
  • Brush with a soft toothbrush and be sure your toothpaste contains fluoride.
  • Dr. Mischley may also recommend daily use of a toothpaste to reduce sensitivity (over-the-counter or prescription strength) or other products to counter the effects of erosion.

It’s important to know that the majority of dental problems, such as tooth erosion, do not become visible or painful until they are advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at Kevin P. Mischley, DMD is the best way to hit all the spots you may have missed with brushing and flossing and prevent any issues that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you are overdue for your next checkup or cleaning, please give us a call to schedule an appointment at our conv

How to Care for Your Invisalign® Aligners

February 18th, 2015

Is it possible to straighten the teeth without braces? Yes, it is. Welcome to the world of Invisalign aligners. Invisalign aligners are made from a clear, thermoplastic material that is custom made to fit your teeth. Unlike conventional braces, Invisalign aligners are removable. More importantly, the clear thermoplastic material makes the aligners invisible, which is ideal if the thought of metal braces and elastics make you self-conscious. For the best results, proper handling and care of your Invisalign aligners is important. Follow these steps to take care of your aligners:

1. Do not eat or drink hot beverages while wearing aligners. It's a good idea to get in the practice of removing the aligners before eating and drinking. Because the aligners are made of plastic resin, heat can distort and damage them. Also, eating while wearing the aligners will cause sugar and other food particles to stay on your teeth, which contributes to plaque and tooth decay.

2. Clean the aligner trays regularly. Invisalign aligners are exposed to the same bacteria and plaque that your mouth is, so you need to clean them as regularly as you clean your teeth. However, avoid cleaning the aligners with harsh chemicals. We recommend using a cleaning kit or some other type of specific solution. When it comes to cleaning Invisalign aligners, carefully follow the instructions given by Dr. Mischley.

3. Store aligners in a cool, dry, safe place. When you’re not wearing the aligners, store them in the case provided by our office. If you don’t use the case, they can easily be lost. Keeping them out of reach of small children and pets is also a good idea. The last thing you want is for Fido to think your Invisalign aligners are chew toys.

4. Don’t chew gum while wearing aligners. There’s one thing that conventional braces and Invisalign aligners have in common: chewing gum damages both of them.

5. Don’t soak aligners in mouthwash. Many popular mouthwashes contain a color pigment. It’s possible that soaking Invisalign aligners in mouthwash will tint or stain them.

For more tips and tricks for a successful Invisalign experience, contact our Walpole, MA office!

Choose Chocolate on Valentine's Day

February 11th, 2015

From a student handing out sweets for her classmates to an older married couple exchanging boxes of candy, Valentine’s Day is the time of year when people like to show affection by gifting sugary treats to their loved ones. Whether you’re on the giving or receiving end of Valentine’s Day candy, you can celebrate the holiday in a healthier way by making dark chocolate your confection of choice.

Contribute to Your Health

According to the Cleveland Clinic, studies have shown that the cocoa beans used to make chocolate contain flavonoids, which can help protect the body against damage from various toxins. Flavonoids may also help lower blood pressure and improve blood flow to the heart and the brain. Dark chocolates typically contain a higher amount of flavonoids than other types, making them a great choice for chocolate lovers. However, you should keep in mind that many companies produce chocolate that is so heavily processed that the flavonoids are largely eliminated. Your best bet is to look for high-quality dark chocolates and cocoa powders that have undergone minimal processing.

Protect Against Cavities

If you think there’s no way candy could ever be beneficial for your teeth, think again. The Texas A&M Health Science Center has reported that the tannins present in cocoa beans may actually help prevent cavities by interfering with bacteria’s harmful interaction with teeth. Just like with flavonoids, tannins have been found to be present more often in dark chocolates, rather than milk chocolates, giving you another great reason to choose the richer, sweet varieties.

Avoid a Sticky Situation

One more benefit of choosing chocolate over other candies is that it is less likely to get stuck in the crevices and spaces between teeth. Gooey sweets like taffy can stay lodged in the mouth for longer periods of time, putting you at a greater risk for developing cavities. When you choose your chocolate, be sure to avoid types that also contain sticky ingredients like caramel or marshmallow, and instead opt for the plain varieties.

Remember that the health benefits you can receive from dark chocolate are largely based on eating the candy in moderation. With that being said, it’s easy to make this delicious and health conscious switch when you’re out shopping for your sweetheart, friends, loved ones, and yourself. Have fun satisfying your sweet tooth this year and Happy Valentine’s Day from all of us at Kevin P. Mischley, DMD!

Pregnancy: What should I know about my oral care?

February 4th, 2015

Dr. Mischley and our team at Kevin P. Mischley, DMD know this is an exciting time as you anticipate the arrival of your new little one. We want to take this opportunity to provide you with some important information pertaining to your oral health during pregnancy. Just as the rest of your body is changing, the amount of bacteria in your mouth also changes. Scientists don’t understand all the reasons why, but during pregnancy, your mouth is more susceptible to bacterial complications that could result in increased risk for gingivitis or periodontal disease. What researchers do know is the change in hormones creates a more favorable environment for gum infections and diseases when you are pregnant.

You may experience an increase in gingivitis, even while continuing with regular daily brushing and flossing, and routine semi-annual month cleanings. You will likely complain of increased bleeding of the gums with routine daily care and more tenderness in the mouth. This is due, in part, to the increased blood flow and volume that naturally occurs with pregnancy. There is a greater amount of blood flowing through your veins, which translates into slightly engorged gum tissues. If gingivitis prevails, you may also experience pain and tenderness. We can help you navigate through your specific needs.

Brushing your teeth two times a day may not be quite enough. Similarly, if you only floss on occasion, consider making this activity a daily habit. Mouthwash is also advised, or sometimes a mild saltwater rinse may feel better than a commercial brand. Consider other products with xylitol and a WaterPik for additional cleaning.

Finally, we now know that bacteria in the mouth circulate throughout the body. These harmful bacteria compromise your immune system and may increase your risk for respiratory illness and cause other strains on your immune system. Remember that nutrients as well as pathogens are shared with your baby. If you feel tired or tempted to slack on your home-care routine, remember the importance and implications of your daily decisions on how your care for your oral health.

Contact our convenient Walpole, MA location if you have more specific questions. We’re here to help you!

Do I lose my wisdom if I lose my wisdom teeth?

January 28th, 2015

The third molars have long been known as your “wisdom teeth,” because they are the last teeth to erupt from the gums – usually sometime during the late teens to early twenties. This is a time in life that many consider an “age of wisdom”; hence the term, “wisdom teeth.”

Extracting the third molars does not have any effect on your actual wisdom … and Dr. Mischley and our staff are sorry to say that holding on to them can’t make you smarter, either. So if you somehow feel that you became wiser and smarter when your wisdom teeth appeared, chalk it up to age rather than teeth.

In fact, you may just be showing how smart you are by having your wisdom teeth removed. Mankind once relied on the wisdom teeth to replace teeth that were damaged or missing, thanks to a poor diet. But dietary changes and advances in modern dentistry make it possible for many people to hold on to their teeth for many decades, which eliminated the need for third molars.

For many people, wisdom teeth cause nothing but problems: becoming impacted, irritating surrounding gum tissue, or even causing other teeth to become crooked or overlap. By removing them, patients often enjoy a lower risk of decay, infection, and aesthetic complications.

So rest assured that extracting your wisdom teeth will have no effect on your immediate or long-term intelligence.

Three Valuable Dental Treatments

January 21st, 2015

In our office, we customize treatment for every patient. Amid all of the fillings, crowns, and veneers, we find there are three treatments that are most valuable when offering our patients options: dental implants, bite guards, and teeth whitening.

Dental implants are a great tool for those who have lost teeth from trauma, genetic predetermination, decay, or fracture. Technology and design have allowed these implants to look and function like a natural tooth. They are a great investment when maintaining bone structure and smile presentation.

In our fast-paced lives, people take their stress and tension out on their teeth. Clenching and grinding, or bruxism, is on the rise. This is traumatic to crowns, fillings, and natural teeth. Headaches are a symptom of bruxism and when not treated, jaw joint inflammation and pain are a result. Bite guards are often worn at night when most of the action occurs. Many are not even aware of this habit until presented with evidence of cracked teeth, broken crowns, and pain.

Last, but most definitely not least, is whitening. Tooth whitening is safe and effective. There are different types of tooth whitening: in-office, custom trays, and over-the-counter strips. Each is effective, though at different levels. First, and your best option, is done in the office. The gums are protected and a gel with high potency is applied to the teeth. Some methods have a light shining on teeth and some have timed intervals without the light. Next are custom trays, which require an impression of your bite. Trays are picked up at a later date. At that point, instructions are given and the gel and trays are delivered. A final option is whitening strips, which can be found in many local stores. They are effective, though the whitening process is slower and some areas may not whiten.

Each treatment has risks and rewards that should always be considered prior to any treatment. Implants must be well cared for. Bite guards must be an accurate fit and worn regularly. Comfort is most important. Whitening causes temporary sensitivity and some people’s teeth whiten better than others.

Consider what your needs are, and then customize your wants to fit into the equation. A little stability from implants, protection from a bite guard, and a brilliant smile may be just what the doctor ordered. And if you have any questions, don’t hesitate to call our office, Kevin P. Mischley, DMD.

Understanding Cavities

January 14th, 2015

Getting a cavity seems like delayed punishment for eating that special dessert every weekend or for the few days you forgot to floss. When you are doing everything right with minimal exception and a cavity is diagnosed, it is discouraging. Knowing how cavities form and what causes them is valuable in knowing how to prevent them. In this blog post, Dr. Mischley will help you understand cavities!

A cavity is not a one-time event. It is actually a symptom of a disease called caries. Tooth decay is a result of an active infection and condition in the mouth. There are ingredients to this infection, which include bacteria, acid, your tooth, and a food source. The main bacterial culprit is S. Mutans. Bacteria live in a housing structure called biofilm. This offers them protection, food, and an ideal replicating environment.

Biofilm can be healthy if there is a balance of good bacteria. When you have caries, the numbers of “bad” bacteria increase and produce an environment where they thrive and therefore cause tooth decay. A main indicator of this is a pH measurement of your saliva.

Several factors can influence the biofilm pH. Foods and beverages all have different pH levels. The lower the number, the higher the acidity. Since acid promotes tooth decay, a beverage like soda will promote a cavity. Water, being neutral, is a good choice to promote healthy oral pH. Healthy eating can still cause cavities. Here is an example of a highly acidic, yet traditionally healthy meal:

Toast with store-bought strawberry jam, and a cup of cottage cheese topped with fresh cranberries.

Instead, here is a better choice, which involves mixing acidic healthy foods with alkaline (non-acidic) foods to reduce the overall pH:

Toast with almond butter, and Greek yogurt topped with fresh blueberries.

The first example will result in a very low pH in the mouth and even in the rest of the body. The second meal mixes highly acidic blueberries with an alkaline Greek yogurt. Dairy products from cows are highly acidic. Toast is acidic because of the yeast and almonds are alkaline.

A natural buffer is saliva. Whenever mouth breathing or medications compromise the saliva flow, the pH is going to drop and caries can go rampant. Getting a cavity is not just about the sweets or forgotten flossing sessions. It is about the pH levels and bacterial management.

For more helpful tips about how to avoid cavities, contact our Walpole, MA office.

Teeth Grinding

January 7th, 2015

If you are waking up with jaw pain, tension headaches, or facial pain, you may be suffering from a condition known as bruxism. This means you could be grinding or clenching your teeth while you sleep. Some people aren’t even aware they are grinding or clenching their teeth at night, until a visit to us reveals significant tooth enamel loss. Fortunately, there is a non-invasive and effective solution for teeth grinding, and the tooth enamel damage it can cause, in custom-fabricated nightguards.

Causes of teeth grinding

Tension, stress, and anxiety experienced during the daytime can carry over to an individual’s sleep, and lead the person to grind his or her teeth together or clench the teeth unknowingly. Sleep apnea is another condition that can result in bruxism. Regardless of the cause, however, frequent clenching and teeth grinding wears down the chewing surfaces of the teeth, reduces tooth enamel, and can result in a cracked or chipped tooth, crown, or filling.

Nightguards for teeth grinding

Custom nightguards are fabricated to fit like a glove and protect your teeth from the adverse effects of bruxism. Nightguards are created through a non-invasive process that simply takes an impression of the bottom and top rows of teeth. The result is a nightguard that is flexible, comfortable, and personalized to your mouth.

Benefits of nightguards

Nightguards are helpful to reduce or eliminate the symptoms of dental damage incurred as a result of teeth grinding. They can reduce the discomfort associated with a sore jaw, headaches, tooth sensitivity, ear pain, and facial pain that many patients experience as a result of clenching or grinding of their teeth. In severe cases of bruxism, patients can develop loss of hearing, jawbone misalignment, and TMJ. Therefore, customized nightguards can help prevent the progression of teeth grinding into these more serious conditions.

At-home tips to reduce or prevent teeth grinding

Although it’s important to wear your nightguard faithfully if you grind your teeth at night, you can follow a few self-care tips to help to prevent your teeth grinding from worsening.

  • Reduce tension and stress. Whether you take a warm bath before bed, listen to soothing music, or exercise, practice stress-relieving activities to wash away the tensions of the day.
  • Avoid alcohol. In some patients, alcohol increases teeth grinding tendencies.
  • Avoid caffeine. In some individuals, caffeine increases the likelihood of teeth grinding.
  • Focus on relaxing jaw muscles. Make a conscious effort to keep your jaw relaxed. A warm washcloth against your cheek, sticking your tongue between your teeth, and avoiding chewing pencils, pens, and gum are all ways to train the muscles of your jaw to stay relaxed.

If you suspect you may be grinding your teeth at night, visit Dr. Mischley and our team at Kevin P. Mischley, DMD for an evaluation at our convenient Walpole, MA office.

New Year's Eve

December 31st, 2014

Watching the clock tick down the final seconds until midnight, many of us- Kevin P. Mischley, DMD included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

  • Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
  • The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
  • The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
  • Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in Walpole, MA, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

What exactly is tinnitus?

December 24th, 2014

It’s estimated that about one in every five people is affected by tinnitus, which is a ringing or noise in the ears. But tinnitus isn’t a condition in itself; it’s actually the symptom of an underlying condition. Some of these underlying conditions could be hearing loss, injury to the ear, or some sort of circulatory disorder.

Another common cause if tinnitus is a dental injury or dental issue, whether it involves the jaw or the temporomandibular joint, better known as the TMJ. “Somatic tinnitus” is the term given to the version that is attributable to injuries to the head or neck area. Symptoms of somatic tinnitus may include noticeable fluctuations in sound volume, intermittency, headaches, memory loss or increased forgetfulness, and an increased likelihood of being depressed or sad.

Dr. Mischley will tell you tinnitus usually isn’t serious and is more common in older populations. For that reason, many people won’t even seek an answer to what’s causing it. But people can also experience more severe cases of tinnitus that can affect a person’s ability to complete everyday activities, which has a larger impact on their lives. For people facing these more severe cases of tinnitus, treatment may be necessary to increase their quality of life. It’s also worth noting that tinnitus seems to worsen with age, so while symptoms might not be a problem one year, they may be more significant and distracting the next.

If you have tinnitus that is caused by the misalignment of the TMJ or an injury to the mouth, that’s a condition that can be corrected by Dr. Mischley and our team at Kevin P. Mischley, DMD. We will work to relieve your symptoms by realigning the jaw or adjusting your bite with routine dental care. Sometimes we won’t even have to go this far, because an oral infection or gum infection may be causing your problem. We might also recommend other life changes, such as dietary adjustments and medication.

If you're experiencing tinnitus-like symptoms and have ruled out various other reasons for it, contact our Walpole, MA office today. Dr. Mischley and our team will carefully analyze your situation and put you on a treatment course so that you can kick the symptoms for good.

Common Emergency Visits: From lost fillings to broken dentures

December 17th, 2014

You never know when you're going to experience a dental emergency, but if you do, it should give you peace of mind to know that emergency dental care is available at our office 24/7. Whether you chip your front tooth playing softball, or your child knocks out a couple of teeth in a playground fall, receiving the emergency dental treatment you need is accessible and convenient.

If you're experiencing a dental emergency, our team at Kevin P. Mischley, DMD is here to help you any time of the day or night. Dental emergencies should not be taken lightly, so don't delay. Contact our office as soon as possible. Common dental emergencies include the following:

Lost Fillings and Crowns

Fillings are used to repair cavities. Crowns, on the other hand, are used to cover broken or damaged teeth. Over time, it’s possible for both of these items to loosen and fall out. A lost filling or crown can be painful, because the exposed tissue may be sensitive. Hot and cold temperatures will cause discomfort. While a lost filling or crown might not be as severe a dental emergency as a broken or chipped tooth (most people respond quicker to pain than self-consciousness about their looks), you need to get it fixed as soon as possible.

Broken Dentures

If your dentures are broken, everyday tasks may become trying and arduous. If you can’t chew, swallow, or eat properly, the situation calls for emergency care. Depending on how damaged your dentures are, Dr. Mischley may need to send out a mold of your mouth in order to have the manufacturer make a new pair. On the other hand, if the dentures are not damaged too badly, then we may be able to fix them in-house. If you're having problems with your dentures, you should give us a call as soon as possible.

From chipped and cracked teeth to lost fillings and broken dentures, dental emergencies come in all shapes and sizes. Emergencies are unexpected, but we want you to know that treatment is available, day or night. When your dental health is at risk, we are here to help. In the case of a dental emergency, don't wait; contact our Walpole, MA office at your earliest convenience.

My child has autism. What should we expect at your office?

December 10th, 2014

At Kevin P. Mischley, DMD, we know that as many as one in 88 children today have some form of autism, a complex brain disorder that affects a child's ability to communicate or form relationships, and makes a child appear distant, aloof, or detached from other people or surroundings. Autism varies widely in symptoms and severity, and some people have coexisting conditions such as intellectual disability or even epilepsy.

That is why Dr. Mischley and our team are specially trained to provide dental care to the entire special needs community, including autistic children. We know that a visit to the dentist with an autistic child can be difficult. In addition to the common fears associated with strangers, there are also unfamiliar sounds, sensations, bright lights, and tastes with which your child may not be comfortable. We work with parents to make sure visiting the dentist is not so traumatic for our autistic patients.

Dr. Mischley and our team also know that patients with autism may be more interested in equipment and instruments than in us. We show our patients every piece of equipment we are going to use in a way that they can understand. We also allow a patient to sit in a parent's lap in the open bay if he or she is not feeling at ease. We want your child to enjoy getting to know us and to be comfortable while under our care.

A pleasant, comfortable visit at our Walpole, MA office builds trust and helps put your child at ease for future appointments. Before a visit, we ask parents or guardians to bring their child's favorite toy, comfort item, music, or other coping device their child requires. We have a caring and compassionate team and know how to help autistic children acclimate themselves to a dental environment. We may not get everything done at the first visit, but we are able to schedule several appointments so that your child can get used to our office, the dentist, instruments, and our staff.

Children, especially those afflicted with autism, are not born with a fear of the dentist, but they can fear the unknown. Our team at Kevin P. Mischley, DMD genuinely cares for our patients beyond their teeth, and are more than happy to discuss any concerns you may have, as well as answer questions about your child's ongoing dental treatment. Please give us a call to learn more or schedule an appointment with Dr. Mischley.

Caring for Your Smile While Wearing Invisalign®

December 3rd, 2014

Getting your braces off is exciting. You’ve been working on your new smile for months or years, and it’s time for the trips to our Walpole, MA office to pay off. Can you imagine how bad it would be to discover that your teeth are straight, but that there’s decay?

Caring for your smile while wearing Invisalign goes beyond just waiting for your teeth to get straighter. It involves cleaning your teeth regularly and thoroughly to prevent tooth decay. That way, your smile will be more beautiful than ever when you’re done with your Invisalign treatment.

Take Your Trays Out

The first difference you may notice between Invisalign and traditional metal braces is that Invisalign aligners are invisible, but there’s another important distinction as well. Invisalign braces are removable. You can take the trays out, and you should. Remove the trays while you’re eating so you don’t get food stuck in them. Also, remove them while you’re cleaning your teeth so that you can have full access to all the nooks and crannies in your mouth.

Brush Normally

The guidelines for brushing your teeth with Invisalign don’t change compared to braces. Brush your teeth at least twice a day using a soft toothbrush and a fluoride toothpaste, being sure to get all surfaces of your teeth. If possible, brush after each meal.

If you can’t, be sure to drink some water and swish it around in your mouth when you’re done eating to get rid of the extra food on your teeth. Leaving carbohydrates, such as sugar and starch, on your teeth opens the door to tooth decay.

Floss and Wash

Flossing your teeth gets out the bits and pieces stuck between them. It’s a time-consuming task when you need to navigate the wires of traditional metal braces, but thanks to Invisalign’s removable design, flossing is no problem. Rinsing your mouth with a fluoride antibacterial mouthwash also helps clean your teeth because it gets into all of the spaces. Floss and rinse one or two times daily.

Cleaning Your Trays

Cleaning your Invisalign trays keeps them from getting riddled with bacteria, and it helps keep your teeth free from excess food. You can use the Invisalign cleaning system, which involves placing the trays in a tub with cleaning crystals. The plastic trays are clean after 15 minutes. You can also ask Dr. Mischley for other ways to clean your trays.

Thanksgiving Trivia

November 26th, 2014

At Kevin P. Mischley, DMD we love learning trivia and interesting facts about Thanksgiving! This year, Dr. Mischley wanted to share some trivia that might help you feel a bit smarter at the holiday dinner table and help create some great conversation with friends and family.

The Turkey

There is no historical evidence that turkey was eaten at the first Thanksgiving dinner. It was a three-day party shared by the Wamponoag Indians and the pilgrims in 1621. Historians say they likely ate venison and seafood.

According to National Geographic, the dinner at the Plymouth colony was in October and included about 50 English colonists and 90 American Indian men. The first Thanksgiving dinner could have included corn, geese, and pumpkin.

Today, turkey is the meat of choice. According to the National Turkey Association, about 690 million pounds of turkey are consumed during Thanksgiving, or about 46 million turkeys.

The Side Dishes

The green bean casserole became popular about 50 years ago. Created by the Campbell Soup Company, it remains a popular side dish. According to Campbell’s, it was developed when the company was creating an annual holiday cookbook. The company now sells about $20 million worth of cream of mushroom soup each year, which is a major part of the recipe.

While there were likely plenty of cranberries for the pilgrims and Indians to enjoy, sugar was a luxury. What we know today as cranberry sauce was not around in those early Thanksgiving days. About 750 million pounds of cranberries are produced each year in the US, with about 30 percent consumed on Thanksgiving.

The Parade

Since Thanksgiving did not become a national holiday until Lincoln declared it in 1863, the annual parades were not yearly events until much later. The biggest parade that continues to draw crowds is the Macy's Thanksgiving Day Parade. Beginning in 1924 with about 400 employees, they marched from Convent Avenue to 145th Street in New York City. Famous for the huge hot-air balloons today, it was actually live animals borrowed from the Central Park Zoo that were the stars of the show then.

However you choose to spend your Thanksgiving holiday, we wish you a safe, happy and healthy holiday with those you love.

Mouthguard Q&A

November 19th, 2014

Today, Dr. Mischley and our team at Kevin P. Mischley, DMD thought we would talk about mouthguards, what they are, where to get them, and when to use them.

Q: What is a mouthguard?

A: A mouthguard, which is made of soft plastic, is a flexible, removable device that fits in your mouth and is adapted to fit comfortably to the shape of your upper teeth. A mouthguard will protect not only the teeth, but also your jaws, lips, tongue, cheeks, and gums, and should be worn anytime you are participating in full-contact athletic or recreational activities that may result in injury.

Q: How do mouthguards work? Why are mouthguards important?

A: A mouthguard works as a shock absorber to cushion your mouth from the effects of a blow to the face, head, or neck. Mouthguards protect teeth from not only fractures, but also hold the tongue, lips, and cheeks away from the teeth to avoid lacerations. Using a mouthguard as instructed by Dr. Mischley can lessen the possibility of concussion and temporomandibular joint (TMJ) dislocation while you are out on the court or field. Increasingly, organized sports are requiring mouthguards to prevent injury to athletes, and research shows most mouth injuries occur when athletes are not wearing mouth protection.

Q: When should I wear a mouthguard?

A: Whenever you are participating in an activity that involves a risk of falling or head contact with other players. This includes football, baseball, basketball, soccer, hockey, and other competitive sports.

Q: How do I choose a mouthguard?

A: Dr. Mischley and our team encourage you to choose a mouthguard that you can wear comfortably. There are several options of mouthguards you may choose from. First, preformed or what we call “boil-to-fit” mouthguards are found in sports stores. But your best choice is asking us for one during your next visit as we can fabricate a custom mouthguard for you at our Walpole, MA office. A custom mouthguard will be more comfortable to wear and more effective in preventing injuries.

If you have any additional questions about mouthguards, please give us a call or ask us during your next visit!

Top Five Dental Myths

November 12th, 2014

Sometimes the line between fact and fiction is easily blurred. This is certainly the case when it comes to dentistry, where myths and misconceptions abound. In a bid to put an end to health hoaxes, here are five dental myths to chew over.

Sugar Is the Number One Culprit of Tooth Decay

Sugar will rot your teeth. If you’re a parent, chances are you tell your children this every time they ask for something sweet. And chances are your parents told you the same thing. There’s no denying that sugar leads to cavity formation, but it's not the number one culprit of tooth decay. Sugar adds fuel to the fire, but it doesn’t light the match.

Going to the Dentist Is a Painful Experience

There are people who don’t go to the dentist because they think it’s going to be a painful experience. It’s time to put this myth to rest. New dental technology, developments in anesthetics and analgesics, and more conservative dental procedures have made visits to our Walpole, MA office a more comfortable experience.

Bad Breath Means You’re Not Brushing

Poor dental hygiene can cause bad breath, but it’s not the only thing that will leave you looking for a breath mint. There are many factors that can cause bad breath, including illness, acid reflux, medication, and dehydration. In addition, sometimes what you eat or drink can give you bad breath no matter how many times you brush and floss. Next time you order a sub for lunch, skip the onions and garlic.

Bleaching Products Weaken Teeth

Gels, pastes, strips — there are all sorts of products available to make our pearly whites even whiter. If used according to the directions, bleaching products are harmless. They do not affect the health or strength of the teeth, only the color. At the same time, too much bleaching can cause temporary tooth sensitivity or irritated gums; the enamel, however, is not weakened.

You Will Know When You Have Tooth Decay

This is the type of false information that can lead to serious dental problems. There are no early symptoms of tooth decay. By the time you experience pain, your tooth decay has led to nerve damage, which means your decay is advanced and extensive. The only way to know if you have tooth decay —and to prevent it — is to visit Dr. Mischley twice a year for a checkup and cleaning.

Halloween: Candy, costumes, and more!

October 29th, 2014

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the dental office of Dr. Mischley hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

  • Limit the amount of candy they can consume each day
  • Have them brush their teeth after eating candy
  • Avoid hard, chewy candies as they can stick in hard to brush places
  • Keep candy out of sight to reduce temptation
  • Don't buy candy too far in advance to limit pre-Halloween consumption
  • Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at Kevin P. Mischley, DMD!

My teeth feel great. Do I still need to see the dentist?

October 22nd, 2014

Absolutely. Checking in with Dr. Mischley on a regular basis—usually every six months—is essential to keeping your smile looking its best. At Kevin P. Mischley, DMD, we are proud to offer a number of preventive procedures to ensure the health of your mouth and the beauty of your smile. Your smile is just as important to us as it is to you!

Another good reason to visit our Walpole, MA office is to check for hidden issues in your mouth you may not even realize you had. Bacteria, tartar, and cavities are known to form in the hard-to-reach crevices of your mouth and may only be detected through a professional exam. If left untreated, these cavities and decay can get worse, requiring more extensive treatment, and costing you even more time and money down the road. During your routine exam, Dr. Mischley and our team will also check to make sure your fillings or other dental restorations you may have had are in good shape.

Preventing problems before they start is the key to optimal oral health. If it has been more than six months since your last visit, please contact our Walpole, MA dental office to schedule your routine checkup! See you soon!

Periodontal disease; I have what?!

October 15th, 2014

Our team from Kevin P. Mischley, DMD understands the diagnosis of periodontal disease can be scary and confusing, but the good news in most cases is that it is treatable and manageable with a little work on the part of the patient.

Periodontal disease is an infection of the gum tissue, bone, and supporting structures for the teeth. In the past it was known as pyorrhea. Diagnosis is commonly made through a combination of dental X-rays, periodontal readings (called probe depths), and visual clinical findings.

The mouth is a gateway to the rest of the body and can provide clues to the patient’s overall health. In fact, the first signs of some chronic diseases appear in the oral cavity; they can be a hint for the dentist to refer the patient to a medical doctor for a thorough exam.

If left untreated, periodontal disease can lead to premature tooth loss, sensitivity, and chronic or acute mouth pain. If you have diabetes, you are more prone to periodontal disease and can experience greater difficulty controlling your blood glucose levels. The body ends up spending so much energy fighting the infection in the mouth that it cannot achieve balance elsewhere. Studies have shown that once periodontal disease is treated, the glucose levels become more responsive to control as well.

Standard treatments can include scale and root planing, medicated mouth rinse, and in some cases antibiotic therapy or laser therapy to help control bacteria while promoting healing. Periodontal disease can range from a few localized pockets to extensive and severe infection that may require surgery.

The process of scale and root planing may entail two to four appointments for treatment, with follow-up maintenance exams every three to four months to help prevent the spread of disease. In most cases you will be numbed for comfort during the procedure. After treatment you may feel a little sore—but you are taking steps to improve your health!

Scheduling an appointment with the Walpole, MA office of Dr. Mischley will give you an accurate diagnosis and a range of treatment options. Periodontal disease is “silent,” which means you will not always experience pain as a signal of infection. When caught early and subjected to proper oral hygiene care on a daily basis, treatments are usually successful.

Tips for Using Invisalign®

October 8th, 2014

More than one patient has come into our office and asked, “What can I do to help my teeth when wearing Invisalign?”

While everyone’s teeth and dental needs are different, there are certain things everyone can do to make wearing their Invisalign aligners a more rewarding experience. Always follow the list of instructions and tips from Dr. Mischley, and add the following advice to your daily routine.

Always ask us about teeth whitening. Our team at Kevin P. Mischley, DMD knows how important it is for you to keep your teeth white and stain-free from the foods and drinks you consume daily. If you have attachments to your teeth, they will not whiten properly. Ask our office about teeth whitening when wearing your aligners; it might be best to wait until your treatment is complete.

Continue flossing every day. You should be flossing in any case. But it can be easy to assume that Invisalign will protect your teeth from bacteria. This is not true. Bacteria can get behind the aligners and affect the health of your teeth and gums, so keep up with your flossing schedule.

Follow the 48-hour rule when wearing your aligners. When you insert every new set of aligners, you should leave them in as much as possible during the first 48 hours. Your teeth will move more during this timeframe, and the aligners do the most good during this time.

You may experience slight discomfort while wearing your Invisalign aligners. You can take a pain reliever to help with the discomfort, but if you experience too much pain, please give us a call at our convenient Walpole, MA office to schedule an appointment!

October is National Dental Hygiene Month: A simple oral health routine for your busy lifestyle

October 1st, 2014

Adults are no strangers to feeling like there is never enough time in the day to get everything done. Your alarm clock rings and within minutes you ping pong around trying to spread peanut butter on sandwiches, answer your cell phone, remove the dog hair from your clothes, and make sure your child has completed his or her science fair project. Brushing your teeth can easily fall to the wayside. That is why our office promotes a simple, daily oral health regimen that you can easily incorporate into your busy lifestyle.

The American Dental Hygienists' Association (ADHA), in partnership with the Wrigley Jr. Company, is celebrating National Dental Hygiene Month (NDHM) during October. The ADHA encourages people to "Brush. Floss. Rinse. Chew...Keep it Clean, Keep it Healthy!" and offers some great tips for a quick and effective home oral health routine, below:

Oral Health Routine at Home

  • Brushing your teeth twice daily is the most important thing you can do to diminish the accumulation of plaque and the potential for other oral problems such as cavities and gingivitis.
  • Flossing once daily removes plaque and food from beneath the gums and between teeth that brushing alone cannot remove. Tooth decay and gum disease often begin in these areas.
  • Rinsing your mouth with an antibacterial, non-alcohol based mouthwash kills plaque and gingivitis germs that brushing and flossing do not catch. We recommend using a mouthwash with the ADA Seal of Acceptance.
  • Chewing sugar-free gum helps produce saliva, which battles cavities. The gum also neutralizes plaque, strengthens enamel, and removes remaining food. It is especially important to chew gum after eating or drinking.

It's easy to put the toothbrush down in order to take care of matters you feel are more urgent, but remember, a good oral health routine at home is the best way to prevent periodontal disease. "Periodontal disease is the most common cause of tooth loss in adults. An estimated 75 percent of Americans reportedly have some form of periodontal disease," said the ADHA. Periodontal disease also is linked to more serious illnesses such as diabetes and stroke.

Also, remember to keep regular visits with our office. Dr. Mischley can help you learn more about proper care for your teeth and gums.

What’s the advantage of Invisalign®?

September 24th, 2014

Dr. Mischley and our team know it is natural for you to feel some concern when you need to wear any type of dental device to correct a problem with your teeth. Both braces and Invisalign can produce good results in giving you the smile you’ve always wanted. Both methods can straighten your teeth and alleviate such issues as crowding, spacing, cross bite, overbite, and underbite. Both methods of treatment have a similar cost.

You can take a cross-country road trip in a ten-year-old economy car or you can make the trip in a brand-new luxury sedan. Both will get you to your destination, but you will be far more comfortable traveling in the luxury sedan. Similarly, your journey to a great smile is much more comfortable and convenient with Invisalign as opposed to braces.

Comfort

Some of the discomfort you may experience with braces is greatly reduced with Invisalign. Because Invisalign is custom-fit to your mouth and made of plastic, you will feel less pain, irritation, and soreness. Unlike braces, there are no food restrictions; you can eat anything that is on your diet.

Brushing and flossing

Of course you will want to brush and floss your teeth to prevent plaque buildup, tooth discoloration, and dental decay. If you wear braces, these simple tasks can become quite a challenge. Invisalign aligners are very easy to remove and replace, so you can brush or floss like normal without having to work your way around any metallic framework covering your teeth.

Appearance

You do not have to be embarrassed to show your teeth when you are using the Invisalign system. Since the aligners are practically invisible, no one will even notice you are wearing them! Whether you are a teenager or an older adult, you can live your life normally.

If you want to learn more about Invisalign, or are wondering what your treatment options are at Kevin P. Mischley, DMD, feel free to give us a call at our convenient Walpole, MA office!

The Importance of Regular Dental Checkups

September 17th, 2014

When was the last time you paid Dr. Mischley a visit? If you're like many people, chances are it was more than six months ago. We hear the reasons why people neglect regular dental visits all the time: lack of money or quality dental insurance, busy schedules, and fear. However, your twice-yearly checkups are so important for your dental health and for your overall health as well.

You may brush your teeth twice a day and even floss, and your teeth may feel fine, but regular dental checkups with Dr. Mischley aren’t about addressing problems and reacting — they are about cavity prevention. No matter how much you brush and floss, there is still a chance that food or other debris can get lodged between your teeth, and there is also a chance that food and beverages can wear down your tooth enamel in between visits, making your teeth vulnerable to decay.

In addition to a thorough teeth cleaning and polishing, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

It's important to know that the majority of dental problems do not become visible or painful until they are highly advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at Kevin P. Mischley, DMD is the best way to hit all the spots you may have missed with brushing and flossing and prevent any problems that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you’re overdue for your next cleaning, please give us a call to schedule an appointment at our convenient Walpole, MA office!

Diet and Dental Health: What to eat and what to avoid

September 10th, 2014

You are probably aware that guzzling soda and drinking those sugary Starbucks Frappuccinos aren’t particularly good for your dental health. But how much thought do you give to the effects of your diet on your teeth? Practicing healthy eating habits isn’t just helpful for your waistline, it also ensures that your teeth stay strong and cavity-free.

How diet affects dental health

Our team at Kevin P. Mischley, DMD will tell you that your mouth is a complicated place on a microbiological level. Harmful bacteria form dental plaques which convert the sugars in food to acids that wear away at tooth enamel. Meanwhile, saliva washes away some of the detrimental acids, while minerals work to rebuild where teeth are damaged. The foods you eat are important for managing this balancing act between harmful bacteria and helpful rebuilding agents.

Rethinking your diet to prevent cavities

Carefully considering your dietary choices is a smart way to become mindful of the foods you eat and how they affect oral health.

Foods to eat

  • Calcium- and phosphorus-rich foods. We’ve all heard that milk builds strong bones, and your teeth are included in that. Milk, cheese, nuts, and chicken are strong sources of calcium and phosphorus. These minerals are used to repair damage to the teeth’s enamel.
  • Crunchy fruits and vegetables. Biting into an apple stimulates saliva flow, which washes harmful acids from the surface of your teeth. Turn to other crunchy fruits and vegetables, including carrots, celery, pears, and lettuce, to increase saliva production.
  • Sugar substitutes. If you have a sweet tooth but want to decrease tooth decay, sugar substitutes such as Stevia or Equal provide a sugary kick without harming your teeth.

Foods to avoid

  • Sugary snacks. Cookies, cakes, candies, and other sugary treats provide a feast for the acid-producing bacteria in your mouth. Furthermore, these foods often get stuck in the ridges of your teeth, and provide a breeding ground for new bacteria.
  • Acidic fruits and vegetables. Foods high in acidity, such as tomatoes, citrus fruits, berries, peaches, and lemons, wear away the enamel of your teeth. Because these foods can be part of a healthy diet, remember to brush after eating them or swish with a mouth rinse to protect your teeth.

Eating well is an essential part of keeping your teeth healthy. Consult Dr. Mischley about your diet for tips on food habits that keep your teeth strong and cavity-free. For more information about the link between your diet and your oral health, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

September is National Gum Care Month!

September 3rd, 2014

Can you believe it's already September? At Kevin P. Mischley, DMD, we know that gingivitis, the early stage of periodontal disease, can be difficult to recognize. Many people don’t recognize the warning signs, bleeding and swollen gums, as a precursor to gum disease. This month, a national campaign is under way to raise awareness about gum health and periodontal disease, and we wanted to help do our part to spread the word!

Dr. Mischley will tell you early recognition and action are the most important steps to health gums, and ultimately a health body, too! Studies are published every year linking oral health, including the gums, to the health of other areas of the body, such as your heart. One of the most important steps to improving the care of your gums is recognizing the warning signs for gum disease. These can include:

  • Gums that appear red or swollen
  • Gums that feel tender
  • Gums that bleed easily (during brushing or flossing)
  • Gums that recede or pull away from the teeth
  • Persistent halitosis, or bad breath
  • Loose teeth
  • Any change in the way teeth come together in the biting position

If you happen to notice any of these signs with you or your child, please schedule an appointment at our convenient Walpole, MA office as soon as possible. Dr. Mischley and our team can take proactive steps to prevent gingivitis and gum disease, while showing you how to improve gum care in your or your child’s daily oral hygiene habits.

Happy Labor Day!

August 27th, 2014

Labor Day is upon us, and that means the non-official end to summer. Before the kids head back to school and temperatures start to cool down, this is your last chance to barbeque in the beautiful Walpole, MA community, head to the lake, and wear your favorite pair of white pants.

About Labor Day

Each year, Labor Day is celebrated on the first Monday of September. It is the one day of year Americans celebrate their achievements in work, which the US Department of Labor says has contributed to prosperity and well-being of America as a whole. Americans have been celebrating Labor Day since the 1880s, and today it is an official federal holiday.

Interesting Facts About Labor Day

  • Every year, more than 30 million Americans travel over Labor Day weekend.
  • Canada was the first to celebrate Labor Day, and the US soon followed.
  • President Cleveland made Labor Day and official US holiday in 1894.
  • Labor Day marks the beginning of the NFL and NCAA sports seasons for fans.
  • Labor Day marks the end of hot dog season, when Americans consume seven billion hot dogs.

Thanks for being a valued patient of our dental office. Our staff would like to wish you a safe and happy Labor Day weekend. Enjoy your time off!

The Clear Benefits of Invisalign®

August 20th, 2014

Straighter teeth is something many people desire. A nice smile is one of the most attractive things about a person. However, wearing a mouth full of braces for two, three, or more years can be a major pain, both literally and figuratively.

Luckily, there is another option. Invisalign is an alternative to traditional braces. Learn more about the benefits Invisalign offers and why you should consider this exciting method of straightening teeth.

  • When you have straight teeth, your mouth is healthier in general and there is less chance of tooth decay and gum disease. Invisalign makes it possible for more people to straighten their teeth.
  • Invisalign is essentially invisible. You can straighten your teeth without unsightly metal in your mouth.
  • The average cost is similar to that of traditional braces, which makes it affordable for many families.
  • With Invisalign, the aligner trays are smooth and comfortable to wear. Traditional metal braces can be uncomfortable and cause irritation to the mouth.
  • Invisalign is removable, so you do not have to wear the system during special occasions, or when you’re eating. With normal metal braces, you are stuck with them for the entire straightening process.
  • Brushing and flossing are simple. Since the system is removable, you can brush and floss just like normal.

As you can see, Invisalign is an exciting option we provide at Kevin P. Mischley, DMD for those who want straighter teeth. If this is something that sounds interesting to you, talk to Dr. Mischley and find out if it would work for your particular situation. Get started today, and before you know it you will be enjoying your straighter teeth.

For more information about Invisalign, or to schedule an initial consultation with Dr. Mischley, please give us a call at our convenient Walpole, MA office today!

Is dairy crucial to my child's oral health?

August 13th, 2014

Healthy eating, combined with regular physical activity, plays a vital role in your child’s health and well-being. Dairy foods are naturally nutritious, packed with ten essential nutrients that help your child feel good for life. But did you know that dairy is also great for your child’s dental health? Our team at Kevin P. Mischley, DMD will tell you that, in addition to providing large amounts of much-needed calcium, dairy products also help fight cavities! Dairy products have a specific role to play in dental health as they contain a unique combination of special anti-decay nutrients such as calcium, phosphorus, and the protein, casein. Cheese is especially useful, as eating a small piece of cheese after consuming sugary foods or drinks can help protect teeth and reduce the risk of tooth decay.

If you’d like to know more about the importance of dairy products in your child’s diet, or about any aspect of your child’s dental health, feel free to ask Dr. Mischley at your next appointment!

Tooth Discoloration: Common causes and what you can do to stop it

August 6th, 2014

Looking back at childhood photos, you may notice picture after picture of yourself with a mouthful of shiny white teeth. When you look in the mirror today, you wonder what happened to that beautiful smile. Many adults struggle with tooth discoloration and find it embarrassing to show off their teeth in a smile. Once you identify the cause of your tooth discoloration, there are treatment options at Kevin P. Mischley, DMD that can restore your teeth and your confidence.

What Causes Tooth Discoloration?

There are a host of factors that may cause your teeth to discolor. Some are directly under your control, and others may not be preventable. Here is a list of common reasons that teeth become discolored.

  • Genetics: Much of your dental health is determined by genetic factors beyond your control. Some people naturally have thinner enamel or discolored teeth.
  • Medications: Several medications lead to tooth discoloration as a side effect. If you received the common antibiotics doxycycline or tetracycline as a child, your teeth may have discolored as a consequence. Antihistamines, high blood pressure medications, and antipsychotic drugs can also discolor teeth. If you think a medication may be leading to tooth discoloration, talk to Dr. Mischley. Never discontinue the use of a medication without consulting your doctor, however.
  • Medical Conditions: Genetic conditions such as amelogenesis or dentinogenesis cause improper development of the enamel, and can lead to yellowed, discolored teeth.
  • Poor Dental Hygiene: Failing to brush your teeth at least twice a day or regularly floss may lead to tooth decay and discoloration.
  • Foods and Tobacco: Consumption of certain foods, including coffee, tea, wine, soda, apples, or potatoes, can cause tooth discoloration. Tobacco use also causes teeth to turn yellow or brown.

Treatments for Tooth Discoloration

There are a variety of treatments available to individuals with discolored teeth. One of the easiest ways to reduce tooth discoloration is through prevention. Avoid drinking red wine, soda, or coffee and stop using tobacco products. If you drink beverages that tend to leave stains, brush your teeth immediately or swish with water to reduce staining.

After determining the cause of tooth discoloration, Dr. Mischley can suggest other treatment options. Over-the-counter whitening agents might help, but in-office whitening treatments provided at our Walpole, MA office would be more effective. When whitening agents do not help, bondings or veneers are among the alternative solutions for tooth discoloration.

If you are worried about your teeth becoming yellow or brown, think carefully about your diet and medication use. Talk to Dr. Mischley to identify substances that may be causing the problem. After treatment for tooth discoloration, you will have a beautiful white smile you can be proud to show off.

What are the benefits of Invisalign®?

July 30th, 2014

A popular option for straightening teeth at Kevin P. Mischley, DMD, Invisalign can be a great method for improving your smile, and can help patients with crowded teeth, crossbites, overbites, underbites, and more.

Invisalign, which is different from traditional braces, works by applying a series of clear, retainer-like aligners in order to eventually move your teeth into their ideal positions. Patients typically swap aligners approximately every couple of weeks.

At Kevin P. Mischley, DMD, we have lots of experience using this technology to give our patients the beautiful and healthy smile they’ve always wanted. During your initial visit at our Walpole, MA office, the first thing we do is take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Not only are the aligners invisible, they are also removable, so you can eat and drink what you want, and brushing and flossing are easier. Invisalign’s aligners are also comfortable, with no metal to cause mouth abrasions during your treatment. And, no metal and wires usually means you spend less time at our office getting adjustments. With Invisalign, you can view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

Depending on the severity of the problem, Invisalign treatment may take anywhere from three to 18 months to complete. You should be aware that Invisalign is not as effective as traditional braces in treating bite problems, teeth that are lower or higher than others, or severely overcrowded teeth. Both teens and adults are now great candidates for Invisalign, so we invite you to contact our Walpole, MA office to set up an initial consultation and learn more on how Invisalign can give you the smile you’ve always wanted!

Choosing the Dental Filling Option that's Best for You

July 23rd, 2014

Did you know there are as many types of dental fillings as there are flavors of ice cream? Okay, maybe that’s an exaggeration. Still, when you visit the dentist with a cavity, there are many filling options. Most of us just sit in the chair, open our mouths, and let the dentist work his or her magic. But have you ever stopped to consider what the dentist is filling and restoring your decayed or broken tooth with?

Five types of dental fillings

There are five basic kinds of dental filing material. The dentist decides which type to use based on the degree of the decay, the cost of the material, and the type of dental insurance you have.

  1. Dental amalgam, or silver fillings, have been used to fill cavities for more than 150 years. Dental amalgam is the most common type of dental filling. It's strong, durable, and less expensive than other types.
  2. Composite fillings, or white fillings, are popular because the color matches the rest of your teeth. Composite fillings are a combination of resin and plastic. They are more aesthetically pleasing than silver fillings, but are also less durable.
  3. Ceramic fillings are durable and visually appealing (tooth-colored), but they are expensive. They are made of porcelain and have been shown to be resistant to staining.
  4. Glass ionomers are typically used on children whose teeth are still changing. Constructed from glass and acrylic, glass ionomers are designed to last fewer than five years. The benefit of these dental fillings is that they release fluoride, which protects the changing tooth from further decay.
  5. Unless you’re a rock or movie star, gold fillings aren’t common. While a gold filling is durable, non-corrosive, and can last more than 15 years, it not only takes more than one dental visit to place, but, as you can imagine, it is expensive.

For more information about fillings, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

Early Detection is Key to Treating Oral Cancer

July 16th, 2014

Every hour of every day, someone in North America dies of oral cancer, the sixth most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved.

This grim statistic may make you think that oral cancer is a particularly deadly form, when in fact the high death rate has more to do with how late in its development oral cancer is detected. Routine screening is the key to early detection and survival, and in our continuing efforts to provide the most advanced technology and highest quality care available to our patients at Kevin P. Mischley, DMD, we proudly screen our patients for oral cancer.

So, who’s at risk for oral cancer?

Anyone can develop oral cancer, but some people are at a higher risk. These high-risk groups include those over the age of 50 and men, who are twice as likely as women to develop the disease. Smoking or chewing smokeless tobacco products, consuming alcohol excessively, and constant exposure to the sun at a young age are also risk factors.

How is oral cancer detected?

Dr. Mischley and our team at Kevin P. Mischley, DMD suggest our patients perform a monthly self-examination to check for unusual red or white patches, sores, lumps, or thickenings anywhere inside the mouth, on the lips, or in the throat and neck area.

We encourage you to give us a call at our convenient Walpole, MA office if you find any of these symptoms or if you have trouble swallowing or experience a chronic sore throat and hoarseness. During your visit, Dr. Mischley will inspect the oral tissues and neck to determine if abnormalities are present.

What happens if oral cancer is detected?

If we discover abnormal tissues during your visit, a biopsy will be required. The results from the biopsy will be sent to a laboratory to determine if the cells are cancerous or precancerous. If a diagnosis of cancer is made, surgery, as well as treatment such as chemotherapy or radiation may be necessary. Dr. Mischley and our team will work closely with your oncologist and other members of your medical team to ensure that you achieve the best possible oral health care both during and after treatment.

Finding out you have oral cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk. Through a routine visual inspection, Dr. Mischley and our team at Kevin P. Mischley, DMD can often detect premalignant abnormalities and cancer at an early stage when treatment is both less expensive and more successful, and can potentially save your life. Ask us about a screening during your next visit!

Love your new smile? Tell us about it!

July 9th, 2014

At Kevin P. Mischley, DMD, we have been creating beautiful smiles for years. Whether you have visited Dr. Mischley and our team for a week or for your entire life, we would love to hear your thoughts about your experience! In fact, we encourage you to leave a few words for us below or on our Facebook page!

We look forward to reading your feedback!

Can my child really avoid tooth decay?

June 25th, 2014

Great question! Yes, in fact, tooth decay is preventable! Decay, which is caused by sugars left in your child’s mouth, can turn into an acid, which in turn can break down his or her teeth. Children are at high risk for tooth decay for a simple reason: many children and adolescents tend to be lax in their oral hygiene habits.

So, how can your child prevent tooth decay?

  • Start early. After the age of two, brush your child’s teeth with fluoride toothpaste twice a day. And, if possible, clean between the teeth with dental floss at least once a day, preferably before they go to bed.
  • Don’t allow your little ones to eat after cleaning teeth at bedtime, as salivary flow decreases while they sleep and their teeth become vulnerable to cavities.
  • Do not allow your little ones to nibble food or sip drinks continuously, and keep in mind that a low-sugar diet also helps keep tooth decay at bay. Allow time between meals for saliva to neutralize acids and repair the teeth.
  • Drinking water frequently throughout the day can also reduce the possibility of new cavities forming.
  • Dental sealants can also protect your children’s teeth from cavities. Sealants, which are applied to the chewing surfaces of molars, act as a shield between the tooth and harmful bacteria.

Finally, make sure your child visits Kevin P. Mischley, DMD approximately every six months for a checkup and routine cleaning! Please give us a call at our Walpole, MA office.

Dr. Mischley, Dr. Albert, and DentaQuest / MassHealth

June 19th, 2014

Grandma driving ResizedWe are happy to announce that we are now accepting patients with DentaQuest / MassHealth Dental coverage. As you may know, you can select the level of coverage you'd like by visiting the DentaQuest website. Dr. Susan Albert, DMD will be in charge of this facet of our practice and will be seeing patients exclusively on Tuesdays and Thursdays.

In an effort to garner mutual respect of everyone's time involved, patients are asked to make every effort to keep scheduled appointments and to arrive at the office on time in order to keep things moving smoothly. As is our policy with all of our valued patients, not showing for an appointment two times without notice will be grounds for dismissal from the practice.

Please click on the link provided on this page to familiarize yourself with the MassHealth Dental program and how it works, as well as with what services you may expect to be covered under this plan.

It's also important to note that while there are different plans available, MassHealth is the only which we are accepting at this time. This means our office does not participate with Celtic Health Care Plan, Neighborhood Health Plan, Network Health Plan or Commonwealth Healthcare Plan. However, this may change in the future.

We'll be updating our website and our blog with coverage updates, so please check back periodically or Like us on Facebook to get new announcements!

What is biofilm?

June 18th, 2014

Biofilm, the protective housing for bacteria, is a hot topic in the medical and dental fields. Routinely taking an antibiotic for a bacterial infection has become more complicated because of biofilm. Bacterial infections may become resistant to antibiotics in part because the biofilm allows for communication among the bacteria, allowing the infection to be sustained.

You’re probably wondering, Dr. Mischley , what does this have to do with teeth? Since we’re dental professionals, we can tell you why it’s important and what you should know! There is biofilm in your mouth; healthy biofilm and diseased biofilm. Both are made of the same general compounds, but when combined with certain amino acids and cellular chemicals, the diseased biofilm conquers and destroys.

Periodontal disease, otherwise known as gum disease or pyorrhea, is a biofilm disease. If you are undergoing treatment for gum disease and you do not continue with the treatment plan the disease will progress and/or spread due to the biofilm.

There are several ways to treat diseased biofilm. But remember, antibiotics cannot touch the bacterial infection if the biofilm is established.

When your exam is complete, the Ultrasonic or Piezo Scaler should be used. This method of spraying water disturbs the biofilm and provides an opportunity to treat the infection causing bacteria.

Remember, we all need healthy biofilm. Just as your skin protects your body, biofilm housing good bacteria protects your body. The bacteria in the biofilm replicate every twenty minutes. If your body has healthy bacteria, low levels of hydrogen peroxide are produced by the biofilm, preventing harmful bacteria from residing. Harmful bacteria do not like oxygen.

At your exam, we will take measurements around your teeth checking for “pockets”. The higher the number, the deeper the pocket giving more room for harmful bacteria where there is no oxygen. Ask what your numbers are and be involved in restoring your healthy biofilm.

The Link Between Dental Hygiene and Your Overall Health

June 11th, 2014

When patients of Kevin P. Mischley, DMD hear any mention of oral or dental hygiene, they probably think of brushing and flossing their teeth. Although these are extremely important, the term dental hygiene encompasses much more than that. Your mouth’s health, including your teeth, has an important impact on your overall physical health. The National Institute of Dental and Craniofacial Research published the surgeon general's first ever report on dental health. It is called A National Call to Action to Promote Oral Health. In that report, the Surgeon General states that the 1948 World Health Organization expanded its earlier definition of health to "a complete state of physical, mental, and social well-being, and not just the absence of infirmity."

The Importance of Oral Health to Total Overall Health

One of the most important themes that the dental health report stressed is that you cannot be healthy without oral health. It went on to explain that oral health and general health are inextricably linked, and therefore can't be seen as two separate things. Because oral health is so critical to overall health, it should be included in all community health programs. For individuals, this means that it is just as important to take care of your mouth, your teeth, and your overall oral health as it is to take care of the rest of your body. The two most prevalent dental diseases are caries (cavities), also known as tooth decay, and periodontal (gum) disease.

Ways that Oral Health Impacts Overall Health

One important way in which good oral health contributes to better overall health is seen in the findings of several studies in which the blood sugar levels of diabetic patients were significantly lowered when their periodontal (or gum disease) was successfully treated. Your mouth has roughly 500 different species of bacteria. Many are harmless, and some are even good bacteria that help maintain the balance of your intestinal flora. Harmful bacteria can infect your gums, causing gingivitis. Your body's immune system may try to fight off the alien invaders, but they attack your gums, causing inflammation and bleeding when you brush.

Now that you know how important good dental hygiene is, be sure to see to get your teeth cleaned every six months, have regular dental checkups, brush and floss your teeth at least twice daily, and replace your toothbrush at least every couple of months. Call us to schedule your next appointment at our convenient Walpole, MA location.

Healthy Summer Foods

June 4th, 2014

It’s summer—that wonderful time of year when fresh and delicious produce abounds. Dr. Mischley will tell you that your teeth, gums, and tissues all rely on an appropriate mix of vitamins and minerals to maintain good oral health no matter what time of year. In previous studies, nutrients in fruits and vegetables such as dietary fiber, potassium, and antioxidants have all been associated with a reduced risk for cardiovascular disease and cancers, including oral cancer.

Here are four foods we want you to enjoy this summer to ensure a healthy mouth:

Watermelons and Strawberries

Watermelons have high water content, which dilutes the affects of the sugars they contain and stimulates the flow of saliva. In addition, research shows that eating foods full of water (watermelon is 92 percent water) helps keep you satiated on fewer calories. Finally, in addition to containing skin-protecting lycopene, eating watermelon can help you stay hydrated during the summer months, which not only keeps your memory sharp and your mood stable, but also helps keep your body cool.

Strawberries are juicy and delicious, and they’re also considered a superfood. Nutrient-rich and packed with antioxidants (such as vitamin C, which can help with cancer prevention), strawberries also promote eye health, help fight bad cholesterol, and regulate blood pressure.

Apples

Did you know consuming apples can help you attain whiter, healthier teeth? It’s true. Biting and chewing an apple stimulates the production of saliva in your mouth, and in the process, lowers the levels of bacteria and other harmful acids, leading to a lower likelihood of tooth decay. Apple consumption can also boost your immune system, reducing cholesterol and helping you avoid Alzheimer’s and Parkinson's diseases. Finally, eating an apple a day has been linked to heart health, including a lower risk of death from both coronary heart disease and cardiovascular disease.

Tomatoes

Tomatoes are a delicious and healthy snack and can help you ward off cancer. The yummy red fruit contains lycopene, which helps protect your skin from sunburn. Tomatoes can also help you fight heart disease due to the niacin, folate, and vitamin B6 nutrients they contain. They’re high in crucial antioxidants, such as vitamin C and vitamin A, which work to prevent DNA damage.

What’s the advantage to Invisalign®?

May 28th, 2014

Invisalign, which we happily provide at Kevin P. Mischley, DMD, is a great alternative to traditional orthodontic treatment if you've been apprehensive about the thought of metal braces. During your initial visit, the first thing we do is take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Invisalign treatment, which consists of a series of aligners that you switch out approximately every couple of weeks, can help patients with crowded teeth, crossbites, overbites, underbites and more. Invisalign gradually shifts your teeth into place, creating the dazzling smile you’ve always wanted. During treatment with Dr. Mischley, patients wear the aligners all day and night, except for during meals and when they’re brushing and flossing; cleaning your teeth and eating are a snap since you can easily remove your aligners! And because they’re clear, no one will know that your teeth are steadily straightening!

To find out if you are the right candidate for Invisalign treatment, we invite you to give us a call at our convenient Walpole, MA office and schedule a consultation.

Memorial Day and Getting Ready for Summer

May 21st, 2014

Memorial Day didn't become an official holiday until 1971, but Americans started gathering annually in the spring to remember those who lost their lives in war during the 1860s, right after the Civil War. Celebrated on the last Monday in May, people still decorate the grave sites of war veterans and hold memorial services, but Memorial Day has also evolved into a day that signifies the beginning of summer.

During the summer months, many people take road trips to visit family members. Some head off to the airport to enjoy a long-awaited vacation far away, while others look forward to spending time with friends and family at home. However you spend Memorial Day and the subsequent summer months, there are a few things you can take care of to ensure your summertime is enjoyable.

Checklist for an Enjoyable Summer

  • Have the AC Checked. During the hottest days of summer, many families find themselves sweating it out due to a broken air conditioning system. Be proactive so you can avoid waiting for hours or days because the HVAC repair person is booked solid. Have your air conditioning system checked before or around Memorial Day each year.
  • Ensure Security While You're Away. When you leave for vacation, the last thing you should have to worry about is the security of your home. Install a home security system, if possible, and put a timer on your lights so they go on and off at normal hours. You can also alert your local police department that you'll be gone, and ask them to drive by your house once in a while to make sure everything is okay.
  • Visit Dr. Mischley Before Vacation. Many people put off exams until after summer vacation. Avoid the crowds and make sure your physical and oral health are in top shape prior to vacation time so there are no unpleasant surprises.

Our team at Kevin P. Mischley, DMD wants you to look forward to Memorial Day and the days of summer by preparing to spend the time safely and comfortably. As you plan ahead, take care of your health and secure your home, you can place your focus on creating memories with family members and friends while enjoying your favorite Memorial Day traditions.

Batter Up with Dr. Kevin Mischley!

May 15th, 2014

M1For the fourth year in a row, Dr. Mischley has been proud to work with the Wrentham Youth Baseball & Softball Association as a baseball and T Ball coach for kids in Walpole, MA. It’s really a family affair: Dr. Mischley coaches his son, Warren's, team in the “Farm League” of seven- and eight-year-olds, as well as his daughter, Greta's, T Ball team of five- and six-year-olds. His son’s team name is the Iron Birds, and Greta's team name is River Dogs! They recently celebrated Opening Day with a parade through Wrentham Center and a weekend full of great games!

Dr. Michley absolutely loves baseball, and loves teaching the kids about the game while making it fun, as it should be! But he also teaches them that it's a very hard game and that failure is commonplace. In fact, it’s more common than succeeding, which makes those moments of success pretty magical.

m2Dr. Mischley believes team sports are important for a number of reasons. Probably top on the list is the teaching of “TEAM”: that you are part of something bigger than yourself, that you can count on your teammates to ‘pick you up’, and it's your job to pick them up when they need it, too.

Of course, while Dr. Mischley coaches for fun, he runs a pretty tight ship! Kids will be kids, so there's going to be joking around, but when it's time to pay attention, they are expected to pay attention. If not, they take a lap!

Dr. Mischley does have two “official” assistant coaches, but all parents are welcome to step in and help out any way they can, including working the Snack Shack! If you want to help the team, let someone in our office know!

m3

I can't stop grinding my teeth! How can a dentist help?

May 14th, 2014

Dr. Mischley will tell you that while you are sleep, your mouth may be very active. If you find yourself waking up with headaches, facial pain, neck aches, or a sore jaw, you may have tooth grinding, a condition we also call bruxism.

We see many people who experience some extent of tooth grinding, but a very small percentage of the population actually experiences symptoms severe enough to warrant visiting a doctor. If you continually experience any of the symptoms listed above, we encourage you to give us a call at our Walpole, MA office so that we may be able to diagnose and treat the problem.

The most common treatments include:

  • Reducing your stress level to help relax your jaw muscles and prevent grinding
  • A custom-made night guard to cushion your teeth and protect them from damage
  • Changing your eating habits. Coffee, tea, or alcohol before bed can increase your chance of nightly grinding
  • If your jaw or teeth are misaligned, Dr. Mischley may also recommend a brace to decrease grinding.

Grinding your teeth can have serious consequences that, if left untreated, can lead to tooth fractures and damage to the TMJ (temporomandibular joint).

If you think your teeth may not be getting the rest they need at night, we encourage you to give us a call and schedule an appointment with Dr. Mischley. Call us today!

Wishing all our moms a happy Mother’s Day!

May 7th, 2014

"Motherhood: All love begins and ends there." - Robert Browning

We would like to take this moment to thank all the great moms out there for being so great during their child’s visits to Kevin P. Mischley, DMD. Whether it’s driving their kids to regularly scheduled appointments or for “being there” while their child is treatment, the moms who come to our office are all stellar individuals, so Dr. Mischley and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

$500 off Invisalign Treatment with Dr. Mischley and our Team!

May 6th, 2014

Summer's about to start, and haven't you always wanted a perfect smile to show off in vacation photos? Start on your journey now, with our Invisalign special event!

When you RSVP to our Invisalign Event on June 4th, you'll be eligible for $500 off treatment! But don't delay, we only have 15 spots total. Call our office today and mark your calendars to start treatment!

Mischley Invisalign June 2014-page-001

How do I prevent oral cancer?

April 30th, 2014

The fact is, according to the Oral Cancer Foundation, close to 40,000 Americans will be diagnosed with oral or pharyngeal cancer this year, resulting in more than 8,000 deaths. Men face twice the risk of developing oral cancer as women, and men who are over age 50 face the greatest risk. The American Cancer Society recommends an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. The five-year survival rate is only 50 percent, and oral cancer, which is the sixth-most common diagnosed form of the disease, is one of the few cancers whose survival rate has not improved. Today, Dr. Mischley and our team would like to take this opportunity to remind all of our patients about the importance of maintaining good oral hygiene to prevent the disease.

So, what can you do at home to take an active role in preventing oral cancer?

The American Cancer Society recommends an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. In addition, we encourage you to:

  1. Conduct a self-exam regularly. Using a bright light and a mirror, look at and feel your lips and gums. Try tilting your head back to look at and feel the roof of your mouth, and pull your cheeks out to look inside of your mouth, the lining of your cheeks, and your back gums. Pull out your tongue and look at all surfaces. Feel for lumps or enlarged lymph nodes in both sides of your neck and under your lower jaw. Please give us a call immediately if you notice any changes in the appearance of your mouth or any of the signs and symptoms mentioned above.
  2. Don’t smoke or use any tobacco products and drink alcohol in moderation.
  3. Eat a well-balanced diet. This includes eating a wide variety of foods from the five primary food groups on a daily basis to meet the recommended amounts of vitamins, minerals, carbohydrates, proteins, and fats you need in a given day.
  4. Limit your exposure to the sun. Repeated exposure increases the risk of cancer on the lips, especially the lower lip. When out in the sun, be sure to use UV-A/B-blocking sun protective lotions on your skin as well as your lips.

Please let us know if you have any questions about your oral health, either during your next scheduled visit, by giving us a call, or asking us on Facebook.

Good Dental Hygiene Impacts Overall General Health

April 23rd, 2014

There are many ways in which your oral health has an impact on your overall general health. There are naturally occurring bacteria in the mouth. Some of those bacteria, including strep and staph, are harmful, while other bacteria are essential for the balance of intestinal flora. The healthier your mouth is, the less likely it is the harmful bacteria will travel to other parts of your body to infect it and make you sick. There is much more to good dental hygiene than brushing and flossing.

Historical Methods of Maintaining Oral Health

Ancient civilizations relied on natural remedies for maintaining oral health. Around 250 AD, the Kemetic Egyptians used myrrh and other herbs as antiseptics for treating infected gums. Two centuries later, the Nubians, who lived in the Nile River valley, drank beer to ease the pain of infected teeth. That probably sounds crazy, but their beer was effective because they used grains that were contaminated with the same bacteria that produce the antibiotic tetracycline.

Today's Biggest Dental Hygiene Challenge

In the past, tooth decay was more of an issue because there was no routine dental care, and problems that are routinely treated today went untreated. Thanks to fluoridated water, and toothpastes containing fluoride, tooth decay is far less problematic than it was a century or more ago. Gum disease has replaced tooth decay as the most serious dental problem facing people today. According to the American Dental Association, a staggering 80 percent of Americans over age 65 suffer from some form of periodontal disease.

Ironically, if that infection attacked any other part of your body, especially in a place where it was clearly visible, you would head to your doctor for treatment immediately. People tend to ignore gum tenderness and bleeding. When the tenderness and bleeding aren't treated, the inflammation can turn into periodontitis. The longer you allow the inflammation to go untreated, the greater the likelihood that it will affect other body parts. Make sure to visit Dr. Mischley at Kevin P. Mischley, DMD regularly to be proactive about dental health!

Researchers are now discovering that untreated inflammation in the mouth acts as a driving force for multiple chronic illnesses, including clogged arteries, heart attacks, arthritis, and even cancer. That inflammation is one of many hypotheses that may explain how chronic infections can trigger systemic diseases, and even intensify existing ones. Bacterial overgrowth in the inflamed gum tissue can enter the bloodstream through the food you eat, and from daily brushing.

Caring for your mouth at home is just as important as visiting our office for exams!

Fun Facts: George Washington's Teeth

April 17th, 2014

Fun Fact George Washington

Second only to the Cherry Tree legend, the story that George Washington’s dentures were made of wood is one of the most widespread and lasting myth about Washington's personal life.

Throughout his childhood and into adulthood, George Washington had a long history of illness, including malaria, flu, and rheumatic complaints. The standard medical treatment in 1751 was mercury chloride, a chemical compound that can lead to the destruction of teeth. This is probably what caused Washington’s severe and painful dental problems, and eventually, the loss of all of his teeth.

Contrary to the legend, none of George Washington's false teeth were actually made of wood. The dentures were actually made from gold, ivory, lead, and human and animal teeth (horse and donkey teeth were common components at the time). In his lifetime, Washington went through several sets of dentures. None of them ever fit properly, which left him in constant discomfort.

Of course, dentures today are made from high-quality acrylic, but the best way to prevent the need for dentures in the first place is to brush and floss every day, and visit our office for regular cleanings.

Make Every Day Earth Day

April 16th, 2014

Earth Day began in 1970 as an event to raise awareness of our environment. What began as a single day in April is now recognized around the world to bring attention and education to global environmental issues. Conserving our natural resources, reducing water and air pollution, and developing green technologies are all ways in which we can improve the environment around us.

Reduce, Recycle, and Reuse

One of the easiest ways to participate in Earth Day is by simply reducing the amount of refuse that ends up in landfills. Many communities have recycling programs for paper, plastic, and metal refuse. By keeping recyclable items out of landfills, we reduce the need for new disposal space and the amount of energy needed for burning refuse. Recycling products also helps conserve the resources that are used in making new products.

You can save money by reducing your consumption of many everyday products. Single disposable water bottles can be recycled but they are costly. By using filtered faucet water, you can conserve your financial resources. Disposable paper towels can also be wasteful. Consider reusable cleaning rags for the majority of your chores.

Reusing items saves both the environment and your finances. A large number of products can be re-purposed to create a new item. Old furniture can be remade into a new piece. Old clothing can be used for craft items. If you are not able to find ways to reuse your old items, donate them to a charity. Remember to continue your positive environmental steps on a daily basis.

Other things you can do to improve the environment

Everyone, young or old, can find ways to participate in improving the environment. Some ideas include:

  • Planting trees
  • Picking up litter
  • Reducing energy consumption
  • Walking, bicycling, or carpooling to work or school
  • Disposing of hazardous waste properly
  • Using rain barrels to conserve water for plants

Earth Day is designed to appreciate and celebrate the health of the earth. Keeping the earth healthy is important, but keeping your mouth healthy is important, too. Healthy teeth and gums contribute to your overall health and well-being, so remember to call our team at Kevin P. Mischley, DMD to schedule an appointment. Have a happy and healthy Earth Day, from Dr. Mischley!

It doesn't matter when you floss; just do it!

April 10th, 2014

FlossingThinking about skipping out on flossing? Sure, your teeth may feel clean, but lurking in the crevices and depths of your mouth are billions of bacteria, just waiting to create havoc on your teeth and gums. At Dr. Mischley's office, we know that, in addition to professional hygiene cleanings, brushing and flossing are the best ways to keep decay-causing bacteria at bay.

It doesn’t matter when you floss; just do it!

No excuses! Flossing first allows you to brush away dislodged food debris afterward. Brushing first allows you to loosen plaque between the teeth, making it easier to floss more effectively. Try doing both at the same time! (Just kidding; don’t try that at home.)

The important part of flossing is doing it, and doing it right. That means using a fresh strand of dental floss each day (reused floss is gross), and carefully pulling it back and forth between all of the teeth.

Think you can fib your way out of flossing? It turns out, we can tell if you’ve been flossing or not, so don’t try to hide it. We won’t be mad, just as long as you promise to start flossing on a daily basis. It’s for your own good, and ours, since looking at plaque-covered teeth every day is kind of gross for us, too.

I don't brush while I'm at work. Should I?

April 9th, 2014

Yes, absolutely. A recent survey by Oral-B® reveals that despite knowing that a healthy, good-looking smile affects not only their personal wellness but their professional image as well, very few people (only 14 percent) brush and floss at the office regularly. What’s more, three quarters of people who responded to the survey said they ate twice or more a day at work.

Today, Dr. Mischley and our team thought we would provide some tips for brushing at work.

  • Leave a toothbrush at work to increase your likelihood of brushing
  • Brush your teeth twice a day with fluoride toothpaste. Replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won’t do a good job of cleaning your teeth.
  • Clean between teeth daily with floss or an interdental cleaner; this helps remove plaque and food particles from between the teeth and under the gum line. Tooth decay-causing bacteria still linger between teeth where your toothbrush bristles can’t reach.

And remember to brush for 30 to 45 seconds across visible parts of the teeth. Brushing after breakfast or lunch will eliminate any remaining food particles and odors. We recommend people brush their teeth twice and floss once a day to remove plaque and other harmful bacteria.

To schedule your next appointment with Dr. Mischley at our Walpole, MA office, please give us a call!

April is Oral Cancer Awareness Month

April 2nd, 2014

What is oral cancer?

April is Oral Cancer Awareness Month. If you have been putting off a visit to our Walpole, MA office, now is an excellent time to schedule one. Regular visits to Kevin P. Mischley, DMD can be the first line of defense against oral cancer, by identifying early warning signs of the disease, or helping you with preventive care tips to lower your chances of developing it.

Oral Cancer Rates in America

Nearly 40,000 people in the U.S. will be diagnosed with oral cancer this year, and more than 8,000 die every year from this disease. It is a devastating illness: most people who are diagnosed with it do not live more than five years beyond their diagnosis. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body—most often, the lymph nodes in the neck.

What causes oral cancer?

While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes you should know about—because in some cases, you can minimize these risk factors.

  • Age (most patients diagnosed with oral cancer are over the age of 40)
  • Tobacco use, either from cigarettes or smokeless chewing tobacco
  • Excessive alcohol consumption (especially in combination with tobacco use)
  • Persistent viral infections, such as HPV16
  • A diet low in fruits and vegetables

In addition, oral cancer tends to occur at a rate six times greater in men than in women, and more often for African Americans than other ethnic groups. No genetic links have been identified to explain the higher incidence in these populations, so lifestyle choices remain the likeliest cause.

Oral Cancer Treatments

Once a diagnosis has been made, treatment of oral cancer usually involves a multi-disciplinary team that includes surgeons, oncologists, dentists, nutritionists, and rehabilitation and restorative specialists. Our team will decide on the best approach for each patient, depending on the risk factors and how far the cancer has progressed. The strategy will be different in every case. Some of the most common methods include chemotherapy, radiation, and potential surgery.

Finding out you have cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk.

Dreaming of a stunning smile without using braces?

March 26th, 2014

Most of us aren’t born with a red carpet smile. And if you’ve thought about straightening your teeth but are apprehensive about doing so with traditional orthodontic treatment, Dr. Mischley and our team at Kevin P. Mischley, DMD want you to know there is another option – Invisalign®!

Invisalign is an ideal solution for most adults looking for a less noticeable way to achieve a better smile. In fact, Invisalign has increasingly become a very popular choice for adults looking for a more comfortable, convenient and cosmetically-appealing treatment for straightening their teeth.

Our team at Kevin P. Mischley, DMD is proud to offer Invisalign, which uses a series of invisible, removable and comfortable aligners that no one can tell you’re wearing, which allows you to smile more during treatment, as well as after. Not only are the aligners invisible, they are also removable, so you can eat and drink what you want; brushing and flossing is easier with Invisalign than with traditional braces.

Invisalign’s aligners are also comfortable, with no metal to cause mouth abrasions during your treatment. And no metal and wires usually means you spend less time at our office getting adjustments. Invisalign also allows you to view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

A consultation with Dr. Mischley can determine if Invisalign is right for you. We encourage you to give us a call at our friendly Walpole, MA office if you’re interested in learning more about Invisalign or if you are ready to visit us for an initial consultation! We look forward to seeing you!

Solutions for Dry Mouth (Xerostomia)

March 19th, 2014

Dry mouth, or xerostomia, is a common side effect of many medications. It can also be a side effect of cancer treatments, or the result of certain auto-immune diseases. Dr. Mischley and our team at Kevin P. Mischley, DMD will tell you that for most people, discontinuing their medication isn’t an option. The solution is two-fold: find ways to increase saliva production and eliminate specific things that are likely to increase dryness in the mouth.

Lack of saliva creates a situation in the mouth that allows harmful organisms such as yeast and bacteria to thrive. It may also make it difficult to swallow food, create a burning feeling in your mouth, or cause bad breath, among other problems.

Medications that are known to cause dry mouth include:

  • Anti-depressant drugs
  • Anti-anxiety medications
  • Drugs for lowering blood pressure
  • Allergy and cold medications — antihistamines and decongestants
  • Chemotherapy drugs
  • Medications to alleviate pain
  • Drugs used in the treatment of Parkinson’s disease

Saliva helps people digest their food. It also functions as a natural mouth cleanser. Xerostomia increases the risk you will develop gum disease or suffer from tooth decay.

Solutions for dry mouth

  • Carry water wherever you go, and make a point of taking regular sips.
  • Avoid oral rinses that contain alcohol or peroxide.
  • Chew sugarless gum or suck on sugarless hard candies that contain xylitol.
  • Limit your consumption of caffeine, carbonated beverages (including seltzer and sparkling waters), and alcoholic beverages.
  • Brush your teeth at least twice a day, and use dental floss or other inter-dental products to remove food particles that get stuck between your teeth.
  • Look for oral rinses and other oral hygiene products that bear the American Dental Association (ADA) Seal of Approval.
  • Brush your teeth and use oral rinses that contain xylitol. Certain gels and oral sprays are equally helpful. Biotene is one over-the-counter brand that makes products designed to treat dry mouth.
  • Make sure you get your teeth checked and cleaned twice a year. Dr. Mischley will be able to examine your mouth for problems and treat them before they turn into something more serious.

You may not be able to solve your dry mouth problem altogether, but you’ll be able to deal with it by following these recommendations. You’ll be able to increase saliva production while reducing your risk of more serious dental problems. To learn more about preventing dry mouth, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

St. Patrick's Day

March 12th, 2014

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.

St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.

Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:

  • Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
  • Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
  • The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
  • Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.

No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From Dr. Mischley - have a great St. Paddy’s day!

Good Nutrition Leads to Healthy Mouths

March 5th, 2014

At Kevin P. Mischley, DMD, we know the most common oral health diseases are tooth decay and periodontal disease (or gum disease), and both are among the easiest to prevent. One of the most common ways we recommend to boost your oral health is by improving your diet, because you (and your mouth) truly are what you eat. A healthy diet can lead to a healthy mouth and body, while an unhealthy diet can lead to the exact opposite.

The Role Nutrition Plays

While diet is not the only factor that leads to periodontal disease, studies suggest the disease may be more severe among patients whose diets lack essential nutrients. Poor diets will generally lead to a weaker immune system, leaving your body susceptible to all kinds of ailments, including periodontal disease.

A Well-Balanced Approach

There is no “magic” diet that we can recommend to improve your oral health, but the most important thing is to seek a well-balanced approach in your eating. While fad diets that emphasize one food group over another may help you lose weight in the short-term, they probably will not provide all the nutrients your body needs in the long run.

Meals should include a balance of lean meats or other healthy protein sources, colorful fruits and vegetables, whole grains, low-fat dairy, and healthy fats. Foods containing substantial amounts of sugar and salt should be consumed in moderation.

Soda and Sugar: A Dangerous Duo

Millions of gallons of soda are consumed every day in America, but sipping a cold soft drink can be very harmful to your teeth. Many of these beverages wear down the enamel that protects the teeth, which weakens and even destroys them over time. The American Beverage Association estimates that soft drinks account for almost 30 percent of all drink consumption in the U.S., averaging an annual total of about 50 gallons per person (up from only 20 gallons in the 1970s). For healthy teeth and a healthy body overall, try to limit your soda intake.

Sugar is another ubiquitous treat in our daily lives. When we eat sugar, naturally occurring bacteria in our mouths convert it to acids that attack tooth enamel. Consuming too much sugar can swiftly lead to tooth decay, cavities, and gum diseases like gingivitis. Most people do not even realize how much sugar they consume each day. It’s important to limit your daily sugar intake by reading the labels of all the food you eat, and sticking with natural food sources that are low in sugar, especially ones that minimize added sugar, such as fruits and vegetables.

If you have questions about your diet and how it may be affecting your oral health, talk to Dr. Mischley about it. See you soon!

Easing Your Allergies with Latex-Free Dentistry

February 26th, 2014

Imagine this scenario: you go to the dentist to have a cavity filled, and an hour after the procedure you have a runny nose, scratchy throat, and your arms are breaking out in blotchy, red hives. In other words, you’re in worse shape after the visit to the dentist than you were before you walked in to have the cavity fixed. If you experience any of these types of symptoms or side effects, chances are you have a latex allergy.

What is a latex allergy?

A latex allergy is a hypersensitivity to latex proteins. If you have this allergy, the Centers for Disease Control and Prevention recommend that you avoid direct contact with any materials that contain latex. While latex gloves are known to cause allergic reactions in people with a latex allergy, certain metals, plastics, and other materials used in dental care can also cause an adverse response.

A runny nose and itchy eyes are common allergic reactions to latex. However, Dr. Mischley and our team at Kevin P. Mischley, DMD want you to know it can also trigger more severe symptoms, including asthma, wheezing, and cardiovascular and gastrointestinal ailments.

A latex-safe dental environment

Many dental offices screen patients for a latex allergy. This is only beneficial, however, if you’re already aware you have a latex allergy. The best thing you can do to ease your allergies is to find a dentist who has a latex-safe environment. A latex-safe dental environment observes the following protocols:

  • All patients are screened for a latex allergy.
  • No personnel use latex gloves.
  • All latex products are removed from the patient’s vicinity, including rubber dams and elastics.
  • Work areas contaminated with latex powder are cleaned frequently.
  • Signs are posted to communicate all latex allergy procedures in case of an emergency.

If a latex allergy is part of your medical history, then it’s in your best interest to find a latex-free dental environment. To learn more about latex-free dentistry, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

Should I have TMD treated? Why?

February 19th, 2014

TMD occurs when your bite is not properly aligned. It can cause the jaw to experience unnatural stresses and prevent it from resting properly when your mouth is closed. If you have TMD, you may have noticed a clicking noise when you chew, speak, or yawn; you may even experience pain and discomfort during these actions. In some cases, your jaw may feel “locked” following a wide yawn.

TMD can cause pain and discomfort in the jaw as well as headaches that occur when the muscles that help the joints open and close become overtired. But beyond the pain and discomfort, TMD can also cause serious dental problems if left untreated.

Because TMD is associated with a poor bite or malocclusion (which literally translated means “bad closure”), your teeth do not meet properly. As a result, extra tension and stress may be placed on your teeth, resulting in chips and cracks that allow cavities to form and may even result in tooth loss. Over time, TMD can cause teeth to break, which requires cosmetic treatment to rebuild your healthy smile, and ensure the broken tooth and its neighbors are protected from decay.

While treating TMD used to mean expensive and invasive surgery to reposition or even rebuild the jaw joints, today’s approach at Kevin P. Mischley, DMD is much more patient-friendly. By restoring broken, chipped, or cracked teeth, replacing missing teeth, and using braces or other dental devices, Dr. Mischley and our team can help realign your jaw so it’s able to function properly, and eliminate pain and discomfort. And there’s more good news: By restoring damaged teeth and tooth surfaces and straightening crooked teeth, you’re also left with a more attractive smile once treatment is completed.

Every patient is different, and that means your course of treatment will be different too. After a thorough examination of your teeth and jaw, our experienced staff at Kevin P. Mischley, DMD will work with you to develop a treatment plan that will have you feeling better – and looking better – sooner than you ever expected. Don’t let your untreated TMD cause more pain and problems; give us a call at our convenient Walpole, MA office today to schedule a consultation.

The Transformation of Valentine's Day

February 12th, 2014

Did you know the actions leading to the beginnings of Valentine's Day were actually centered on the avoidance of war? A Catholic priest named Valentine defied the orders of the Emperor Claudius II and secretly married young men and their brides after the emperor had declared it illegal because only single, young men could be sent to war. Rather than lose potential soldiers to fight his war, Claudius attempted to hoard them by proclaiming marriage illegal.

Valentine continued to marry young couples anyway and, eventually, was put to death for it in 270 AD. Before his death, he sent a letter to a secret love and signed it “From your Valentine”. Nearly 1,800 years later, people are still signing letters and cards in this manner. This year, carry on the tradition started long ago, while adding your own twist. Here are a few suggestions.

Simple and Creative Valentine's Day Ideas

  • Memorialize it with a Photo. Couples often have photos taken around Christmas, but Valentine's Day photos allow you to capitalize on romance. Famous couple Julia Child and her husband, Paul, had their picture taken together every Valentine's Day and included their sense of humor with silly props.
  • Return to Your First Date Location. Even if your first date together was at a local hotdog stand, its sentimental value can make it a fun part of your Valentine's Day agenda. Be creative and make a treasure hunt with clues that lead your partner to the original date location, where you can express your love with flowers or a gift.
  • “From Your Valentine” Messages. Deliver your message in a creative way to make this Valentine's Day stand out from the others. Bake your partner's favorite treat and write a message on it with a tube of icing, or draw a note on the steamed up mirror so it shows up when your partner takes a shower.

Although Valentine's Day is a day to celebrate love, it doesn't have to be a special day only for couples. If you're single, use this special day to shower yourself with love, because you're worth it! After all, the priest Valentine believed so strongly in the sanctity of love that he was willing to risk his life for it. Whether you're in a relationship or single, young or old, romantic or not, Valentine's Day is for you. Happy Valentine’s Day from the dental office of Dr. Mischley.

Dr. Albert's Corner: Usage of the Intraoral Camera

February 11th, 2014

Pt DocFrom my little corner of the mouth I can see a lot that goes on intraorally that I want to share with my patients. A great device that every dental office should have - and ours does - is an intraoral camera. This handy, dandy device allows the dentist to show a patient exactly what is happening in his mouth by projecting it onto the 'big screen' for both of us to see.

It is said that 'one picture is worth a thousand words' and nowhere is this truer than in your mouth. An intraoral camera allows us to project that picture onto the computer screen and explain to you visually exactly what we are seeing so you can see it also and have a better understanding of what is going on and why we advise the particular treatment that we do.

Intraoral cameras have been around a long time but some dental offices do not have them. It is a courtesy that we extend to our patients to help them understand what is happening in their mouths. If the dental office you go to does not offer this feature, check us out.

February is Heart Month

February 5th, 2014

The American Academy of Periodontology stresses the importance of good oral health since gum disease may be linked to heart disease and stroke. Thus far, no cause-and-effect relationship has been established, but there are multiple theories to explain the link between heart disease and periodontal disease. One theory suggests that oral bacteria may affect heart health when it enters the blood and attaches to the fatty plaque in the heart's blood vessels. This can cause the formation of blood clots. Another theory suggests the possibility that inflammation could be a contributing link between periodontal disease and heart disease. Gum disease increases plaque buildup, and inflamed gums may also contribute to the development of swollen or inflamed coronary arteries.

What is coronary artery disease?

Coronary artery disease is caused in part by the buildup of fatty proteins on the walls of the coronary arteries. Blood clots cut off blood flow, preventing oxygen and nutrients from getting to the heart. Both blood clots and the buildup of fatty proteins (also called plaque) on the walls of the coronary arteries may lead to a heart attack. Moreover, periodontal disease nearly doubles the likelihood that someone will suffer from coronary artery disease. Periodontal disease can also worsen existing heart conditions, so many patients who suffer from heart disease need to take antibiotics before any dental procedures. This is especially true of patients who are at greatest risk for contracting infective endocarditis (inflammation of the inner layer of the heart). The fact that more than 2,400 people die from heart disease each day makes it a major public health issue. It is also the leading killer of both men and women in the United States today.

What is periodontal disease?

Periodontal disease is a chronic inflammatory disease that destroys the bone and gum tissues around the teeth, reducing or potentially eradicating the system that supports your teeth. It affects roughly 75 percent of Americans, and is the leading cause of adult tooth loss. People who suffer from periodontal disease may notice that their gums swell and/or bleed when they brush their teeth.

Although there is no definitive proof to support the theory that oral bacteria affects the heart, it is widely acknowledged better oral health contributes to overall better health. When people take good care of their teeth, get thorough exams, and a professional cleaning twice a year, the buildup of plaque on the teeth is lessened. A healthy, well-balanced diet will also contribute to better oral and heart health. There is a lot of truth to the saying "you are what you eat." If you have any questions about you periodontal disease and your overall health, give our Walpole, MA office a call!

Should I use mouthwash?

January 29th, 2014

Mouthwashes are commonly used as a part of a daily oral care regimen. Not only do they freshen breath, but some are capable of improving dental health too. Using a mouthwash daily can rinse fine debris away and out of reach while brushing. It can also make the teeth and gums more resilient to decay and disease.

Types of Mouthwashes

There are several types of mouthwashes available today that Dr. Mischley and our team at Kevin P. Mischley, DMD want you to be aware of. Some do little more than freshen breath and are known as cosmetic mouthwashes. These are ideal for quickly eliminating odors that linger after eating, drinking, or taking medication. Using a cosmetic mouthwash does not offer any health benefits.

Other mouthwashes offer more comprehensive benefits; they can potentially prevent tooth decay and gum disease. Mouthwashes that contain antimicrobial agents work by preventing the buildup of plaque that can lead to gingivitis and decay of the tooth enamel. However, it should be noted that the use of a mouthwash is never a substitute for regular brushing and flossing.

In some cases, prescription mouthwashes are necessary to treat patients with gum disease or who have undergone periodontal surgery. These specialty mouthwashes are designed specifically for the treatment of gum disease and should not be used outside of their intended use. The majority of mouthwashes require no prescription.

Tips for Choosing a Mouthwash

The choice to use a mouthwash and which one to use is between you and your dentist, depending on your individual oral health needs. If you determine that a mouthwash is right for you, look for one that contains fluoride, if possible. Fluoride provides an added layer of protection for your teeth, and helps them become more resistant to decay. As always, if you have any questions or concerns when choosing a mouthwash, please give our team at Kevin P. Mischley, DMD a call for assistance in selecting the rinse that is best for you. Or, we invite to ask us during your next visit to our Walpole, MA office!

Who benefits from Invisalign®?

January 22nd, 2014

One problem with trying to answer the question as to who benefits from Invisalign is that the simple answer is “almost everyone.” The see-through, almost invisible aligners for straightening teeth are specifically molded to fit each individual’s mouth. Unlike conventional braces, they can be removed when eating and when cleaning the teeth. Because they use less force in straightening teeth than metal braces, the risk of harm to teeth is lessened.

Benefits to adults

Traditional braces are associated with children and teenagers. Many adults want to have their teeth straightened but cannot decide which is worse: having crooked teeth or wearing metal braces. They also worry about having to change their diet by not being able to eat the foods they normally enjoy.

If you are an adult considering braces, our team at Kevin P. Mischley, DMD will tell you Invisalign aligners will give you the best of all worlds. Your teeth will be straightened with virtually invisible braces. You can remove your aligners when you eat so you can enjoy any food you normally would consume. You do not have to worry about embarrassing yourself by getting food stuck in your braces. You simply clean your teeth normally after eating and replace your aligners. If there is a special occasion during which you do not want to have any braces at all, you can remove the aligners for a few hours without causing any damage.

Benefits to teenagers

Dr. Mischley and our team know that teenagers are often involved in contact sports or gymnastics. Others find that having metal in their mouth interferes with their ability to play a musical instrument. Traditional metal braces contain wires and brackets that can cause damage to the mouth and gums; this is not a risk with Invisalign aligners.

For sports that require players to wear mouthguards, the expense of specially constructed mouthguards to fit over braces is avoided. The aligners can be removed during sports activity, and a normal mouthguard is worn. Teenagers who play musical instruments simply remove the aligners when practicing or playing in the band or orchestra.

Teenagers often feel they are too busy to spend time and trouble flossing teeth between the wires and brackets of traditional braces. Since the Invisalign aligners are removable, brushing and flossing are simpler and more likely to be performed.

For more information about Invisalign or Invisalign Teen, or to schedule an initial consultation with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

Sealants: What are they and how do they help?

January 15th, 2014

Molars are made up of canyons, caves, pits, and seemingly endless caverns that are a breeding ground for decay. The protective solution is a sealant. When done correctly, a sealant from Dr. Mischley of Kevin P. Mischley, DMD can be most effective in preventing cavities.

A sealant is made up of composite (a plastic-like) material that contains bonding agents to seal to the edge of the tooth. Sealants placed on the chewing surfaces of back teeth block food from being trapped. The process in which a sealant is placed is quite precise and painless.

First the tooth is cleaned with a sodium bicarbonate (baking soda) spray. Then an acid etch is applied to “roughen up” the surface. No saliva is to touch the tooth. This will re-mineralize the area, then a repeat etching is needed. An alcohol-based liquid then dries out the area and it must remain completely dry. The sealant is placed and guided through all the caverns, pits, fissures, and grooves. It is then cured with a special light, which makes it a hard, plastic-like material.

Sealants can last for several years. It is wise to have them examined on a semi-annual basis. If there is a break in the sealant, a high risk for decay is common. If a sealant is damaged, repair is simple, painless, and quick to complete.

Who can benefit from sealants? Anyone! Children often receive sealants as routine preventive care. Adults with deep canyons with stained grooves on their teeth can also benefit from a sealant. The process is quick, painless, and does not require any anesthesia. It is an effective way to lower dental restorative costs.

An investment in dental sealants can reap great benefits as properly cared for teeth will remain cavity free. Our Walpole, MA location is available to answer your questions so give us a call today!

Invisalign® Q&A

January 8th, 2014

It’s estimated that up to four million people at any one time are wearing braces in the United States and Canada. But Dr. Mischley and our team at Kevin P. Mischley, DMD know that braces have come a long way from the early days of orthodontics, so much so that these days, options are available that are not visible to onlookers. The most popular of these “invisible” braces is Invisalign. Here’s a list of FAQs regarding Invisalign:

Are they really invisible?

Yes, the clear liners are virtually invisible, so they enable patients to feel good about themselves and their appearance, while getting the orthodontic treatment they need.

Are there wires, rubber bands, and brackets with Invisalign?

Nope. Invisalign is truly an alternative to conventional braces. The treatment consists of clear liners that can easily be removed and cleaned throughout the day. There are no wires, so there’s less poking and mouth irritation compared to braces. There’s also no wire tightening at adjustment appointments, so patients don’t have to worry about a sore mouth in the days that follow in-office visits.

I’ve heard that if I get braces, I won’t be able to eat certain foods like popcorn and hard candy. Is this true with Invisalign too?

No. With Invisalign, there are no food restrictions. You simply remove your aligners when you’re eating, and replace them after you’ve finished and brushed any leftover food particles away.

Does Invisalign cost more than braces?

While overall cost varies on a patient-by-patient basis and is based largely on the level of treatment, Invisalign costs about the same as traditional braces, which makes this treatment option a truly affordable alternative.

How does brushing compare with conventional braces?

Brushing your teeth while wearing conventional braces takes some getting used to. Patients have to brush around the metal brackets and floss with a specialty tool to get into the hard-to-reach areas of the mouth. By contrast, Invisalign can be removed at any time to permit regular brushing and flossing.

Every patient is different and Invisalign might not be the best course of orthodontic treatment for everyone, but it's an option that's gaining more and more popularity, and it's an orthodontic alternative that doesn't sacrifice comfort and convenience for results. For more information, or to schedule a consultation, please give us a call at our convenient Walpole, MA office!

It's a Wrap: Ending the year with a smile!

January 1st, 2014

People have been ushering in the New Year for centuries but it became an official holiday in 1582 when Pope George XIII declared January 1st to be the day on which everyone would celebrate the New Year. At midnight people would yell, holler, and blow horns to scare away the evil spirits of the previous year so the New Year would be joyous and filled with opportunity. Nearly 500 years later, we still greet the New Year by whooping and hollering, but in a celebratory manner instead. Whether you intend to ring in the New Year quietly at home in the Walpole, MA area or have plans to join the countdown at a gala extravaganza, these tips can help you ring out the old and usher in the new with a smile.

Tips for a Happy New Year's Eve Celebration from Kevin P. Mischley, DMD

  • Be Safe. There's no way to predict the behavior of others on New Year's Eve, but you can be responsible for your own behavior to keep yourself safe. If adult beverages will be part of your celebration, plan on spending the night wherever you are or line up a designated driver to bring you home after the party is over.
  • Enjoy Family and Friends. Spending time with the important people in your life is what makes the holidays enjoyable. Coordinate your schedules and choose New Year's Eve activities that everyone in the group will enjoy. You don't have to go to a party to ring in the New Year; some people like to go bowling, see a movie, or have a great meal at home.
  • Accessorize with a Smile. Whether you dress up or have a quiet dinner with family and friends, one of the best accessories you can add to your attire is a beautiful smile.

New Year's Eve is a time to gather with friends and family, reflect on the year that's coming to an end, and look forward to the new one with anticipation. Enjoy this transitional holiday in a way that's safe, healthy, and fun. After all, counting down until the clock strikes 12 marks the beginning of a full year of opportunity ahead of you. From Dr. Mischley, have a great new year!.

It's been years since my last appointment; what should I expect?

December 30th, 2013

Feeling apprehensive or guilty for not visiting a dentist in over a year is common, but coming back to receive dental care is easier than you may think. Our dental team at Kevin P. Mischley, DMD provides caring, non-judgmental, personalized service, and knowing this you can truly feel at ease making your first appointment back.

During your first appointment back, we will focus on three prominent dental issues including gum disease, cavities, and wear and tear by utilizing a full mouth series of X-rays, a hygiene appointment, and a comprehensive exam.

The full mouth series of X-rays are taken every three to five years, or as needed. A full mouth series may be a panoramic X-ray and bitewings (a set of four that checks for cavities) or a set of X-rays that views the entire anatomy of every tooth. The set of X-rays will depend on your individual needs.

Your hygiene appointment will begin with a review of your medical history, personal concerns and questions, and an evaluation checking for any infection. After any necessary diagnoses are made, the appropriate level of cleaning is proposed and completed if time allows.

A comprehensive exam serves as a review of what the hygienist has already covered. Dr. Mischley will again review your medical history and dental concerns, and confirm any periodontal diagnosis. An evaluation of any decay, breakdown or broken fillings, or areas that are at risk for future problems will also be reviewed.

After the appointment, a team member at Kevin P. Mischley, DMD will review any recommended treatments, payment options, insurance coverage, and scheduling. The time spent at your first visit back is an important step in the right direction, and we are committed to making this visit as comfortable and easy as possible! Come see us in Walpole, MA.

New Office Hours Thursday Evenings!

December 23rd, 2013

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Have you wanted to come in for an appointment, but your work or school schedule doesn't allow you to make it during normal office hours? We're excited to announce that in 2014, we'll be extending our office hours on Thursdays.

Beginning soon, you'll be able to schedule an appointment from 11am-8pm every Thursday. To schedule, please contact our office.

We're looking forward to making 2014 your healthiest yet when it comes to oral health!

When snoring becomes more than just annoying: The dangers of sleep apnea

December 19th, 2013

Sawing wood. That’s what your wife calls it when you wake her up with your snoring. This type of scenario plays out in homes around the world, and couples have to find a way to make light of the nocturnal annoyance. Snoring can become more than just an irritating nighttime disturbance, however. It can be the first sign of a potentially serious sleep disorder.

Sleep apnea is a disorder in which breathing repeatedly pauses throughout the night. Possible symptoms of sleep apnea include snoring loudly and feeling tired after a full night’s sleep.

Three health problems linked to sleep apnea

Sleep apnea often goes undiagnosed and untreated, which puts you at a greater risk of developing health problems. While being robbed of quality sleep can take its toll on you, sleep apnea can also result in the following.

  1. High blood pressure. When you wake frequently throughout the night, it causes your body's hormonal systems to become unbalanced and go into overdrive. This results in high blood pressure.
  2. Heart disease. The disrupted oxygen flow caused by sleep apnea increases your chances of having a heart attack or stroke. The cutoff of oxygen makes it difficult for the brain to regulate the flow of blood in the arteries.
  3. Excessive daytime sleepiness. Daytime fatigue often results in impaired judgment and slow reaction times, and this may increase your risk of being involved in a motor vehicle accident.

Lifestyle changes like losing weight, avoiding alcohol, and quitting smoking are often enough to cure sleep apnea. Medical treatment is also a potential solution. Surgery, oral appliances, and continuous positive airway pressure (CPAP), which is a treatment involving a specialized breathing mask, are all possible ways to resolve the problem of sleep apnea.

If you think you may be suffering from sleep apnea, or to schedule a visit with Dr. Mischley at our convenient Walpole, MA office, please give us a call! Our entire team at Kevin P. Mischley, DMD look forward to giving you back a full night’s rest!

Teeth Grinding: Not just a bad habit, but a dental concern

December 11th, 2013

Perhaps you don't even know you grind your teeth. Maybe a spouse or loved one woke you up in the middle of the night and made you aware of what was happening.

For many people, teeth grinding is a habit and a mechanical reflex; when they’re awakened and informed they were grinding their teeth, they have no recollection of it at all. According to the American Dental Association, this is the nightly situation for roughly ten percent of Americans. From young children to the elderly, teeth grinding, known in the dental community as bruxism, is a serious concern.

Many people who grind their teeth in their sleep have no idea they're doing it. In fact, when they wake up in the morning they feel no jaw pain and their teeth are fine: if it hadn’t been for someone telling them about it, the teeth grinding would have gone unnoticed.

There are other people, however, who wake up with jaw pain, shoulder and neck pain, and headaches. Teeth grinding can cause a host of dental complications. From cracked teeth and receding gums to a misaligned jaw, teeth grinding is not something to take lightly.

Preventive measures are the key to combating bruxism, and a visit to Kevin P. Mischley, DMD can set you on the path to a healthy and safe night sleep.

The Reasons for Teeth Grinding

There are many reasons for teeth grinding. For some people, it’s a habit they acquired when they were a child and never grew out of. On the other hand, some research claims that the condition is related to stress, anxiety, or some other type of psychiatric issue.

Still other studies point to everything from poor muscle control or over-eating before bed to gastro-esophageal issues. However, the root cause of the teeth grinding is less important than identifying preventive measures against it.

Common solutions to teeth grinding include:

  • Wearing a protective nightguard
  • Stress management techniques
  • Medications and muscle relaxers

When you make an appointment with Dr. Mischley at our Walpole, MA office, we will assess your situation and determine what the best course of action is. Teeth grinding is a dental concern that can cause serious health issues down the road, so be sure to take preventive measures today.

Stress and Your Oral Health

December 4th, 2013

Stress symptoms—which include high blood pressure, severe aches, and insomnia—may be affecting your health, even though you might not realize it. You may think illness is the culprit when in fact stress may actually be the reason. While stress can be good for us sometimes, Dr. Mischley and our team know stress can be physically harmful. But what is often overlooked is that stress can also take a toll on your mouth. Here’s how:

Teeth Grinding

It’s not uncommon for people dealing with stress to develop teeth grinding, also known as bruxism. People who grind their teeth at night may do so unconsciously, but the condition requires treatment to prevent the development of headaches, TMJ, and tooth damage. If you’re a night-grinder, talk to Dr. Mischley. We may recommend a night guard.

Mouth Sores

Research suggests stress and depression harm your immune system, making it easier for infections to develop and stick around. That can mean canker sores or a cold sore outbreak. If mouth sores are a recurring problem for you, give us a call to schedule an appointment with Dr. Mischley.

Bad Habits

Stress can lead to bad oral health habits such as smoking, drinking, and neglecting your daily brushing and flossing routine. If you’ve been feeling under pressure lately, try to keep up with your oral health routine—it will serve you well when your stress levels return to normal.

Dr. Mischley and our team at Kevin P. Mischley, DMD know there’s not always an easy way to reduce your stress levels, but eating healthy, exercising regularly, and spending time with friends and family are all good places to start.

Dr. Albert’s Corner: Baby teeth

December 3rd, 2013

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"They're baby teeth anyhow, they're gonna fall out, why bother filling them?"

A common question with a logical answer: A cavity in a baby tooth can progress at a more rapid rate than one in an adult tooth. Suddenly your child is up in the middle of the night with a raging toothache, severe pain, lots of crying, or a more common scenario is his refusal to eat because his tooth hurts. What to do?

For those reasons alone, baby teeth need to be filled, unless the tooth with the cavity is wiggly and your child is soon going to lose it. Not only does a cavity spread deeper within the tooth but if the cavity sits there prolonged, damage can happen to the adult tooth lying underneath the baby one.

As the cavity deepens, it penetrates the nerve. When we see this situation we have to perform a child's equivalent of a root canal ("Pulpotomy"). It's hit-or-miss whether or not this procedure will be successful. If it is not, we then have to pull the tooth. It's not advised to leave an empty space ("nature abhores a vacuum") since it messes up the child's bite and allows the adult teeth to erupt scrambled. We therefore replace the pulled tooth with an orthodontic appliance called a 'space maintainer'.

A space maintainer is just what it says, it allows the space to be maintained for the grown-up tooth to come through as it was supposed to, without the scrambling that happens without one. This all means, bottom line, that it is so much easier to just have that pesky little cavity filled before potential problems can arise.

Dr. Mischley's office is very child-friendly (we each own at least two of our own!). Try us out. And remember, the tooth fairy doesn't give money for teeth with holes in them!

Thanksgiving in North America

November 27th, 2013

Thanksgiving marks the start to the holidays; a season filled with feasting, indulging, and spending time with family and friends are always special. Thanksgiving is a holiday meant for giving thanks, and while this may seem like such a natural celebration, the United States is only one of a handful of countries to officially celebrate with a holiday.

Unlike many holidays, Thanksgiving is a secular holiday, and it is celebrated on the fourth Thursday in November in the United States. In Canada, it is celebrated on the second Monday of October, which is, oddly enough, much closer to a time when harvests were likely gathered. In addition to the different dates, the origins of the celebration also share different roots.

Thanksgiving in the United States

Giving thanks for a bountiful harvest are not new, but the modern day holiday in the US can be traced to a celebration at Plymouth in Massachusetts in 1621. This feast of thanksgiving was inspired by a good harvest, and the tradition was simply continued on. At first, the colony at Plymouth didn't have enough food to feed everyone present, but the Native Americans helped by providing seeds and teaching them how to fish, and they soon began to be able to hold a feast worthy of the name. The tradition spread, and by the 1660s, most of New England was hosting a Thanksgiving feast in honor of the harvest.

Canadian Thanksgiving

An explorer of early Canada named Martin Frobisher is accredited for the first Canadian Thanksgiving. He survived the arduous journey from England through harsh weather conditions and rough terrain, and after his last voyage from Europe to present-day Nunavut, he held a formal ceremony to give thanks for his survival and good fortune. As time passed and more settlers arrived, a feast was added to what quickly became a yearly tradition. Another explorer, Samuel de Champlain, is linked to the first actual Thanksgiving celebration in honor of a successful harvest; settlers who arrived with him in New France celebrated the harvest with a bountiful feast.

A Modern Thanksgiving

Today, Thanksgiving is traditionally celebrated with the best of Americana. From feasts and football games to getting ready for the start of the Christmas shopping season, Thanksgiving means roasted turkey, pumpkin pie, and green bean casserole. No matter how you celebrate this momentous day, pause for a moment to give thanks for your friends, family, and all the bounties you’ve received. Happy Thanksgiving from Kevin P. Mischley, DMD!

Fluoride Use in Adolescents

November 20th, 2013

Fluoride is a mineral that plays an essential role in oral health. In fact, the significant reduction in American tooth decay in recent decades can be attributed to a greater availability of fluoride in public water supplies, toothpaste, and other resources. When it comes in contact with the teeth, fluoride helps protect the enamel from acid and plaque bacteria. In some cases, it can even reverse tooth decay in its earliest stages.

Despite the benefits of fluoride, tooth decay is still common, especially among teenagers. The Centers for Disease Control reports that cavities can be found in more than half of young teens and two-thirds of older teens over age 16. Many of those teens are deficient in fluoride, either due to a lack of public water fluoridation or the use of bottled water. So how can parents ensure their teens are getting the fluoride they need to facilitate strong, healthy teeth?

Monitor Fluoride Exposure

Dr. Mischley and our team at Kevin P. Mischley, DMD recommend you start by measuring your teen’s fluoride exposure. Make sure you purchase fluoridated toothpaste for your household, and find out if your tap water is fluoridated. If your teen primarily consumes bottled water, examine the bottle to determine whether fluoride has been added. The majority of bottled waters are not supplemented with fluoride, but those that are will be clearly labeled.

Fluoride Supplementation

Dr. Mischley may recommend topical fluoride treatments at routine dental exams. These treatments are painless for your teen and may help establish stronger enamel that is more resistant to plaque and tooth decay. If you have a public water supply that is non-fluoridated, we may recommend fluoride supplementation between visits. These can be administered as drops, tablets, or vitamins.

Keep in mind that fluoride is most important for children and teens under the age of 16. Be proactive about your teen’s oral health by speaking with us about your family’s fluoride needs at your next dental visit.

For more information about fluoride, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

Dr. Albert’s Corner: Tip - Cracked tooth syndrome

November 19th, 2013

ToothacheOUCH! That HURTS!

How often have I heard that, when a patient comes to the office in pain. What is it that elicits that pain? Chewing. That's an indication that the tooth has cracked. Cracks are the most difficult diagnosis for a dentist to make. One of the reasons for that is because a hairline crack is difficult to see. Picture seeing a black thread on a black shirt.

Most cracked teeth are commonly in the back, the molars. These teeth absorb over two hundred pounds pressure. If a person grinds or clenches, this adds to the stress. Compound this with a bad bite ('malocclusion') and a massive fillings, and you have the formula for a cracked tooth in your future. And when one tooth cracks, rest assured, more are on the way.

A crack in a tooth can develop slowly, so the pain is intermittent and not steady. The pain happens upon pressure from chewing because the tooth is being spread apart. With a slow crack the pain is vague and can mimic other dental problems like a cavity or an abscess. The tooth may be more sensitive to cold.  As the crack gets bigger, a piece of tooth may break off. You can possibly imagine that if you have a big filling in the tooth, so that you have very little natural tooth, in time that little part of natural tooth dries out and gives way. You've got to figure, if one tooth dries out and cracks, others are headed in the same direction.

How to solve the problem of cracked tooth? One way is to have a night guard if you clench or grind. This acts as a buffer for your teeth. Another thing is to have teeth with big fillings or with 'craze lines' crowned. Some cracks involve the root of the tooth and there's no way to fix this type of crack. The only thing to do in that case is to pull the tooth and have an implant.

If you are experiencing any of the symptoms of a cracked tooth, come see us. Better yet, head it off at the pass with a crown.

What happens during my hygiene appointment?

November 13th, 2013

Regular visits to the dentist are important for people of all ages. Seeing Dr. Mischley as recommended provides preventive care for oral diseases. If a disease is already present, early detection can prevent hefty dental bills and further damage to the teeth and gums. Once you have made the decision to visit Kevin P. Mischley, DMD, you may ask yourself, “What happens during my hygiene appointment?”

Preparation

Arrive at your appointment a few minutes early and bring along any insurance cards or medical information. While it may seem irrelevant, a full medical history can be important, since certain conditions include symptoms that occur inside the mouth.

Initial appointment

In some offices, the first appointment is a screening appointment, during which a dental hygienist will go over your medical and dental history with you, assess the condition of your teeth and gums, then schedule a future appointment to complete the cleaning and any other treatments you may need. In other offices, the screening and cleaning will be done over the same appointment. The dental hygienist may:

  • Count your teeth
  • Clean your teeth by using a small tool to scrape them in order to remove plaque
  • Brush and floss your teeth
  • Apply a fluoride treatment using foam that sits on your teeth within a tooth mold, or a gel that can be “painted” on with a small brush
  • Inspect your teeth for cavities or signs of decay
  • Administer oral X-rays. You will be covered with a special blanket to protect your body and then given a small piece of plastic on which to bite.

Seeing the dentist

After the dental hygienist completes his or her portion of the appointment, the dentist will usually come in and inspect your teeth. After an initial inspection, the dentist may:

  • Perform a quick tooth count as well as a more thorough inspection, looking for signs of decay in and around the teeth
  • Use a small tool called a “probe” in order to check for signs of gum disease around the base of your teeth
  • Visually inspect the skin around your mouth, called the “mucosa”

If you need any further dental work completed, you will usually be required to make an additional appointment. To learn more about hygiene visits, or to schedule an appointment with Dr. Mischley, please give us a call at our convenient Walpole, MA office!

Dr. Albert's Corner: 'Word of Mouth'

November 11th, 2013

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Dental examinations are like the huddle of the game before the game begins. It allows the dentist to establish a game plan for your mouth and determine exactly what needs to be done and also in what order to do these things. It's important to choose a dentist who is proactive in accomplishing everything needed to rehabilitate your mouth. Customarily a dentist will take care of cavities before addressing more advanced, fancier treatment like denture, implants, or crown-and-bridge. This is to stop the active damage caused by the cavity. I mention 'proactive' because for me it's not enough to merely fill teeth; I try to figure out what's causing those cavities and how can we stop them from reoccurring? It's important to try to get to the underlying cause of the problem, not just fix the problem, otherwise the problem is bound to repeat itself.

Dental exams are usually conducted during your cleaning ('hygiene') appointment. The hygienist uses hand instruments to scrape the hard tartar (not the soft plaque which your toothbrush removes) from off your teeth. Your hygiene appointment allows the hygienist to become intimately acquainted with your teeth. Some spots in your mouth are more susceptible to building up tartar than other spots. The floor of the mouth is the lowest most point, where saliva accumulates, so the inside of the lower front teeth is notorious for harboring tartar. Another major spot for tartar accumulation is the top right and left cheek area by the molars. This is because there are salivary glands that empty saliva near those teeth.

A thorough dental examination includes an oral cancer screening. Oral cancer often goes undetected and can prove fatal (reputedly Sigmund Freud died from cancer of the mouth). If your dentist is not doing an oral cancer screening, what other shortcuts may he be taking? Request an oral cancer screening at each hygiene appointment.

Your dental examination here at Dr Mischley's office is very thorough. In addition to examining your teeth, your xrays, and doing an oral cancer screening, we examine your gums. This is important since your gums and bone are what help hold your teeth in place. It's no good focusing strictly on teeth yet ignoring that which holds those teeth hopefully firmly in place. Make sure the dental office you go to is thorough in their dental examinations. After all, that's where it all begins.

Can baby teeth get cavities?

November 7th, 2013

Our team at Kevin P. Mischley, DMD knows that every parent loves to hear his or her child say, "no cavities!" when leaving our office. Let's talk about why primary (baby) teeth get cavities, what you can do to help prevent them, and what Dr. Mischley can do if your child gets a cavity. It's a team effort!

Prevention is Key

A well-balanced diet high in protein, vitamins, and minerals (especially calcium and phosphorous) is an important part of cavity prevention. The American Academy of Pediatric Dentistry (AAPD) states that children should eat healthy snacks like cheese, vegetables, and yogurt, and drink milk. Limit hard candy and carbonated beverages, which have acid and can cause tooth decay. Also, do not put children to bed with a bottle of milk, formula, or juice because sugary fluids pool around the teeth and gums, which promotes decay.

In addition to limiting sweets and scheduling regular visits at our Walpole, MA office, make sure your child flosses once a day and brushes his or her teeth twice a day with a pea-sized amount of fluoride toothpaste. A good rule of thumb is if children can tie their shoelace, then they should be able to brush their teeth without help. The American Dental Association (ADA) recommends the following basic brushing techniques:

  • Place the toothbrush at a 45-degree angle to the gums.
  • Move the brush back and forth gently in short strokes
  • Brush the outer surfaces, inside surfaces and chewing surfaces of all teeth.
  • To clean the inside surface of the front teeth, tilt the brush vertically and make several up-and-down strokes.
  • Brush your tongue to remove bacteria and keep your breath fresh.

These tips will greatly increase cavity prevention; however, if your child gets a cavity, it will not heal on its own and must be fixed. Dr. Mischley will remove the decayed part of the tooth and fill the hole where the decay was. You may wonder why it's important to fill baby teeth if they're going to fall out eventually. Baby teeth hold space for permanent teeth to grow in. If one is lost, teeth may shift and prevent a permanent tooth from growing in. In addition, a decayed tooth can become abscessed and cause pain. No fun!

Let’s work together to help your child develop good oral health habits that last a lifetime. Please contact our office if you have any questions about your child's diet or cavity prevention.

November Marks National Diabetes Awareness Month

November 6th, 2013

Diabetes is a chronic disease that increases the risk for many serious health problems, including severe gum disease. November is Diabetes Awareness Month, and it’s a great time for us at Kevin P. Mischley, DMD to remind our patients that the way you care for your teeth at home doesn’t just affect your oral health; keeping your mouth healthy is vital to your overall health, too.

Diabetes is the result of a deficiency, or lack of the hormone insulin to properly transport glucose (blood sugar) to the cells throughout the body. According to the American Diabetes Association, the most common types of diabetes are Type One (90-95 percent of cases), Type Two (five percent), and gestational or pregnancy diabetes. Women who have had gestational diabetes have a 35 to 60 percent chance of developing diabetes, mostly Type Two, in the ten to 20 years following their pregnancy.

In the past decade, researchers have found links between periodontal (gum) disease and diabetes. Not only are people with diabetes more vulnerable to gum disease, but diabetes may also have the potential to affect blood glucose control, as well as contribute to the advancement of diabetes.

Nearly 26 million Americans currently live with the disease, with an additional 79 million in the pre-diabetes stage. There is some good news we want you to know, however; you can protect your gums and teeth from the effects of diabetes by visiting our Walpole, MA office for an exam. Patients who are living with diabetes may require more often visits to ensure their dental health remains in tip-top shape. Many insurance plans provide expanded benefits for diabetic patients, and Dr. Mischley can tell you how often you need to come in for an appointment.

For more information on how we can help, please do not hesitate to give us a call at our Walpole, MA office.

Halloween - Candy, Costumes, and More!

October 31st, 2013

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the dental office of Dr. Mischley hope that Halloween is fun and enjoyed by all of our awesome patients!

Trick or Treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

  • Limit the amount of candy they can consume each day
  • Have them brush their teeth after eating candy
  • Avoid hard, chewy candies as they can stick in hard to brush places
  • Keep candy out of sight to reduce temptation
  • Don't buy candy too far in advance to limit pre-Halloween consumption
  • Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at Kevin P. Mischley, DMD!

Dr. Albert’s Corner: Tips on cracked tooth

October 28th, 2013

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We've all heard about Mother Nature's temper getting even with us, so, at the risk of angering Mother Nature, I have to talk more about what I call 'nature's design flaw', the bicuspid, also called 'premolar'. There are usually two on each side, up and down, in front of the molars. It's a smaller tooth than the molars and when a big filling channels right through a premolar, it weakens the tooth and can cause it to split in half. Over the years I've seen this all too often. These big fillings work well when they're first done but over time, as the tooth dries out, it weakens the tooth.

There are 'good' breaks and 'bad' breaks. If a tooth breaks, what's good about it? Well, if it is a break that can be repaired, so we can salvage the tooth, that's a good break. If it's a break that sheers off the whole side of the tooth well below the gum line, that's a bad break and almost impossible to restore. Once a tooth starts breaking down, chances are it will continue to do so. In that case, the best thing for the tooth is to crown it. If the break is too far down inside the jaw, it's questionable if a filling will save it long term, and the best thing is to pull the tooth and get an implant.

These situations have to be determined on an individual basis so the best thing to do if a tooth breaks is to come to the dental office to have it assessed.

Sometimes a person's bite can contribute to damaging a tooth. If the opposing tooth slams into the tooth in the opposite arch in the wrong way (not vertically but at an angle) something's got to give. Often it's the tooth; if not the tooth, it can be the supporting structures for the tooth, that is to say bone and gum. It's not good to lose bone since bone helps hold teeth in place. What to do? One suggestion is Invisalign, which we do in our office. Come check it out before anything damaging happens to your teeth.

Sealants Protect your Child’s Teeth from Decay

October 24th, 2013

Sealants provide a thin coating over molars that can be a powerful tool to protect your child’s teeth from decay. This simple and painless solution can be applied in a matter of minutes by our team at Kevin P. Mischley, DMD, forming a protective shield and avoiding costly and painful cavities or other forms of tooth decay later.

The Causes of Tooth Decay

Our mouths are routinely filled with germs and bacteria. Some of these bacteria can be helpful in converting the foods we eat (especially sugars in the food) into acids that our bodies use to break down food. However, when we eat too much sugar, the excess acids can cause cavities and other decay in teeth.

Molars (our chewing teeth) are prime sites for tooth decay because they have rough surfaces with lots of little grooves where small food particles and germs find places to stay for extended periods of time. If you can prevent tooth decay in your child’s teeth now, you may be able to avoid treatments for decaying teeth later in life—costly and painful procedures like crowns and fillings.

Protecting Against Decay

A comprehensive plan for mouth care can protect against tooth decay. This plan should include:

  • Drinking water with fluoride in it or using other fluoride supplements
  • Eating a healthy diet (avoiding excessive sugar)
  • Brushing teeth regularly
  • Applying sealants

On their own, each of these activities is good but does not provide enough protection against decay. Fluoride is best for protecting the smooth surfaces of our front teeth, but may not provide enough of a shield for our rough, uneven back teeth. In addition, toothbrush bristles may not get to all the tiny food particles and germs in our mouths. For these reasons, sealants are the recommended preventive measure for molars in the fight against germs.

Who Needs Sealants, and When?

The best time to get a sealant is when your child’s adult teeth are just growing in. Between the ages of about five and seven, children grow their first permanent molar teeth, and they grow a second set of permanent molars between the ages of 11 and 14. Sealants placed on these teeth as soon as they grow in will be most effective in preventing tooth decay before it occurs.

If your child still has his or her baby teeth, Dr. Mischley may recommend sealants for teeth that are especially rough or uneven and may be prone to tooth decay. When your child loses his or her baby teeth, we will apply new sealants to the permanent teeth when they grow in. In addition, our team may recommend sealants for adults in special cases; for example, if a previously placed sealant falls out, if you never had sealants put in as a child, or if your teeth are prone to decay and the preventive treatment may help.

Talk to us during your next visit at our Walpole, MA office to learn more about how dental sealants can help protect your child’s teeth.

Use Pediatric Dentists to Treat Children

October 17th, 2013

There are many different types of dental specialties out there, so how do you know when you should see a general dentist (your regular dentist), and when you should seek the help of a dentist with specialized training? This article covers the basic differences between a pediatric dentist and a family or general dentist, and why it may be beneficial to find a specialized doctor to work with your children’s teeth.

What is a Pediatric Dentist?

All dentists, regardless of which specialty they practice, attend a four-year dental school for either a Doctor of Dental Surgery (DDS) or a Doctor of Dental Medicine (DMD) degree. Once they have completed the initial degree program, some dentists choose to proceed to additional training in an area of dental specialty. Pediatric dentistry is one of those specialties.

According to the American Dental Association, a pediatric dentist will study the development of teeth from infancy through the teen years. Babies, toddlers, school-age children, and teenagers experience different growth phases and have different needs for their oral health care from adults. A dentist with post-graduate training in this specialty can often provide a more comprehensive approach to treatment to meet those needs.

Specialized Needs Pediatric Dentists Can Address

Starting with the first teeth that grow in your child’s mouth (usually around six months of age), you need to begin caring for your child’s teeth. However, it’s not as simple as just doing the same things you do for your adult teeth, because children have specific needs and may have concerns and issues that you do not face for your oral health care as an adult.

Mouth Healthy, a public service of the American Dental Association, lists several concerns that are unique to younger dental patients. Beginning with babies, parents need to be aware of the specific oral care required for children. For example, babies who drink from bottles can develop baby bottle tooth decay if parents do not properly clean their teeth. Young children may develop a habit of sucking their thumb, which can contribute to poor oral hygiene. Children who have trouble with teeth grinding may need specialized care. And children have specific dietary needs that serve their need to develop strong teeth and gums.

All these concerns can be addressed by a pediatric dentist with specialized knowledge of childhood oral health and teeth development. General dentists often know some of this information, but without the specialized training they may not be able to provide the care that is geared toward the needs of your children. In addition, pediatric dentists will often have a practice that is built entirely with children in mind, with décor, staff, and other elements that can help put children at ease when it’s time to visit the dentist.

If you have young children, consider our pediatric dentistry office. At Kevin P. Mischley, DMD, our specialized care for young patients features a caregiver with the knowledge and training to provide your children with the best possible care.

Telltale Signs That Your Tooth Has A Cavity

October 10th, 2013

Dr. Mischley and our team at Kevin P. Mischley, DMD frequently get questions about cavity causes and prevention. You brush twice a day and floss regularly. You rinse with hydrogen peroxide, just like the dentist recommended. In fact, you can’t remember the last time you had a cavity, but you think it was when you were a little kid. In all seriousness, you thought only kids got cavities.

The Signs and Symptoms of a Cavity

It’s believed that roughly 90% of Americans will get at least one cavity in their lifetime. Those other ten percent, it seems, can eat as much pie, cake, and sugary cereals and sweets as they want. That’s not really true; just a stab at dental humor, and it was as bad as the pain your cavity is probably giving you.

When a cavity is in its initial stages, you will often be symptom-free and experience no discomfort at all. It’s not until the tooth decay has reached a certain level that you will begin to notice the signs and symptoms. While a toothache and sensitivity to hot and cold foods and liquids are surefire signs that you have a cavity, there are lesser-known symptoms as well. If you’re experiencing any of these warning signs, you may want to consider making an appointment with our office as soon as possible:

  • Persistent bad breath or a bad taste in the mouth
  • When you bite down, there is a sticky, tarry feeling
  • Puss or discharge around a tooth
  • A visible discoloring, usually black or brown
  • Small pits or holes in the tooth

Routine dental care is important. While good oral hygiene, a healthy diet, and regular cleanings will deter the formation of cavities, they do not constitute a foolproof practice. A cavity can occur at any time, no matter what your age. Bacteria causes tooth decay, and no amount of brushing, flossing, and rinsing will eradicate all the bacteria from your mouth. If you think you may have a cavity, please contact our office immediately.

What's on your fall reading list?

October 3rd, 2013

How better to spend the fall months than inside by the fireplace with a warm cup of cider and a book in hand? Dr. Mischley and our team at Kevin P. Mischley, DMD encourage you to warm up your mind this fall season with a few great books. Sure it may be easy to put off reading when balancing a hectic schedule, but reading is vital to brain development. Besides, reading is always a blast!

This week, we thought we’d ask what you or your child are reading this fall. Do you have any suggestions for must-read books this year? Out of ideas for great fall reads? Ask us for suggestions, and we would be happy to provide a few. You may also ask a local librarian here in Walpole, MA for some ideas.

Happy reading! Be sure to share with us your fall picks or your all-time favorites below or on our Facebook page!

How Do I Handle My Child’s Dental Emergency?

September 26th, 2013

With children undergoing developmental dental changes and engaging in rough-and-tumble activities, dental emergencies can sometimes arise. If your child knocks out a tooth or experiences any type of oral discomfort, call Kevin P. Mischley, DMD right away so we can provide you with a quick assessment and pain-free treatment.

Before an emergency occurs, it’s a good idea to stay informed about the problems your child may encounter. Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain?

Typically occurring in babies that are between four months and two and a half years old, teething may cause excessive drooling, tender gums, and some irritability. The Massachusetts Dental Society recommends providing plenty of fluids to children who are experiencing teething pain. Giving your baby a cold teething ring or gently rubbing her gums with wet gauze or your finger may also make her feel better.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. On the other hand, if your child’s baby tooth is knocked loose, schedule an appointment with our office so we can assess whether any damage has been done.

Issues with Permanent Teeth

Sometimes a child’s permanent teeth will grow in before the baby teeth have fallen out. Sutter Health notes that this a good reason to consult with a dental professional. Even if this condition isn’t causing any discomfort, you should schedule an appointment with our office so we can determine whether your child’s permanent teeth are growing in correctly.

Bleeding Gums

Bleeding gums can result from a number of factors, including periodontal disease, rough brushing, or an injury to the gum tissue. If your child’s gums are bleeding heavily, call our office right away so we can address the situation. If you have time before your appointment, the Cleveland Clinic recommends that you wash the child’s mouth with salted water and gently put pressure on the affected area.

Regardless of the type of dental issue your child has, you can always consult Dr. Mischley for further guidance. We make sure our emergency services are available 24 hours a day and seven days a week, so you have ready access to convenient and professional dental care that will have your child feeling better in no time.

When should I begin brushing my baby's teeth?

September 19th, 2013

One question our team at Kevin P. Mischley, DMD hear all the time is, “When should I start brushing my baby’s teeth?”

You should begin regular cleanings even before your baby has teeth. After each breast feeding (or bottle-feeding) use a clean, damp washcloth to gently rub your baby’s gum tissue. You may wrap the material around one finger to make it easier to remove any food bits from your baby’s mouth.

When your baby’s first tooth comes in, switch to a baby toothbrush. Look for special baby toothbrushes in your drugstore; they have just a few bristles and are very soft. There are even brushes shaped like finger puppets that fit over the tip of your pointer finger! All you need at this point is water (no toothpaste yet).

After a few more teeth appear, you may start using toothpaste, but you only need a tiny bit, and make sure it doesn’t contain fluoride for the first two years. From the beginning, have your little one practice spitting the toothpaste out after brushing. That way, he or she will already have the good habit of spitting when you switch to fluoride toothpaste, which should never be swallowed.

If you have any questions about caring for your baby’s teeth, or to schedule an appointment at our convenient Walpole, MA office, please contact Kevin P. Mischley, DMD.

Dr. Albert’s Corner: Tooth Tip #4

September 16th, 2013

"Oh, just pull 'em all and make me dentures. I'm tired of this!" is a comment I used to hear frequently throughout my professional career (fortunately not any more).

People don't understand the full impact of not having teeth. I would point out to these would-be denture wearers that even extracting a single tooth can lead to future adverse consequences. Common sequelae include movement of neighboring teeth into the vacant space - thus making it more difficult to clean those now-angled teeth; hyper-eruption of the opposing tooth - the tooth against which the missing tooth chewed will start growing higher than it should; and, a sinking in of cheeks and lips, causing one to look older.

Then I would point out that even with dentures there can be problems. The fit may be off, necessitating multiple visits to adjust it (something my car knows about - it's at the mechanic's so often I've applied for shared custody!). Dentures must be removed nightly and kept clean.

Regular dental visits are still advised so we can perform an oral cancer screening and check the fit of a denture (the average/maximum life is ten years).

We live in the twenty-first century. There is no longer a reason to pull teeth when other options present themselves, like root canals and implants. Our office offers both those procedures, root canals and implants. It's what I call 'one stop shopping'. Check us out!

Halitosis in Children - Causes and Treatment

September 12th, 2013

Halitosis is the scientific name for bad breath. It is one of the most common oral concerns, and it affects a large percentage of the population, including children. Having bad breath can be embarrassing and a nuisance. When considering what to do about halitosis, the team at Kevin P. Mischley, DMD highlights that you need to focus on the cause, rather than just masking the problem.

Children commonly have bad breath because of an upper respiratory infection. This includes a common cold, postnasal drip, or allergies. When this is the case, treatment may be complicated if one or more of these issues is chronic.

Another cause of halitosis in children is a condition with their teeth or gums. Just as in adults, gum disease has a distinctive malodor. The quality of brushing and flossing in children directly influences the presence of gum disease. If there is a large untreated cavity, there will be a strong smell causing bad breath. Both of these issues need professional attention, including a visit to the dentist.

Tonsillitis can also cause halitosis in children. It happens because of a constricted airway, resulting in mouth breathing. Mouth breathing is a concern because of how much it dries the tissue in the mouth. This makes any bacterial infection in the mouth worse and causes an increased potency within the bacteria in the mouth.

Treatment of halitosis is as varied as the causes listed above. Beware of ingredients in products that mask bad breath. Sucking on a mint on a regular basis will cause more harm than good because of potential decay. Chew sugarless gum and mints.

If you have any other questions, feel free to call us at Kevin P. Mischley, DMD or ask Dr. Mischley during your next appointment!

Some Benefits to Giving Your Smile an Extra Boost

September 5th, 2013

For many individuals, autumn brings with it a number of new beginnings. Fall is the time that many people return to school, get back to the daily grind after an enjoyable summer, and even get married. As the weather cools down, it’s easier to enjoy the outdoors. And regardless of what fall-related events are on your calendar, Dr. Mischley and our team at Kevin P. Mischley, DMD know you’ll want to look your best.

One of the very first things that people will notice about you is your smile. And if yours has become less dazzling over the years — as teeth tend to do — you know how disappointing it is not to have the beautiful, pearly white look you’re used to.

Benefits to Teeth Whitening

For school-bound students and autumn brides, fall calendars are certainly filled. School and weddings call for large financial investments, loads of social interaction, and a large amount of personal dedication. So the last thing any bride or student wants to think about is a less-than radiant smile.

For many, there is a lack of confidence associated with their smile and investing in teeth-whitening techniques can be an effective solution. Studies suggest that not only can you experience a boost in your level of confidence, but also you may find that other advantages quickly fall into place.

A confident smile can affect:

  • Personal and work-related relationships
  • Job interviews and meetings
  • Success when dealing with customers and potential clients
  • Your personality and general happiness with your age
  • Overall outlook on daily interactions

A Real Affect on Daily Living

All of these benefits can relate directly to how you see yourself. When you are insecure with something as prominent as your smile, it can affect the way that you handle your life, everything from social gatherings to professional situations.

Now is the perfect opportunity to rejuvenate your smile. With the right teeth-whitening product and regular hygienic practices, walking down the aisle or starting the new semester with the utmost confidence has never been easier.

References:

Benefits of Teeth Whitening from: http://www.professionalteethwhitening.org/benefits-of-teeth-whitening.html.

Dr. Albert’s Corner: Tooth Tip #3

September 3rd, 2013

A common dental problem in our fast-paced, overly stressed society is that of clenching or grinding (called 'bruxing'). Since 'something's gotta give' dentists often see wear marks from clenching/grinding, or craze lines in the teeth from the additional pressure, cracked teeth, or bone changes.

There are many causes for this problem and this column is too short to address them in depth. Needless to say the best solution is to avoid the source of the grinding but this is not always possible since sometimes people don't know to begin with that they even ARE grinding. So in this case, contrary to my usual philosophy of trying to get to the source of a dental problem and combat it that way ("nip it in the bud"), we focus on stopping the damage.

The simplest solution is a 'night guard', of which there are many on the market. The easiest ones are sports guards but here one size fits all and none fit anyone well. It's better to have a custom one made if that's what's called for. Unless the damage is severe, I usually suggest to my patients to start with an over-the-counter night guard that they form with hot water. This way a person can see if he tolerates having something foreign in his mouth while he sleeps. From there, our office can make up a custom one.

We are available to make that night guard for you once it's determined you need one. Make sure to ask about this at your next appointment!

 

Celebrate Labor Day by Getting Away

August 29th, 2013

Labor Day honors the contributions that workers have made to this country, and for many Americans, the holiday is a great time to relax at home with family and friends. But there are quite a few people who celebrate the holiday by getting out of town, with an estimated 33 million people traveling more than 50 miles over Labor Day weekend in 2012, according to CNN.com. If you’re dreaming of a great Labor Day escape but you’re not quite sure where to go, here are a few ideas from our team at Kevin P. Mischley, DMD to give you some travel inspiration.

Explore a National Park

On a national holiday like Labor Day, it’s only fitting to experience the beauty of America’s landscapes by heading to the nearest national park. If you’re confined to an office most days of the year, national parks can provide a relaxing and scenic escape, whether you’re by yourself, traveling with a group of friends, or bringing the whole family along. Depending on how close you live to the nearest park, you can stay for an afternoon or for longer than a week. With 58 parks located in 27 states, there are plenty of beautiful areas to choose from.

Chow Down in a BBQ Haven

Barbecuing is a popular Labor Day activity, but instead of sweating over your own grill or oven, try visiting one of the country’s BBQ capitals. U.S. News and World Report names Memphis as the top BBQ destination, with more than 80 BBQ restaurants in the city, most notably Corky’s BBQ and Central BBQ. Kansas City is also known for the sweet taste of its sauces, while central Texas is said to have perfected the technique of smoking tender and flavorful brisket.

Relax on the Beach

Many people think of Labor Day as the unofficial start of fall, which brings cooler temperatures, more rain, and for many people, an end to lazy days at the beach. End your beach days with a bang by taking a trip to one of the coasts or to a lakeside beach. For an added dose of festivity, find a city or town that celebrates the occasion with a fireworks display over the water.

Whether you’re looking to turn your getaway into a full week affair or you simply want to experience a quick escape, make the most of your holiday by changing your surrounding scenery. Happy Labor Day from the dental practice of Dr. Mischley!

Dr. Albert's Corner: Brushing Tip #2

August 26th, 2013

I often notice severe wear and notching at the gumline of teeth. This exposes the root surface of the tooth and can contribute to the ever-growing problem of sensitivity. Many times patients come in concerned about sensitivity to cold, thinking they have a cavity. Often the problem can be traced back to the way they brush. The root surface is made of a material softer than the highly polished enamel people see on their teeth. The material the root is made from can transmit temperature sensitivity. Usually you can get this under control with a toothpaste for sensitivity, the original of which was Sensodyne. [Competing toothpaste companies realized there was an untapped market and a growing need to address this problem with people over the age of thirty so other companies came out with their own formula. Not all products work for all people so if one doesn't work for you, try another.] Additionally, after brushing and before bed, take a dab of toothbrush ("A little dab'll do ya," as an old commercial goes), rub it around the gumline of the offending tooth and allow it to absorb overnight. This enhances the uptake of the product so it works quicker.

But it's also important to get to the 'root' of the problem! Referring to my first tip (previous column, #1), my toothbrush STILL does not have instructions on the back for 'how to use'. I tell my patients NEVER brush back and forth. Reserve that back-and-forth action for sawing wood! Always brush up and down. This way you are brushing with the grain of the tooth and not causing damage to that softer root surface.
If you have any questions, feel free to call or visit our office. Meanwhile, stay tuned for another tip next time!

 

What is baby bottle tooth decay?

August 22nd, 2013

Great question! Baby bottle tooth decay is the development of cavities caused by the frequent and long-term exposure of a child's teeth to liquids containing sugars. These liquids include milk, formula, fruit juice, sodas and other sweetened drinks. The bacteria in the mouth thrive on this sugar and produce acids that attack the infant's teeth and gums. After numerous attacks, tooth decay can begin.

The first rule is to make sure your child does not fall asleep with a bottle containing milk, formula, juice or other sweetened liquids. Giving an infant a sugary drink before bedtime is harmful because the flow of saliva decreases during sleep, allowing the sugary liquids to linger on the child's teeth for an extended period of time. If left untreated, pain and infection can result.

So, how can you prevent baby bottle tooth decay? Be sure to clean and massage the baby's gums once a day to help establish healthy teeth and to aid in teething. When brushing your child's teeth, use a soft toothbrush, as well non-fluoride toothpaste. Once your little one is able to spit, around the age of two, you should begin using fluoride toothpaste. From the beginning, have your little one practice spitting the toothpaste out after brushing. That way, he or she will already have the good habit of spitting when you switch to fluoride toothpaste, which should never be swallowed.

Also, be aware that children should visit Kevin P. Mischley, DMD when they are between six and 12 months old. Please give us a call if your child hasn't visited our Walpole, MA office in the last six months!

New Before and After Botox/Dermal Filler App in Our Office!

August 20th, 2013

We've been telling you for a few months now about the exciting new treatment we're offering in the office now: Botox and Dermal fillers! As the ADA has approved the dentists who are board certified in oral and maxillofacial surgery or have completed a minimum of eight hours of training, we're thrilled to be one of Massachusetts' first offices to offer the treatment.

Now that it's on the table at your next visit, have you ever wondered what you might look like after Botox or dermal filler therapy? Dr. Mischley is excited to announce that we'll be using a brand new app in our office to do just that, called the Allergan iVisualizer! Now, when you're in the office for a visit, we'll be able to take your picture and then have the app provide the projected result!

We're thrilled to be providing this therapy option for our patients, and we can't wait to show you what you could look like after Botox or dermal fillers. Schedule your appointment today!

How to Brush a Two-Year-Old’s Teeth Effectively

August 15th, 2013

Our team at Kevin P. Mischley, DMD would like to offer some tips regarding the sometimes dreaded task of brushing a toddler’s teeth.

Much of the trick lies in the positioning. Before you begin, make sure you are in a position of control. This protects both you and your child from injury. Consider how well you can see. If you cannot see clearly, the quality of brushing drops significantly. For instance, if your child is standing, you are likely to see only the bottom teeth well.

Our team finds that the best position for brushing and flossing a toddler is when your child is calm. Have your child lie down on his or her back with arms out to make a T. Sit down just above the head and lightly place your legs over your child’s arms. Using a circular motion, brush all sides of the teeth.

It may sound odd, but approaching the routine this way can make brushing time a cinch! After you’re done, give your child the toothbrush and let him or her have a turn. The benefit of doing the brushing and flossing first is that it gives an example, which your child is more likely to repeat when you’re done.

Different methods work best for different families and children. These practices need to be performed with kindness and care. Be gentle and make this time a happy learning time. Don’t forget to bring your child to our Walpole, MA office for regular dental checkups and cleanings. Dr. Mischley can advise you on ways to implement portions of these tips in a way that may work bests for you and your child.

Dr. Albert's Corner: Tooth brushing Tips!

August 13th, 2013

As I tell my patients, "I don't know about you but my toothbrush doesn't come with instructions on the back. My blowdryer reads, 'Do not use in tub' while my coffee cup tells me: CAUTION! Contents Hot! but I've never seen a toothbrush that describes how to use it (even my chopsticks have diagrams!).

So, Helpful hint #1:

When you have your toothbrush in your mouth and need to reach the outer sides of your upper left and right back molars, CLOSE more. Your natural tendency is to open wider but the way nature designed your jaw, it's L-shaped and when you open wider, your jaw acts like a goalie and blocks precisely where you need to get that toothbrush. By closing more, that part of your jaw moves back, thus enabling you to brush the outside of those teeth more efficiently.

...Stay tuned for further hints!

 

How to Handle a Dental Emergency

August 8th, 2013

Whether it’s a broken tooth or injured gums, a dental emergency can interfere with eating, speaking, or other day-to-day activities. According to the American Dental Association , you can sometimes prevent dental emergencies like these by avoiding the use of your teeth as tools or by giving up hard foods and candies.

Even if you take excellent care of your mouth, however, unexpected dental problems can still arise. Our team at Kevin P. Mischley, DMD is available 24 hours a day and seven days a week to assess and resolve your individual situation. When an emergency arises, you should immediately make an appointment with our office so we can put you at ease, give you the best possible care, and help you return quickly to your regular routine.

Damaged Teeth

For tooth damage in particular, don’t hesitate to call and schedule an emergency dental appointment. You should come in as soon as possible. However, if you have some time before your appointment there are a few things you can do to avoid further injury. If you break your tooth, clean the area well by rinsing it with warm water. To ease any discomfort, put a cold compress against your skin near the area with the affected tooth.

A dislodged tooth should be handled carefully in order to keep it in the best possible condition. Gently rinse off the tooth without scrubbing it and try to place it back into the socket of your gums. If it won’t stay in your mouth, put the tooth in a container of milk and bring it along to your dental appointment.

Injured Soft Tissues

For other problems, such as bleeding gums or an injured tongue, cheek, or lip, the Cleveland Clinic recommends gently rinsing your mouth with salt water and applying pressure to the site with a moist strip of gauze or a tea bag. If you’re also experiencing some discomfort, you can put a cold compress on your cheek near the area of the bleeding. If the bleeding continues, don’t hesitate to contact our office so you can receive further help.

A dental emergency may catch you off guard, but Dr. Mischley can provide fast, pain-free treatment. Follow the advice above and set up an appointment with us as soon as possible so you can put your teeth and mouth on the road to recovery.

Are Dental X-Rays Safe?

August 1st, 2013

YES! X-rays have been used in dentistry for a long time, and the amount of radiation has significantly decreased with advances in technology. While there is risk in every health diagnostic procedure at Kevin P. Mischley, DMD, the benefits must outweigh the risks. Dental X-rays do indeed fall into this category.

X-rays are exposed to a type of film to produce an image. The amount of X-rays required to produce this image differs with film speeds. Speed E or F is highly recommended, and digital X-rays require up to 50% less than speed E or F film. The digital X-ray software can adjust the exposure to produce a quality image. Digital X-rays are becoming a new standard and are most common.

Lead aprons have been used to reduce the amount of scatter radiation. All X-ray units have a cone to focus the X-ray beam so the exposure is highly localized. Lead aprons continue to be worn as a precaution for pregnant women, and a thyroid collar should also be worn. In most cases, this is sewn into the lead apron.

We get radiation exposure from environmental factors as well as healthcare diagnostic and treatment tools. To place this in perspective, in one year a person is expected to have 360mRem per year from the sun, air etc. By comparison, a single set of bitewing X-rays is 0.3mRem. Radiation can accumulate in our body over a lifetime, and additional exposure should be avoided whenever possible.

Pediatric Dentistry: The Benefits of Dairy

July 25th, 2013

When you were a child, your mother may have instructed you to drink all your milk to build strong bones. Now that you have children of your own, you may hear yourself parroting those instructions you received years ago. Getting enough dairy is essential for young children whose teeth are growing. A child who consumes the recommended daily serving of dairy will develop healthy, strong teeth for the rest of his or her life.

Structure of the Tooth

To fully grasp the importance of dairy for dental health, it is necessary to understand tooth structure. Your teeth are made of living tissues covered by a hard outer shell. The inner dental pulp is fed by blood vessels and connects to a nerve bed in your gums. Surrounding the pulp is dentine, a calcified tissue that is less brittle than the tooth’s outermost layer, the enamel. The enamel layer is the white part of your teeth, 96% of which consists of minerals such as calcium phosphate.

How Does Dairy Help My Child’s Teeth?

Milk and other dairy products are excellent sources of calcium. Your child’s body deposits this calcium into her growing bones, including the teeth. Calcium contributes to bone growth and strength, and it forms an important part of the solid enamel that surrounds each tooth’s fragile inner pulp. Milk also contains vitamin D, phosphorus, magnesium, and proteins. Magnesium promotes calcium deposits in your enamel, while phosphorus forms a small barrier against acidic foods that cause cavities. Vitamin D and protein are used by a child’s body to build bone tissue and maintain dental health.

How Much Dairy Does a Child Need?

According to a 2011 study conducted by researchers at the University of Connecticut, the majority of Americans do not receive enough calcium. The U.S. Department of Agriculture recommends that children under the age of eight should receive at least two and a half cups of dairy per day. Children older than eight need three full cups — the same as adult men and women. Supplying your child with nonfat milk to drink and yogurt to eat every day is a great way to increase dairy consumption.

Growing children who do not get enough dairy in their diets risk improper tooth development and other dental health problems. Drinking sugary beverages in place of milk causes cavities and tooth decay. As a parent, it is essential to monitor your child’s dairy consumption to ensure he or she grows healthy teeth to last a lifetime.

Beat the Brushing Battle

July 18th, 2013

Dr. Mischley and our team know it can be a challenge to get our children to brush, brush well, and brush often. Here are some tips that can help you keep those beautiful little teeth healthy.

Make it Fun, Make it a Habit!

We should all brush twice a day. The most important time to brush is at night before bed. When we sleep, our saliva production decreases, and this creates an environment for oral bacteria to cause greater destruction to our teeth and gums. Brushing should last at least two minutes, followed by flossing and mouthwash if you choose.

Here are some ideas to make this nightly ritual more entertaining.

  • Set a good example. Brush your teeth with your children and make it fun! Pick a song to play while brushing.
  • Make it a race to the bathroom to see who can get their toothbrush and floss ready. But don’t make it a race to finish; make sure brushing lasts at least two minutes.
  • Try using a sticker sheet. For every night your children brush well, give them a sticker. (Be sure to check their work.) After a certain number of stickers, they earn a reward. Let them pick the reward! As the child improves at brushing every night without reminders, you can wean her or him from the reward.
  • SPECIAL TIP: Let your child check your brush work!

As parents, we should help our children make health and wellness something to take pride in. Be gentle with your children when they make mistakes, whether forgetting to brush or maybe developing a cavity. Tell them even our team at Kevin P. Mischley, DMD get cavities. Thankfully, there is always room for improvement. Happy brushing!

Announcements at the Office of Dr. Mischley!

July 17th, 2013

If you've visited our Facebook page recently, you might have heard about some of the exciting changes we've made to the office. We always strive to deliver the best services possible, so we're thrilled to announce some new offerings in the office! Next time you come in to see us, you'll notice a digital bulletin board providing you with information on the services listed below, and of course if you have questions after reading this, please contact us! We look forward to seeing you soon!

  • Botox Therapy and Treatment
  • Dermal Fillers
  • Snoring Cessation Appliances
  • Invisalign treatment
  • Implant Therapy

We're also reintroducing something you might remember, Care Credit! This is a 3rd party financing program that we'll chat more about at your next visit.

We hope you're having a great summer, and can't wait to see you soon!

The Thumb-Sucking Habit

July 11th, 2013

At Kevin P. Mischley, DMD, we are often asked “should I be concerned with my child’s thumb sucking?” So, our team thought we’d share what our thoughts are on your child sucking his or her thumb.

Infants Who Suck Their Thumbs

As infants begin experimenting with the basic functions of their mouths, from sucking on a bottle to beginning to speak, it is natural for them to suck their thumbs. Parents with young babies who regularly suck their thumbs probably don’t need to feel overly concerned, so long as fingers are kept clean and the habit is kept in check. For most children, the exploratory stage of thumb-sucking ends after just a few short years. Problems with thumb-sucking occur when infants grow into young children but the habit has not been resolved.

Dangers of Thumb-Sucking

One of the main differences between an infant and a child sucking his thumb is the formation of the mouth and teeth. An infant’s mouth is barely beginning to grow and develop, so sucking a thumb might actually help to stimulate the process. For a child with a mouth full of teeth, however, a thumb-sucking habit might cause some serious problems. As a parent, it can be very important to watch your child carefully to make sure the sucking habit is regulated.

As a child grows and develops, baby teeth begin to fall out. A child sucking his or her thumb during the baby teeth stage may not run any great risks. Our team at Kevin P. Mischley, DMD often sees that once a child has developed his or her permanent teeth, the problems with thumb-sucking can become more serious. KidsHealth.org states that children who suck their thumbs beyond the age of four or five might increase their risk of developing an overbite, infections, and other dental problems.

What You Can Do To Help

Parents who want to prevent possible problems for their child would be wise to begin preventive care early on. While you don’t need to be overly concerned about an infant sucking a thumb, it might be a good idea to help your toddler break the habit before permanent teeth begin to show.

  • Try to use positive rewards for good behavior instead of negativity or threatening behavior.
  • Talk openly with your child about the potential dangers of a thumb-sucking habit.
  • Help your child find other productive things to do with the hands as a means of distraction. Playing a game of blocks, for example, might be a great diversion.
  • Support and encourage your child while he or she is trying to break the habit.

As children develop, they have many things to learn and to think about. By understanding a few simple facts about thumb-sucking, you can help your child develop in a healthy and positive way. If you have any other questions, feel to contact us at our Walpole, MA office, or ask Dr. Mischley during your next appointment!

Happy Fourth of July

July 4th, 2013

Every year, Americans all over the world celebrate the birth of the country and its independence on the Fourth of July. There are countless ways that people celebrate and they range from community parades and large scale gatherings to concerts, fireworks displays, and smaller scale celebrations among family and friends. For some people, July 4th is synonymous with baseball, while for others it is all about the beach of barbecues. However you celebrate, you can be sure that red, white, and blue is visible everywhere throughout the Walpole, MA area.

The Beginnings of Fourth of July Celebrations

Although it wasn't officially designated as a federal holiday until 1941, the actual tradition of celebrating Independence Day goes back to the time of the American Revolution (1775 – 1783). At the time of the American Revolution, representatives from the 13 colonies penned the resolution that ultimately declared their independence from Great Britain. The continental congress voted to adopt the Declaration of Independence on July 2nd of 1776. Two days later, Thomas Jefferson's famous document that is now known as the Declaration of Independence, was adopted by delegates representing the 13 colonies.

First States to Recognize the Fourth of July

In 1781, Massachusetts became the first state (or commonwealth) whose legislature resolved to designate July 4th as the date on which to celebrate the country's independence. Two years later, Boston became the first city to make an official designation to honor the country's birth with a holiday on July 4th. In that same year, North Carolina's governor, Alexander Martin, became the first governor to issue an official state order stipulating that July 4th was the day on which North Carolinians would celebrate the country's independence.

Fun Facts About the Fourth of July

  • The reason the stars on the original flag were arranged in a circle is because it was believed that would indicate that all of the colonies were equal.
  • Americans eat over 150 million hot dogs on July 4th.
  • Imports of fireworks each year totals over $211 million.
  • The first “official” Fourth of July party took place at the White House in 1801.
  • Benjamin Franklin didn't want the national bird to be the bald eagle. He believed that the turkey was better suited to the coveted distinction. John Adams and Thomas Jefferson disagreed with him, and he was outvoted, so the bald eagle became the official bird of the United States.

For many, the tradition is something entirely different. Along the coastal areas of the United States, people may haul out huge pots to have lobster or other types of seafood boils. Others may spend the day in the bleachers at a baseball game, or at a park, cooking a great traditional meal over an open fire. No matter how or where you celebrate, one thing is certain: all Americans celebrate July 4th as the birth and independence of our country.

Dr. Mischley and our team at Kevin P. Mischley, DMD wish you a safe and happy Fourth of July!

I’ve Lost a Filling – Now What?

June 27th, 2013

Dental fillings usually protect our teeth, but sometimes they need to be protected, too. If you lose a filling, contact our Kevin P. Mischley, DMD immediately and let us advise you on the next steps to take.

Fillings serve an important function in oral health by preserving the structural integrity of your tooth. With the materials we use today, dental fillings usually last for many years, but they are subjected to the same stresses as your natural teeth are.

You can wear down, chip, crack, or break your fillings by eating, clenching, and grinding, and sometimes they can fall out completely. While you may not notice normal wear and tear, you should not ignore any fillings that loosen or fall out. Contact us as soon as possible so we can advise you about whether you need to be seen immediately.

If your fillings get damaged or fall out, a timely response can be important. There may be gaps or holes in your tooth which provide an easy access point for bacteria. Once bacteria begin working into your tooth structure, your tooth could become damaged even worse. Since cavities usually form in hard-to-reach places, it will be difficult for you to remove these bacteria through brushing alone.

When is a Lost Filling an Emergency?

A lost or cracked filling is usually not an emergency unless you are in great pain or are bleeding excessively. In that case, contact our office immediately so we can schedule an emergency appointment. Otherwise we will schedule a regular appointment to evaluate and repair your filling. Before coming in for your appointment, try to avoid chewing on that side of your mouth, rinse with warm salt water, and be sure to brush and floss thoroughly after every meal.

Once you come to our office, Dr. Mischley will examine your tooth, assess the situation, and advise you of your options. We may be able to replace the filling and can discuss whether an amalgam or composite material would be the best for your teeth. If the filling was large, a root canal or a dental implant and crown may be necessary.

A lost or cracked filling may not always pose a dental emergency, but it’s always important to contact us so our team can help you take the proper action to preserve your oral health.

Snacks for Healthy Teeth

June 20th, 2013

Concerned parents often ask Dr. Mischley about which kinds of snacks are best for a child's teeth. While most know that candy isn't always the best choice, many parents are confused about which kinds of after-school snacks can actually be beneficial for teeth. Left to their own devices, children might pick the sugary snack that comes in colorful packaging. There are, however, choices that are much better for your child's teeth.

Go Natural

The foods that are best for your children's teeth are also the best for their overall health. Choosing whole foods, such as fruits and vegetables, is always the best option for snacks. Try sticks of celery and let your kids dip it into all-natural peanut butter, or a juicy and crunchy apple cut into wedges.

Lean Proteins

Lean protein, such as chicken breast, fish, turkey, and lean cuts of pork also make good snacking options. For the best overall health, avoid giving your child a lot of lunch meats, because such products are often higher in sodium. However, these proteins are also low in sugar, which is always a preferable choice when it comes to teeth.

Avoid Packaged Foods

Sugars are unhealthy partly because they stick more readily to the surface of the teeth. Even foods that appear to be healthy, such as many brands of granola bars, can in fact be loaded with hidden sugars. Sugar can also be found in higher concentrations in dried fruit, honey, and syrups. The rule is that if a foodstuff has been altered in any way from its original state then there are perhaps better choices.

Beverages

Drinks are another murky area. Parents often presume that fruit juices are an acceptable beverage when in reality many of them are loaded with excessive sugar as well. The best beverages for your child's teeth are water and low-fat milk. Milk has the added benefit of containing calcium, which is highly beneficial for the bone structure that supports the teeth.

An apple a day might keep the doctor away, but it is also a great snack to keep teeth healthy. The next time your children are looking for an after-school snack, guide them toward healthier, low-sugar options that are beneficial to their overall health and their teeth.

We Proudly Provide Treatment with BOTOX®!

June 17th, 2013

Are you experiencing jaw pain, headaches or migraines? If so, we are proud to announce that Dr. Mischley now offers Botox treatments for patients to relieve the painful symptoms!

Championed as safe, effective and affordable, Botox treatment not only reduces wrinkles! Botox treatment is a therapeutic option for the preventive treatment of migraine and chronic tension type headache, and can help provide relief from TMJ (temporo-mandibular joint) symptoms, as the treatment causes the affected muscles to relax. Botox injections often provide substantial relief as it reduces the clenching and stress put on the jaw for those of our patients who suffer from TMJ disorders. This allows them to perform daily activities such as talking, chewing and swallowing without pain.

We are also proud to offer Botox for those who simply want to look and feel younger. With Dr. Mischley’s help, you can restore your mouth to a more youthful appearance! There is no surgery and no recovery time, and Botox is FDA-approved.

It is important for Dr. Mischley to screen patients to determine their eligibility for treatment. During your visit, you should discuss your medical history with Dr. Mischley so he can thoroughly assess if you are allergic or hypersensitive to any ingredient in Botox.  It is also critical that you disclose all medications, vitamins, herbs and supplements you currently take during your initial consultation.

Give us a call today! Ask Dr. Mischley and our team how you can get relief from TMJ or start looking younger today! Give us a call at our convenient Walpole office to schedule an appointment!

XEROSTOMIA - What Does That Mean Anyway?

June 13th, 2013

Does your mouth always feel like it’s dry? If it does you may be suffering from xerostomia. Xerostomia is defined as dry mouth resulting from reduced or absent saliva flow. There are various medical conditions that can cause this type of dry mouth, which you can ask more questions next time you visit us at Kevin P. Mischley, DMD.

Xerostomia can factor into both minor and more serious health problems. It can affect the ability to eat and enjoy food and it can jeopardize one’s dental health. Some of the more common symptoms can include sore throat, burning sensation in the oral cavity or tongue, and difficulty swallowing.

One of the more serious problems associated with dry mouth is an increased risk of tooth decay. Decrease in saliva causes more plaque to form and there is less saliva to act as a buffer to the things we eat and drink. Less saliva also means more food debris is retained in the mouth. These things can lead to an increase in tooth decay.

There are several things that may cause xerostomia. Among the biggest culprits are prescription medications. Some examples are antihistamines, antidepressants, anti-hypertensives, anti-anxiety agents, anti-diarrheals, bronchodilators, and muscle relaxers.

Certain diseases can also cause dry mouth. The more common ones include rheumatoid arthritis, lupus, diabetes, hypertension, and thyroid disease. Xerostomia is also common in patients being treated for cancer. Head and neck radiation as well as certain chemotherapy drugs can cause severe dry mouth.

What should you do if you are experiencing dry mouth symptoms? First make sure to hydrate with plenty of water. If you are taking medications that cause xerostomia, make sure to drink water before taking the medication as well as a full glass of water with the medication. Be diligent with brushing and flossing and discuss your condition at your next appointment with Dr. Mischley. We can recommend specific products to help moisten the oral cavity and reduce your symptoms such as saliva substitutes, xylitol products, and certain toothpastes. Another option may be a prescription home fluoride treatment to help prevent new cavities. You may want to try gum or candies to stimulate saliva flow but make sure they are sugar free! Avoid food and beverages that dehydrate such as caffeine and alcohol.

Xerostomia is a common problem that is currently on the rise. Our team can help you to reduce any symptoms and improve your comfort while living with a dry mouth.

Snoring treatments and More New Announcements!

June 10th, 2013

Dr. Mischley and our team are excited to announce two new exciting treatments in our office! We now offer laser treatment for cold sores, aka herpes lesions, which, if treated sooner than later, can not only prevent the lesion from forming into the painful and often unpleasant looking sore, but can often delay the onset of another episode significantly. In fact, there have been reports that after using the laser for a this procedure does not require a shot of Novocain—there is no cutting involved. This is incredible news for those patients of ours who suffer from cold sores!

The second exciting treatment we now offer is a treatment for snoring. Dr. Mischley has been wearing this appliance for months with GREAT success. It is similar to a sports mouth guard, but is worn on both arches, which are loosely connected in the front of the mouth. This acts to keep the lower jaw forward when a person is sleeping, and in the process preventing the tongue and throat muscles from relaxing and falling back into the throat to close the opening, which makes people snore. Dr. Mischley truly believes this treatment can actually help a marriage, not to mention giving patients and their spouses a better night’s sleep. In addition, this appliance is being used to treat sleep apnea, which is becoming forefront in people’s minds for its effect on general health.

Dr. Mischley and our team provide complimentary consultations. If you have any questions or would like to learn more about these new treatments, please give us a call!

 

June Marks National Dairy Month!

June 6th, 2013

In honor of June being Dairy Month, Dr. Mischley and our team at Kevin P. Mischley, DMD would like to remind our patients about the importance of dairy to your overall health! Regular consumption of dairy products, such as milk, cheese, and yogurt, has been found to lower your chances of contracting gum disease (also known as periodontal disease).

Those who consume at least 55 grams of lactic acid a day are less at risk for gum disease. Eating dairy is not just healthy for building strong bones, but is essential for maintaining a strong, healthy mouth and a smile that will last a lifetime.

Questions about which foods you should steer clear of and which you should enjoy? Give us a call or ask us on Facebook!

Botox at the Dentist Coming Soon!

June 4th, 2013

We're thrilled to announce that this summer, Dr. Mischley will be able to begin using Botox and dermal fillers! The Massachusetts Board of Dentistry listed their ban on the service last month, and Dr. Mischley was quick to sign up for a training course so he can be as up to date as possible on technique and usage, he'll be taking two days of classes in the middle of the month for certification. Wondering when you'll be able to schedule your appointment? We'll be offering the service as soon as we're back in the office following our summer break, July 8th. Book your appointment now, or contact our office if you have questions about the treatment!

Oral Cancer Facts and Figures

May 30th, 2013

Oral cancer is largely viewed as a disease that affects those over the age of 40, but it can affect all ages, even non-tobacco and alcohol users. Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. Our team at Kevin P. Mischley, DMD recently put together some facts and figures to illustrate the importance of visiting our Walpole, MA office.

Our friends at the American Cancer Society recommend an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. Because early detection can improve the chance of successful treatment, be sure to ask Dr. Mischley and our team to conduct an oral exam during your next visit to our Walpole, MA office.

  • Symptoms of oral cancer may include a sore in the throat or mouth that bleeds easily and does not heal, a red or white patch that persists, a lump or thickening, ear pain, a neck mass, or coughing up blood. Difficulties in chewing, swallowing, or moving the tongue or jaws are often late symptoms.
  • The primary risk factors for oral cancer in American men and women are tobacco (including smokeless tobacco) and alcohol use. Risk rises dramatically (30%) for people who both smoke and consume alcohol regularly.
  • Oral cancers are part of a group of cancers commonly referred to as head and neck cancers, and of all head and neck cancers they comprise about 85% of that category.
  • Oral cancer is the sixth most common cancer among men.
  • Oral cancer is more likely to affect people over 40 years of age, though an increasing number of young people are developing the condition.
  • Death rates have been decreasing over the past three decades; from 2004 to 2008, rates decreased by 1.2% per year in men and by 2.2% per year in women, according to the American Cancer Society.
  • About 75% to 80% of people with oral cavity and pharynx cancer consume alcohol.
  • The risk of developing oral cavity and pharynx cancers increases both with the amount as well as the length of time tobacco and alcohol products are used.
  • For all stages combined, about 84% of people with oral cancer survive one year after diagnosis. The five- and ten-year relative survival rates are 61% and 50%, respectively.
  • It is estimated that approximately $3.2 billion is spent in the United States annually on treatment of head and neck cancers.

Cancer can affect any part of the oral cavity, including the lip, tongue, mouth, and throat. Through visual inspection, Dr. Mischley and our team at Kevin P. Mischley, DMD can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less extensive and more successful.

Please let us now if you have any questions about your oral health either during your next scheduled appointment, by giving us a call or asking us on Facebook.

Memorial Day: Parades, Remembrance, and the Unofficial Start of Summer

May 23rd, 2013

“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at Kevin P. Mischley, DMD wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, dentists do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the Walpole, MA area or beyond- Happy Memorial Day to you and yours from Dr. Mischley!

What is nitrous oxide and is it safe for children?

May 16th, 2013

Our team at Kevin P. Mischley, DMD understand that the sights, sounds and sensations at a dental office can be unsettling for some children. One effective technique that we use to comfort your child is to offer the gas nitrous oxide. Nitrous oxide is a common anesthetic used during many dental procedures.

What is Nitrous Oxide?

Nitrous oxide is an oxide of nitrogen which has a slight sweet odor and taste. During medical or dental procedures, the gas is mixed with oxygen then inhaled through a mask that covers your child's nose. Within minutes, your child should feel calm and experience an overall sense relaxation. Most children are enthusiastic about the administration of nitrous oxide and report feeling like they are dreaming. Children will be able to breathe on their own, move their limbs, and be conscious enough to hear and respond to our dentist's questions such as, "Did you remember to brush your teeth today?" Of course they did! All our patients are great brushers! The effects of nitrous oxide disappear shortly after the mask is removed and the drug is quickly eliminated from their body.

Is Nitrous Oxide Safe?

Recreational use of nitrous oxide for its euphoric effects can be dangerous, however, the drug is combined with oxygen at dental offices. This ensures oxygen reaches the brain and prevents dangerous side effects or hypoxia. The American Academy of Pediatric Dentistry (AAPD) recognizes nitrous oxide inhalation as a "safe and effective technique to reduce anxiety, produce analgesia, and enhance effective communication between a patient and healthcare provider."

Nitrous oxide is non-addictive and non-allergic, however, it may cause nausea in up to ten percent of patients. The drug is not recommended for children with some medical conditions such as chronic pulmonary disease. We recognize that all patients are different and encourage you to talk with Dr. Mischley about whether nitrous oxide would be a good option for your child.

Our team wants to help all patients in Walpole, MA to overcome dental anxiety, so please, give us a call at Kevin P. Mischley, DMD.

Common Emergency Care Visits: Toothaches or Abscesses

May 9th, 2013

Dental problems do not always wait for normal office hours. Broken fillings or damaged teeth are common reasons for emergency treatment. Toothaches and abscesses can also require prompt attention. Kevin P. Mischley, DMD can provide you with the information and treatment you need to prevent the problem from becoming worse. Emergency dental care is only a phone call away, 24 hours a day, seven days a week.

Abscess

According to the American Academy of Family Physicians, an abscess is a bacterial infection. An abscess will normally cause pain and swelling around the affected tooth and gum area. Antibiotics are not always necessary, but you should seek treatment quickly. Left untreated, an infection can spread and cause serious complications.

Toothache

There are many reasons that you may develop a sudden toothache. The cause of the pain may be a particle of food lodged between your tooth and gum line. One of the first steps you can take is to rinse your mouth with warm water. You may also try gently flossing the area to dislodge the particle. Do not continue flossing if bleeding occurs.

Toothaches can occur from a carie — a cavity in the tooth — or from a fracture. Sensitivity to heat or cold may also cause tooth pain. You should make an appointment to ensure that a minor problem does not become serious. We may recommend acetaminophen or another pain reliever to reduce the pain before your visit.

Additional tips and treatments:

  • If you have fractured a tooth, rinse the area with warm water to keep the surfaces clean. Apply a cold compress to the outside of your facial area to reduce swelling.
  • A tooth that has been knocked out should be kept moist, in a clean container, until you can receive treatment.
  • Do not apply aspirin directly on a damaged tooth or gum area as it can cause tissue irritation.
  • If you suspect that your jaw has been broken, go to an emergency room immediately.
  • If you have bitten or damaged your lips or tongue, rinse your mouth well with warm water. If bleeding continues, call us or seek other medical attention immediately.

Our team is ready to assist you when you have an emergency dental need. When you call, please provide us with as much information as possible so we can offer recommendations that will assist you until your appointment. Do not delay; emergency treatment is available and immediate treatment is the best course of action.

May Marks National Physical Fitness and Sports Month!

May 2nd, 2013

Did you know the month of May is designated National Physical Fitness and Sports Month? After all, there isn't a better time to celebrate physical activity as when the warm weather and sunshine makes its way back into our lives!

Now that the flowers are in bloom and the weather has warmed up, it's easier to go outside and soak up the sun. After spending the winter working out in gyms or doing crunches at home, exercising outdoors can be a lot more enjoyable as well. Whether you enjoy hikes, jogging, or biking, spring gives us a chance to smell the grass, take in the rays, and enjoy the blue sky—all senses that we just can't duplicate at the gym.

If jogging or biking isn't your cup of tea, we encourage you to try a sport! Sports have some amazing qualities that we often overlook. Team sports like baseball and soccer, and individual sports like golf and tennis can improve your coordination and agility, in addition to building determination, confidence, drive, hard-work, pride, leadership, and time management.

At Kevin P. Mischley, DMD, we always encourage our patients to stay fit by exercising or participating in sports. However, we want to remind you to always wear a mouthguard or other form of facial protection when playing sports. To learn more about how often your child should exercise, or to ask us about obtaining a mouthguard, please give us a call!

Providing the Right Dental Care for your Children

April 25th, 2013

You already know that Kevin P. Mischley, DMD recommends you come in for a checkup and cleaning at least every six months, but do you know what your child’s dental needs are? From the time children are babies and growing in their first teeth, their oral health care needs may be different from adults. It’s important to know what they need, and when, to help them grow strong, healthy teeth.

When to See Our Team at Kevin P. Mischley, DMD

While dental care (at home) can begin as soon as your baby starts to show signs of that first tooth, most experts do not recommend you see a dentist until your child is at least one year old. The child will likely be too young at this point to have a full dental exam, but we can take a look at your baby’s teeth and give you tips for brushing and flossing properly.

By the time your child has all of his or her baby teeth—usually around 24 to 30 months of age—we can begin scheduling regular checkups and cleanings.

What to Expect on the First Visits

The first visit to our Walpole, MA office for a full exam will mostly involve getting to know Dr. Mischley and staff members, and making your child feel comfortable. Let us know if you would like to sit in the exam room during the appointment, but keep in mind that it may be beneficial to leave your child alone with Dr. Mischley for a portion of the appointment so we can start building trust with your child.

Our team at Kevin P. Mischley, DMD will likely do some or all of the following during your child's visit:

  • Look for signs of decay or other tooth or gum problems
  • Examine your child’s bite, checking for misalignment that could lead to problems in the future
  • Clean the teeth, and apply fluoride if your child is old enough
  • Talk to you about proper oral health care for your children
  • Answer any questions you may have about caring for your child’s teeth, which may include topics like fluoride needs, nutrition and diet, teething, and the frequency of future checkups

In most cases, we will recommend that you bring your child in every six months for regular checkups, the same as your recommended frequency.

Understanding your child’s unique dental needs is important for providing the best possible care when it becomes necessary. We look forward to building a good relationship with your child so coming to the dentist is a fun, rewarding experience and not a frightening one.

Earth Day

April 18th, 2013

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

  • Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
  • Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
  • Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
  • Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
  • Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Kevin P. Mischley, DMD wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Kevin P. Mischley, DMD.

What Kind of Toothbrush and Toothpaste Should My Child Use?

April 11th, 2013

Imagine that you sit down for some evening television, and during the course of the evening, you see five commercials regarding dental products. They all claim to be the best. Then remember your last visit to the dental aisle at a local grocery store. The choices are overwhelming and there seems to be no sure answer as to which would be the best choice for your child.

Our team recommends that parents break down the decision process. First, consider your child’s age and stage of development. Up until age ten to 12, your child cannot adequately brush or floss independently. It is not a maturity issue, but rather dexterity. Automatic toothbrushes are highly appropriate for all ages. Brushing quality improves when using a battery-powered toothbrush. Use it together with your child, and always play an active role in your child’s oral home care.

As a general rule, the brush head of the toothbrush should be a little larger than the child’s upper portion of the thumb. This will help ensure it will fit in all the places it needs to.

Flossers are great for children. These will have a horseshoe shape on one end with floss in-between. A particular brand name does not matter. Some have a higher quality and this should be evident when you use them. You can make a choice for individual preference with color, handle size, or shape, etc.

There are many brands of toothpaste and there are also differences in the ingredients. Some contain sodium fluoride, the standard ingredient in cavity prevention. Others have stannous fluoride, which is anti-bacterial and anti-cavity. Potassium nitrate is commonly found in anti-sensitivity, and triclosan is found in one particular brand for anti-bacterial properties. It is most common for children to be at a high risk for cavities. Therefore, our team recommends toothpaste with fluoride once your child is old enough to spit.

Before a child can spit, use toothpaste without fluoride. This is an ideal time to use toothpaste with xylitol. Xylitol should be listed as the first ingredient; this way you’ll get the almost medicinal property of this natural sweetener. After you have found the right type of toothpaste, consider its flavor. The best kind of toothpaste is one that will be used, so choose a flavor that your child will love!

If you have any other questions, our would like specific brand recommendation feel free to call us at our office or ask our team during your next appointment!

Patient Testimonials: Cold Sore Treatment via Laser Treatment

April 10th, 2013

Not too long ago, Dr. Mischley invested in a new tool intended to make work on soft tissue more accurate and the best possible quality. The soft tissue laser is called a Sapphire Portable Diode Laser, and we’ve found it has more benefits for patients than first expected, and we’re absolutely thrilled to announce this new discovery.

The treatment is done via a laser when a patient is anticipating the onset of a cold sore. If you suffer from cold sores, watch a our patient testimonials below to learn more about how Dr. Mischley can help you!

The treatment costs $87 per treatment at this time, and is most likely not covered by insurance. But, if you suffer from the painful, embarrassing sores, contact our office now t learn more!

April Marks National Facial Protection Month

April 4th, 2013

April, also known as National Facial Protection Month, is upon us, and for Dr. Mischley and our team at Kevin P. Mischley, DMD, that only means one thing: it’s once again time to remind our patients to protect their faces and pearly whites.

According to the National Youth Sports Safety Foundation, children, high-school athletes and adults have more than 5,000,000 teeth knocked out in sporting events annually. To us, that’s simply unacceptable. By simply wearing a properly fitted mouthguard or other form of protection, kids and adults alike can greatly reduce their chances of traumatic facial injuries.

Here are five ways to ensure you and your child’s can protect your mouth this spring:

1. Make sure you or your child wears a mouthguard for contact sports such as baseball, softball, soccer and lacrosse.

2. Remind him or her to wear a helmet

3. …and protective eyewear

4. Wearing a face shield to avoid scratched or bruised skin will help

5. Make sure your child is alert, even as a spectator

We hope these tips are helpful. Dr. Mischley will tell you protective gear is vital for anyone engaging in contact sports or activities. If you have any further questions about any of these tips, please contact us at our Walpole, MA office.

Stay safe and have fun this spring!

When Was Your Last Dental Cleaning?

March 22nd, 2013


You water the garden three times a week, you change your car's oil every three months, and you replace the batteries in your smoke detectors once a year. Your teeth need to see your dentist on a regular schedule, too.

</p?While daily oral hygiene habits are essential to good oral health, professional dental cleanings at our office ensure your teeth are treated to a deeper level of cleaning. We recommend for most of our patients to have a checkup at least every six months. In addition to a thorough cleaning and polishing of your teeth, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

If you are predisposed to oral diseases, you may need to visit our office more often than every six months. Factors at play in these diseases include age, pregnancy, tobacco use, medical conditions (such as diabetes, dry mouth, or HIV infection), along with how well you take care of your teeth on a daily basis.

Make sure your teeth get the professional attention they deserve – If you’re overdue for your next cleaning, check with our office to schedule an appointment!

St. Patrick's Day: Celtic Pride, Green Shamrocks and Lucky Charms

March 13th, 2013

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold: It must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s day and remember to call your favorite dental office soon to keep your oral health in check!

Spring into Spring with a New Smile!

March 4th, 2013

It’s almost spring! Tulips are blooming and the world is awakening from its winter sleep. We thought today we would remind our patients about the need to visit our office for your cleaning. After all, studies have shown there could a link between proper oral and dental care and heart disease, diabetes and even stroke. Regular visits to our office can keep harmful bacteria from entering your body by removing plaque build up.

Another great benefit to scheduling your 6-month visit is the opportunity for us to screen for other potential health hazards. During your visit, we can not only clean and whiten your teeth, but potentially identify other signs or symptoms.

Get your beautiful smile today! Give us a call to schedule an appointment!

Patient question: "How do I prevent gum disease?"

February 25th, 2013


Great question. It’s usually easy to tell when you have a cavity, but unfortunately, gum disease can exist in your mouth without you even knowing. In fact, you can have the beginning stages of gum disease without even noticing any pain or discomfort. Since gum disease can be undetectable, it’s imperative to watch for warning signs in order to prevent the disease from worsening.

Here are the signs to watch for:

• Gums that appear red or swollen
• Gums that feel tender
• Gums that bleed easily (during brushing or flossing)
• Gums that recede or pull away from the teeth
• Persistent bad breath (halitosis)
• Loose teeth
• Any change in the way teeth come together in the biting position
• Any change in the way partial dentures fit

If you or someone in your family is showing these signs, schedule an appointment at our office. We can diagnose the problem and begin treatment to save your teeth and give you back a healthy mouth!

What's on your mind?

February 18th, 2013


By now, you’re probably familiar with our blog-writing process: Each week, we write about important dental topics and your well-being, including the treatments we proudly offer.

This week, though, we thought we’d step back and ask you, our amazing patients: what’s on your mind? What would you like to know about the always-changing and exciting field of dentistry? What would you like us to focus on our blog? Perhaps there’s something you’ve wanted to ask us for a while now? Here’s your chance! Let us know by posting here or on our Facebook page! Give us your best shot, and we’ll try to answer any question you may have!

February is also Heart Month!

February 10th, 2013

You may remember our post from last week, when we discussed February being National Dental Health Month and the benefits of visiting our office every six months (or as recommended). But did you know February also marks American Heart Month?

It’s a great time to take notice of the health of your heart as cardiovascular disease remains the leading cause of death in the world, according to the American Heart Association.

Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Visiting our office on a regular basis can help prevent gum disease or at least catch it in its early stages. In observance of Heart Month, it’s also important to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25).

A healthy mouth begins with a visit to our office! If you have any questions about your heart health, or to schedule your next appointment, please give us a call today!

February Marks National Dental Health Month!

February 4th, 2013

Did you know February is National Dental Health Month? It’s a great time of the year to renew those resolutions about continuing to practice great dental hygiene. Today, we thought we would discuss the importance of preventative oral care. While most folks are familiar with traditional healthy-conscious practices such as eating well and exercising regularly, lesser-known are the benefits that great oral hygiene provides to your cardiovascular health.

Here are a few tips to help you continue taking care of those pearly whites and in the process, your heart.

*Brush and floss every day to remove the plaque that can lead to cavities. Flossing daily removes food debris that your toothbrush simply cannot reach.

*Replace your toothbrush on a regular basis. You should replace your toothbrush every three to four months or after a cold to prevent re-infection. Please remember to use a soft toothbrush so that you don’t wear off the enamel of your teeth.

*Visit our office regularly. The American Dental Association recommends you visit us every six months (or as recommended) for regular checkups and cleanings. Fluoride treatments twice a year will help prevent tooth decay.

Each February, we focus on the preventive oral care of our patients. Have you visited us in the past six months? If not, it’s time to give us a call and schedule an appointment!

What do you love about our office?

January 28th, 2013


From your very first visit to our office, we strive to provide superior treatment in a pleasant, friendly atmosphere. We are always updating our office with the most advanced and up-to-date dental technologies and methods and are here to get to know you personally and find out how we might make your dental visit a wonderful one!

We thought we’d ask you, our wonderful patients: Have you been especially impressed by our work? Did our team go out of their way to make your day? Are you in love with your smile?

Whether you’ve just come in for a one appointment or your family has been visiting our office for years, we’d love to hear your feedback below. Or, you can tell us by posting on our Facebook page!

The importance of wearing a mouthguard

January 21st, 2013

With winter sports underway, we wanted to remind our patients about the importance of wearing a mouthguard while you’re on the court or the field. Here are some frequent questions we hear from our patients about mouthguards.

Q: What are mouthguards?

A: Mouthguards are a flexible, removable device made of soft plastic, and they are adapted to fit comfortably with the shape of the upper teeth.

Q: Why are mouthguards so important?

A: Mouthguards protect not just the teeth, but the lips, cheeks, and tongue, and they also help protect athletes from head and neck injuries, as well as concussions and jaw fractures. Increasingly, organized sports are requiring mouthguards to prevent injury to their athletes, and research shows us that most oral injuries occur when athletes are not wearing mouth protection.

Q: When should I wear my mouthguard?

A: Whenever you are in an activity with a risk of falls or head contact with other players or equipment. This includes football, baseball, basketball, soccer, wrestling, hockey, and even gymnastics.

Q: How do I choose a mouthguard that is right for me?

A: We encourage you to choose a mouth guard that you can wear comfortably. You can select from several options in mouthguards. First, preformed or “boil-to-fit” mouthguards are found in sports stores. Otherwise, we can talk about your options for a custom mouthguard, which will be more comfortable to wear and more effective in preventing injuries this winter. Please give us a call if you have any other questions, or ask us on Facebook!

Foods for healthy gums and healthy hearts

January 15th, 2013

It’s that time of the year again, when we try to stick to our New Year’s Resolutions. If you look around, you’ll notice many ads are about fitness and exercise equipment. However, the best place to start is with smart nutrition.

A healthy diet is very important. If we all followed recommended guidelines for the proper daily intake of foods -- foods that include fruits, dairy, vegetables and meat -- we would see a huge decrease in deadly diseases such as heart disease, cancer and high blood pressure. We recommend you to try to add an extra piece of fruit or an extra vegetable to your diet each day until you achieve the correct number of daily servings.

Water is also a vital component to an overall healthy diet. If you make water your primary beverage of choice, you will ensure you are drinking a zero-calorie, no chemical drink instead of a high-calorie or high-chemical alternative such as soda. Fruits such as berries are a great source of antioxidants, as well as other chemicals your body uses to repair and prevent some of the damage caused by aging. Like fruit, fish and nuts are healthy as they are great sources of Omega 3s and improve your good cholesterol.

If you try to change one thing about your diet each week, you will begin to view these changes as habit over time, and start taking steps to a healthier lifestyle.

Dr. Mischley's Son has Successful Oral Surgery!

January 10th, 2013

If you've been into the office recently, you may have heard about Dr. Mischley's son's extra special surgery! To explain what happened and give us all an update, read the note that Dr. Mischley wrote, below!

My son, Warren, 7 years old, went in for a procedure last week at the oral surgeon's. While I don't really hesitate anymore performing surgery on family, this was a little different, he being 7 and this being his very first time having anything other than a cleaning done.

One of his front teeth was not pushing out his baby tooth and after taking an xray, we found that he had what's called a "super numerary tooth." That is, an extra tooth! Well, not a full one in this case, but enough of one that it was preventing the adult tooth from putting pressure on the root of his baby tooth which results in the baby tooth becoming loose and eventually coming out, clearing the way for the adult tooth to erupt. Ever wonder why baby teeth seldom have roots? That's why!

His mom took him in for the consult and I took him in two weeks later for the actual procedure. He did great, I was so proud! Dr. Turesky, the oral surgeon, administered nitrous oxide and then the "novacaine" and Warren barely flinched. Then Dr. Turesky proceeded to make a "flap" which is to say, had to make a long incision across Warren's palate to pull down the gum tissue to get at what our family had been affectionately calling Warren's "Super Tooth!" He then removed what bone was in front of the Super Tooth and removed the Super Tooth itself. A few stitches later and Warren was done. What a champ! I've attached the picture I took a few minutes afterward of Warren giving the thumbs up, still with the pulse monitor on his thumb which he found fascinating.

He healed very, very well. Really no issues except for when he had some oozing of blood. He didn't really like that so much! But that was for a quick period and from there he was back wanted to wrestle! Dr. Turesky's office labeled him their Star Patient!

Do germs really live on my toothbrush?

January 7th, 2013

The dreaded cold and flu season is here again! After recovering from your cold, one of the most important steps you can take to avoid becoming reinfected is replacing your toothbrush!

Germs can linger on the bristles, and you risk prolonging your sickness by continuing to use the same toothbrush. Be smart - keep a spare, just in case! To protect your toothbrush from bacteria all year long, consider the following tips:

• Wash your hands before and after brushing
• Allow the brush to air dry after each use, harmful bacteria dies after being exposed to oxygen
• Store the toothbrush in an upright position to allow water to drain and dry faster
• Replace your toothbrush every 3-4 months. Worn bristles are less effective in properly cleaning your teeth, and can actually be damaging to teeth if used too long!

We hope these tips help! Feel free to give us a call or ask us on Facebook if you have any questions!

Happy New Year!

December 31st, 2012

With the year almost over, we thought we would ask you, our dear patients: what was memorable about 2012 for you, and what are you looking forward to in 2013? Do you have a new year's resolution, or any exciting plans for the coming year?

We want to wish all our patients, friends, family and all our dental and medical colleagues a happy and healthy New Year!

End of the year tooth tips!

December 26th, 2012

Today we thought we would remind our patients to practice good oral hygiene to keep those pearly whites shining and happy! This includes brushing and flossing on a regular basis, brushing after consuming foods that can stain your teeth and visiting our office every six months or as recommended.

The American Dental Association, or ADA, also recommends the following for ideal oral hygiene:

• Brush your teeth twice a day with an ADA-accepted fluoride toothpaste. Replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won't do a good job of cleaning your teeth.

• Clean between teeth daily with floss or an interdental cleaner. Tooth decay-causing bacteria still linger between teeth where your toothbrush bristles can’t reach. This helps remove plaque and food particles from between the teeth and under the gum line.

• Eat a balanced diet and limit between-meal snacks.

• Visit our office on a regular basis for professional cleanings and oral exams.

Lastly, a great reason to smile is this: smiling can actually help you live longer according to recent studies! Have you visited our office lately for a cleaning or checkup? If not, give us a call to set up an appointment! The beginning of the year is a great time for a visit!

Season's greetings!

December 17th, 2012

In this season given to tidings of comfort and joy, and as we reflect on the year that was, we’d like to ask you, our wonderful patients: What do you love about the holidays this year? Being with your loved ones? Hitting the slopes? A clean slate for 2013? Opening presents by the fireplace? All the delicious food?

Also, what gift are you most looking forward to getting this year? We’d love if you shared with us all the things you love about the holidays. Stay warm, and don’t forget to stay away from those sweets!

Photos from our Christmas Party!

December 13th, 2012

We had our Christmas party not too long ago, and we'd love to share some photos with you of all the fun we had with staff of past and present! We hope you're all enjoying the season!!

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When you have a dental emergency, we are here for you

December 10th, 2012


We know dental emergencies are never convenient nor timely. If you are a patient of record, we are committed to your dental health and are happy to see you.

When your dental health is at risk, we will do everything we can to make sure that you’re treated as soon as possible. While dental emergencies are certainly rare, we know they can happen at any moment, and it’s important to know how to deal with them.

Common dental emergencies may include:

• A bitten lip or tongue
• Broken or cracked tooth/teeth
• Permanent tooth that has been knocked out
• Object caught between teeth
• Severe toothache

If you have a dental emergency after regular office hours, please give us a call.

We hope you’re all having a great holiday season!

Fun fact time! Human and animal teeth

December 7th, 2012

Looking for ways to motivate your child to brush his or her teeth? Why not compare their teeth to those of their favorite animals? After all, everyone loves fun facts. Like people, some animals have several different kinds of teeth, while others have only one kind. Others don't have any teeth at all! Animals’ teeth also give us clues about what they eat. Here are some fun facts comparing human teeth and animal teeth we thought you might enjoy, courtesy of the American Student Dental Association!

- Humans form two sets of teeth over the course of a lifetime, with baby teeth being replaced by adult teeth between the ages of 6 and 12.

- An average human being has around 32 teeth. This includes four wisdom teeth, eight incisors, four canines, twelve molars and eight premolars.

- When you see a hippopotamus opening its mouth, it seems as though they have only four teeth! But they actually have 40 pearly whites.

- Dogs rarely get cavities because their saliva has an extremely high pH, which prevents demineralization.

- An elephant’s molars can weigh up to 10 lbs.

- The teeth of the pocket gopher grow up to 15 inches a year!

- The blue whale is the largest mammal on earth, but it dines exclusively on tiny shrimp because it has no teeth

- Armadillos, common in the southwest, have 104 teeth.

- Snails can have more than 25,000 teeth, which are located on the tongue.

- Dolphins only get one set of teeth to last a lifetime!

- And here’s one from prehistoric times! The Tyrannosaurus Rex, or T-Rex, had more than 60 thick, conical, bone-crunching teeth that were up to 9 inches long. Its jaws were up to 4 feet long.

We hope you enjoyed these fun facts! Stay tuned for more soon!

Don’t throw those insurance benefits away!

November 30th, 2012

We would like to give those patients with flex spend, health savings, or insurance benefits a friendly end of the year reminder that it’s about that time to schedule your last dental visit of 2012 so you can optimize your benefits!

Now is the time to reserve you appointment with us. Space is limited and we get VERY busy around the holidays, so don’t wait to give us a call! Happy holidays!

Happy Thanksgiving!

November 20th, 2012

We would like to wish you a safe and happy Thanksgiving. Enjoy a day filled of friends, family, and great Thanksgiving food.

We are very thankful for all of our patients and their families. We’d like to know, what are you most thankful for this year? Leave us a comment, or if you have any stories, photos or recipes to share with us, we encourage you to share them below or on our Facebook page!

Happy Thanksgiving!

Tooth Discoloration: Common Causes and What You Can Do To Stop It

November 16th, 2012

Looking back at childhood photos, you may notice picture after picture of yourself with a mouthful of shiny white teeth. When you look in the mirror today, you wonder what happened to that beautiful smile. Many adults struggle with tooth discoloration and find it embarrassing to show off their teeth in a smile. Once you identify the cause of your tooth discoloration, there are treatment options that can restore your teeth and your confidence.

What Causes Tooth Discoloration?

There are a host of factors that may cause your teeth to discolor. Some are directly under your control, and others may not be preventable. Here is a list of common reasons that teeth become discolored.
• Genetics: Much of your dental health is determined by genetic factors beyond your control. Some people naturally have thinner enamel or discolored teeth.
• Medications: Several medications lead to tooth discoloration as a side effect. If you received the common antibiotics doxycycline or tetracycline as a child, your teeth may have discolored as a consequence. Antihistamines, high blood pressure medications, and antipsychotic drugs can also discolor teeth. If you think a medication may be leading to tooth discoloration, talk to your dentist. Never discontinue the use of a medication without consulting your doctor, however.
• Medical Conditions: Genetic conditions such as amelogenesis or dentinogenesis cause improper development of the enamel, and can lead to yellowed, discolored teeth.
• Poor Dental Hygiene: Failing to brush your teeth at least twice a day or regularly floss may lead to tooth decay and discoloration.
• Foods and Tobacco: Consumption of certain foods, including coffee, tea, wine, soda, apples, or potatoes, can cause tooth discoloration. Tobacco use also causes teeth to turn yellow or brown.
Treatments for Tooth Discoloration

There are a variety of treatments available to individuals with discolored teeth. One of the easiest ways to reduce tooth discoloration is through prevention. Avoid drinking red wine, soda, or coffee and stop using tobacco products. If you drink beverages that tend to leave stains, brush your teeth immediately or swish with water to reduce staining.
After determining the cause of tooth discoloration, our dentist can suggest other treatment options. Over-the-counter whitening agents might help, but in-office whitening treatments provided at our office would be more effective. When whitening agents do not help, bondings or veneers are among the alternative solutions for tooth discoloration.
If you are worried about your teeth becoming yellow or brown, think carefully about your diet and medication use. Talk to your dentist to identify substances that may be causing the problem. After treatment for tooth discoloration, you will have a beautiful white smile you can be proud to show off.

Teeth Grinding: Not Just a Bad Habit, But a Dental Concern

November 8th, 2012

Perhaps you don't even know you grind your teeth. Maybe a spouse or loved one woke you up in the middle of the night and made you aware of what was happening.

For many people, teeth grinding is a habit and a mechanical reflex; when they’re awakened and informed they were grinding their teeth, they have no recollection of it at all. According to the American Dental Association, this is the nightly situation for roughly ten percent of Americans. From young children to the elderly, teeth grinding, known in the dental community as bruxism, is a serious concern.

Many people who grind their teeth in their sleep have no idea they're doing it. In fact, when they wake up in the morning they feel no jaw pain and their teeth are fine: if it hadn’t been for someone telling them about it, the teeth grinding would have gone unnoticed.

There are other people, however, who wake up with jaw pain, shoulder and neck pain, and headaches. Teeth grinding can cause a host of dental complications. From cracked teeth and receding gums to a misaligned jaw, teeth grinding is not something to take lightly.

Preventive measures are the key to combating bruxism, and our office can set you on the path to a healthy and safe night sleep.

The Reasons for Teeth Grinding

There are many reasons for teeth grinding. For some people, it’s a habit they acquired when they were a child and never grew out of. On the other hand, some research claims that the condition is related to stress, anxiety, or some other type of psychiatric issue.

Still other studies point to everything from poor muscle control or over-eating before bed to gastro-esophageal issues. However, the root cause of the teeth grinding is less important than identifying preventive measures against it.

Common solutions to teeth grinding include:

• Wearing a protective nightguard
• Stress management techniques
• Medications and muscle relaxers

When you make an appointment at our office, we will assess your situation and determine what the best course of action is. Teeth grinding is a dental concern that can cause serious health issues down the road, so be sure to take preventive measures today.

Snacks for Healthy Teeth

November 2nd, 2012

Concerned parents often ask their dentist about which kinds of snacks are best for a child's teeth. While most know that candy isn't always the best choice, many parents are confused about which kinds of after-school snacks can actually be beneficial for teeth. Left to their own devices, children might pick the sugary snack that comes in colorful packaging. There are, however, choices that are much better for your child's teeth.
Go Natural
The foods that are best for your children's teeth are also the best for their overall health. Choosing whole foods, such as fruits and vegetables, is always the best option for snacks. Try sticks of celery and let your kids dip it into all-natural peanut butter, or a juicy and crunchy apple cut into wedges.
Lean Proteins
Lean protein, such as chicken breast, fish, turkey, and lean cuts of pork also make good snacking options. For the best overall health, avoid giving your child a lot of lunch meats, because such products are often higher in sodium. However, these proteins are also low in sugar, which is always a preferable choice when it comes to teeth.
Avoid Packaged Foods


Sugars are unhealthy partly because they stick more readily to the surface of the teeth. Even foods that appear to be healthy, such as many brands of granola bars, can in fact be loaded with hidden sugars. Sugar can also be found in higher concentrations in dried fruit, honey, and syrups. The rule is that if a foodstuff has been altered in any way from its original state then there are perhaps better choices.
Beverages


Drinks are another murky area. Parents often presume that fruit juices are an acceptable beverage when in reality many of them are loaded with excessive sugar as well. The best beverages for your child's teeth are water and low-fat milk. Milk has the added benefit of containing calcium, which is highly beneficial for the bone structure that supports the teeth.
An apple a day might keep the doctor away, but it is also a great snack to keep teeth healthy. The next time your children are looking for an after-school snack, guide them toward healthier, low-sugar options that are beneficial to their overall health and their teeth.

Looking for a way to stop the appearance and SPREAD of herpes simplex cold sores? Dr. Mischley's got you covered!

October 24th, 2012

Not too long ago, Dr. Mischley invested in a new tool intended to make work on soft tissue more accurate and the best possible quality. The soft tissue laser is called a Sapphire Portable Diode Laser, and we've found it has more benefits for patients than first expected, and we're absolutely thrilled to announce this new discovery.

Herpes simplex cold sores are as contagious as they are a source of embarrassment for some patients, so if you're a sufferer of the sores, you should pay special attention to what the tool can do to benefit you!

The Sapphire Portable Diode Laser can be put on "non-cutting" mode and within 2-3 90 second passes, without anesthesia, we can precent the expression of herpes simplex cold sores! What that means, is when you feel a lesion coming on -- the familiar tingling and numbness -- you should call the office and come in we can prevent the often ugly and sore lesion from coming to the service!

Even better news! It's been reported that recurrence of herpes complex cold sores takes longer, and with several treatments the herpes don't come back. So, herpes simplex cold sores cured!

We're extremely excited to share this exciting news and technology development our patients! If you suffer from herpes simplex cold sores, let our office know- we'd love to help!

Tooth Discoloration: Common Causes and What You Can Do To Stop It

October 18th, 2012

Looking back at childhood photos, you may notice picture after picture of yourself with a mouthful of shiny white teeth. When you look in the mirror today, you wonder what happened to that beautiful smile. Many adults struggle with tooth discoloration and find it embarrassing to show off their teeth in a smile. Once you identify the cause of your tooth discoloration, there are treatment options that can restore your teeth and your confidence.

What Causes Tooth Discoloration?

There are a host of factors that may cause your teeth to discolor. Some are directly under your control, and others may not be preventable. Here is a list of common reasons that teeth become discolored.

• Genetics: Much of your dental health is determined by genetic factors beyond your control. Some people naturally have thinner enamel or discolored teeth.
• Medications: Several medications lead to tooth discoloration as a side effect. If you received the common antibiotics doxycycline or tetracycline as a child, your teeth may have discolored as a consequence. Antihistamines, high blood pressure medications, and antipsychotic drugs can also discolor teeth. If you think a medication may be leading to tooth discoloration, talk to your dentist. Never discontinue the use of a medication without consulting your doctor, however.
• Medical Conditions: Genetic conditions such as amelogenesis or dentinogenesis cause improper development of the enamel, and can lead to yellowed, discolored teeth.
• Poor Dental Hygiene: Failing to brush your teeth at least twice a day or regularly floss may lead to tooth decay and discoloration.
• Foods and Tobacco: Consumption of certain foods, including coffee, tea, wine, soda, apples, or potatoes, can cause tooth discoloration. Tobacco use also causes teeth to turn yellow or brown.

Treatments for Tooth Discoloration

There are a variety of treatments available to individuals with discolored teeth. One of the easiest ways to reduce tooth discoloration is through prevention. Avoid drinking red wine, soda, or coffee and stop using tobacco products. If you drink beverages that tend to leave stains, brush your teeth immediately or swish with water to reduce staining.

After determining the cause of tooth discoloration, our dentist can suggest other treatment options. Over-the-counter whitening agents might help, but in-office whitening treatments provided at our office would be more effective. When whitening agents do not help, bondings or veneers are among the alternative solutions for tooth discoloration.

If you are worried about your teeth becoming yellow or brown, think carefully about your diet and medication use. Talk to your dentist to identify substances that may be causing the problem. After treatment for tooth discoloration, you will have a beautiful white smile you can be proud to show off.

Which Type of Mouthwash is Best?

October 11th, 2012

Taking care of your oral health involves a daily regimen of brushing, flossing, and rinsing to prevent tooth decay and bacterial infections. Though you may have asked us which toothbrush to use, few patients ask about mouthwash.

However, different mouthwashes you might choose will have varying effects on your oral health. So which type is best for you?

Gum Health
Antiseptic mouthwashes are designed to reduce the majority of bacteria on and near the gum line. Using an antiseptic mouthwash can help decrease your chances of developing gingivitis. If possible, look for a mouthwash with antibacterial or antimicrobial ingredients.

Fluoride
Fluoride is beneficial for oral health and can help prevent tooth decay. If you drink a lot of bottled water without fluoride, we may recommend that you purchase a rinse with fluoride in it.

Bad Breath
Although mouthwash is designed to prevent bacterial build-up within the mouth, many people use it to combat bad breath. Most mouthwashes will help eliminate the bacteria that cause bad breath, and some are specifically designed to do so.
However, if bad breath is a chronic problem that requires daily treatment with a mouth rinse, contact our office to discuss your symptoms.

American Dental Association Approval
The ADA reviews mouth rinses for safety and effectiveness. A mouthwash with the ADA Seal of Approval will meet strict criteria, and will have scientific evidence or clinical studies that support the claims of the manufacturer. If possible, select a mouthwash that bears the ADA Seal of Approval to ensure you are using a quality rinse.

Considerations
If you are unsure as to which mouthwash is right for you, contact our office or ask our dentist or dental hygienist at your next appointment. Also, be sure to keep mouthwash out of the reach of children, as it contains alcohol and other substances that could be harmful to them. Avoid letting children under age six use a mouth rinse, and discontinue use if you experience a burning sensation in the soft tissues of your mouth.

Dental fun facts!

October 5th, 2012

Dental fun facts from our office!
Everyone loves fun facts and dental tips. Fun, fun, fun! Dr. Mischley and our team came across these dental fun facts recently and thought you might enjoy!
• The second most common disease in the United States is cavities. The first is the common cold.
• There are almost 9,000 accidental pockings and piercings with toothpicks per year.
• X-rays may be an effective tool in preventing strokes.
• A child will have 20 baby teeth by the time he or she is 2 years old. Through childhood, kids gradually lose baby teeth and grow 32 permanent teeth, including wisdom teeth.
• According to consumer reports, dentists are among the 5 most trusted professionals in the United States.
• Approximately $2 billion a year is spent on dental products like toothpastes, mouthwashes and dental floss.
• The average American spends about 38 days brushing teeth over his or her lifetime.
• Kids in North America spend half a billion dollars per year on chewing gum.
• Approximately 94 percent of Americans say they brush nightly while only 81 percent say they brush first thing in the morning.
• Grand Rapids, MI was the first American city to fluoridate its water.
• Earliest record of a toothbrush was found in Chinese literature about 1600 AD
• The natural bristles of early toothbrushes were taken from the necks and shoulders of swine, especially pigs living in colder climates like Siberia and China.

Manual vs. Electric Toothbrushes: What’s the Difference?

September 28th, 2012

Everybody is jumping on the electric toothbrush bandwagon in recent years, with many experts in the dental field claiming electric toothbrushes provide superior dental care. It’s true that electric toothbrushes are recommended for those who can’t do a good job brushing manually or who have arthritis or other conditions. But manual toothbrushes do have some advantages, according to an article we recently found including:

• Cost. While electric toothbrushes may be expensive for many people, manual toothbrushes are both inexpensive and accessible.

• Less pressure on your teeth & gums. While we can feel the amount of pressure we’re using as we grasp our manual toothbrush, we can’t feel the pressure nearly as well with an electric toothbrush. Placing too much pressure on our teeth can wear away at the tooth enamel, which causes pain, sensitivity, as well as an increased risk of tooth decay.

• Simple to pack. Manual toothbrushes are easy to carry around for those business or family trips. People are less likely to let their good dental care habits lapse on vacation with a toothbrush that they can easily bring along!

• Better for kids. Learning at a young age how to properly use a manual toothbrush helps children get a feel for how to properly take care of their oral hygiene.

Electric toothbrushes, on the other hand, are more effective in removing plaque and are considered a better alternative to maintaining gum health. Remember, whether you choose a manual or an electric toothbrush, our team encourages you to choose one with soft bristles and be sure to change the bristles on the electric brush when they become worn down. We also encourage you to replace your toothbrush every three months, when the bristles are no longer straight and firm or after you recover from a cold.

Give our team a call if you have any questions. Or, feel free to connect with us on Facebook!

Happy brushing!

When is the Best Time to Floss?

September 21st, 2012

At Our office, we encourage our patients to practice good oral hygiene between office visits. Part of that process includes flossing, which is the process of cleaning between the teeth to remove food and debris from the areas that are hard to reach with a toothbrush. When food is allowed to remain between the teeth, it provides a breeding ground for bacteria, which can cause periodontal disease!

Should You Floss Before or After Brushing?

According to recent clinical findings, you can floss either before or after brushing, according to your own preference. By flossing first, you can brush away dislodged food debris afterward. On the other hand, brushing first allows you to loosen plaque between the teeth, making it easier to floss more effectively.

Whichever you choose, the most important goal is to floss thoroughly. That means using a fresh strand of dental floss each day, and carefully pulling it back and forth between all of the teeth. Do not skip flossing because your teeth look or feel clean.

When to Floss

Unlike brushing, you need only floss between your teeth once per day. Although you may choose to do it in the morning or afternoon, many prefer to floss at night to prevent food and debris from remaining in the crevices of the teeth overnight. This could prevent the build-up of plaque too, which is a cause of tooth decay.

Help with Flossing

If you have questions about your flossing technique or what type of floss is best for your teeth, contact our office. The staff will be more than happy to assist you in perfecting your home hygiene regimen. In most cases, you can choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine.

Cold season is here, be prepared!

September 13th, 2012

Cold and flu season is here yet again. The folks at Centers for Disease Control and Prevention say that a common cold usually includes sneezing, runny nose, sore throat and coughing. Symptoms can last for up to two weeks.

To promote a healthy and clean environment, our entire staff give a great deal of attention to sanitation and sterilization in our office at all times, as well as following all requirements for sterilizing instruments and work surfaces. For the protection of other patients and our staff, we always ask that patients reschedule their appointments if they have any type of cold or illness that can infect others.

And remember to constantly wash your hands and avoid contact with those who are ill! Stay Healthy!

The Truth Behind Six Popular Dental Myths

September 7th, 2012

Myths about dentistry and general dental care abound. These myths are passed on by word of mouth and are presented as being factual; although they are typically inaccurate. There are dangers associated with dental misconceptions. By believing in these dental myths, you are placing your oral health at risk and you may not be receiving proper dental care. Find the answers behind many popular dental myths.

Myth: It is not important for young children to care for their baby teeth.

Fact: Although baby teeth are not permanent, long-term problems with permanent teeth can develop if baby teeth are not properly cared for. The malpositioning of permanent teeth, misalignment issues, and early orthodontic treatment are just a few of the concerns related to losing baby teeth too early as a result of tooth decay. It is crucial that children learn the basics of proper oral hygiene at an early age. Doing so will help them form permanent habits that are essential for oral health.

Myth: If you are not having problems with your teeth, seeing a dentist is not necessary.

Fact: Most dental issues are not evident in the early stages. It is only when they have progressed further that you start to notice there is a problem. In most cases, only a dentist can detect when there is a problem. Scheduling an appointment in our office twice a year for regular cleanings and exams is a vital component to your dental health. In this way, dental problems can be treated early before they become a serious concern and require a more advanced form of treatment.

Myth: You should avoid brushing and flossing if your gums are bleeding.

Fact: If your gums are bleeding, it is usually a warning sign of gum disease or gingivitis. You should continue to brush and floss your teeth gently during this time since poor oral hygiene is a primary cause of bleeding gums. If the bleeding worsens or continues to be a problem, contact our office to schedule an appointment.

Myth: Chewing sugar-free gum is a good substitute for brushing your teeth.

Fact: Although chewing sugar-free gum offers the benefits of freshening your breath and minor teeth cleaning between meals, it should not be considered a substitute for brushing and flossing. Dental plaque and food particles can only be thoroughly removed by brushing and flossing.

Myth: Cavities are only a concern when you are a child.

Fact: Cavities can develop at any age. There are many situations and conditions that place both adults and elders at risk for the development of cavities. As an adult, you are more prone to developing receding gums, which can quickly result in tooth decay. Many adults and elders also take prescription medications that cause dry mouth. This can cause tooth decay as there is an insufficient amount of saliva within the mouth to wash away bacteria and neutralize acids.

Myth: Once you treat a decayed tooth, it will not become decayed again.

Fact: It is possible for other areas of the tooth to become decayed; although proper brushing and flossing will prevent the treated area of the tooth from becoming decayed again. If a filling gets old and begins to break down, there is a possibility that bacteria can become trapped inside and cause tooth decay.

Four Common Causes of Toothaches

August 31st, 2012

If you have ever suffered from a toothache, you know how excruciating the pain can be. Tooth pain is usually caused by irritation to the nerves in the roots of the teeth, although there are other potential sources of the pain as well. Fortunately, there are ways to both prevent and resolve a toothache, regardless of its cause.

 

Causes of Tooth Pain

Some of the most common causes of tooth pain include:

1) Tooth Decay – Also known as cavities, tooth decay occurs when bacteria erodes the enamel of the tooth, which can eventually expose the nerve. This is the most common cause of tooth pain.

2) Gum Disease – Also known as periodontal disease, occurs when bacteria populate along and below the gum line.

3) Injury – An injury can include a small chip or a large break in the tooth.

4) Impaction – Teeth often become impacted beneath the surface of the gums. This condition is most common in molars, such as the wisdom teeth. An impacted tooth may cause no pain at all, or it could become extremely painful if it begins to affect the nerves and teeth around it.

 

Pain Resolution

Determining the source of your pain starts with a trip to the dentist. Usually, your dentist will conduct a thorough examination that may include X-rays. If your X-rays or examination reveal tooth decay, the solution may involve a simple filling, a root canal or even a tooth extraction. Your dentist will decide which option is best for you based on how advanced the tooth decay is, as well whether an infection is present within the tooth.

If, however, gum disease is causing your tooth pain, the solution may be as simple as a root planing and scaling, followed by administration of oral or topical antibiotics to kill the bacteria causing your symptoms. If you have a cracked, chipped or broken tooth, your dentist may resolve your pain by either filling the crack, or covering the tooth with a crown designed to prevent bacteria from entering the tooth.

If your dental X-rays reveal that you have an impacted tooth, you will most likely need to have it extracted to avoid causing damage or misalignment to the other teeth. Impacted teeth can also become infected, which is why it is important to remove impacted teeth before they begin to cause problems.

 

Prevention

Although there are ways of treating a toothache, the best way to treat it is by preventing it altogether. Some causes of tooth pain are not preventable, such as an impacted tooth or a predisposition to tooth sensitivity. However, tooth decay and gum disease are easily prevented by using good hygienic practices at home and visiting your dentist for regular examinations and cleanings. By brushing your teeth twice a day and flossing, as well as wearing protective mouthguards when participating in high impact activities, you can significantly decrease your chances of developing tooth pain in the future.

A Healthy Mouth Starts With What You Eat

August 23rd, 2012

Most people know that visiting the dentist is an essential part of caring for their teeth. Regular checkups and cleanings are, of course, very important. But what some people don't realize is that good dental hygiene starts long before you get to the dentist's office. You may be saying, "I know, it starts with my toothbrush and floss." But actually, oral health begins even before that. A healthy smile starts at your grocery store.

Dental checkups can detect problems early on and address them, but only good nutrition can give your teeth and gums the healthy foundation they need. If your diet is rich in tooth-friendly nutrients, you will be less prone to gum disease, tooth decay, and even jawbone loss.

So, which nutrients are the most important? Here are a few tooth-building superstars.

Calcium:
We all know that calcium builds strong bones and teeth. Most expectant mothers are even aware that the calcium-rich foods they eat during pregnancy will ensure that their babies develop strong, healthy teeth later on. But did you know that calcium is important to your teeth long into adulthood?

On its "Milk Matters" page, the National Institutes of Health tells us that calcium can protect teeth against decay. Furthermore, a 2001 study published by the US National Library of Medicine found that elderly people who had adequate amounts of calcium in their diets were more likely to retain their teeth as they aged.

Good sources of calcium include yogurt, cheeses, milk, and leafy green vegetables. If you can't get an enough calcium from your diet alone, talk to your doctor about adding a calcium supplement.

Vitamin D:
Vitamin D is sometimes called the sunshine vitamin because your skin can synthesize it during exposure to sunlight. Vitamin D could also be called the healthy smile vitamin. It not only helps your teeth, but it also keeps your gums healthy. Another study published by the National Library of Medicine has shown a connection between low levels of dietary vitamin D and gingivitis. People in the study who had more of the vitamin in their diets had healthier gums.

While most of us get plenty of vitamin D from sun exposure, people who live farther from the equator may need to take a supplement during the winter months.

Vitamin C:
Long ago, British sailors were called "Limeys" because their superiors made them eat limes on long ocean voyages. Why? Because limes are rich in vitamin C and without it, the sailors got scurvy and often lost their teeth. While there's little danger of developing scurvy today, a study in the year 2000 of people who ranged in age from 20 to 90, showed that vitamin C is still necessary for healthy gums. People in the study who had the lowest dietary intake of this essential vitamin were at the highest risk of gum disease.

Vitamin C is perhaps the easiest of vitamins to get from your diet. Rich sources include strawberries, apricots, oranges, lemons and, of course, limes. Red and yellow peppers also have lots of vitamin C, as do tomatoes and brussel sprouts.
Never put off regular dental checkups and cleanings, but in between appointments, watch your diet. Making sure these essential nutrients are a part of your daily intake will ensure that your teeth and gums are as healthy as they can be.

Fun Ways to Encourage Children to Brush Their Teeth

August 16th, 2012

It's that dreaded time of day for many parents — the nighttime routine. As kids whine and stomp up the stairs as you send them off for pajamas and bedtime, you face the daunting task once again of trying to get your children to brush their teeth. While this is certainly a chore for many parents across the country, the following are several tips you can use in order to make brushing teeth a fun, enjoyable time.

1. Give them exciting toothbrushes
By buying your children special toothbrushes in their favorite colors, or decorated with their favorite TV characters, they will see their toothbrush as more of a toy than a tool. By keeping things fresh and fun, children will be excited to use their toothbrush since it represents a little bit of who they are and what they enjoy.

2. Make a rewards chart
For each night your children willingly — and without argument — brush their teeth, give them a sticker. After a week of stickers, give them a special reward.

3. Keep it fresh with different toothpaste
While adults may not care too much what flavor their toothpaste is, children are a different story. Be sure to purchase flavored toothpaste that kids will enjoy. Mint is always a good option, but many toothpaste companies create other flavors as well, including fruit flavored toothpastes and even bubble gum toothpaste.

4. Buy a fun flossing tool
Flossing is an essential part of good oral hygiene, especially for children. Encourage this habit along with tooth brushing by purchasing a fun flossing tool. These colorful contraptions get children excited about flossing their teeth, and if you find that they prefer flossing to brushing tell them that the only way they can floss, is if they brush their teeth first.

Instead of making children feel like brushing their teeth is something to be dreaded, parents can make this ritual a lot more fun and exciting using these tips. According to Parenting Squad, the more fun parents make this routine, the more children will be encouraged to brush their teeth. We all know that a healthy mouth and healthy child begin with healthy teeth — so getting kids in the good habit of brushing often is essential in the long run.

Sensitive Teeth? Try Changing Your Toothpaste

August 7th, 2012

If you have noticed that your teeth are starting to feel more sensitive than usual, you might initially avoid foods and drinks that seem to cause discomfort. For example, you feel some dental pain when you drink a hot cup of coffee in the morning or while chewing on a cold apple. While it’s a normal reaction to avoid foods or drinks that lead to pain or discomfort, it’s better to determine the cause of the problem and take steps to improve the health and quality of your teeth.

Causes of Tooth Sensitivity

- If only a single tooth is sensitive, it could be caused by a cavity. In other cases, the tooth might be cracked. These situations require care from a trained dental professional. You may need to get a filling, a new crown, or a root canal to reduce the tooth sensitivity.

- If many or all of your teeth are sensitive, you may have recently begun consuming increasingly larger amounts of foods or drinks that are high in acid. The acid dissolves the protective enamel of your teeth, exposing the dentin. The tooth’s dentin is sensitive to heat and cold as well as sticky or acidic foods that can trigger pain.

- Teeth whitening treatments can also cause tooth sensitivity.

- Increased stress in your life also can indirectly lead to tooth sensitivity. High stress can cause you to grind your teeth while you sleep. If you suffer from teeth grinding, also known as bruxism, one treatment option may be a special night guard appliance to wear while you sleep.

- Weather changes are another factor to consider. If it starts getting cold suddenly, the cool air you breathe in may trigger teeth pain, especially when enamel has been eroded from your teeth.

Reducing Tooth Sensitivity

- Avoid consuming foods and drinks that are high in acid. For example, citrus fruits and their juices can wear down your teeth’s enamel over time. Taper down your consumption to minimize teeth erosion. Try using a straw when drinking acidic juices in order to minimize their contact with your teeth. Rinse your mouth with water after consuming acidic foods and drinks.

- Start brushing your teeth with the softest available toothbrush. Use gentle motions to brush your teeth to minimize abrading their surfaces.

- You may be interested in switching to a new toothpaste to help you with the discomfort. Select a toothpaste formulated for sensitive teeth. You can find a variety of brands at your local pharmacy or supermarket. Follow the manufacturer’s instructions, particularly paying attention to how long you can use the product. If your teeth are still sensitive after using the special toothpaste, you should contact our office so we can rule out a more serious underlying problem.

What is Gingivitis?

August 1st, 2012

Gingivitis is a type of periodontal disease in which only your gums are affected. Gingivitis, according to the American Dental Association (ADA), is a milder and often reversible type of periodontal disease. However, it can lead to periodontitis -- a more destructive and serious disease -- if proper professional treatment and home care aren't put into place. No tissue damage or irreversible bone damage is present in the gingivitis stage of periodontal disease.

Many people with gingivitis won't experience any discomfort, particularly in its early stage. However, as the bacteria in plaque builds up, it can cause your gums to become inflamed, which may make them red and swollen. You may also experience blood when brushing your teeth, indicates the American Academy of Periodontology.

Causes of Gingivitis

The most common cause of gingivitis occurs when plaque builds up due to inadequate oral hygiene.

Other less common causes of gingivitis include:
* diabetes
* aging
* smoking
* improper nutrition
* hormonal fluctuation
* stress
* pregnancy
* substance abuse
* certain medications
* genetic predisposition

Up to 30 percent of people in the United States may be susceptible genetically to gum disease or are six times more prone to developing gum disease, according to the American Academy of Periodontology. Therefore, if one of your family members has gum disease, it may indicate that you have a higher risk of developing the condition as well. If you are one of these people who are more susceptible to developing gum disease, your dentist may recommend more frequent cleanings, check-ups, cleanings, and treatments.

Implications of Gingivitis
If gingivitis is left untreated, it can progress to periodontitis. In periodontitis, the bone and inside layer of your gum pulls away from your teeth, allowing small pockets to form. These small pockets are danger zones because they allow bacteria to collect, and can they can then become infected. As periodontitis progresses, these pockets deepen, resulting in even more bone loss and gum tissue damage. Eventually, teeth that were once anchored in place become loose. Tooth loss often follows.

Treatment of Gingivitis
In practically all cases, gingivitis can be reversed, according to the Cleveland Clinic. Treatment includes proper control of plaque, which consists of having a professional teeth cleaning, at least two times a year. It also includes daily teeth brushing, which will eliminate plaque from the surfaces of your teeth. You should also floss daily to remove plaque and food particles from in between your teeth.

Lifestyle and health changes may help decrease the risk of developing gingivitis or reduce its severity or progression. These lifestyle changes include stopping smoking, decreasing your stress, eating a well-balanced diet, and avoiding grinding and clenching of your teeth.

Does Oral Health Affect Your Heart?

July 26th, 2012

Brushing your teeth every day keeps them cleaner, improves your breath, and reduces plaque buildup. But did you know that there may be a connection between your dental health and chronic illness? Some scientific evidence suggests that poor dental health may be linked to cardiovascular disease. Although more research is needed to explore this association, it provides yet another reason to brush your teeth twice per day, floss daily, and visit your dentist regularly.

Over 2,400 people die from cardiovascular disease each day, making it an immense public health problem. Cardiovascular disease occurs when arteries become harder, making it more difficult for blood to easily pass through your circulatory system. Plaques also build up in your blood vessels, further restricting blood flow. Periodontal disease, also known as gum disease, affects nearly 75% of the U.S. population, according to the American Academy of Periodontology. It is a chronic inflammatory condition that can cause bone and gum tissue to deteriorate, causing bad breath, swollen or bleeding gums, sensitive teeth, and loose teeth.

If periodontal disease affects your teeth and cardiovascular disease affects your heart, what’s the connection between the two? Scientists have known for years that the two conditions share several risk factors. Increasing age, cigarette smoking, and type 2 diabetes increase your risk of developing both periodontal disease and cardiovascular disease. None of these risk factors, however, explain the causal mechanism connecting the two conditions.

According to a 2009 review article by the editors of the American Journal of Cardiology and the Journal of Periodontology, one possible explanation is inflammation. Moderate to severe periodontal disease triggers chronic systemic inflammation, affecting not only your mouth but also your circulatory system, leading to cardiovascular disease. Another hypothesis is that bacteria from your mouth can cause heart disease. People with periodontal disease have billions of bacteria and other microorganisms teeming in their mouths. Chewing food and brushing your teeth release these bacteria into the bloodstream. The Harvard Heart Letter reports that the types of bacteria that cause periodontitis have been associated with plaque buildup in your arteries.

Not all scientific findings have shown a relationship between the two conditions. In April 2012, the American Heart Association published a scientific statement in the journal Circulation denying that gum disease causes heart attacks or stroke. The American Dental Association’s Council on Scientific Affairs and the World Heart Federation also endorsed the statement, agreeing that there is no conclusive evidence that the conditions are related. More scientific research needs to be performed to determine the exact relationship between periodontal disease and cardiovascular disease.

Although the scientific evidence has been mixed, periodontal disease can be very harmful to your health even if it does not lead to cardiovascular disease. It is important to reduce your risk of gum disease by careful tooth brushing, frequent flossing, and regular trips to the dentist.

What, exactly, is a root canal?

July 16th, 2012

Our team knows one thing no patient likes hearing when visiting our office is “root canal.” But what, exactly, is a root canal, and when might you need one?

A root canal is a treatment uses to repair and save a tooth that is infected or badly decayed to the point where the nerve is involved. In the past, if a patient had a tooth with a diseased nerve, dentists in most cases would recommend an extraction. Today, however, with a procedure called root canal therapy, available at our office, you may save that tooth—and your beautiful smile—after all!

Here are some symptoms that indicate a decayed or infected tooth, courtesy of WebMD:
• Severe toothache pain upon chewing, biting or application of pressure
• One tooth consistently more sensitive to hot or cold than other teeth
• Pain that hurts without any stimulus, keeps you awake or wakes you up at night
• A tooth that feels loose
• Discoloration (a darkening) of the tooth
• Pain that persists weeks following a filling or replacement of a filling
• Chronic pain and/or pressure that may extend to the ear, eye or neck

If any of these symptoms apply to you, we recommend you schedule an appointment with us right away.

The best way to avoid a root canal is to practice good oral hygiene at home, and that includes brushing at least twice a day and flossing to reduce plaque and bacteria. For more tips on how to avoid root canal therapy or for general questions about your dental treatment, we invite you to ask us during your next visit to our office! We also invite you to ask us on Facebook!

If I have braces, do I still need a dental checkup every 6 months?

July 10th, 2012

Thanks for the question! Yes! In fact, it's even more important that patients receiving orthodontic treatment visit our office regularly. When you're wearing braces, food may be caught in places that your toothbrush normally can't reach. This causes bacteria to build up and can lead to cavities, gingivitis and even gum disease. Believe it or not, an estimated 80 percent of American adults currently have some form of gum disease. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Our team will work closely with your orthodontist to make sure that your teeth stay clean and healthy while you're undergoing orthodontic treatment.


If it has been more than six months since your last visit to our office, please give us a call! We look forward to your next visit!


Independence Day Facts, Tips, and Party invitations!

July 2nd, 2012



It’s hard to believe, but July is already here and half of 2012 has already passed! As July 4th approaches, our team thought it would be fun to share some facts and safety tips for celebrating our country’s independence day.

Fun Facts:
• Betsy Ross, according to legend, sewed the first American flag in May or June 1776, as commissioned by the Congressional Committee.
• The major objection to being ruled by Britain was taxation without representation. The colonists had no say in the decisions of English Parliament.
• The word ‘patriotism’ comes from the Latin patria, which means ‘homeland’ or ‘fatherland.’
• The first public Fourth of July event at the White House occurred in 1804.
• And what could be more fitting than spending the day in a place called “America”? There are five such places in the country, with the most populous being American Fork, Utah, with 21,941 residents. Check out American Fact Finder.

Safety Tips:
• Avoid buying fireworks that are packaged in brown paper because this is often a sign that the fireworks were made for professional displays and that they could pose a danger to consumers.
• Keep a bucket of water or a garden hose handy in case of fire or other mishap.
• Never carry fireworks in a pocket or shoot them off in metal or glass containers.
• To prevent a trash fire, be sure to douse the spent fireworks with plenty of water from a bucket or hose after fireworks complete their burning and before discarding them.
• Make sure fireworks are legal before buying or using them.

What are your plans this 4th of July? Share them with us! We’d love to hear what you and the rest of the community will be doing to celebrate! (Don’t forget to make sure there are no restrictions on fireworks! Check out this link to see if fireworks might be an issue for you this year.)

Also, check out these 4th of July party invitations, eGreeting cards, and delicious recipes!

July 4th eCard invitations!

Happy Independence Day eCards

Independence Day Recipes

Photo by shawnajean
Photo by shawnajean

Understanding cavities

June 26th, 2012

One word nobody wants to hear when they visit the dentist is Cavity! That’s right, the dreaded cavity; but what exactly is a cavity and how do you get one? A cavity is a hole that develops in a tooth when the tooth begins to decay. It’s important to get a cavity filled as soon as it’s detected so that it does not grow bigger.

So, what causes a cavity? A cavity is caused by plaque, a sticky substance that forms on the tooth as a result of germ and bacteria build-up. Plaque is acidic and as it clings to your teeth the acids eat away the outside of the tooth (also called the enamel) and a hole is formed.

Yes, cavities can be repaired by your dentist, but here are a few simple steps you can take to prevent cavities:

•Brush your teeth with fluoride toothpaste at least twice daily

•Gently brush your gums to keep them healthy (when choosing a toothbrush it is recommended to use soft bristles)

•Floss your teeth at least once a day to remove plaque and food that may be caught between the teeth where your toothbrush can’t reach

•Limit the amount of soda and sugary treats you eat/drink

•Be sure to visit your dentist every six months for a teeth cleaning and check-up

Are dental implants right for you?

June 18th, 2012

If you have missing teeth, it is crucial to replace them. Without all your teeth, chewing and eating can destabilize your bite and cause you discomfort. Dental implants are a great option for replacing missing or badly diseased teeth. A dental implant offers comfort, support, stability, and is as close to a natural tooth that a restoration can be.

There are many benefits to dental implants:

• Dental implants restore your ability to chew food properly.
• They fill out a face that may otherwise look sunken in because of missing teeth.
• They don’t need to be removed for overnight cleaning and soaking.
• No adhesives are needed.
• You’ll feel more confident to show off your smile to the world.
• Each implant is created to fit in perfectly with the look of the rest of your teeth.

Dental implants would be an appropriate treatment for you if you’re in good health, have healthy gums, and have enough bone structure to support an implant. A simple visit with our office will reveal if a dental implant is the best option to restore your smile to its absolute best.

Bad Breath is No Good

June 12th, 2012

Bad breath, also called halitosis, can result from poor dental health habits and may be a sign of other health problems. Bad breath can also be made worse by the types of foods you eat and other unhealthy lifestyle habits. You may not even be aware of your own bad breath, so if you’re concerned you may be suffering from it, talk to our team. We can help identify the cause and, if it’s due to an oral condition, develop a treatment plan to treat it.

There are many reasons for bad breath:

• What you eat can also affect the way your breath smells. Certain foods, such as garlic and onions, can have a very strong and lasting odor.

• If you don't brush and floss daily, particles of food remain in the mouth, collecting bacteria, which can cause bad breath, not to mention tooth decay and gingivitis.

• Bad breath can be caused by dry mouth (xerostomia), which occurs when the flow of saliva decreases. Saliva is necessary to cleanse the mouth and remove particles that may cause odor.

• Tobacco products cause bad breath. If you use tobacco, ask us for tips on kicking the habit.

• Bad breath may be the sign of a medical disorder, such as a local infection in the respiratory tract, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment. If this is the case, you may be referred to your family doctor or a specialist to determine the cause.

The good news is there are many ways to help eliminate bad breath from your life. Maintaining good oral health is essential to reducing bad breath, so schedule regular dental visits with our office for a professional cleaning and checkup. Brush twice a day with fluoride toothpaste to remove food debris and plaque, and don’t forget to brush your tongue, too!

Smile! June is National Smile Month!

June 7th, 2012


Can you believe it’s already June? Today, our team thought we’d tell you June is National Smile Month, and a good time to remind all our patients to practice good oral hygiene between your visits to our office!
Below are a few simple steps you can take to improve your oral health so that you may celebrate National Smile Month for many, many years to come:
* Brush at least twice a day with fluoride toothpaste.
* Floss everyday to clean between your teeth.
* Reduce your intake of sugary foods and drinks
* Visit us regularly!
If you have questions about any of these tips, we encourage you to give us a call, ask our team during your next visit or ask us on Facebook!

Summer is just around the corner!

May 31st, 2012

Now that summer is just around the corner, we know you all are starting to make big plans for vacations and trips! The summer months can be a busy time for a lot of our patients, and we know how hectic your lives can be! Just be sure to remember keep up with your dental health care and your appointments with our practice!

During the summer, there are also a lot of foods and beverages that we all love to enjoy, but often these treats can damage our teeth. Sugary foods and drinks can be harmful to your dental health, so stay diligent by brushing at least three times a day and flossing at least once!

We look forward to hearing all about your plans for the summer, and be sure to take lots of pictures that you can share with us on Facebook! Stay safe, have fun, and brush and floss your teeth!

Dr. Mischley and team, wishing you a relaxing and memorable Memorial Day weekend

May 24th, 2012


Memorial Day weekend is a time when Americans everywhere stop and remember all those men and women who bravely gave their lives for our country.

Memorial Day also marks the unofficial start of summer 2012 and getting out of town for three days after being cooped up in the office or in the classroom means sweet, sweet relief for many folks. We also know Memorial Day weekend is ripe for travel. After all, it’s a season of vacations, adventures and great memories.

What are you up to this Memorial Day weekend? Whether you are headed to a barbecue, a camping trip, hitting the great open roads or hanging out in your backyard this weekend, we want to know about it!

Wherever your long weekend takes you, we hope you all have a nice and relaxing Memorial Day!

When Was Your Last Dental Cleaning?

May 18th, 2012

You water the garden three times a week, you change your car's oil every three months, and you replace the batteries in your smoke detectors once a year. Your teeth need to see your dentist on a regular schedule, too.
While daily oral hygiene habits are essential to good oral health, professional dental cleanings at our office ensure your teeth are treated to a deeper level of cleaning. We recommend for most of our patients to have a checkup at least every six months. In addition to a thorough cleaning and polishing of your teeth, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.
If you are predisposed to oral diseases, you may need to visit our office more often than every six months. Factors at play in these diseases include age, pregnancy, tobacco use, medical conditions (such as diabetes, dry mouth, or HIV infection), along with how well you take care of your teeth on a daily basis.
Make sure your teeth get the professional attention they deserve – If you’re overdue for your next cleaning, check with our office to schedule an appointment!

Patient question: “What should I expect during my first visit?”

May 9th, 2012


Thanks for the question! Your first visit typically includes an x-ray that allows us to view the structure of the jaw, the position of any teeth that have not yet erupted, malformed roots, and tooth decay.

The initial visit also involves getting your medical history. When you share your medical history with us, be sure to provide complete, up-to-date information on your health. Please let us know if you have experienced recent hospitalization or surgery, or if you have recently been ill. Also tell us the names, doses, and frequency of any medications you are taking — whether prescription or over-the-counter products — and the name of your physician. Please also let us know about any changes in your health or medications. This information will us select the most safe and effective method of treatment path for you.

Have any more questions about your first visit? Please give us a call!

May is National Teen Self-Esteem Month!

May 4th, 2012


Our practice knows that image can be everything. May happens to be National Teen Self-Esteem Month, and during this time, parents are encouraged to act as positive role models, help stop negative self-images, and improve confidence and security among teenagers.

We know one of the great ways to improve your confidence is to improve your smile. And that begins with a visit to our office. Has your child visited our office in the past six months for his or her regular check-up? We invite you to give us a call to book your appointment!

See you soon!

Doing Our Part to Help the Planet!

April 27th, 2012

We are living in an age with a renewed commitment to conservation, and are frequently reminded to recycle, reduce and reuse. Last Sunday marked Earth Day, so today we thought we would discuss some of the things we do to conserve our natural resources and the environment.

Our office is digitalized, which means we can operate without the use of large amounts of paper and printing materials. The information in our office can be sent and processed digitally, which is also more efficient. We take all of the steps possible to be a 'green' office, making us better for the planet and more convenient for our patients.

We would love to hear how you minimize your impact on the environment. Leave us a comment below or post on our Facebook page!

If I use fluoride toothpaste and the water in my area is fluoridated, do I still need additional fluoride?

April 19th, 2012


Cities have been adjusting the fluoride levels in water since 1964. Since that time, fluoridation has dramatically improved the oral health of tens of millions of Americans. Community water fluoridation is the single most effective public health measure to prevent tooth decay, but you may not be drinking as much fluoridated water as you may think. If bottled or home-purified water is your main source for drinking water, you may be missing out on this extremely safe and effective mineral that prevents tooth decay.

Of course, using toothpaste with the ADA Seal of Approval is a good source of fluoride, but optimal levels of absorption can only be achieved if you use it as directed: brushing twice a day for two to three minutes each time.

At our office, you can receive professionally applied topical fluoride during your next dental checkup. This is extremely important for people who are at high risk for tooth decay, including children, people with less than perfect oral hygiene, people undergoing orthodontic treatment, and people with weakened enamel due to lifestyle choices or genetic factors. If you have any questions regarding fluoride, please feel free to ask us at the office. We want you to have the healthiest smile possible.

Spring is here! Do we have your current contact info?

April 13th, 2012


Spring is in the air! As you probably know, you can always connect with us on our Facebook page, but we invite you to please contact our office with any updates to phone numbers and addresses, so that we may be able to reach you.

We also encourage you to call us and let us know if you have any new phone numbers or if your contact information has changed!

Thank you! Have a great week!

April is Oral Cancer Awareness Month

April 6th, 2012

Visiting our office regularly will not only help keep your teeth and mouth healthy, but will also help keep the rest of your body healthy. The fact is, every hour of every day in the U.S., someone dies of oral cancer, which is the sixth-most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved. Since April is Oral Cancer Awareness Month, we would like to take this opportunity to remind all of our patients about the importance of maintaining good oral hygiene.


We are trained to diagnose, treat, and prevent oral health problems. Please let us now if you have any questions about your oral health during your next appointment. Take care of your teeth!

Bad Breath is No Good

March 29th, 2012

Bad breath, also called halitosis, can result from poor dental health habits and may be a sign of other health problems. Bad breath can also be made worse by the types of foods you eat and other unhealthy lifestyle habits. You may not even be aware of your own bad breath, so if you’re concerned you may be suffering from it, talk to our team. We can help identify the cause and, if it’s due to an oral condition, develop a treatment plan to treat it.

There are many reasons for bad breath:
• What you eat can also affect the way your breath smells. Certain foods, such as garlic and onions, can have a very strong and lasting odor.
• If you don't brush and floss daily, particles of food remain in the mouth, collecting bacteria, which can cause bad breath, not to mention tooth decay and gingivitis.
• Bad breath can be caused by dry mouth (xerostomia), which occurs when the flow of saliva decreases. Saliva is necessary to cleanse the mouth and remove particles that may cause odor.
• Tobacco products cause bad breath. If you use tobacco, ask us for tips on kicking the habit.
• Bad breath may be the sign of a medical disorder, such as a local infection in the respiratory tract, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment. If this is the case, you may be referred to your family doctor or a specialist to determine the cause.

The good news is there are many ways to help eliminate bad breath from your life. Maintaining good oral health is essential to reducing bad breath, so schedule regular dental visits with our office for a professional cleaning and checkup. Brush twice a day with fluoride toothpaste to remove food debris and plaque, and don’t forget to brush your tongue, too!

The Scoop on Dental X-rays

March 22nd, 2012

Dental X-rays are an essential and invaluable tool to help assist us in evaluating your oral health. With X-rays, we can see what’s happening beneath the surface of your teeth and gums and identify oral health issues otherwise hidden during a visual exam, including:

• small areas of decay between the teeth or below existing restorations (fillings)
• infections in the bone
• periodontal (gum) disease
• abscesses or cysts
• developmental abnormalities
• types of tumors

If left untreated, these problems can lead to expensive, time-consuming, and painful conditions, so it’s important to find and treat them early.
Dental X-rays are extremely safe, and our team is certified in the proper use of our digital X-ray equipment. The amount of radiation that you are exposed to from dental X-rays is very small compared to your daily exposure from things like atmospheric radiation and naturally-occurring radioactive elements, as well as medical X-rays you may have gotten at your doctor’s office or hospital. In fact our digital system dramatically decreases the already minimal amount of exposure even further. We try to be as conservative as possible when prescribing x-rays but do need them to see what is going on where our eyes can't see.

Connect with us on Facebook!

March 13th, 2012


We’ve rolled out our new Facebook Timeline page and would love for you to check it out! You’ll find all the useful information that was there before, but now in a fun, new layout. When you connect with us on Facebook, you’ll be able to check out photos of our office, find out about new events and contests, or you can even leave a note about how much you enjoyed your visit at our office. We love hearing your feedback to make our practice serve you and your family even better. To make life even easier, if you “Like” us on Facebook, you’ll automatically receive updates from our office right on your own news feed!

See you on Facebook!

March is National Nutrition Month!

March 8th, 2012

March has arrived, and that can only mean one thing: it’s National Nutrition Month. Every March, Dr. Kevin Mischley and thousands of dentists and hygienists celebrate this occasion, and this year is no different. This March, Dr. Mischley and our team want you to think diabetes, obesity and periodontal disease, and how healthful eating and physical activity may improve periodontal health.

Small changes really can make a big difference, and the American Dietetic Association (ADA) has some advice on ways to start improving your diet this March:

Focus on fruits and vegetables: Add a serving each day to one meal and increase it every few weeks. Adding more of these foods into your diet is important whether you buy frozen, fresh or organic.
Think fresh, think local: From farmer’s markets to community-supported agriculture, you have many options to find new, fresh foods in Walpole, MA.
Make each and every calorie count: When you are choosing between options, focus instead on the one with more of the vitamins and nutrients that you need. Sometimes, foods with fewer calories aren’t always the healthiest options.
It’s tempting, but…: If you have a sweet tooth, have fruit and yogurt for dessert. If you crave a snack in the afternoon, enjoy some trail mix or nuts.
Expand your horizons: Try a fish you’ve never eaten before or find a new vegetable recipe. By testing yourself, you might find new healthy favorites to add to your regular grocery list.

If you have additional questions about periodontal disease or keeping yourself and your mouth healthy, please give us a call!

Link: http://www.eatright.org/nnm/

The Clear Benefits of Invisalign

March 2nd, 2012

Invisalign clear aligners can be a great option for improving the look of your smile. At Dr. Kevin Mischley's office, we have lots of experience using this technology to give our patients the straight, beautiful smile they’ve always wanted. Plus, because it’s so convenient, Invisalign won’t interfere with your daily life.

• Invisalign aligners are clear, discrete and effective at moving your teeth into their ideal positions.
• You don’t need to change your eating habits, because your aligners can be easily removed.
• Invisalign aligners are made of comfortable, smooth plastic, so you don’t have to worry about taking care of metal brackets.
• Invisalign aligners make daily oral hygiene easier, reducing the risk of possible problems.
• Invisalign treatment is covered by most insurance providers, just like traditional braces.

A straight smile makes you look great, but it also can help you keep the rest of your mouth healthy. Correctly aligned teeth can decrease health issues that can be caused by an improper bite, speech or chewing difficulties, jaw problems, and increased wear on the tooth enamel.

Invisalign can be used by teens and adults, so whether you want to improve your own smile or need more information about your teen’s orthodontic options, contact our office to learn more.

Cavities – Not Just Kids’ Stuff

February 23rd, 2012

Cavities occur as a result of the destruction of tooth structure, called tooth decay. Tooth decay can affect both the enamel (the outer coating of the tooth) and the dentin (the inner layer of the tooth). While it is very important to brush and floss every day to remove food particles and plaque, regular cleanings and checkups at Dr. Kevin Mischley's office is the best way to help avoid cavities.

Dr. Mischley can discover cavities during your regular dental checkup. The tooth surface feels soft when probed with a dental instrument. X-rays can also show cavities before they become visible to the eye. In advanced stages of tooth decay, you might experience a toothache, especially after consuming sweet, hot, or cold foods or drinks. Other signs of tooth decay are visible pits or holes in the teeth.

Don’t wait for a toothache!

Remember, the longer you wait to treat a cavity, the more extensive your treatment will be. A small cavity can be treated with a filling, while a large cavity that weakens the structure of your tooth may require a crown. If the decay is so bad that it causes the nerve or pulp of the tooth to die, a root canal or tooth removal may be your only options. If you think you may have a cavity, contact our office and schedule an appointment. We’ll make sure you leave with a healthy, pain-free smile!

My teeth feel fine. Do I still need to see a dentist?

February 16th, 2012

Simply put, yes! Visiting the dentist on a regular basis is essential to keeping your smile in top-top shape. At Dr. Kevin Mischley's office, we offer a number of preventive services to ensure the health of your mouth and the beauty of your teeth. We’d like to think that your smile is just as important to us as it is to you!

Another good reason to visit Dr. Mischley every six months is to check for “hidden” problems you may not even realize you have. Tiny cavities can form in the hard-to-reach areas of your teeth and may only be found through a professional exam. If left untreated, these cavities can get worse, needing more extensive treatment, and costing you even more time and money. During your routine exam, your hygienist will also check to make sure your fillings or other dental restorations are in good shape.

If it has been more than six months since your last visit to our Walpole, MA office, please give us a call! We look forward to your next visit!

February is National Children’s Dental Health Month, from Dr. Mischley

February 9th, 2012

With February being National Children's Dental Health Month, our team at Dr. Kevin Mischley's office thought we'd share a few good oral hygiene tips with our patients, courtesy of the American Dental Association, or ADA.

Teeth brushing techniques: It takes only two minutes to properly brush, using short, gentle strokes and devoting extra attention to the gumline, areas around fillings and hard-to-reach areas such as the back teeth.
Flossing: hold the floss snugly between thumbs and index finger and place between each of the teeth, making sure to go beneath the gumline and curving the floss around the base of each tooth.
Snack wisely: choose healthy snacks such as vegetables, fruits and cheese and avoid sticky, chewy candies that can stick to the teeth. If you eat these snacks, make sure to brush after doing so.
Carbonated or sugary drinks: these beverages create acids that can damage the teeth when mixed with saliva, so they should be avoided altogether. When drinking one of these beverages, avoid sipping on it throughout the day. Rather, have a drink and then brush your teeth.
Regular dental visits: You should visit us regularly (approximately every six months).

National Children's Dental Health Month, now in its 62nd year, aims to increase awareness about the importance of kids' oral health. If you have any questions about keeping your mouth healthy, or about your treatment with Dr. Mischley's office, please feel free to give us a call!

From Dr. Mischley: Don't forget to rinse, rinse, rinse!

February 1st, 2012

Each February, Dr. Kevin Mischley and thousands of dental professionals focus on the preventive oral care of America’s children. Our office often emphasizes the importance of simple rinsing of the mouth. Warm, comfortable water can be swished around the mouth a few times to effectively loosen any food that is caught in hard to reach areas of the mouth. This is especially important after brushing and flossing before bed to remove excess food from the mouth. Otherwise, you may loosen the food from one area of the mouth just to deposit it in another where it can do damage. If a patient wants to use Scope or Listerine that can also be effective, although it isn’t necessary in all honesty.

In addition, Dr. Mischley is a big proponent of the Waterpik and other devices that create a steady stream of water, which can be used similarly to that of floss. The difference is that these devices are better used in areas with larger spaces where even floss is not effective unless used perfectly. In this situation, floss may be too small or may push food debris to the side rather than removing it. Dr. Mischley often compares the use of a Waterpik as similar to washing the sidewalk off with a garden hose. These devices are particularly great for periodontal patients who tend to have larger spaces at the gum line between teeth (embrasures). A tooth brush is unable to reach these spaces. A rubber tip, for example, is an excellent adjunct. A proxybrush (shaped like a Christmas tree) is designed to get into these larger areas, and works similar to a pipe cleaner.

For those patients who just cannot seem to brush at least twice a day, we strongly recommend brushing in the evening before bed The reason is simple. Salivary flow, which is natures natural cavity fighter, decreases at night. The result is a lower pH level, which provides anything left on the teeth with a better environment to do damage within. When we encounter a patient who refuses to brush no more than once a day (despite our recommendations), Dr. Mischley will urge them to brush at night.

We now offer wi-fi internet!

January 30th, 2012

Dr. Mischley is pleased to announce that our office now has free high-speed wireless internet! If you have a laptop/notebook computer or portable device such as an iPod Touch, iPhone, PDA or cellular telephone equipped to receive wireless internet signals, you can use the internet, browse the web, send email etc. while in our office.

We look forward to seeing you at your next appointment!

-Dr. Mischley and team

Ask Dr. Mischley: If I have braces, do I still need a dental checkup every 6 months?

January 26th, 2012

Thanks for the question! Yes! In fact, it's even more important that patients receiving orthodontic treatment visit our office regularly. When you're wearing braces, food may be caught in places that your toothbrush normally can't reach. This causes bacteria to build up and can lead to cavities, gingivitis and even gum disease. Believe it or not, an estimated 80 percent of American adults currently have some form of gum disease. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Our staff at Dr. Kevin Mischley's office will work closely with your orthodontist to make sure that your teeth stay clean and healthy while you're undergoing orthodontic treatment.

If it has been more than six months since your last visit to our Walpole, MA office, please give us a call! We look forward to your next visit!

Thanks to Invisalign, you can have a perfect smile without metal wires or brackets!

January 17th, 2012

At Dr. Kevin Mischley's office, we know image is everything. For many people, the thought of having metal brackets and wires attached to their teeth for two or more years may be more than enough to delay orthodontic treatment.

If you’ve been considering straightening your teeth but are apprehensive about metal wires and brackets getting in the way of your smile, Invisalign treatment at Dr. Mischley's office may be a great solution. Invisalign, which straightens teeth through a series of clear, custom-fit removable aligners, does so in a way that is discreet and hardly noticeable.

If you have questions about Invisalign, or would like to find out if you are a candidate for Invisalign treatment at our office, please give us a call to schedule a consultation with Dr. Mischley.

From Dr. Kevin P. Mischley: Going paperless and some new changes for 2012!

January 9th, 2012

The next time you visit Dr. Kevin Mischley you may be asked to fill out paperwork on our new iPad registration station!

This completes more than a year's worth of work, ensuring a smooth transition to a 'paperless office.' In addition, we have opened up our WiFi in the office to our patients in the wait room area. Be sure to look for the password posted in the room.

Dr. Mischley also wanted to let patients know he has purchased a second dental practice from Dr. Rogol in Walpole. Dr. Rogol has practiced in the community for over 30 years and will be staying on for two days a week to help transition his patients. Dr. Rogol's staff will remain at the practice.

We look forward to a fun and busy 2012 with you!

Have you had a check-up lately?

January 5th, 2012

Even if you brush and floss daily, it is still important to see us at Dr. Kevin Mischley's office every 6 months, or as recommended.

Why?

• We can detect and treat tooth and gum problems that you may have never felt or noticed.
• Even thorough daily oral care may not be enough to prevent cavities and oral decay.
• Frequent visits can allow us to treat a problem early to prevent future complications.

If you are overdue for an appointment with us, please give us a call today!

-- Dr. Mischley & Team

Make 2012 the year to improve your oral health

December 29th, 2011


Many folks consider the beginning of a new year a time to not only reflect on the year that was, but also to set personal goals for the upcoming year. How are you planning to improve your health and happiness in 2012? Dr. Kevin Mischley and our team recommend that you make a New Year’s resolution to benefit your oral health!

It is important that New Year’s resolutions are reasonable and attainable, and that they improve your overall quality of life—for example, did you know that flossing every day is the very best way to prevent periodontal, or gum, disease? Using a straw when drinking sugary beverages can also help prevent cavities. There are many small steps that you can take to prevent cavities, oral infections and bad breath.

Be sure to give us a call if you need a few suggestions on ways to improve your oral health, or visit this helpful article from our friends at the Academy of General Dentistry (AGD). After all, we know your oral health is about more than just a beautiful smile.

Happy New Year!

-Your friends at Dr. Mischley's office

Season's Greetings from Dr. Mischley and team

December 21st, 2011


In this season given to tidings of comfort and joy, and as our team at Dr. Kevin Mischley's office reflect on the year that was, we’d like to ask you, our wonderful patients: What do you love about the holidays this year? Being with your loved ones? A clean slate for 2012? Opening presents by the fireplace? All the delicious food? Also, what gift are you most looking forward to getting this year?

We’d love if you shared with us all the things you love about the holidays. Stay warm, and don’t forget to stay away from those sweets!

--Dr. Mischley and team

Top dental treatments at Dr. Mischley's office

December 14th, 2011

Without a doubt, the "top treatment" of choice at Dr. Kevin Mischley's office is implant therapy. For a long time, we were limited to placing bridgework in order to replace a missing tooth, which often involved the reduction of otherwise healthy teeth to anchor a missing tooth. Now we are able to replace one missing tooth with a "synthetic" root (the implant) and then place a tooth (the implant crown) on the implant, leaving the adjacent teeth to function naturally, which is usually best. Dr. Mischley, unlike most general dentists, has experience placing implants himself which allows the entire process to "stay in house," which his patients seem to like. Implant therapy is highly successful and the outcome is predictable. The discomfort afterwards, if any, is often similar to having had a filling, which is to say, virtually none.

A close second to implant therapy for top tier dental treatment is clear aligner therapy, ie. Invisalign. This treatment allows us to correct aesthetic issues that our patients have had for years. Many times the timeline of treatment is only 6 to 8 months. The aligners are worn every day for about 20 to 22 hours and are surprisingly comfortable. Better yet, they are virtually invisible. In fact, patients often say that their coworkers do not know that they are wearing them until they actually tell them!

To learn more about the dental treatments offered at our office, give us a call or ask us on Facebook!

How important is your smile? From Dr. Kevin P. Mischley

December 7th, 2011

At the dental practice of Dr. Kevin Mischley, we work hard to provide you with comfortable, honest, quality dental care to help keep your smile healthy and happy!

The bottom line is, we know having a beautiful smile is important to you. It’s important to us, too.
And speaking of smiling, in a poll conducted by Glamour Magazine earlier this year, people were asked, “If you had to pick between having perfect teeth, eyesight or hair, which would you choose?”

Well, 44 percent of folks out there chose teeth! In addition, the American Academy of Cosmetic Dentistry, or AACD, conducted a study and found that 99.7 percent of those polled believed a smile is an important social asset. Respondents said straightness, whiteness, cleanliness, as well as the sincerity and sparkle of one’s smile were all important factors not only socially, but career-wise as well.

Take the next step toward a healthier, brighter smile! Please contact our Walpole dental office and schedule an appointment. See you soon!

Dental fun facts from Dr. Kevin P. Mischley

December 1st, 2011

Everyone loves fun facts and dental tips. Fun, fun, fun! Dr. Kevin P. Mischley and our team came across these dental fun facts recently and thought you might enjoy!

• The second most common disease in the United States is cavities. The first is the common cold.
• There are almost 9,000 accidental pockings and piercings with toothpicks per year.
• X-rays may be an effective tool in preventing strokes.
• A child will have 20 baby teeth by the time he or she is 2 years old. Through childhood, kids gradually lose baby teeth and grow 32 permanent teeth, including wisdom teeth.
• According to consumer reports, dentists are among the 5 most trusted professionals in the United States.
• Approximately $2 billion a year is spent on dental products like toothpastes, mouthwashes and dental floss.
• The average American spends about 38 days brushing teeth over his or her lifetime.
• Kids in North America spend half a billion dollars per year on chewing gum.
• Approximately 94 percent of Americans say they brush nightly while only 81 percent say they brush first thing in the morning.
• Grand Rapids, MI was the first American city to fluoridate its water.
• Earliest record of a toothbrush was found in Chinese literature about 1600 AD
• The natural bristles of early toothbrushes were taken from the necks and shoulders of swine, especially pigs living in colder climates like Siberia and China.

Happy Thanksgiving from Dr. Kevin P. Mischley

November 21st, 2011

Dr. Kevin P. Mischley and team would like to wish you a safe and happy Thanksgiving. It's a big food holiday, so be careful what you eat! If you have any stories or pictures to share with us, we'd encourage you to post them to our Facebook page or call our office and ask how.

Gobble Gobble!

November is National Diabetes Awareness Month!

November 17th, 2011

Dr. Kevin P. Mischley and our team know the way you care for your teeth at home doesn’t just affect your oral health – it can impact your overall health as well. In recent years, researchers have found clear links between the mouth and other parts of the body, and the evidence is especially impactful for people with diabetes.

November marks Diabetes Awareness Month, and a great time to learn about how keeping your mouth healthy is vital to your overall health, too. If you are one of the nearly 26 million Americans currently living with diabetes, there is some good news: you can protect your gums and teeth from the effects of diabetes by visiting our Norwood dental office for regular check-ups and cleanings. Most people should have at least two dental appointments per year, but those folks living with diabetes may require additional visits to make sure their dental health remains in top shape. Many insurance plans provide expanded benefits for diabetic patients. Dr. Mischley and our experts can tell you how often you need to come in for your dental visits.

For more information on how we can help, please give us a call or ask us on Facebook!

Warren demonstrates how to floss on Halloween!

November 10th, 2011

Dr. Kevin Mischley wants to know - how was your Halloween? We hope everyone had a great time trick-or-treating and enjoying the spooky fun of the season. Be sure to visit our Facebook page where we've posted photos from Halloween. Feel free to share your own images with us as well.

Check out our latest video of Dr. Mischley's son Warren flossing while watching The Great Pumpkin on Halloween. There's even a special cameo appearance!

Remember, if you need to schedule your next dental appointment give us a call.

Ask Dr. Mischley: What, exactly, is a root canal?

November 3rd, 2011

Dr. Kevin Mischley knows one thing no patient likes hearing when visiting our office is “root canal.” But what, exactly, is a root canal, and when might you need one? A root canal is a treatment Dr. Kevin Mischley uses to repair and save a tooth that is infected or badly decayed to the point where the nerve is involved. In the past, if a patient had a tooth with a diseased nerve, dentists in most cases would recommend an extraction. Today, however, with a procedure called root canal therapy, available at our office, you may save that tooth—and your beautiful smile—after all!

Here are some symptoms that indicate a decayed or infected tooth, courtesy of WebMD:
• Severe toothache pain upon chewing, biting or application of pressure
• One tooth consistently more sensitive to hot or cold than other teeth
• Pain that hurts without any stimulus, keeps you awake or wakes you up at night
• A tooth that feels loose
• Discoloration (a darkening) of the tooth
• Pain that persists weeks following a filling or replacement of a filling
• Chronic pain and/or pressure that may extend to the ear, eye or neck

If any of these symptoms apply to you, we recommend you schedule an appointment with Dr. Kevin Mischley.

The best way to avoid a root canal is to practice good oral hygiene at home, and that includes brushing at least twice a day and flossing to reduce plaque and bacteria. For more tips on how to avoid root canal therapy or for general questions about your dental treatment, we invite you to ask Dr. Kevin Mischley during your next visit at our convenient Walpole office! We also invite you to ask us on Facebook!

Loosing baby teeth, from Dr. Kevin Mischley

October 28th, 2011

Did you know that kids typically loose their two bottom front teeth and then their two upper front teeth? Dr. Kevin Mischley's son Warren is six years old and about to loose his third tooth! How exciting! We hope that the tooth fairy pays Warren a visit soon.

Ask Dr. Mischley: What's so bad about nail biting?

October 20th, 2011

We’ve all heard that biting your nails is an awful habit, but you many wonder- really- what’s so bad about it? Recently, Dr. Kevin Mischley found an interesting article that discusses how biting your nails affect your teeth and oral health.

Nail biting, also known as Onychophagia, is a common habit among various age groups, including primarily children, teens and young adults. Nail biting is generally triggered by stress and most often decreases with age. That being said, nail biting is unsanitary, unattractive, as well as unhealthy for your teeth!

Here’s why:

It’s unsanitary. Your nails are dirty, almost twice as dirty as your fingers! Hence, biting your nails is just asking for germs and bacteria.
No good things come to your teeth. Nail biting causes your teeth to constantly be chewing, which is not good for them. This excessive motion wears your teeth down faster than a non-nail biter’s and puts a large amount of stress on your front teeth- contributing to teeth misalignment.
Braces don’t love it either. Braces already put pressure on teeth, nail biting ads unnecessary pressure, further stressing your teeth and weakening their roots.
It can be costly. Nail biting can result in up to $4,000 in additional dental bills over one lifetime, according to the Academy of General Dentistry (AGD). Yikes!

What can you do about it?

Now that you know how harmful nail biting can be, it’s time to take action to break your nail biting habit. Try to be conscious of your fingernails and to keep them looking good- this will help you resist the temptation. Ask Dr. Mischley or visit the article for tips on how to break a nail biting habit.

Good luck!

Dr. Mischley and staff

Smile! October is National Dental Hygiene Month!

October 14th, 2011

Did you know that October is National Dental Hygiene Month? For Dr. Mischley and staff, that means only one thing: Reminding you that your teeth are an important part of your body, and keeping them clean helps keep your mouth and your body healthy. By taking care of your teeth, eating a balanced diet and visiting our convenient Walpole office on a regular basis, you can have healthy teeth and an attractive smile throughout your entire life.

We encourage you to check out the American Dental Association website as well, which provides pointers on keeping your mouth clean and healthy. Lastly, has it been six months since your last visit with Dr. Mischley? If the answer is yes, we encourage you to give us a call to set up an appointment.

Your oral health and overall health

October 4th, 2011

Don’t put off your next visit to Dr. Kevin Mischley's office any longer! Over the years, oral health issues have been increasingly linked to other health concerns, such as heart disease. Cardiovascular disease remains American’s number one killer, claiming more lives than any other cause of death, according to the American Heart Association. Believe it or not, an estimated 80 percent of American adults currently have some form of gum disease. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care, both at home and by visiting the dentist.

Studies are also beginning to suggest that patients, especially those with periodontal disease, are believed to have an elevated risk of heart attack and stroke. Since most patients are not regularly visiting a heart specialist, their regular visits to Dr. Mischley's office can help detect early warning signs of heart issues, prevent gum disease or at least catch it in its early stages.

Additionally, if it’s been more than six months since your last visit to our Walpole, MA office, please give us a call!

The trouble with bottled water

September 27th, 2011

Our team at Dr. Kevin Mischley's office knows that as more families turn to bottled water and away from the traditional tap, they may be missing out on one important ingredient that most brands of bottled water fail to include: fluoride!

For more than 60 years, water fluoridation has proved to be a safe and cost-effective way to reduce dental caries. Today, water fluoridation is estimated to reduce tooth decay by 20- to 40 percent in children who have access to fluoridated toothpaste.

Bottled water, however, which remains one of the more popular drinks in the world, may not contain any fluoride, which is known to help prevent and even reverse the early stages of tooth decay. The majority of bottled waters on the market do not contain optimal levels (0.7-1.2 ppm) of fluoride, according to our friends at the American Dental Association, or ADA. Many dental health specialists suspect bottled water’s increased popularity as the culprit behind rising rates of cavities.

Because fluoride helps strengthen teeth, it is an important component of maintaining good oral health. So if bottled water is your water of choice, be sure to check the label to make sure that your brand contains fluoride. As of a 2006 decision, the Food and Drug Administration, or FDA, allows bottled water containing .6 to 1.0 milligrams per liter (parts per million) of fluoride to carry a label stating that fluoridated water may reduce the risk of dental cavities or tooth decay. The ADA has backed this decision.

Of course, simply drinking fluoridated water is not a magic ticket to perfect teeth. To keep your pearly whites in tip-top shape, it’s important to brush and floss daily and avoid sugary sweets, in addition to maintaining your fluoride intake and visiting Dr. Mischley and our team regularly.

Manual vs. Electric Toothbrushes: What’s the Difference? From Dr. Mischley

September 21st, 2011


Everybody is jumping on the electric toothbrush bandwagon in recent years, with many experts in the dental field claiming electric toothbrushes provide superior dental care. It’s true that electric toothbrushes are recommended for those who can’t do a good job brushing manually or who have arthritis or other conditions. But manual toothbrushes do have some advantages, according to an article we recently found including:

• Cost. While electric toothbrushes may be expensive for many people, manual toothbrushes are both inexpensive and accessible.

• Less pressure on your teeth & gums. While we can feel the amount of pressure we’re using as we grasp our manual toothbrush, we can’t feel the pressure nearly as well with an electric toothbrush. Placing too much pressure on our teeth can wear away at the tooth enamel, which causes pain, sensitivity, as well as an increased risk of tooth decay.

• Simple to pack. Manual toothbrushes are easy to carry around for those business or family trips. People are less likely to let their good dental care habits lapse on vacation with a toothbrush that they can easily bring along!

• Better for kids. Learning at a young age how to properly use a manual toothbrush helps children get a feel for how to properly take care of their oral hygiene.

Electric toothbrushes, on the other hand, are more effective in removing plaque and are considered a better alternative to maintaining gum health. Remember, whether you choose a manual or an electric toothbrush, Dr. Mischley and our staff encourage you to choose one with soft bristles and be sure to change the bristles on the electric brush when they become worn down. We also encourage you to replace your toothbrush every three months, when the bristles are no longer straight and firm or after you recover from a cold.

Give us a call if you have any questions or ask us on Facebook! Happy brushing!

How the internet has impacted our practice

September 14th, 2011

Here at the office of Dr. Kevin P. Mischley, we try to stay up-to-date on the latest technology. For example, the internet has had a dramatic effect on our office. Probably the most palpable example has been the confirmation of appointments via email. Patients LOVE this, and we do as well. It's clear, concise, and it gets to our patients quickly. In fact, the percentage of people signed up for email confirmation has reached 50%, and that number is only getting higher.

Another area where the internet has had a significant impact has been the ability to email radiographs. This makes it simple for us to send over the radiographs to other offices digitally. Of course, we can always send the originals. Where this is MOST greatly used is sending images to insurance companies. These digital radiographs require no copying, which decreases the chance of losing them!

Lastly, being connected to the internet throughout the office allows our staff instant access to any and all information that they require. Have a question? It's answered in no time. This allows for a very efficient and knowledgeable office environment.

Dental fun facts from Dr. Mischley

September 9th, 2011

Everyone loves fun facts and dental tips. Fun, fun, fun! Dr. Mischley and our team at Kevin P. Mischley, DMD came across these dental fun facts recently and thought you might enjoy!

  • The second most common disease in the United States is cavities. The first is the common cold.
  • There are almost 9,000 accidental pockings and piercings with toothpicks per year.
  • X-rays may be an effective tool in preventing strokes.
  • A child will have 20 baby teeth by the time he or she is 2 years old. Through childhood, kids gradually lose baby teeth and grow 32 permanent teeth, including wisdom teeth.
  • According to consumer reports, dentists are among the 5 most trusted professionals in the United States.
  • Approximately $2 billion a year is spent on dental products like toothpastes, mouthwashes and dental floss.
  • The average American spends about 38 days brushing teeth over his or her lifetime.
  • Kids in North America spend half a billion dollars per year on chewing gum.
  • Approximately 94 percent of Americans say they brush nightly while only 81 percent say they brush first thing in the morning.
  • Grand Rapids, MI was the first American city to fluoridate its water.
  • Earliest record of a toothbrush was found in Chinese literature about 1600 AD
  • The natural bristles of early toothbrushes were taken from the necks and shoulders of swine, especially pigs living in colder climates like Siberia and China.

 

Ask Dr. Mischley: What's the deal with teeth whitening?

August 30th, 2011

Bright, white smiles are everywhere you look. Here at Dr. Mischley's office we know that many of our patients desire a brilliant, glowing smile! That's why Dr. Mischley wanted continue a conversation that we often have with patients in the office onto our social networks, so that everyone has the opportunity to share their experiences, questions and concerns.

In office whitening is exactly what it sounds like—the whitening of the teeth takes place in the office. Teeth whitening with Dr. Mischley usually takes an hour, and is done with the aid of an external light source. Take home whitening kits are, again, a process done at home. The difference is, with a take home kit, impressions are taken in the office and the patient returns a few days later to get custom trays to hold the whitening material (usually a gel). Patients are instructed to wear the trays once or twice a day for a certain period of time, depending on the system being used. These trays are similar to the sports guards that most people are familiar with, although they are MUCH thinner. The initial at home treatment period usually takes around two weeks and patients must be diligent about using the trays. Dr. Mischley's first instruction when giving a at-home whitening system to a patient is for them to USE IT—it doesn't work if you don't do it!

With regards to whitening toothpastes, we have seen some effectiveness with their use. However, they seem to work best for "upkeep," rather than an initial whitener. What does work well is a toothpaste with a very mild abrasive, the "baking soda toothpastes". The minor grittiness breaks up stains on a nightly basis. This works especially well with heavy tea and coffee drinkers and with smokers.

Regardless of whether teeth whitening is done in-office or at home, it is important to keep in mind that it is not permanent. That is, most people's teeth will retake some staining, depending upon diet and habits. As a general rule of thumb, anything that might stain a t-shirt will contribute to staining of one's teeth. Tooth color also has a solid genetic component. However, just because 30 year-old parents have darker teeth does not mean their kids will. After all, they have had about 20 years to stain their teeth and their teeth at 30 may not represent what they looked like when they first came in.

Teeth whitening works by unclogging pores of the teeth and is contingent on the organic components of teeth Therefore, they do not work on dentures as well as any crowns or bridges that are in the mouth. Furthermore, they do not work on previously placed white fillings. However, Dr. Mischley usually finds that patients who have an outcome so drastic that their older work no longer matches are usually more than happy to update some work for the smile they have been looking for!

Regardless of how your teeth have been whitened, an upkeep schedule is usually needed to keep up the whitening effects. The frequency of the touch up schedule varies from person to person, depending upon diet,  habits and—most importantly—on the rate at which stains are taken up by their teeth. That is their porosity. The good news is that once a person has gone through either the one hour in-office whitening procedure or the two week regime of the take home kits, when they do touch up, it only needs to be done for one or two days.

A new study about oral bacteria and your infant's oral health

August 23rd, 2011

Infants are infected with oral pathogens even before they develop primary teeth, according to a recent study by scientists from the University of Illinois at Urbana-Champaign and two research institutes in Lubbock in Texas. This study suggests that infants are developing oral bacteria earlier than was previously thought, and there may be new opportunities for preventing bacteria in the oral cavity. Dr. Mischley is currently watching new research surrounding this topic very closely, and we will be developing a treatment plan once more information is available.

Please let us know if you have any questions about this very interesting study!

At Dr. Mischley's office, your comfort is our priority!

August 16th, 2011

From the moment you enter Dr. Mischley's office, it is our goal to create a professional, outgoing, stress-free environment that puts you at ease. Our bright, cheery office has been specially designed with your interests in mind. Our ground level, corner suite is made up almost entirely of windows with a glass door, which fortunately lets in an enormous amount of natural light and warmth. Dr. Mischley was also lucky enough to find a beautiful, original piece of artwork that greets visitors when they enter our office. One of his good friends painted the giant oil on canvas landscape that is placed on the wall opposite of our glass front.

The color scheme in our Walpole dental office is very warm. Our walls are painted a nice creamy yellow, instead of the clinical stark white that many offices use. Dr. Mischley can't even begin to tell you how many times patients have commented on how calming our colors are. In addition, we had carpet installed throughout our office instead of the cold, hard and echo prone tile or wood that so many offices use these days. Basically, we have tried to replicate the nice, warm feeling of an old fashioned "in home" dental office that so many people remember fondly as children. Each of our rooms have a different color scheme and a carpet to match. We all enjoy saying "you're in the purple room today"!

Music is a GIANT part of our day in the office. From the beginning, Dr. Mischley has loved to work to the oldies. Dr. Mischley's assistant often reminds him that the 80's music he grew up with is already considered "oldies" by many, many kids nowadays. However, he still considers the 50's and 60's the oldies, and we have a great internet station on iTunes that plays the best of the 50's, 60's and 70's, as well as some really neat "deeper cuts"... stuff that you don't ever hear on the radio. Patients are always commenting on how relaxing and comforting our music is.

At the risk of being perhaps TOO goofy at times, we really do have fun and laugh a lot in the office. Remember that Trident commercial "4 out of 5 dentists recommend Trident to their patients"? Dr. Mischley is proud to consider himself the "fifth dentist". Basically, he enjoys bucking the trends if he doesn't feel that they are useful, and especially if they are a hindrance! Why be so serious all the time? Who likes that? There are enough stresses in life! Dr. Mischley really likes to roll with things when there are funny and enjoyable. And our patients seem to enjoy the open-minded atmosphere.

Perhaps the biggest thing Dr. Mischley does for our patients' comfort is give the "novocaine" time to work! Having had basically every procedure done multiple times, our doctor understands, firsthand, that being in the dental chair is not always a very enjoyable experience. What could compound this more than feeling the work when it is being done?! And, very often, the reason someone feels something is because they haven't had enough time for the anesthesia to do it's thing. That's not to say that there are not other reasons that simply waiting will not cure. However, just giving the novocaine the time it needs to work effectively definitely results in better anesthetic results and overall increased patient comfort.

Lastly, Dr. Mischley has found that following up with my patients the next day after a procedure that may result in some tenderness really makes people feel at ease with the office. It's a great way for him to exercise some "quality control" as well. After all, your comfort is our priority!

Dr. Mischley's Practice Philosophy

August 11th, 2011

When Dr. Mischley began his practice nearly ten years ago, he did so with one thing in mind: be absolutely honest and upfront with people when providing dental care. This includes taking the time to sit, face to face, with a new patient to really listen to what they came in for. It is always best to begin dental treatment with this conversation, so that we can achieve the things that a patient believes are truly important. From there, a straightforward plan of treatment options can be given. This creates an honest, open environment where patients are able to ask questions freely and confidently. From day one, Dr. Mischley has found that people appreciate this approach, and because of that, his job is that much easier. When a patient trusts you, the course of treatment is invariably better.

Please don't hesitate to contact Dr. Mischley or our team if you have any questions about our practice philosophy. We always enjoy sharing our passion for dentistry with patients!

Dr. Mischley, your acting and singing Walpole dentist

August 3rd, 2011

Did you know that Dr. Mischley has a passion for acting? While you won't ever hear him singing along to any tunes from "Little Shop of Horrors" in our office, he has been involved in theater since high school. Even while attending dental school, Dr. Mischley used to squeeze in time to participate in theater productions. You've probably noticed shows' posters in the window of our office from time to time. We always try to encourage our patients to be active in our community, and Dr. Mishcley always enjoys hearing about theater productions and community events! Please feel free to share your passions with our team on Facebook and while you're in our office. We also encourage everyone to learn more about Dr. Mischley's background in theater by reading his "Dentist smiles from stage billings to fillings" article in The Sun Chronicle.

Why do you choose Kevin P. Mischley, DMD?

July 27th, 2011

Kevin P. Mischley, DMD, your Walpole and Norwood dentist, strives to provide exceptional treatment in an informative and friendly environment. Have you had a great experience at our office?

Share your story with the world!

Just select the "Write a Review" button above to write a review on our Google Place Page. We look forward to receiving your feedback!

Thank you,
The team at Kevin P. Mischley, DMD

Smile wider, live longer, from Dr. Mischley

July 22nd, 2011

Folks with big smiles may actually live longer than those who don’t, according to a March 2010 study at Michigan’s Wayne State University. Dr. Mischley has known for quite some time that positive emotion has been linked to both physical and mental health, but researchers at the university did something quite interesting: they looked at photos of 230 ball-players who began their careers in baseball prior to 1950 and studied their smile intensity (ranging from big smile, no smile or partial smile). The players' smile ratings were compared with data from deaths that occurred from 2006 through 2009. The researchers then took into account other factors that impact life longevity, including body mass index, career length and even college attendance.

The results? Researchers found that players who weren't smiling in the photos died at the average age of 72.9 years. Players with partial smiles lived to be 75. Those with big smiles, however, lived on average to be 79.9 years old.

The take-away from the new study? Smile now, smile often and you might just live longer! Have you been perfecting your smile by visiting Dr. Mischley on a regular basis? If not, give us a call!

Vending machine or cavity dispenser?

July 15th, 2011

Vending machines are a quick way to satisfy hunger. You put in $1.50 and you get back a candy bar, bag of chips or even a soda…but that’s not all! Dr. Kevin Mischley wants to remind you that vending machines not only dispense sweet treats and caffeine bursts, but they also dispense cavities!

Every time you chow down on that chocolate bar the bacteria in your mouth have a party feasting on the sugar. The sugar quickly turns into acid; that’s right, ACID!!! The acid sits on your teeth and eats away at the tooth’s natural enamel (the stuff that protects your tooth from decay). When this enamel is eaten away by the acid on your tooth, you get a cavity! Brushing your teeth after eating a sugary treat can help prevent cavities; but before you indulge, remind yourself: “can’t brush? Hold the sugar!”

When choosing a snack, consider these nutritional options that will not only satisfy your hunger and that “sweet tooth,” but won’t cause acid build up resulting in cavities:

• Fresh Fruits (berries, oranges, melon, pears, etc)
• Raw Vegetables (broccoli, celery, carrots, etc)
• Bread
• Pretzels (low salt)
• Milk (low or non-fat)
• Cheese (low or non-fat)
• Nuts and seeds (pumpkin seeds, sunflower seeds, etc)
• Sliced meat

If you would like more advice about how you can prevent cavities, give our office a call or ask Dr. Mischley during your next appointment.

Understanding cavities

July 8th, 2011

One word nobody wants to hear when they visit the dentist is Cavity! That’s right, the dreaded cavity; but what exactly is a cavity and how do you get one? A cavity is a hole that develops in a tooth when the tooth begins to decay. It’s important to get a cavity filled as soon as it’s detected so that it does not grow bigger.

So, what causes a cavity? A cavity is caused by plaque, a sticky substance that forms on the tooth as a result of germ and bacteria build-up. Plaque is acidic and as it clings to your teeth the acids eat away the outside of the tooth (also called the enamel) and a hole is formed.

Yes, cavities can be repaired by your dentist, but here are a few simple steps you can take to prevent cavities:

• Brush your teeth with fluoride toothpaste at least twice daily
• Gently brush your gums to keep them healthy (when choosing a toothbrush it is recommended to use soft bristles)
• Floss your teeth at least once a day to remove plaque and food that may be caught between the teeth where your toothbrush can’t reach
• Limit the amount of soda and sugary treats you eat/drink
• Be sure to visit your dentist every six months for a teeth cleaning and check-up

Dr. Mischley's Office Asks: What are your 4th of July plans?

June 30th, 2011

This coming Monday, July 4th, is Independence Day and the United States of America will be turning 235 years old! It’s a day to commemorate the signing of the Declaration of Independence and also a time for every American to pay homage to our soldiers, past and present, who have placed themselves in harm’s way so that we may continue to enjoy our freedom.

Dr. Mischley and team will be celebrating this Monday and we would like to know, what are your plans for the 4th of July? Will you be out in the sun? Have you stocked up on fireworks? Are you going to grill up your favorite summer foods? Are you staying in town or heading somewhere else? If you have a 4th of July tradition, we would love to hear about it.

Whatever you plan to do, Dr. Mischley and his team hope you have a fun and safe holiday! Feel free to upload your 4th of July photos to our Facebook page and let us know how your Independence Day turned out this year.

What do you LOVE about Walpole?

June 24th, 2011

Dr. Kevin Mischley, your Walpole dentist, is situated around some pretty unique neighborhoods. Each is special with its own personality, created by the people and places (and our amazing patients) living within.

Today, Dr. Mischley and our team thought we'd ask: What are your favorite things about Walpole? Is there a local event you attend every year? Do you have a favorite eatery? Perhaps a favorite getaway in Massachusetts?

Please feel free to share some information about your favorite local hang-outs in Walpole & Norwood, and everything you love best about “your neck of the woods” in Massachusetts.

If you need to schedule your next appointment, give us a call! Have a great week!

"Hey Dr. Mischley! What's the deal with flossing?"

June 15th, 2011

At Kevin P. Mischley, DMD, Dr. Mischley and our team will always tell you that flossing is the best way to clean between your teeth where a toothbrush simply cannot reach. This helps to prevent not only cavities, but also contributes to periodontal (gum) health more than anything else. However, let's face it, people find flossing a nuisance so many do not do it on a regular basis, if ever!

Dr. Mischely has recommended the Waterpik for years now, and recently—since the last Yankee Dental Congress this past January—he has actually been keeping a number of these "in stock" for purchase by patients. Patients can now conveniently purchase the Waterpik "at cost", and have access to a tool that helps keep the work we have both invested in as clean as possible. These units are mid level within the dental market, which allows for both ease of use and a rechargeable battery. We have found if someone needs to actually change batteries, they stop using the unit. If they just put it on a cradle and it's ready to go, they will continue to use it.

Basically, the Waterpik provides a nice stream of water that shoots between teeth and under bridges. Dr. Mischley often compares it to cleaning off sidewalk with a hose. The Waterpik flushes material from between the teeth where a piece of floss would go. Is it a replacement to floss? Well, maybe not 100%, but it is not in the category of "better than nothing." It is way better than nothing! In fact, Dr. Mischley would venture to say it is preferable if a patient has bridgework, implants or is trying to stay on top of their periodontal disease.

June is National Smile Month!

June 10th, 2011

According to the American Dental Association, a person's smile outranked eyes, hair and body as the most important physical feature, which is why it's important for our team at Kevin P. Mischley, DMD to support National Smile Month this June.

Show off your pearly whites by posting your favorite smile photos on the wall of our Facebook page. We look forward to seeing what you share!

What puts you at ease at Dr. Mischley's office?

June 3rd, 2011

Dr. Mischley and team understand not everyone is thrilled to see the dentist. But we strive to bring you the best and most comforting experience at each visit. We’d like to know: What is it about our office that makes you comfortable or puts you at ease? Is it something about our pleasant office environment? Our friendly staff or Dr. Mischley?

Let us know by posting here or by giving us a call!

Dr. Mischley's office, wishing you a safe and relaxing Memorial Day weekend

May 27th, 2011

Memorial Day weekend, a time to remember and honor the men and women lost while serving for our country. Memorial Day is also the unofficial start of summer, and for many folks in Walpole, getting out of town for three days after being cooped up in the classroom or the office spells sweet, sweet relief.

What about you? What are you up to this Memorial Day weekend? Whether you are headed to a barbecue, a camping trip, or just hitting the great American open roads, we’d like to hear all about it!

Our entire team at Dr. Mischley's office wishes you a happy, safe and relaxing Memorial Day weekend!

Talkin' baby teeth with Dr. Mischley

May 19th, 2011

Losing your first toothDr. Mischley and other dentists will tell you that kids usually lose their first tooth between the ages of five to six. As you probably remember from your childhood, it is often tempting to wiggle a loose tooth using your tongue. While wiggling a tooth is perfectly fine, we do not recommend that your kids use string or other tactics to force a tooth out before it is ready!


What tooth do kids usually lose first? The bottom middle teeth usually come out first. Next, kids will generally lose their upper middle teeth between the ages of six to seven. Be sure to check out these great photos of Dr. Mischley's son with his x-rays! He's five and a half years old and he just lost his first tooth! You can actually see his adult tooth in the x-rays!

Has your child lost their first tooth? We would love to see your pictures on our Facebook page or during your next office visit!

Tooth Fairy “Tooth” Box

May 10th, 2011

For your child, losing their first tooth, or any baby teeth for that matter, can be exciting! They might ask you, "what do I do with my lost tooth?" Well, you simply place it under your pillow at night and when you are fast asleep the tooth fairy will come and whisk your tooth away leaving behind a special gift just for you! As you might have seen on our Facebook page, Dr. Mischley's son, Warren, just lost his first tooth! That's why we wanted to share a great craft project for you and your child from Disney that will make the tooth fairy’s job a little easier and give their tooth a special place to stay until it is taken away.

Tooth Fairy “Tooth” Box

What you will need:
• 1 large empty match box
• Enough felt to wrap the box and inside sliding tray
• Ribbon
• Glue (tacky glue or a hot glue gun)
• Markers
• White, pink and blue (or your child's favorite color) felt for decorating the matchbox
• Scissors

Step 1: Pull the inner tray out of the box and line the inside with glue and felt as shown. Wrap the outside of the box with felt and glue it in place.

Step 2: Glue ribbon to the outside of the box in a hanging loop shape. Fold another piece of ribbon in half and glue it to the bottom of the inner tray to create a handle for sliding it in and out.

Step 3: Draw a tooth shape on paper, cut it out, and trace it onto the white felt twice. Cut out the teeth and face details.

Step 4: Decorate the teeth with the eyes and cheeks and draw on a mouth. Glue one tooth to the outside of the box.

Step 5: Create a tooth pocket by applying glue to the sides and bottom of the remaining tooth as shown, leaving an opening at the top. Glue the pocket to the inside tray. Once the glue dries, the box is Tooth Fairy-ready.

Now your child can put the tooth inside the inner pocket and hang it outside their door before they go to bed!

We hope you enjoy making your Tooth Fairy Box!

- Dr. Kevin Mischley, and team

What, exactly, are wisdom teeth?

May 6th, 2011

Wisdom teeth are a type of molar that is found in the very back of your mouth and are the last molars to develop. There are four wisdom teeth: upper left, upper right, lower left, and lower right. These teeth usually appear in late teens or early twenties but may become impacted (fail to erupt) due to lack of room in the jaw or angle of entry. The removal of wisdom teeth has become so commonplace that it is almost a rite of passage for young adults.

Dr. Mischley will tell you that when a tooth is impacted, it may need to be removed. If it is not removed, you may develop gum tenderness, swelling, or even severe pain. Impacted wisdom teeth that are partially or fully erupted tend to be quite difficult to clean and are susceptible to tooth decay, recurring infections, and yes, even gum disease.

In addition to visiting our website with any questions you may have about wisdom teeth, our friends at WebMD have developed a helpful explanation about wisdom teeth and how they impact your health. Also, feel free to give us a call with any questions you have or ask us on Facebook!

Kevin P. Mischley, DMD, taking steps to become more green

April 25th, 2011

We are living in an age with a renewed commitment to conservation, and are frequently reminded to recycle, reduce and reuse. Since Earth Day was last Friday, April 22nd, we thought this would be a great time to discuss everything that Kevin P. Mischley, DMD does to conserve our natural resources and the environment.

Did you know that we offer patients account access 24 hours a day, seven days a week? We offer convenient and secure online services with our patient login system. You can view all of your account information, and even receive appointment reminders through email or text messages. Since this information is submitted electronically, we eliminate the use of large amounts of paper and printing materials. Our office has gone entirely digital over the last year! Maureen, our morning front desk person, even uses any extra paper from faxes sent to us for notes and reminders. In addition, we have a digital radiographic system to take films, so we do not develop radiographs.

Dr. Mischley and our team would love to hear how you minimize your impact on the environment. Leave us a comment below or you can also visit our Facebook page and post something on our wall.

Dr. Kevin Mischley, debunking the myths about swallowed gum

April 21st, 2011

At Dr. Kevin Mischley's office we know the rumors going around—mostly among young people—that once you swallow a piece of chewing gum it will stake a claim and take up residency in your stomach for at least seven years! We really hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter the stomach and move through the digestive system just like any other piece of food and leave the body long before seven years! So, if you ever have accidentally swallowed a piece of gum, there is no need to worry!

This being said, gum does not have any dietary benefits, so while it’s not harmful to swallow, you still want to avoid swallowing it. If you are a gum-chewer, make sure you chew sugarless gum, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but with less cavity causing ingredients. You see, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!

Happy (sugar-free) gum chewing!

Flossing with Dr. Mischley

April 14th, 2011

We hope you are not a part of the 51 percent of Americans who don’t floss every day. And we definitely hope you're not part of the 10 percent who never floss at all. Dr. Mischley and our staff will always tell you that proper flossing is just as important for your dental health as brushing regularly. Flossing, you see, cleans food and plaque that build up between teeth and below the gumline, key areas that brushing simply cannot reach.

Flossing 3-to-5 minutes each day is recommended, but even 60 seconds of flossing has a great benefit over not flossing at all. Also, make sure to always brush your teeth after you floss, and to rinse with water or mouthwash. When you begin flossing you may experience gum pain or bleeding, but with daily flossing and brushing this should stop within a week or so.

Lastly, has it been at least six months since your last checkup with Dr. Mischley? If the answer is yes, we encourage you to schedule an appointment!

April is Oral Cancer Awareness Month

April 7th, 2011

Visiting Dr. Kevin Mischley regularly will not only help keep your teeth and mouth healthy, but will also help keep the rest of your body healthy. The fact is, every hour of every day in the U.S., someone dies of oral cancer, which is the sixth-most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved. Since April is Oral Cancer Awareness Month, Dr. Mischley would like to take this opportunity to remind all of our patients about the importance of maintaining good oral hygiene.

As a dentist, Dr. Mischley is specifically trained to diagnose, treat, and prevent oral health problems. Please let us now if you have any questions about your oral health during your next appointment. Take care of your teeth!

The other side of the dental chair, from Dr. Mischley

March 30th, 2011

Dr. Mischley's first memories of going to the dentist are not all that different from anyone else. In fact, they are probably worse. As the family story goes, he would often run out of the dental room and hide in the waiting area closet.

As a child, Dr. Mischley had a LOT of cavities. A typical summer day growing up in Stoughton, MA would include riding bikes to four successive candy stores, each having a different variety of candy or video games. Central Pizza, Joe's/Yellow Brook Farms, Christy's and then the best of all.... Candy Delight. At 7 years old, the owner would greet Dr. Mischley when he walked in the door saying, "Hey, Mr. Mish!" You KNOW you eat a lot of candy when the owner 1) knows your name 2) calls you mister at seven years old! So, Dr. Mischley was at the dentist A LOT as a kid.

Truth be told, Dr. Mischley still isn't that excited about having dental work done. He would much rather be on the other side of the chair. He's "tough to get numb," and having dental expertise during his own procedures is a benefit as a detriment!

The large amount of time that Dr. Mischley's spent in the dental chair helps our office provide patients with comfortable, honest and quality dental care. Our office is designed with you, the patient, in mind. We want to help keep you and your smile healthy and happy! Please feel free to give us a call if you have any questions about treatment, or if you would like to schedule your next appointment.

Digital X-Rays at Kevin P. Mischley, DMD

March 23rd, 2011

Dr. Mischley is proud to now offer our patients the latest in digital x-ray technology. Thanks to this new advancement in the dental industry, we are able to take instantaneous, more accurate x-rays that greatly reduce exposure to radiation. Our new Dexis digital radiographic system also makes appointments easier and faster for patients!

As always, please give us a call if you have any questions, or if you would like to schedule your next appointment with Dr. Mischley. We look forward to seeing you!

Is sedation dentistry right for you?

March 14th, 2011

While Dr. Mischley strives to offer a comfortable experience for all our patients, we realize that fear or anxiety while visiting the dentist can affect a lot of people anyway. For patients who need extra comfort and relaxation during their dental visit, we are pleased to offer sedation dentistry.

Do you feel nervous or stressed about your upcoming dental treatment? Well you’re not alone; in fact, almost 30 percent of the population experiences "dental phobia" when faced with visiting the dentist!

The reasons for patients' fear of the dentist can be numerous, but are usually due to a traumatic experience during their childhood. This overwhelming anxiety can cause one to avoid modern dental care, resulting in poor oral hygiene and possible mouth-related issues such as gum disease.

If you experience one or more of the following, you could benefit from sedation dentistry:

* High fear of dental care
* Complex dental problems
* Traumatic dental experiences
* Fear of needles and shots
* Trouble getting numb
* Sensitive teeth

If you suffer from dental phobia, sedation dentistry may be the answer. Please give us a call for more info about sedation dentistry, and we'll be more than happy to answer your questions.

 

March is National Nutrition Month!

March 8th, 2011

March has arrived, and that can only mean one thing: it’s National Nutrition Month. Every March, Dr. Mischley and thousands of dentists and hygienists celebrate this occasion, and this year is no different. This March, Dr. Mischley and our team want you to think diabetes, obesity and periodontal disease, and how healthful eating and physical activity may improve periodontal health.

Small changes really can make a big difference, and the American Dietetic Association (ADA) has some advice on ways to start improving your diet this March:

·         Focus on fruits and vegetables: Add a serving each day to one meal and increase it every few weeks. Adding more of these foods into your diet is important whether you buy frozen, fresh or organic.

·         Think fresh, think local: From farmer’s markets to community-supported agriculture, you have many options to find new, fresh foods in Walpole, MA.

·         Make each and every calorie count: When you are choosing between options, focus instead on the one with more of the vitamins and nutrients that you need. Sometimes, foods with fewer calories aren’t always the healthiest options.

·         It’s tempting, but…: If you have a sweet tooth, have fruit and yogurt for dessert. If you crave a snack in the afternoon, enjoy some trail mix or nuts.

·         Expand your horizons: Try a fish you’ve never eaten before or find a new vegetable recipe. By testing yourself, you might find new healthy favorites to add to your regular grocery list.

If you have additional questions about periodontal disease or keeping yourself and your mouth healthy, please give us a call!

Schedule those regular checkups!

March 3rd, 2011

If you’re brushing and flossing on a regular basis, we think that’s fantastic! But, don’t forget that it’s also important to visit Dr. Mischley's office every six months, in addition to brushing your teeth a couple times a day. Because your dental health is important to us, we'd like to remind you that it's time for your examination.

Regular dental checkups are important for maintaining good oral health. Dr. Mischley can:

• Check for problems that might not be seen or felt

• Detect cavities and early signs of decay

• Treat oral health problems early

During an oral exam we will usually check the health of your mouth, teeth, gums, cheeks and tongue. Checkups will also include a thorough teeth cleaning and polishing. If you have not been to our office in the last six months (or as recommended), call us to schedule an appointment. We look forward to seeing you!

Patient Question: What does my dental insurance cover?

February 22nd, 2011

Over the last few months, our team at Dr. Mischley's office has noticed that many patients are limiting their expenses to only necessary procedures. When conserving financially, it is important to not only take into account your budget, but also your dental insurance.

Oftentimes, Dr. Mischley notices that patients are not aware when their dental insurance covers a sizable amount of dental procedures (80% of fillings and root canals, 100% of cleanings, xrays and exams). Our office is also very accommodating, and willing to work with patients to develop an affordable payment plan to fits their budget. Especially with a patient of record, we are often willing to divide their portion of the payment over several months. In addition, our practice participates in "Care Credit." This option allows patients to spread out even larger amounts into payments, often at zero percent interest.

Finally, our office is currently offering a Valpak for 15% off most of the "higher end" work. Please visit our website to learn more about this nice savings! You can also always give us a call if you have any questions about your dental insurance coverage.

How to brush your teeth

February 15th, 2011

Of course, the kids of Dr. Kevin Mischley know how to brush their teeth! With these superb brushing habits, his children are destined for a cavity-free future.

Would you like to learn more about how to care for your teeth and practice good oral hygiene? Ask Dr. Mischley for a few tips during your next dental checkup!

February is National Children’s Dental Health Month, from Dr. Mischley

February 8th, 2011

For the past 61 years, the American Dental Association (ADA) has sponsored National Children's Dental Health Month to raise awareness about the importance of oral health. Originally beginning as a one-day event in a Cleveland clinic, the program has since been extended to a month-long celebration known today as National Children’s Dental Health Month.

Each February, Dr. Mishchley and thousands of dental professionals focus on the preventive oral care of America's children. Our office often emphasizes the importance of simple rinsing of the mouth. Warm, comfortable water can be swished around the mouth a few times to effectively loosen any food that is caught in hard to reach areas of the mouth. This is especially important after brushing and flossing before bed to remove excess food from the mouth. Otherwise, you may loosen the food from one area of the mouth just to deposit it in another where it can do damage. If a patient wants to use Scope or Listerine that can also be effective, although it isn't necessary in all honesty.

In addition, Dr. Mischley is a big proponent of the Waterpik and other devices that create a steady stream of water, which can be used similarly to that of floss. The difference is that these devices are better used in areas with larger spaces where even floss is not effective unless used perfectly. In this situation, floss may be too small or may push food debris to the side rather than removing it. Dr. Mischley often compares the use of a Waterpik as similar to washing the sidewalk off with a garden hose. These devices are particularly great for periodontal patients who tend to have larger spaces at the gum line between teeth (embrasures). A tooth brush is unable to reach these spaces. A rubber tip, for example, is an excellent adjunct. A proxybrush (shaped like a Christmas tree) is designed to get into these larger areas, and works similar to a pipe cleaner.

For those patients who just cannot seem to brush at least twice a day, we strongly recommend brushing in the evening before bed The reason is simple. Salivary flow, which is natures natural cavity fighter, decreases at night. The result is a lower pH level, which provides anything left on the teeth with a better environment to do damage within. When we encounter a patient who refuses to brush no more than once a day (despite our recommendations), Dr. Mischley will urge them to brush at night.

February is American Heart Month

February 2nd, 2011

Did you know February is Heart Month? It’s a great time to take notice of the health of your heart, says Dr. Mischley. Cardiovascular disease remains American's number one killer, according to the American Heart Association. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care.

Visiting our office on a regular basis can help prevent gum disease or at least catch it in its early stages. And because people with dental insurance are more likely to visit their dentist when they should, a healthy mouth begins with a visit to Kevin P. Mischley, DMD. In observance of Heart Month, Dr. Mischley says it’s also important to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25). Please give us a call if you have any questions about heart health, or about your treatment here.

What is our "TOP" treatment?

January 24th, 2011

Dr. Mischley and our team were recently asked, "Out of all the treatments you offer, what is the one treatment that you consider your "top" treatment, and why?"

The top treatment we offer here at Kevin P. Mischley, DMD would have to be dental implants. First of all, implants are an incredibly predictable option to replace one or multiple teeth. The implants procedure is very conservative, and allows for the teeth on either side of a space to be left alone. Unlike a bridge or partial denture, implants do not rely on the support of the teeth adjacent to a space. With an implant, the crown that goes on top of the implant is independent of the teeth around it. The result is a restoration that is as self cleansing and as easy to clean as a normal tooth.

The fact that implants are easier for the patient to maintain differentiates this dental treatment from other teeth restoration options. In contrast, both a fixed bridge and removable partial denture tend to require diligent cleaning by the patient. Cavities can form easily and quickly around the supporting teeth of bridgework or teeth supporting a partial denture without good oral hygiene habits. Furthermore, implants cannot "get cavities," and therefore they cannot develop periodontal disease.

Please give us a call if you have any questions about implants, or if you would like to schedule an appointment with Dr. Mischley. We are currently offering a "special" off our fees for implants (as well as Invisalign, veneers, bridgework and dentures).

A great patient testimonial for Dr. Kevin Mischley

January 19th, 2011

Dr. Kevin Mischley, serving Walpole, MA and surrounding areas, provides patients with quality, painless dental care. We make dental treatment fun and enjoyable. Just see what one of our patients has to say!

The importance of straight teeth, from Dr. Kevin Mischley

January 13th, 2011

Some people wonder why Walpole, MA dentist Dr. Kevin Mischley and our team work tirelessly to give our patients straight teeth. Of course it’s nice to have a smile full of evenly-aligned teeth, but did you know that straightening your teeth can keep them healthier? Straight teeth lead to better oral hygiene, increasing your chances of keeping your own natural teeth for a lifetime!

Straight teeth are less prone to decay, because they collect less plaque—the sticky colorless substance that forms on our teeth and leads to tooth decay; and they are easier to keep clean!

If you’re wondering whether your teeth might cause problems because they are out of alignment, please give us a call to set up a consultation. Dr. Kevin Mischley can help you decide whether or not you will benefit from orthodontic treatment.

What do you love about Dr. Kevin Mischley and team?

January 6th, 2011

From your very first visit to Dr. Kevin Mischley, our doctor and team strive to provide superior treatment in a family-friendly atmosphere. We thought we’d ask you, our wonderful patients: Have you been especially impressed by Dr. Mischley's work? Did our team go out of their way to make your day? Are you in love with your new smile?

Whether you’ve just come in for a consultation or your family has been visiting our office for years, we’d love to hear your feedback. You can write a review here. Or, you can tell us by posting on our Facebook page or by giving us a call!

Thank you,

The team at Dr. Kevin Mischley's practice

Welcome to Our Blog!

December 15th, 2010

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about the dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctor and staff – we hope this will be a valuable resource for our patients, their families, and friends!