Dailley Dental Care Has New Team Member

We are very pleased to announce the addition of Dr. Deborah Chau to our dental team. Dr. Chau grew up in the Bay Area and after receiving her bachelor's degree from the University of the Pacific in Stockton California she attended the University of the Pacific School of Dentistry in San Francisco, which happens to be the same university Dr. Dailley attended and taught at. After graduating from dental school with honors Dr. Chau completed a General Practice Residency program at the University of Minnesota where she obtained extensive training in the care of medically complex and special needs patients. Dr. Dailley has taken great effort to find the right candidate who will be able to uphold the high quality of service that patients in his practice have grown to expect. Dr. Chau possesses the highest qualifications and is extremely well skilled in all phases of dentistry.

One of our goals is to make it as easy as possible for our patients to obtain their dental care by providing early morning and evening hour appointments. This tradition will continue but we will be able to provide even more convenient appointment times for our patients with the addition of Dr. Chau.  Dr. Chau will have office hours on Friday and Saturdays, which in the past have not been available for our patients. We hope this makes it easier for our patients, their families, and their friends to have their dental needs cared for without having to take time off work or school.

Implants and Their Benefits

 One of the areas of dentistry where some of the greatest technological advances have taken place in the last 10 years has been in the field of implant dentistry. In the past when a tooth was lost there were two options on how to replace it. One was to replace the tooth with a removal partial denture that was both cumbersome and awkward in the mouth. It was also not very cosmetically appealing and often times the metal clasps would show. The second method was to place a bridge that was not removable but did require preparing or shaving down the adjacent teeth on either side of the missing tooth space. A false tooth was attached between the two anchor or abutment teeth. On our web site is a short video demonstrating how a bridge works. The problem with this technique is a two or more perfectly good tooth had to be shaved down, and once the bridge was permanently cemented into place there was no way to floss in between the teeth as you normally would. A special device called floss threader is used to thread the floss in between the false tooth and the anchor teeth.

Implants have been around for decades but in the last 20 years there has been much research and advancements made in the area of the biomechanics and biomaterials of dental implantology. Implants are typically made of special titanium that has a special coating on it that promotes the growth or integration of bone to the implant itself. It is through this mechanism that the bone attaches to the implant. When a tooth is lost there is a natural loss of bone that takes place in the area where the tooth once was. This can result in a poor cosmetic outcome or there may even be insufficient bone available to allow an implant to be placed. These days there are many choices the doctor has to perform bone grafts and provide additional needed bone if necessary. The bone used for bone grafting is typically a freeze-dried bone that has been rendered in such that it can be used on anybody without the worry of rejection or disease. Today when a tooth has to be removed a bone graft is often placed in the socket of the tooth after it has been extracted in order to preserve bone so that an implant can be later placed in the same area. Implants offer many advantages over removable partial dentures and prosthetic bridges, and have a very predictable outcome. They provide a superior cosmetic result, preserve bone where the tooth was lost, provide an easily cleansable area that can be easily flossed, and eliminate the need to unnecessarily prepare adjacent teeth.

The process of replacing a missing tooth with an implant retained prosthetic crown is very straightforward and predictable. Following the removal of the tooth the doctor must allow 3-4 months time to pass to allow for new bone to fill in where the old tooth root once existed. This is true whether a bone graft is placed or not. Sometimes an implant can be placed at the same time the tooth is removed. Once it is deemed that the bone has filled in sufficiently a small hole is drilled into the bone  and an implant is placed within the space and the surrounding  bone is allowed to grow and integrate with the implant. A small healing cap is placed on top of the implant during this healing phase, and this process typically takes 3-4 months. A short video of an implant placementcan be seen on our web site Since bone has no nerve endings in it there is surprisingly very minimal discomfort, if any, following the procedure. Most of our patients will take one ibuprofen when they leave our office and that will be the last pain relieving medication they need to take after that. There is also no swelling. After the 3-4 month period of bone growth has passed the healing cap that was covering the top of the implant is removed and an implant abutment is screwed into the implant and a crown is placed permanently over the abutment. This process can be seen on a short animated video on our web site. Once completed an implant will function and look just like a natural tooth. In order to maintain them properly implants do require very good oral hygiene and regular check ups.

About the author: Dr. Anthony Dailley is a practicing general dentist in Berkeley California. He has been practicing since 1981 and graduated from San Francisco State University with a degree in Cell & Molecular Biology, and obtained his dental degree from the Pacific School of Dentistry. Dr. Dailley has also been a founder in a biotech company called NovaBay Pharmaceuticals and was a member of their board of directors from 1997 -2014.

Periodontal Disease and Your General Health

Welcome to the first article of our new blog. Our dental office, Anthony Dailley DDS www.dailleydds.com regularly sends out similar electronic newsletters to our patients to keep them abreast of the lastest developments in dental health. We hope our blog will provide readers with additional knowledge about their dental health and what modern dentistry has to offer. Below is an article about how gum disease can effect much more than just one's oral health.

Anthony Dailley DDS

The relationship of periodontal disease to disorders elsewhere in the body has attracted a great deal of attention from the dental and medical professions, as well as from the public.  Numerous studies have emphasized that the oral cavity, and the periodontal tissues specifically, can affect other tissues and organs.  In essence, these studies have connected the mouth to the rest of the body and have resulted in physicians and nurses becoming more aware of diseases of the teeth, gums, and other structures in the oral cavity. Many studies recently published in medical and dental literature suggest that the mouth truly is a window to the body.  In fact many systemic diseases can manifest themselves orally well before any other signs or symptoms have become apparent medically.  The oral cavity is affected by inflammation (in particular periodontal disease).  The toxins produced by the oral bacteria that are responsible for periodontal disease can harm wherever they travel to in the body. Scientist have observed a connection between oral health and heart conditions.  In a study published in the International Journal of Cardiology found that patients who had suffered recent heart attacks had noticeably worse oral health compared to those patients with healthy hearts.  Multiple studies, including a recent report in the Journal of Clinical Periodontology show a startling correlation between patients with periodontal disease and those with heart disease.  The more severe the gum disease, the thicker and harder the walls of the arteries.  This is even true for young adults with no symptoms of heart problems.  There are increasing links between oral health and conditions such as diabetes, kidney disease, preterm labor, osteoporosis, and even Alzheimer's disease.  A 2007 report in the New England Journal of Medicine noted that patients who had their periodontal disease treated emerged not only with healthier gums but with healthier endothelial function which is a measure of health or the lining of the blood vessels.  The alarming fact is that more than 80% of adults aged 20-64 in the U.S. have some form of periodontal disease.  Maintaining good oral hygiene habits and regular visits to the dentist to prevent and manage periodontal disease are becoming more important as it relates to one's general health. “We all think that cholesterol is important to heart disease. The health of your gums is a more  important predictor of whether you will have a heart attack or not.” Mehmet C. Oz, M.D. F.A.C.S Director,Cardiovascular Institute Columbia University Medical Center, New York, NY   About the author: Dr. Anthony Dailley is a practicing general dentist in Berkeley California. He has been practicing since 1981 and graduated from San Francisco State University with a degree in Cell & Molecular Biology, and obtained his dental degree from the Pacific School of Dentistry. Dr. Dailley has also been a founder in a biotech company called NovaBay Pharmaceuticals and was a member of their board of directors from 1997 -2014.