Here at Advanced Dentistry of Dayton, we care about our patients’ overall health and well-being. We are unique in our approach to dental treatment. Above all else we believe that you should not feel judged for your personal beliefs concerning your health, and your decisions will be respected.
X-Ray Free Cavity Detection
Carivu is a special camera and light (near infrared) that can help detect cavities that cannot be seen visually. We feel that it is a great tool for many situations.
Why use Carivu?
1. It is a great “second opinion” when our x-ray may not offer a clear picture of the teeth, for example where teeth overlap.
2. It may reduce the need for routine x-rays as often. For example, children are usually at higher risk for cavities, and so we sometimes recommend routine x-rays every 12 months. It may be possible to reduce this to every 24 or 36 months by using Carivu yearly. Keep in mind that x-rays are still the “gold standard” and until the Carivu technology is tested further it may not be advisable to eliminate routine x-rays completely. This is your choice.
3. Most children are not able to tolerate x-rays until age 5 or so, but the Carivu can sometimes be tolerated quite well by children as young as 3. By detecting the beginnings of cavities in a young child, parents may be able to start remineralizing treatments at home sooner, change some dietary patterns, and watch carefully without x-rays for progression or remineralization of beginning cavities.
Limits of Carivu Technology?
1. While it can help detect cavities around some types of fillings, it does not help detect cavities around fillings that are in-between the teeth or crowns.
2. It cannot help detect problems with gum disease, bone, impacted wisdom teeth, or infected teeth.
3. Dental insurance will usually not cover this service, however, the cost is much less than a set of routine cavity detecting x-rays.
Natural Dental Care vs. Holistic
Here at Advanced Dentistry of Dayton, Dr. Mularczyk cares about her patients’ overall health and well-being. He is unique in his approach to dental treatment. Above all else – we believe that you should not feel judged for your personal beliefs concerning your health, and your decisions will be respected.
We only use antibiotics as truly needed, and generally avoid broad-spectrum antibiotics to protect the natural microflora of the body. In most cases antibiotics do not help reduce pain from toothaches and are not normally necessary when you have a toothache or after treatment like tooth removal.
There are no perfect filling materials to replace tooth structure. Some people have concerns with amalgam (mercury/silver) fillings as well as composite (plastic) fillings and sealants. We offer our clients a choice regarding filling materials. We do not recommend one over the other due to health concerns. We do not recommend having fillings replaced due to health concerns. Please feel free to talk to us about your concerns, we have a lot more information than we can easily fit here.
Dr. Mularczyk has tried to select materials that do not contain BPA, phthalates, parabens, triclosan, or any known endocrine disruptors. However, some of these things are unavoidable. We have tried to choose products that have reduced health risks – from the cleaning chemicals, and the paint on our walls, to the carpet adhesive. We have selected products with reduced artificial sweeteners, artificial colors, and artificial flavors, but again – sometimes these are unavoidable.
We believe that fluoride is safe and effective in preventing decay when used topically.
We base fluoride use on risk – and we give patient/parents options to incorporate their preferences. Not every child needs extra fluoride at the dentist, but some could benefit. We have prophy paste (used during a cleaning) and filling materials available both with and without fluoride.
Read our guide to Safe Fluoride Use and Alternatives.
Dental treatment can be safely done during pregnancy, if needed. Having good oral health is very important during pregnancy.
Needed treatment includes: routine cleanings, emergency treatment of pain/infection, treatment of cavities that are moderate to severe, periodontal/gum disease treatment. If possible, treatment should be done in the second trimester when the risk of possible teratogens is less than in the first, but there is still time to alleviate some conditions that could impact the pregnancy. Ideally women should be dentally healthy prior to pregnancy.
Read our guide to Pregnancy and Oral Health.
Role of Bacteria and Diet
Dental caries (tooth decay) is an entirely preventable infectious disease in most cases. You must have a healthy bacterial population as well as a healthy diet to prevent it. A healthy overall diet low in processed foods and high in nutrients and natural fats is important for oral health.
We try to educate patients on things that truly help to control decay, focusing on small achievable changes in diet and habits – all based on the science of the pathogens and diet.
Read about the scientific explanation for tooth decay.
Probiotics are quickly becoming an important way to help regulate one of our most important organs, the microbiome. Most probiotic supplements sold contain Lactobacillus and Bifidobacterium species. It is important to know that normal inhabitants of our GI tract vary based on location. This means that bacteria which are helpful in the small intestines are not necessarly helpful in the mouth. The more we learn about these bacteria the more complicated it gets. Research shows that lactic acid bacteria (like Lactobacillus and Bifidobacterium) are the ones that contribute to tooth decay. Until more research is done, I do not recommend probiotics that are intended for the mouth that contain lactic acid bacteria. Pathogenic bacteria in the mouth thrive on acid. One way to help naturally promote non-acid loving bacteria is to change the ph of the mouth. Some recommend a bicarbonate rinse (baking soda) to help bring the acid/base balance back to the mouth. People with a lot of cavities have a lower (more acidic) ph, so theoretically increasing this periodically may help. Again, this is quite the opposite of healthy conditions in the gut.
We encourage mothers doing this to consult with us. While there may be increased risk for decay, the benefits outweigh these risks and they can be managed. There are plenty of ways to ensure that extended breastfeeding can be safe for the teeth. In fact it is usually other practices that result in “baby bottle tooth decay”.
We use a separate thyroid collar in addition to the regular lead apron so that risk is minimized when an x-ray is needed. Our digital x-rays require much less radiation than traditional films. We prescribe CT scans only as needed. If one is required it is a cone beam type, not medical, so the radiation is greatly reduced. If you would like to decline routine x-rays at our office, you may. However, most treatments cannot be performed without recent x-rays.
Consider trying the Carivu, a new technology which does not use x-rays to detect cavities. It is a new product and so there are not good research studies yet to prove it is accurate enough, but it seems very promising. More about it here. Carivu
Recent News Regarding Dental X-rays
Please be aware of the media frenzy surrounding a recent study that tries to link dental x-rays to brain cancer. The study has many, many problems and our patients should not worry about the digital x-rays we do before and during treatment. We have long been ahead of the curve and have always used the lowest possible dose of radiation to get the diagnostic material we need. We have always and will continue to treat all children and patients as we would treat our own family. This is why we use digital machines and sensors that cost a fortune BUT use a fraction of radiation that traditional machines and film use (like the ones in the time period of the study).
If you have any additional questions or concerns regarding this study please feel free to read this article by the American Academy of Oral and Maxillofacial Radiology. AAOMR Response to Recent Study on Dental X-ray Risks
We are also more than happy to discuss this study with you at your next appointment or by phone.
Living with dentures or partials can mean giving up certain foods, little confidence in your smile, and can be uncomfortable. For most people, dental implants can be used to completely replace your dentures, make them more stable, or allow you to get rid of your partial. Your chewing ability and appearance may be dramatically improved with implants. Many of you have missing teeth without any replacement.
Although you may feel ok without your teeth, with implants you may feel more secure knowing that your bite is supported, your remaining teeth are not overly stressed, and you can avoid future dental problems.
What Is An Implant?
An implant is a man-made replacement for the roots of your teeth. We can place crowns/caps, bridges, or dentures on top of the implants with a connector called an abutment.
If You Are Missing One or A Few Teeth
Implants can be used to support crowns/caps or bridges. A traditional tooth-supported bridge can also be used to support a bridge, but this requires cutting down the teeth. In the short-term a bridge is much faster and costs less, but over your lifetime it can be the most expensive and least conservative option.
If You Are Missing Most or All Teeth
Implants can be used to support partials or dentures. As few as two implants may be used to help support and fit a lower denture. As many as 5-8 implants may be used to completely replace your denture with a permanent denture/bridge.
What About Same Day Implants?
Implants can be placed on the same day that the tooth is removed, or later depending on the circumstances. Implants can also be fitted for temporary teeth on the same day as well. While this is not right for everyone, this may be a good option for you. Dr. Mularczyk can discuss the differences between these options with you.
What Kind Of Implants Do You Recommend?
There are more than 130 different manufacturers of dental implants, however, only a few have adequate research to support their products. Here are a few manufacturers you may want to look into:
What Do I Do Next?
If you would like to explore the possibility of implants, please let us know. Other dentists may be called upon to provide the surgical portion of your treatment, like a periodontist or oral surgeon. These specialists are also highly qualified in implant treatment.
Do not let anxiety keep you from getting the care you deserve. Patience, compassion, and a gentle approach are the first order when it comes to your care here at Advanced Dentistry of Dayton. Beyond that we can offer additional anxiety reducing treatments for your unique situation.
Oral Anti-Anxiety Medication
When you have moderate anxiety we can provide you with a prescription anxiety-reducing pill that you take before your appointment. We only provide adults (not children) with this type of sedation. You may feel more relaxed, sleepy, and not worry about your appointment, although you are awake during all procedures. You will still be numbed. The positive is that this is the strongest sedation you can have without an IV. The negative is that you must have someone drive you here, wait during your appointment, and drive you home. You will also feel the effects for several hours afterwards. At our office there is a small fee for this type of sedation.
Nitrous Oxide Sedation
When you have mild anxiety a great solution is nitrous oxide, also known as laughing gas. While it does not make you laugh, it does reduce fear, and make you feel less worried about your treatment. It is the standard safe choice for children, and many adults prefer dental treatment with it. It is given along with oxygen, and the level of nitrous oxide can be adjusted to your needs. The effects are gone within minutes after we stop giving it, so you may drive once dismissed from the office. At our office we do not charge a fee for this type of sedation.
If you feel anxious about dental treatment we recommend that you try to make your appointment for early in the day. This way, you do not have the opportunity to worry all day long about your treatment. You will be less anxious when you arrive, and have a nicer day once your treatment is over.
For children we use the TELL SHOW DO rule for dental treatment. First we TELL what we are going to do, then we SHOW them, and finally we DO the treatment. Many children as young as 3 or 4 can successfully have positive dental experiences with this care.
At Advanced Dentistry of Dayton, we enjoy making dentures. We are not a chain denture center. We do not offer cheap/budget dentures. All of the dentures we make are made with the best materials, individual attention, and expert eyes. We offer traditionally fabricated dentures as well as digital dentures.
Read what some of our clients have to say
“I knew I needed dentures and so did my brother and sister in laws. They both had their teeth done and got dentures. Months later they asked me when I was going to get mine pulled. I said I already did, these are my new dentures! They could not believe that my dentures were not my real teeth they looked so real. I love how they look, they look beautiful.” – R.F.
Commonly Asked Questions:
How long will it take to have dentures made?
The average time for new dentures with a try in visit is a total of four-six weeks.
How much do dentures cost?
The honest answer is that dentures are not inexpensive. We cannot quote a price for dentures without talking to you about your specific situation. We do offer FREE consultations so that you can find out what the fees will be in your unique case. Some dentures are $789 per arch and others around $2000 per arch.
How long do dentures last?
While every situation is different, for most people replacing your dentures every 5 years is a good idea. Although many people use the same set of dentures for 10 or 30 years or more there can be risks from this. When you don’t have teeth, your bone and gums start to shrink. They will continue to shrink at a very slow rate for the rest of your life. Poorly-fitting dentures can make them shrink even faster. So, while your old dentures may be manageable to you, they may be causing damage that you don’t feel.
Do I need adhesive or glue for my dentures?
Most dentists feel that well-fitting dentures usually do not require the use of adhesive. There may be some exceptions, so please ask us about your situation. Many times using a lot of adhesive is a sign that your dentures need to be replaced. Please ask how to properly apply adhesive. Recently we have learned that using too much adhesive can be bad for your health. Some adhesives contain zinc, which is a natural mineral, but if you have too much you can suffer from health problems. We recommend zinc-free adhesives just to be safe.
What about dentures if I still have teeth?
If you need to have your remaining teeth removed, you can have dentures to wear right away after your teeth are removed. These are called immediate dentures. There are several ways to accomplish this. Dr. Mularczyk will discuss the best option for you.
How do you make dentures look real?
There are several common mistakes that patients and dentists make when making dentures that cause a fake appearance. The biggest error is selecting teeth that are too small and too white. Second, denture teeth are usually made to look like they are unworn and belong to a 20 year old – while this works if you are young, these teeth look fake in someone older. Remember, you can still have BEAUTIFUL looking teeth even if they are appropriately crated to be natural for your age. Another common problem is arranging the teeth too perfectly. Almost no one has perfectly straight teeth, even young people who have had braces. There are clever ways to arrange teeth to look symmetrical and natural while including slight irregularities to look real. We have even placed fillings in denture teeth to give a very real appearance if that is what you desire. Lastly, the gums are important for the most natural look. Did you know that there are different colors for the gum part of dentures? Shaping and custom tinting the gumline is also needed in cases where the gums show with a full smile. Above all else we follow the philosophy that dentures are made for YOU, so you can decide what looks best for you.
Do you have an in-office lab?
All laboratory products that we use at Advanced Dentistry of Dayton are fabricated in the United States. The machines that make dentures are located in Arizona. The fabrication of partials is done in either Cleveland or Georgia.
What are other names for dentures?
Some people call dentures plates or false teeth. They mean the same thing. Some people have partial (with some natural teeth) dentures. Some also call these partial plates. A temporary partial denture is sometimes called a flipper.
Implants can be used with dentures too, so some people have implant dentures, or when they are permanently fixed to the implants they can call them an implant bridge or hybrid denture.
The technical name for a denture is actually a “complete arch removable dental prosthesis”.
Dental Crowns and Alternatives to Crowns
A crown is a cap or covering for your tooth. They are usually needed when the tooth is badly decayed, has a very large filling, or is fractured. A bridge is used to replace a missing tooth, by crowning or capping the teeth on either side of the space.
Alternatives to a crown
However, sometimes a crown can be an aggressive solution for a cavity or fracture. A crown must cover all surfaces of the tooth, and approximately 1-1.5 mm of tooth must be cut down all around. All of the enamel of the tooth is removed. Dr. Mularczyk sometimes recommends a crown, but has an alternative.
A technique for conservatively replacing missing tooth structure with bonded porcelain. For this technique only the damaged tooth structure is removed and the tooth is immediately sealed. A temporary is placed and a ceramic piece is made in a lab to replace the lost portion of the tooth. The advantage is that far less of the tooth is removed, the tooth isn’t traumatized by unnecessary reduction, and there is a lower risk of sensitivity and additional treatment like a root canal. There are precise steps and materials recommended for this approach.
Dr. Mularczyk is very well trained in regards to restorative and cosmetic treatments like this. If you are interested in an evaluation to see if you are a candidate for a crown alternative, please call or email and request an appointment.
Commonly Asked Questions:
What will a crown do for me?
A crown can protect your tooth from breaking, can provide a good chewing surface, stabilize your bite, improve your appearance, and help you avoid future dental problems. However, you should know that a crown is not just a crown. The quality of a crown depends on the skill of your dentist, the skill of the laboratory technicians, and the quality of the materials used to make the crown. Also, your experience is important to us; we want you to be comfortable, we value your time, and we want you to understand what we are doing.
What kinds of crowns are there?
Many! At Advanced Dentistry of Dayton, we believe in giving you a choice about what kind of crown you want. All gold crowns are very conservative and long lasting. All ceramic crowns are beautiful and cosmetic. There are other choices too. Many things influence which type of crown is right for you, and Dr. Cooper will talk about those with you.
How do I take care of my crown?
Many times a crown can last for 10-15 years if properly cared for. A crown covers the tooth at the top, but the connection between the crown and tooth root is at risk for tooth decay. In fact, decay is the most common cause for a crown failing.
We are located in Dayton Ohio between Bellbrook and Centerville. We have many clients from the surrounding communities of Beavercreek and Kettering as well.
You can learn more about preventing decay on this website. Click here: Tooth Decay
Emergency Dental Treatment
In most cases we can see you the same day or next day (except weekends) in our office. Please call our regular phone number to get our emergency number if you are calling outside of regular business hours. You will need to leave a message that will be forwarded to our staff.
Note: We are unable to return calls between 10pm and 6am and we cannot call in a prescription after hours unless you are an established patient.
Toothaches are one of the most painful and difficult situations. You may not be able to sleep, work, or eat. It is hard to be yourself when you have a toothache. While some over-the-counter medications may help, they usually do not. A visit to the dentist is the best way to take care of your emergency.
At your appointment we will first find out the cause of your emergency situation or pain. Usually a single x-ray is needed along with an exam. Once we know the cause, we can work out a plan with you. In most cases there are several options, and we want to you decide what is best.
Note: We accept most dental insurance except Medicaid and Caresource.
Oral Cancer Detection/Virus Testing
It is our policy to visually and manually (by feel) screen everyone over age 18 for oral cancer at each cleaning/check-up/exam appointment. In addition, we offer low cost testing for viruses which are thought to cause oral cancer. The most common risk factors for oral cancer are smoking and alcohol use, particularly together.
Lip cancer is almost always caused by exposure to the sun.
A significant portion of patients diagnosed with oral cancer do not have the usual risk factors. For example, a young woman who does not smoke or drink can still get oral cancer. It is thought that many of these cases are caused by the Human Papilloma Virus, or HPV. Some of the same strains of HPV (like HPV 16 or 18) which cause cervical cancer may also cause oral cancer.
Consider doing this test if:
You are sexually active, you have other risk factors for oral cancer, or had a positive HPV typing for cervical cancer screening. At our office the HPV detection test is $110. The test consists of swishing saline solution and spitting it into a vial. A laboratory conducts tests to identify any strains of HPV present. For more information please give us a call or email.
Teeth Whitening Bleaching Cosmetic
One of the easiest ways to have a young and beautiful looking smile is to whiten your teeth. Have questions? Come in and talk to us about the options and what is best for you.
A consultation in our office is free.
Are there different ways to whiten your teeth?
YES. What we recommend are custom-made whitening trays that you wear at home. You control the time and strength of the whitening gel to get the results that you want. Most people whiten everyday for a week or two, then whiten a few days per year to keep up their new shade. Other options are non-custom over-the-counter whitening trays and strips or in-office whitening. The downside to the over-the-counter strips is that many people feel that they do not stick well to the teeth and are not comfortable to wear. The problem with the in-office high strength whitening is that gum irritation and severe tooth sensitivity can be a problem in some people.
Who can whiten?
Most people can safely whiten their teeth. We usually recommend that pregnant women and children not whiten because the gel has not been specifically studied in those groups, although it is likely safe. The most important consideration is whether you have fillings or crowns on your teeth already.
Any filling or crown will NOT whiten. If you whiten your teeth, the filling or crown may not match your teeth any longer, making it stand out. You can always replace your crown or filling, but need to talk to us about this first.
If you are planning to get fillings, crowns, or replace old crowns and want to whiten first, you should! You need to plan to whiten for a week or two to get to a new whiter shade. Then you must WAIT for 5 or 6 weeks before proceeding with your new dental treatment because it takes this long for the shade to fully stabilize.
What about sensitive teeth?
Having sensitive teeth while whitening can be a problem. We can recommend things that you can do to prevent or reduce sensitivity. For example, you can wear desensitizing medication in your trays before you start whitening. You can decrease the strength of the gel or decrease the amount of time that you wear the trays. Also, not brushing your teeth right before whitening can help.
See us if you need help!
How much does it cost?
Whitening is usually not covered by insurance, however we have ways to help you. We offer FREE CONSULTATIONS if you want to come in and ask the dentist some questions. Ask us about payment options.
Back-To-School Fee Only $43 (Regularly $67)
A custom sports mouthguard can prevent chipped teeth, root fractures, loose teeth, torn gums, and knocked out teeth.
The National Youth Sports Foundation for the Prevention of Athletic Injuries reports several interesting statistics. Dental injuries are the most common type of oral facial injuries sustained during participation in sports. Victims of tooth avulsions who do not have the teeth properly preserved or replanted will face lifetime dental costs estimated from $10-15,000 per tooth, the inconvenience of hours spent in the dental chair, and possibly other dental problems.
What is the difference between a custom mouthguard and a boil and bite?
A custom-made mouthguard is more comfortable, stays in, is much less bulky, allows you to talk, and can be personalized. You can have a well-fitting mouthguard with braces too.
What do they look like?
Dr. Mularczyk makes these mouthguards the same way The Ohio State University makes them for their university athletes, using the same materials. You can choose the color, have your number or initials placed on it, or bring a team sticker/logo to put on it.
How are they made?
You arrive for your appointment and we make an impression of your upper or lower teeth (depending on your bite). About 30 minutes later your mouthguard is ready. If you want to have your own team sticker or logo on your guard you need to bring it to your appointment (make sure it is the size of a penny or smaller). Otherwise, we will have letters and numbers for you.