Dental X-rays Linked to Brain Tumors???

Recently on the news there have been accusations that dental x-rays are linked to brain tumors.  In the numerous articles I have read about this subject, most times it does not specify on what type of dental x-rays this link is referring to. The article would go on and on about the radiation in dental x-rays, then finally I reached one sentence that caught my eye.  “Having once-yearly or more frequent bitewing x-rays, which expose a small piece of film placed between the teeth to a beam of radiation, raised the risk for meningiomas (brain tumor) 1.4 to 1.9 times.” (Dr. Elizabeth B. Claus led the study)  The study was based on x-rays used in the 1960’s.  This was when x-rays delivered a much higher dose of radiation that today’s do.  “However, x-ray doses in decades past were several times higher than doses used in today’s digital devices, the researchers, the ADA and outside experts agreed.”

 

Film Dental x-rays, what are those??? Do people still use film???  X-ray systems from the 1960???  We are living in the year 2012!!!

 

First off, we use “Digital” x-rays not film. The new digital sensors are so sensitive they require less radiation to generate an image. At Dr. Thomas Gibbs dental office we wanted to do some research on the dental x-ray systems we use. So, I called the dental x-ray companies and got the radiation exposure dosage that a person would get if we take the normal four bitewings.  At Dr. Thomas Gibbs office we take bitewings once a year and we take the panoramic full mouth x-ray once every five years. Once a year for the four bitewings you would be exposed to 20 microsieverts (how radiation is measured).  When you get the panoramic x-ray once every five years you would be exposed to 16.1 microsieverts.  These numbers are about 50% lower then film based x-rays, which make them much safer and make the risk of potentially harmful effects extremely small.

 

Every day we get questions about radiation exposure before we take the x-rays, and we love explaining to our patients, how advanced technology in digital dental x-rays have become.  So I am going to leave with a little information provided by the ADA- American Dental Association.

 

“The whole-body radiation exposure associated with four bitewing radiographs is approximately 38 microsieverts, for example.  By comparison, an airplane flight at 39,000 feet is associated with an exposure of about 5 microsieverts per hour.  This means the exposure during a set of four bitewing radiographs is roughly equivalent to a seven-hour flight.  These estimates are based on traditional film–based x-rays; many digital x-ray systems may require even less radiation.”

 

When looking at the digital system we use in our office, you would only have to fly four hours to get the same amount of radiation exposure as the four bitewing digital x-rays. So, when you take your children to Florida for vacation from Chicago the round trip will give you 30 microsieverts, less then what four digital bitewings would give you.

Advances in Stem Cells in Dentistry

 

Can your baby teeth save your life?  Who knew your wisdom teeth really are smart?  How wonderful would it be if one day there would be a possibility to treat a variety of conditions like multiple sclerosis, diabetes, and spinal cord injuries with your baby teeth and wisdom teeth?  New advances in stem cell research show promising results, which may someday lead to the treatment of life threatening diseases and conditions.

 

Now instead of putting your child’s tooth under their pillow, or just letting your dentist dispose your teeth, people like you have the opportunity to store and bank their baby and wisdom teeth.  Unlike umbilical cord blood stem cells and bone marrow stem cells, dental stem cells do not require the birth of a child or even surgery to collect.  It just requires a healthy baby tooth that is falling out or a healthy wisdom tooth that is being extracted to collect it.

 

What we mean by a healthy tooth is that the tooth has intact blood supply and that it is free of infections, which would make the pulp in the tooth healthy and contain viable stem cells, which would qualify for your tooth to be stored.

 

There are many labs that dentist can send your teeth to be banked for you to use in the future.   Once in the lab, the cells will be equilibrated and then frozen.  After that the cells will be taken to a liquid nitrogen vapor freezer.  This freezer is where the stem cells are stored for long-term, until needed.

 

With banking there always comes a cost.  Depending on the lab you may pay up to $800 to bank one tooth.  With that you have to pay a monthly storage fee, which also varies from the lab.

 

So when your child’s loose baby tooth is falling out, think beyond the tooth fairy.  Think about banking it. Who knows maybe one day they will save your life?

Value of Low Dose Radiation Digital Panoramic X-Rays

   A patient recently asked me why I, who is usually considered to be “on the forefront” of dentistry and technology, waited so long to purchase a digital panoramic x-ray machine.  The older machines commonly used by oral surgeons and orthodontists (Dr. Gibbs’ orthodontist father had a early film version 25 years ago!) were of limited ability relative to the type of dentistry we do at Dr. Thomas Gibbs’ office.  The machine we purchase (an Instrumentarium GE OP200 with Volumetric Tomography) has the following advances:
   1.    Resolution that is vastly improved over early versions. 
   2.    Digital computer enhancement capabilities allow the x-ray image to enhance to reveal details not visible in older units.
   3.    The level of radiation is a small fraction of past units.
   4.    An enhanced ability to communicate with other specialists.
   5.    Ability to detect oral pathology and cancer at an earlier stage deeper in the jawbones.
   6.    Ability to diagnose disorders in the eruption and development of the teeth.
   7.    Patients can see an overview of their entire condition and better understand their condition.
   8.    An incredible new feature called volumetric tomography that provides 250 slices of 3-dimensional pictures of the jaws. This allows for very accurate views of  bone pathology, tooth positions, sinus pathology, temporomandibular joint (TMJ) pathology, and accurate planning for implant surgery.  See website for more information on this feature!

   Although the cost of the unit is 2 to 5 times the cost of older or inferior units, we feel that it is worth it.  We simply waited for the best choice to evolve!

See our website and photo Gallery at SmileGlenEllyn.com for more information!

    Dr. Gibbs serves the communities of Glen Ellyn, Wheaton,
Lombard, Carol Stream, Naperville, and Lisle, Addison, Elmhurst,
Downers Grove, Glendale Heights, Elmhurst, Roselle, Bartlett, West
Chicago, Woodridge, Bloomingdale, Schaumberg, Wood Dale, Geneva, St.
Charles, Warrenville, Bolingbrook, Westmont, Winfield, Villa Park, and
the Chicago area.  See the website at SmileGlenEllyn.com for more
information on dentistry and your health!

A New Era in Laser Dentistry!

    Welcome to the new era of drill-less comfortable dentistry!  One laser we frequently use is the Waterlase by the Biolase company, the leader in dental laser technology.  It is completely clean and quiet (No Drill Whine!).  The patient only notices water spray.

The Waterlase can be used for:

1)    Drill-less needle-free restorations.  No drill noise or numb feeling!
2)    Painless bloodless gum surgery.  Fast easy removal of frenums for recession or “tongue tied”
       persons. Can also be used for pathology biopsy and removal of “gummy” smiles.
3)    Painless removal of painful cold sores or canker sores.  Cal us—it only takes a few minutes!”
4)    Sterilization of periodontal pockets I gum disease with greatly improved periodontal healing.
5)    Laser root canals and pediatric pulptomy.
6)    Faster and more effective desentization of exposed root surfaces.

     This technology is used by only about 3% of US dentist for fillings–At Dr. Gibbs’ SmileGlenEllyn office we now use the laser for a majority of tooth colored fillings!
     The new laser is part of our commitment to provide a quality dental experience in the most comfortable way possible.  It cannot be used for every procedure. For example, silver mercury would release too much toxic mercury.  It is part of an emerging revolution in dentistry.  If you questions—please feel free to ask!

What? A Laser to Detect Decay?

   Now there is a laser than can detect decay hidden beneath the surface of the teeth so that the dentist can detect the decay and a much earlier stage and treat it more conservatively.  The truth of the matter is that dentistry’s old dental pick, or explorer, detects only about 40% of the decay in the deep grooves of teeth.  As teeth have become harder though the years with the event of fluorides in water and toothpaste, the middle portion of tooth, or dentin, has remained basically the same.  What looks like a small groove to us is like a cavern to bacteria.  Some of these grooves are smaller than what the old explorers can penetrate into.
   The laser has a tip of about 0.2 mm.  When the laser light finds decay, the decay beneath starts to fluoresce.  The amount of fluoresced light reflected back correlates to the amount of decay present with an accuracy of over 95%!
   The BIG advantage of this technology is that decay can be found at the earliest moment.  At that time the decay can be treated fast, easy, and in a painless manner.  Advanced dentist now use tooth color filling to invisibly restore these, often using using a different laser (See Waterlase laser).