Appointments

Please contact us with any questions or comments, or to schedule on appointment. You can call us at 561-600-5484 or fill out this simple form.

Are you a current patient?

Yes   No
Send Request
Your request has been sent -- we will be in contact with you shortly.
There was an error! Please phone our office.

Are You Afraid of Needles?

Published on October 14, 2014 by

If you go to any medical office for a procedure, it is likely that you will encounter a needle at some point. Whether it is a blood test, the numbing of an area, or a vaccine… we have all experienced it.

I personally have no problem with needles, but after a recent visit to my dermatologist for a routine procedure on my ankle, I came to realize how some people develop “needle phobia”, and just how special Dr. Joy and Dr. Tom are when it comes to making sure our patients are comfortable with any treatment rendered.

When I laid on that table at the dermatologist’s office and the nurse gave me that quick shot without warning, it was just brutal. I understand that her reasoning was probably “let’s get it over with quickly”, but that complete lack of compassion, that “point and shoot” approach was a total wake up call and made me relate to a lot of our patients’ stories.

Needle PhobiaWe hear from patients on a regular basis that the needle is the worst part of their appointment. They tense up in the chair just thinking about having to get a shot.

I work by our doctors’ side every day.  I have first hand experience of how comforting they are to the patients, and how respectful of any apprehensions a patient may have.  They are so gentle that the only time you will know they have a needle in their hand is when your cheek feels like it weights 100 pounds as the anesthetic is working its magic.

They have the most delicate way to perform the injection, and I speak from experience both as an assistant to Dr Joy and Dr Tom, and as their patient. I have had to have a few procedures over the years and it was pain and stress free every time.

With the help of breathing techniques, effective distraction skills, and Lavender Oils (for those who are open to it), the doctor will have the area of concern numbed before you know it.

We care about how you feel while you are under our watch. Make sure you share what you have experienced in the past, we will make sure you are heard and comfortable at all time during your visit.

All About Gums

Published by

Healthy GumsWhen we think of our teeth’s health we have to also remember the importance of our gums. Imagine building a house. You would want a good solid foundation to build your house on; well, the same principle applies to your teeth.

Picture your gum as that solid strong ground were your teeth can only live a long, healthy and disease-free life. So the goal is healthy teeth and healthy gums!

With regular professional cleaning, good home care habits, and regular check up you can stay right on target. As we brush our teeth, a gentle circular brush of the gums and flossing (we recommend flossing once a day), you will give your gums a good chance to stay healthy and provide the foundation your teeth need.

What about gum disease?
It is unfortunate, but it is a fact that gum disease affect an important portion of the American population. Gum disease comes in different levels of seriousness, from a curable gingivitis to advanced periodontal disease which if left untreated can lead to bone loss.

Healthy gums are pink near the teeth, not white or red, if your gums look pale or irritated, you should consult with a dentist as soon as possible as it can be a sign of gum disease.

Gingivitis
Gingivitis is an inflammation of the gums caused by bacteria in plaque. The gums become red, swollen and can bleed as well. The good news is that, when diagnosed early, a case of mild gingivitis can be turned around with the help of a dentist who will remove the heavy plaque your toothbrush did not remove.

Depending how advanced your case of gingivitis is, we will perform what is called a “deep cleaning”. A follow up visit will be necessary to assess your gums, and see if they have regained their pink, healthy and firm consistency. Some patients might require more frequent visits with the hygienist for three or four months before their gums are back to normal before they can go back to a bi-yearly cleaning regiment.

I want to stress that gingivitis is reversible a lot of the times when detected early. This is why it is important to contact a dentist at the first signs of the problem.

Periodontitis
When left untreated for a while, gingivitis can progress into much more serious issues, such as periodontitis.

Periodontitis, is a low grade infection of the gums. At this stage, even high quality brushing may not control the disease because of the amount of calculus accumulated around the teeth. If periodontitis is not treated it will slowly and painlessly destroy the bone which supports the teeth. Untreated, the disease will eventually cause tooth loss.

Early detection of gum disease, again, is the key avoid the spreading of the disease.

Beyond dental health
It is important to note that gum disease can affect our overall health. It can lead to serious health problems such as increased risks in cardiovascular diseases, diabetes and even stoke. It is an active infection, and unless stopped, it progresses slowly in your mouth and body.

To Pre-Medicate Or Not To Pre-Medicate… THAT Is The Question!

Published by

PreMedication In DentistryWho needs to pre-medicate prior to dental work or dental cleanings? It is advised for patients that:

1. Have an artificial heart valve
2. Have a history of infection of the lining of the heart
3. Have had a heart transplant
4. Were born with a birth defect in the heart (congenital heart disease)
5. Have had orthopedic implants in the joints (this used to be recommended but, as of 2012, the ADA and American Association of Orthopedic Surgeons updated that recommendation and it is no longer recommended for patients with artificial joints).

The guidelines are re-evaluated every few years to make sure that they are based on the best scientific evidence. Your physician will have to confirm either way based on your history. These are general guidelines and some exceptions still require pre-medication.

Why was it recommended in the first place? Doctors recommend that a patient take antibiotics before certain dental procedures because we have bacteria in our mouth; cleanings as well as dental procedures allow bad bacteria to be released and enter your bloodstream. When in good health, it does not cause any harm – but in patients with compromised immune systems or conditions I listed above, it can lead to concerns and infection in other parts of the body. This is called “antibiotic prophylaxis” when it is recommended and prescribed by your physician. Always talk to your physician, nurse, or people handling and overlooking your health!

 

What Is a “CRT Test”?

Published on October 6, 2014 by

CRT TestThis is one of the tests we offer as part of the CAMBRA testing we provide for our patients. It is to assess why some patients have a tendency to develop cavities. It has to do with the bacteria we have in our mouth. In high quantity, the bacteria called lactobacilli and mutans streptococci in saliva is what we are testing with CRT tests. If the findings are 10^ CFU or more of lactobacilli and mutans streptococci per ml saliva , the patient is at high risk. 10^5 means a 100,000 count of bacteria per ml. It only takes a few minutes to have the testing done. We just need to collect some of your saliva and place it on the special kit (AGAR) and incubate the test for 48hrs at 99 degrees F. What you need to know prior testing: you need to be off any antibiotics for two weeks before the testing, and you cannot ingest food for 12 hours prior to testing. It is a simple test you can have done in just a few minutes.

What Is The Cause Of Your Dental Anxiety?

Published on October 3, 2014 by

Fear Of The DentistIt happens every day. I hear patients sharing how much they usually fear dental offices and procedures. These fears are usually caused by past experiences, a poor understanding of what work has to be done, or bad memories that soon become a fear. Patients develop anxieties, making their appointments dreadful. Dentistry has come a long way. The technology of today has so much to offer and it has made dental experiences a much more positive experience. In our office, we take these fears into consideration and listen to what caused that feeling at the first place. We strive to make our patients comfortable during any and every appointment; we take the time to educate you and we want to make sure your experience and perceptions are positive. I am not joking when I say patients often leave saying they had a good time. Our team is friendly and dedicated to your wellbeing. The name Dental Wellness says it all!

What is Periodontitis?

Published on September 30, 2014 by

Periodontitis is a low grade infection of the gums. At this stage, even a high quality brushing may not control the disease because of the amount of calculus accumulated around the teeth. If periodontitis is not treated, it will slowly and painlessly destroy the bone which supports the teeth. Untreated, the disease will eventually cause tooth loss – but it doesn’t have to be that way! Early detection of gum disease and good professional care is the key; we cannot stress this enough. Gum disease can affect our overall health. It can lead to serious health problems such as increased risks of cardiovascular diseases, diabetes and even strokes. It is an active infection and, unless removed, it progresses slowly in both your mouth and beyond as any infection is harmful for your general health. Imagine a cut not healing, filled with pus. Would you really leave it and only have it checked every six months? This is what gum pockets are like. It’s recommended that you have them professionally checked and have plaque removed every three months. Think of that cut mentioned earlier.

Comparison of Healthy Tooth to Periodontitis

Comparison of Healthy Tooth to Periodontitis

So! How Exactly Do I PREVENT Tooth Decay?

Published on July 31, 2014 by

Oral hygiene is at the heart of preventing tooth decay. Home care (flossing, brushing, etc), regular check up including x-rays once a year, and a professional cleaning at least twice a year will help you prevent tooth decay. It is important to note that the ADA recommends professional teeth cleaning to be done every three to four months. Following these steps is your best option for early detection and prevention. You should be brushing at least twice a day or after each meal if possible, flossing at least once a day can go a long way to avoiding cavities, as well.brush-floss

If you have a sweet tooth, by all means honor your cravings, but when possible brush or rinse your mouth with water right after eating to minimize acid buildup. If you drink soda or sugary drinks, do not sip them all day, and if you like candies and mints don’t suck them all day either. Enjoy them, and think of your oral care: rinse, brush and floss!!!

All these tips can help avoiding building that plaque that is so damaging to your oral health – and your overall health, as well…

 

How Do We Treat Cavities?

Published by

The first step is to remove the active decay, then the tooth is filled with resin (although a lot of dentists still use silver amalgam, which can cause serious health consequences).  Here at Drs. Rohrer, we do NOT use amalgam fillings because of our focus on Whole Body Dentistry – it is important to note that amalgam often contains mercury which has been linked to an array of negative side effects and diseases.  Today’s technology offers wonderful materials which are an healthier alternative to amalgan, and can match the color of your teeth.

Tooth DecayFor more severe tooth decay, crowns, onlays or inlays can be recommended depending how much of the decay has reached into the dentin. In case you need a crown, an onlay, or an inlay, it will be a two visit process, as a laboratory will need to make the restoration that will be installed during the second visit.

In the case of more advanced decay, if the nerve is reached, a root canal might be recommended (as long as the tooth can be saved). After the root canal is finished we can prepare the tooth and make an impression for a permanent crown/restoration to be made by the dental lab.

In extreme cases, if the decay is too advanced, the tooth will have to be removed.

What Exactly IS Tooth Decay?

Published by

Caries - Tooth DecayWe get asked this question every day! Tooth decay is more commonly referred to as a cavity,  or more specifically dental caries.  Tooth decay is a common disorder causing the breakdown of healthy tooth enamel and sometimes dentin. Cavities are little holes in the teeth causing damage to the structure of teeth. It can cause pain at times as it is an infection. It can also lead to tooth abscess if the pulp is reached, and can lead to the loss of the tooth when left untreated.

How does tooth decay occur?
Bacteria in our mouth change food into acids. That acid, along with bacteria, food, and saliva forms what we call plaque. Plaque forms within 20 min after eating, and if that plaque is not removed regularly, it creates tartar that sticks to our teeth.  Certain foods, like sugar, carbohydrates and sugary drinks play a big factor in developing tooth decay.

Accumulation of plaque and tartar can also affect your gums, resulting in the very common infection known as gingivitis. Gingivitis is what we call an active infection which generates pain.

The acid in plaque will slowly eat the healthy tooth structure away, first damaging the enamel, making its way in the dentin, then eventually reaching even deeper into the pulp when not addressed in its early stages.

The good news is, when detected on time, early treatment is easy and painless for both your mouth and your wallet.

 

 

What Is An Onlay?

Published by

porcelain-onlay-before-and-afterWe recommend an onlay if we need to restore a tooth that is broken down so much that a filling is insufficient, too much of the tooth is missing, or if the tooth is cracked and could fracture, or in any case where we could not use conventional filling material due to a variety of reasons.

An onlay covers at least one cusp of the tooth and most or all of the chewing surface of the tooth. It help to strengthen it so that it won’t fracture.  One advantage of onlays is that they preserve more of the natural tooth structure. If the tooth’s structure is healthy, it is usually best to leave as much of it in your mouth as possible.

Onlays look very natural.  In fact, it is one of our favorite tooth restoration methods.  An onlay can be porcelain or gold.

Although most people like to have them made in porcelain for cosmetic reasons (as we can match the color of your existing teeth), from a whole-body-health perspective gold is just as acceptable.

The difference between an onlay and a crown…
A crown covers the entire chewing surface of the tooth and wraps around the entire tooth all the way to the gum line. The porcelain onlay is more conservative as it covers only the weak parts of the tooth, and saves more of your natural tooth.

What you need to know…
Onlays require a great deal of expertise to place correctly. They require extensive training in cosmetic dentistry and in occlusion. Very special skills are required to prepare the tooth, as well as actually seating the onlay.

Dr. Tom been making onlays for years, and always favors them as they allow to save more of your tooth. His extensive training and studies under the best teachers combined with years of experience have helped him master the skills required to install onlays, and he has come to love this very conservative and natural approach to tooth restoration.

Onlays… What To Expect
During your first visit we will remove tooth decay if any is present. Sometimes what we call a “build up” is necessary if a lot of tooth structure is missing.  The doctor will prepare your tooth for an impression we take for a laboratory to make your onlay, and finally we will make a temporary. You will be able to function properly with the temporary during the couple of weeks the lab usually needs to make your restoration.

The second visit will requires less of your time. While this phase is highly technical and requires a lot of skills to prepare both you tooth and the onlay, you will be in and out of the office in a short period of time.