Old dental bridgework


Removing old dental bridgework does not always have to feel like you’ve dropped into a downward spiral.

Downward spirals make dentists feel there is no end in sight when problems are encountered.

One problem in particular is the necessity to cut away bridges from underlying healthy tooth structure.

This procedure is time consuming and must be well planned to not get backed up because of tight scheduling.

Tight scheduling is fine for routine dental procedures but not the case for the removal of old dental bridgework.

Removing permanently cemented or bonded bridges is no easy matter and are not classified as routine procedures.

Allow extra  care and time for their removal.

Careful dissection of metal in the oral cavity finds a dentist operating in close proximity to living tissue.

What you need to be successful is a high speed hand piece and a series of fresh carbide 557 burs and various assortments of diamond burs.

Zirconium porcelain bridges are extremely strong and best dissected with industrial diamonds.

Bridges fabricated of precious metals are easier to cut due to the density of these metals.

Carbide burs cut through them like a hot knife plowing into butter.

On the other hand non-precious metals, nickel based alloys in particular require you pack a lunch and come prepared to put in overtime.

A patient was seen in my dental office for removal of a 5 unit bridge, porcelain fused to a non-precious metal.

The patient was given an anti-anxiety agent to reduce the stress and strain inherrant in long  span removal of old dental bridges.

A special type of bridge removal instrument operates to remove bridges with a tapping motion.

Care is taken with this tool in order not to fracture teeth underneath the bridge.

Advise patients there is a risk involved removing old dental bridgework.

Recurrent decay underneath and around the margins of crowns can cause tooth fracture.

With this knowledge patients may also elect to receive endodontic therapy leaving the bridge in place.

The tooth is treated making an access preparation in the palatal or occlusal aspect of the tooth.

You save the bridge in this manner and repair reachable damage.

Intelligent conversations with your dental patients help to create workable options that become doable for the patient.

Spend quality time planning these procedures and save time by having on hand what is desired to perform the treatment.

Removing old dental bridgework can best be achieved after time is well spent planning your case.

From the Diary of my enlightenment,

A.L. Clark,  D.D.S.   http://www.dentist4yu.biz



Dental Economics


Sound dental economics keeps the business of dentistry operating in the black.

Those of us that operate dental clinics at one point or another have sought professional

help to improve the overall condition of our business concerns.

Dentists arrive at work in their dental clinics daily for the most part in the best of spirits.

Patients show up as well expecting to receive the best care they possibly can receive.

As an emergency dentist in Kansas City, it is my responsibility to render the best of care for the

relief of dental disease.

Dentists are reminded first and foremost their clinics are business concerns and should be run as such.

Hire individuals that show compassion for the welfare of others.

Building a professional dental team is a key component for success.

Patients refer their family and friends to the clinics that show a caring manner.

It has been my experience you will not have to treat your entire city to become successful.

What you deliver must be done with the utmost care.

Patients bond to those who take the time to listen and treat their maladies.

Money will flow through your operation if your treatment is of a high quality.

Patients who receive value from you will help you expand your business.

Basic dental economics suggest you live within 70% of what is collected.

Always pay yourself first as a major motivator to improve the overall business.

Your pay should be 10% of the collections.

A major player that supports dentists is www.sterlingmanagement.com.

Another is www.umkcdentalschool.org delivering great seminars and support services.

Getting a new business concern up and running in most cases requires a business loan.

Use 20% of collections to pay past due debts and taxes of the business.

The 10% that you pay yourself is used to grow your business beyond its current scope.

Opportunities will come and go over the course of your career.

Take advantage to grow your business with cash on hand that can be leveraged for greater growth.

Owning your service facility is one way to control your own destiny.

At some point the money saved in leases and rent can be further invested in your service facility.

Expanding your ability to deliver services improves your bottom line.

You greatly reduce the risk of investment hiring professionals and following their advice.

Our job is to treat the public and be sound leaders of our hand selected dental teams.

Sound financial advice will take you where you want to go in your business plan.

Contract with seasoned professionals who help provide sound dental economics.

From the Diary of my enlightenment,

A. L. Clark, D.D.S.   http://www.dentist4you.biz




ALVEOPLASTY after oral surgery.


Alveoplasty after oral surgery aids in the healing process when teeth are extracted.

Not all teeth extracted from alveolar bone present difficulty upon ther removal.

Most oral surgery procedures are routine in nature.

For those that are not routine, a high speed drill is required to section teeth into

small pieces.

The surgery may traumatize the bone on occasion.

Unevenness of underlying bone can be smoothed to facilitate the healing process.

Alveoplasty after oral surgery prepares the bone assisting the surgical site to heal.

Patients return to the healthcare team due to post operative pain.

Sharp shards of bone cause the discomfort easily treated by reducing sharp bony prominences.

After surgical procedures inflammation can be treated with warm salt water rinses and prescription

oral rinses like Peridex, used twice daily. Peridex has as an active ingredient, chlorhexidine.

Another good oral rinse is Perio Med with fluoride as its active ingredient.

Alveolasty is not to be mistaken for gingivoplasty where inflamed overgrown or unsightly tissue is trimmed, reduced to eliminate gum pockets.

A patient was seen for emergency dental care in Kansas Cty, evaluated for post operative pain in conjunction with the surgical removal of an upper right first molar.

A large carious lesion has made the tooth non-restorable. In another dental facility the patient has undergone a difficult surgical extraction.

After the removal of the tooth, the dental facility referred the patient to an oral surgeon for alveoplasty.

Wthout the procedure the surgical site will heal with difficulty.

Inflammation in the area can be greatly reduced with a prescription mouth rinse.

Keeping the patient comfortable is a feat always appreciated by those under your care.

Patents who undergo multiple extractions for the placement of full dentures are treated with alveoplasty.

Alveoplasty after oral surgery enables the patient to wear the dentures comfortably.

The lumps and bumps under the patient’s gums before alveoplasty are sharp bony prominences left behind after the removal of teeth.

It will take approximately two months for the bone to settle.

After teeth are extracted bone is continuously lost throughout life.

Knowledge that bone resorbs helps to understand why dentures are replaced or refitted over the years.

Dentures loose their fit due to the continual process of bone loss.

Tori are excess growths of bone that must be removed before the fabrication of dentures and partials.

Alveoplasty after oral surgery helps to keep the patient comfortable.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.   http://www.dentist4you.biz



Remaining alkaline. Nutrition facts. Immune health for life.


Immune health for life is a goal that should be a top priority for the coming new year.

We are starting the second week of 2016 hopefully continuing your successful actions from previous years.

New year resolutions are fine but the continuation of successful actions should be a part of your life plan.

Improving upon a well thought out plan is a very good idea.

Keeping a journal is an excellent way to collect data that improves your plan for life.

The human body is a well tuned machine given the right fuel, sustains you through the toughest of times.

Weather plays a vital role in your immune health.

Extreme conditions of hot and cold should be reviewed to better understand their side effects on the body.

Hydration is vital to keep your body functioning properly.

You will not perform at your best if adequate fluids are not ingested.

The same is true with a good supplementation program.

The body is constantly bombarded with foods that break down into gluten.

For this reason the gluten free diet is not a passing dietary fad but a way of helping the body to better absorb nutrients from what you eat.

Use the gluten free diet to improve immune health.

Improving health in general is one of the primary purposes of this blog.

Throughout the Internet you will find tips that should be investigated for their validity and usability in your arsenal for improved health.

The supplements that you consume can be evaluated for their effectiveness in your overall program.

Personally a liquid vitamin is easily absorbed from the gastro-intestinal tract and used by this writer as a general supplement or multi-vitamin for immune health.

On the site WebMD, webbed.com, you can find good information about vitamins and supplements.

The site discusses information that will help you decide with a healthcare provider the best vitamins and supplements for specific ailments.

Supplements and vitamins must be taken in harmony with other medications and foods.

In our niche, emergency dental care Kansas City, patients on vitamin E supplements run the risks of bleeding problems and should be taken off the supplement several days before the removal of teeth.

This problem is better discussed with the patient and physician to get the patient back on the supplement at the proper time.

Blood thinners are prescribed to reduce the patient’s risk of blood clots after heart attacks.

Immune health is improved understanding supplements.

From the Diary of my enlightenment,

A.L. Clark, D.D.S. http://www.dentist4you.biz



Gum surgery benefits the entire body.


Gum surgery benefits the overall health of the patient. Periodontal health is achieved treating oral pathogens that destroy bone and healthy gum tissue.

Periodontal therapy restores healthy gum tissue destroyed by bacteria deep within the gum tissue.

A major adjunct in the treatment of gum disease are gum specialists called periodontists.

Periodontists are called upon to maintain oral health after tissues of the oral cavity become highly inflamed and/or infected.

Patients non-attentive to their oral health risk the loss of their teeth.

It has been stated tooth loss leads to bone loss. Periodontitis also destroys bone in the early, moderate and advanced stages.

In its early stages crestal bone is loss paving the way for moderate to severe destruction of alveolar bone.

Moderate periodontitis occurs after the continuation of the earlier stage. Gum pockets deepen resulting in 30 to 50% bone   loss around various teeth. Teeth may become loose because there is less bone support.

Gum surgery benefits.


Specialists use surgery techniques that reduce or eliminate inflammatory tissue  deep within bony defects.

Bony defects occur after plaque and tartar release toxins deep within the jawbone.

To treat periodontal disease the gums are reflected away from the teeth exposing sub-gingival problematic tissue.

Inflammatory tissue is cut away through gingival curettage re-establishing healthy tissue.

Synthetic bone grafting materials are used to seal bony defects.

Bony defects are very difficult to reach for purposes of oral hygiene.

Gum surgery benefits the immune system of patients.

After treatment oral maintenance is desired to hold the gains created from effective surgery.

Effective surgery places the gum disease process in remission.

Stabilize the patient with gum surgery benefits, having the patient keep regular oral hygiene  appointments.

Regularly scheduled dental appointments are known as periodontal maintenance booked every 90 days.

Patients remain in treatment under the care of the periodontist and the referring general dentist.

The general dentist will see the patient twice per year participating in the overall general health of the patient.

Oral irrigation is an excellent tool to hold the gains maintaining gum surgery benefits.

Proper brushing techniques, flossing and automated tools keep the basic disease, now in remission controlled in the home environment.

Teeth have a tendency to move from their normal positions after periodontal disease.

Orthodontic appliances and orthodontists assist in moving teeth back into more esthetically pleasing positions.

Gum surgery benefits patients wanting to save their teeth.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.   http://www.dentist4you.biz

Reference: Richard Gilman, D.D.S. <www.gilmanperio.com>and Clarence Simmons, D.D.S. <www.harmonysmiles.com>

University of Mo. Dental School, <https://dentistry.umkc.edu






Before moving teeth with braces or orthopedic appliances evaluate the quality of the bone.

Orthodontists are valuable assets to our dental team.

The assessment of a dental treatment plan requires the evaluation of the patient’s periodontal condition.

Patients visit their family dentists in order to have beautiful smiles.

The smile we are told is an expression of your identity.

The number one expression of your identity is your ability to smile.

Moving teeth accomplishes two things, a beautiful smile and an improvement in our patients ability to speak efficiently and chew food.

A patient was seen in my emergency dental office KC because of spaces starting to show between the teeth.

Examination revealed movement of several teeth, it appeared due to moderate periodontitis.

Radiographs confirmed the initial diagnosis and the patient was referred to an orthodontist.

Before the orthodontist discussed moving teeth with the patient a second referral was made to a periodontist.

Periodontist treat maladies of the jawbones related to gum disease and bone loss.

It is important to understand the need to treat gum disease before braces are bonded to the teeth.

Orthodontic treatment can last for several years.

Before this treatment commences patients are taught proper oral hygiene instruction.

Properly carrying out oral hygiene instruction improves chances for a positive outcome and successful case.

Teeth that are unsalvageable are recommended for extraction.

The goal of dentistry is the preservation of oral health in general.

Dentists save teeth where feasible and remove those that harm the overall treatment of the patient.

Highly inflamed and infected teeth cause sulfuric gases and toxins that form free radicals in the body.

These toxins should be treated and removed form the body to improve the patient’s  health.

After restoring the oral cavity to a healthier state will you be able to entertain moving teeth.

Orthodontists are unable to place bands and brackets on unhealthy teeth.

Unhealthy teeth can move out of minimal bone in the later stages of gum disease.

This defeats the orthodontic treatment’s purpose and successful completion of the case.

Dentists and patients are advised to proceed with caution where there are advanced stages of gum disease.

Treatment plans are designed with safeguards in place for our patients.

Every consideration is taken to also make the dental treatment plan cost effective.

Treatment plans that do not keep the budget of patients in mind are never started or completed when moving teeth.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.   http://www.dentist4you.biz

Reference: Haywood Hambrick, D.D.S. <www.bizexposed.com> Orthodontist. Clarence Simmons, D.D.S. <www.harmonysmiles.com> Orthodontist



Excision of necrotic tissue.


Necrotic tissue is removed from the oral cavity for the general health of the patient.

Patients are advised to not allow their dental health to be placed on hold in pursuit of a career.

The body is an amazing machine that operates under the worst of conditions.

We pollute the body with an assortment of all sorts of chemicals.

The best intention of your survival is the protection of your body and its ability to function.

Healthcare workers for the most part are not surprised by what is seen in hospital and dental emergency rooms.

Some patients abuse their bodies for years hoping to not succumb to the end product.

The heart attack, that has the potential to cause sudden death is no joking matter.

Maximize your years in this realm paying attention to what you take into your body.

The human body is dragged all over creation causing us to question whether or not we receive rest while on vacation.

Treating patients through emergency dental care KC reveals very sick people, ambulatory, yet not fairing very well.

Not doing all that you can to care for the body can shorten your lifespan.

During World War I, infantrymen remained in trenches for long periods of time.

Nutrition was shoved aside following the first mandate of survival, to not be killed by the bullets and bombardments of your enemy.

In so doing soldiers developed necrotic tissue in their oral cavities called Acute Necrotizing Ulcerative Gfngivitis.

Walk in an operating room and the putrid smell of decaying flesh in your nostrils is not forgotten.

Multiple teeth removed preparing patients for dentures, is one way of detoxification.

The body starts to heal in the absence of infection and inflammation.

There is also healing noted in the presence of proper supplements, rest, exercise, and good nutrition.

Surgical procedures document that the excision of infected tissue and the removal of diseased teeth are good steps to conquer with the patient.

Remove the underlying causes of a problem and the world will thank you.

In my profession patients are thankful after their infected teeth are removed.

Patients feel a sense of accomplishment that relief does not have to be a stranger.

Healthcare workers can be viewed as friends working to keep patients feeling their best.

Take the time to have necrotic tissue removed and treated for optimal health.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.    http://www.dentist4you.biz




Remaining alkaline. Nutrition facts. Are you receiving? Marketing in dentistry


Remaining alkaline is an optimum range of the body’s ph in your blood chemistry for overall health.

Blog Talk Radio is a weekly program that dispenses vital information for consumers on the Internet.

The station is found logging onto FreeConferencing.com.

A wide range of dental and medical problems can be eliminated keeping the body within an alkaline state.

Patients who call our emergency dental care Kansas City facility are advised to reduce their sugar intake.

Sugar causes oxidation in the body breaking down individual cells and body functions.

Years have passed since dental patients were advised to purchase baking soda for the purposes of oral hygiene, acid reflux and gastric distress.

It is very difficult for pathogens to survive in an alkaline state.

A speaker from a video clip was discussing a book, “Rich Man’s Poor Man’s Cancer Treatment.”

The speaker was advising his audience to not forget the benefits of baking soda in the fight against cancer.

One comment stated that the body remaining in an alkaline state is able to ward off cancer causing pathogens.

They find it very difficult to grow unless given an acidic environment.

Sugar and carbonated beverages provide a medium favorable for the formation of cancer cells.

At one point the speaker went on to say an alkaline induced state of body fluids is better than the harmful side effects of chemotherapy.

A therapeutic mixture of 2-3 teaspoons of baking soda in 1 gallon of water can produce the desired effect.

Keep in mind one reference given to our patients calls for taking one half the body weight divided by two to get the number of ounces of water to be consumed daily.

Another reference informs patients to not over hydrate in lieu of flushing needed electrolytes from the body.

Find a happy medium and stick to it. The urine should have consistency in color after consuming the correct amount of water daily.

Patients with heart problems such as cardiomyopathy should consult their physician to monitor fluid intake.

An enlarged heart should be taken into consideration in order to not strain or overwork the heart muscles.

Eat healthy and consume fluids to allow normal body functions.

On the best of days normal flora in the body should be kept at a balance with active cultures of Lactobacillus cultures found in probiotics.

You will see common maladies miraculously disappear maintaining a healthy balance in flora that play a very vital role in good nutrition.

Remaining alkaline should be a priority for all looking to reduce potential aliments especially caused by cancer forming pathogens.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.   http://www.dentist4you.biz



Simplistic designs


Use simplistic designs to maximize your potential.

What you create using form and function connects the dots of a project.

Develop your projects using the most basic elements of form and function.

Oral health care at its best significantly reduces pain and suffering related to dental disease.

Dentists, dental hygienists, and dental auxiliary staff teach patients the art of basic disease control within the oral cavity.

Patients recognize early on there is effort required on their part to remain free of oral disease.

It is your daily basic actions that bring success.

No matter how you frame this statement simplistic designs are the most effective.

One major goal in the dental office is the reduction and eventual elimination of halitosis.

Halitosis, commonly known as bad breath, reduces effectiveness in the best of workers.

Difficulty is experienced bonding to co-workers where you find yourself in continuous daily close contact.

A lot of tactful urging is required that causes a person to seek relief from bad breath.

Bad breath treatments are for the bearer of the problem and those around him/her.

Seeking treatment says you respect and care about those who communicate daily within close proximity.

The basic actions of brushing effectively and flossing daily should not be underestimated.

They keep food particles from breaking down between the teeth.

Another basic tool in the regimen to fight halitosis is the proxy-brush.

Proxy-brushes fit between the teeth, clearing food, plaque and bacteria before they develop a slime layer.

The putrefaction of food items over time left between the teeth form sulphuric gases.

Bad gaseous oder coming from the mouth is very difficult to mask with candy, mints or mouthwash.

You only fool yourself with this strategy to mask bad breath.

Basic actions yield great success performed with regularity.

It does not matter what you are attempting to achieve in life.

Achieve it with simplistic designs.

One of my favorite basic tools to bring you success in the fight against tooth decay and gum disease is an oral irrigator.

Oral irrigators greatly reduce gingival inflammation.

They give the mouth a daily spa treatment, an oral lavage of thorough cleansing and freshness.

Automated systems improve your ability to remove tartar and plaque.

There are quite a few on today’s market that are very effective.

Their bristles should be soft and multi-tufted for a gentile effect preventing cervical abrasion.

Use simplistic designs to achieve success in whatever you do.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.   http://www.dentist4you.biz






Headaches regarding dentistry.


The majority of headaches regarding dentistry are caused due to periodontal disease, oral infections and rampant tooth decay.

A patient has been suffering with a toothache for several weeks.

Pain pills may help in the short term but nothing seems to resolve tightness in the cranium, radiating up and down the neck and temporal areas.

Cold and warm compresses provide a soothing temporary relief as well for those not wanting to feel null and void because of narcotic pain medication.

Follow the directions given for both prescription and over the counter pain medications.

Healthcare providers are bombarded with requests for pain medication on a frequent basis.

The Drug Enforcement Administration has tightened the reigns where laws have been soft in the dispensing of narcotic pain pills.

Pharmacies get hit with heavy warnings if prescribers write vague descriptions on their prescription pads.

Drugs requested for patients must clearly document the drug formulation in name, quantity and directions for the safety of patients.

Emergency dental care KC through our team has written a fair share of prescriptions for pain relief.

Non-narcotic preparations like Tramadol, Ibuprofen, Tylenol and Alleve (naproxen) can be offered as medium or moderate pain relievers.

It is not necessary to dispense narcotics to every patient that request pain relief for the majority of headaches regarding dentistry.

Consider referring patients to pain centers that are capable of monitoring and managing the quantity of narcotic drugs received by your patients.

Patients needing help weening off narcotic prescription medication can seek services at various detoxification programs in our cities and towns usually affiliated with hospitals.

The best plan will always be preventative services that fight gum disease and tooth decay on a regular basis.

The removal of wisdom teeth in dentistry remains a surgical procedure that also humbles many of our young adults before they are treated.

You will not be able to walk away from dental pain and the resulting headaches that keep us up at night.

Cavities that enter the nerve center in teeth cause ear congestion, sinusitis, mouth head and neck pain, swelling, and abscess formation.

Keep these statements in mind so that needed treatment does not get placed on the back burner of your to do list.

The longer needed treatment is pushed to the end of a to do list the higher your chances of risking headaches regarding dentistry.

From the Diary of my enlightenment,

A.L. Clark, D.D.S.    http://www.dentist4you.biz