Q: I find as I get older, I am becoming more cavity- prone. It seems like every year more teeth begin to decay underneath crowns and fillings that were done no more than five years ago. Did my doctor do a poor job? J.K. in Boca
A: This is another fine example of: “don’t shoot your dentist.” Many patients get angry if their dental work does not last a lifetime. The body is always changing and disease can occur at any time no matter how recent the dental work was completed.
You are one of many that are suffering from this common disease facing patients 65 and older. “Root caries caused by xerostomia induced by medications and the aging process itself.” In simple terms: dry- mouth, which destroys the acid reducing, buffering capacity of the oral cavity resulting in decay of the teeth, under the gum-line, along the root surfaces. Many of these teeth are better off not being root canaled and re-crowned, but instead, extracted and replaced with dental implants which have a much better long -term prognosis. Ask your dentist for some preventive treatments for root caries such as custom fluoride trays and saliva substitutes.
EDITOR’S NOTE: Dr. Mitchell Josephs will be giving two FREE LECTURES on Incision-Free Dental Implant Surgery, Digital Crowns & Veneers, Choosing a Dental Office and NEW TOPICS: “Laser Lip and Gum Treatment” and “Why Botox at the Dental Office?”, at the West Palm Beach Downtown Library on Clematis St. on Thursday January 10th at 6:30 PM. To register, call 561-868-7701. And, on Friday February 1st at 10:30 AM at the Boynton J.C.C. on Jog Rd. Call 561-259-3016 to register.
Attendees will receive a FREE copy of his book: “Tooth Talk”. Seating is limited; these seminars fill up rapidly; call today. Dr. Josephs practices Cosmetic, Implant and General Dentistry in Palm Beach and hosts “Tooth Talk” on WBZT AM1230 (www.radiotoothtalk.com) Dr. Josephs is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry and completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.