As the holiday season begins, we ask that you help us feed the hungry. For the seventh year in a row, we are teaming to support The Second Harvest Food Bank of Middle Tennessee and help fight hunger. Just bring in 35 non-perishable food items during the entire month of November and we will schedule your appointment to have your custom fit trays fabricated. If you already have the trays, bring in 20 items and we will restock your bleach.  To provide optimal bleaching results and ensure that prescription bleaching methods are a safe and effective option for you, an exam and recent cleaning are required. Give us a call at 615-254-1393 for further details.

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We understand that dental care needs to be affordable, especially for families. We also know that many companies have cut back on dental benefits or even cut them out entirely. Even if you have dental insurance, you may be concerned about your out-of-pocket expenses, so we make every effort to lighten your financial burden. Our House Dental Plan is an alternative for families, individuals or businesses that want excellent dental coverage without the barriers of traditional insurance. The program is designed for patients without dental insurance, as well as insured patients who may be looking for a better option. Downtown Dental’s house plan gets you savings similar to what people with insurance get without the limitations. Our house plan encourages more preventative treatment so that you can avoid expensive, time consuming, painful restorative treatment later on. Because our plan doesn’t have annual limits, you won’t be pressured to risk your health by waiting for the next year to roll around so that you have money in your account again. No more cutting corners on your wellness: Downtown Dental’s In-House Plan is one way to make dental care affordable for the whole family.

3 WAYS TO SIGN UP

  1. Sign up online by clicking here.
  2. Next time you're in the office, let a DD staff member know you'd like to join.
  3. Call our office at (615) 254-1393 to have our administrative staff assist you over the phone.
Teeth whitening can help brighten up a dingy smile. There are many possible choices, from professional whitening in a dentist's office to do-it-yourself kits. Whatever you choose, it's important to get the facts ahead of time. Not everything you hear about teeth whitening is true. Check out these debunked myths. Myth #1: It's too expensive. The truth is teeth whitening doesn't have to cost a fortune. At-home tooth whitening is usually more affordable than the professional whitening your dentist does. But that doesn't mean all professional whitening will be out of your budget. Teeth-whitening kits run about $100. In-office professional whitening costs an average of $650. Costs vary widely, though. Some versions can cost as much as $3,500. Your dentist can set you up with at-home whitening trays for about $350. Myth #2: It will make my teeth too sensitive. Teeth-whitening solutions in teeth-whitening kits sometimes do make teeth more sensitive, but it’s not a permanent side effect. The bleaching solution may cause mild irritation to your gums as well. That's also temporary. And, there are ways to deal with this so you can still whiten your teeth. Wear the teeth-whitening trays or strips for a shorter amount of time. If you're supposed to apply the solution for an hour, do it in two 30-minute sessions. Take a break for a few days after you first start whitening your teeth. Also, use a toothpaste for sensitive teeth. Myth #3: It can work for anyone. Teeth-whitening solutions cannot always get teeth bright white—even if you opt for the pricey in-office whitening treatments. Whitening treatments don't work on dentures, veneers, caps, crowns or fillings. Teeth stained gray or blue, often from medications or trauma, might not whiten. Teeth stained brown might not whiten completely. But, teeth that are yellowish in color usually whiten the best. Talk to your dentist about whether your teeth are likely to respond well to whitening. Myth #4: I just need to do it once. Most teeth-whitening treatments need touch-ups. Professional treatments done in a dentist's office may last up to three years. Even then, you may need additional treatments after six months to a year. At-home whitening kits may need more frequent applications. It all depends on your teeth, the whitening solution you use, and your habits. Smoking and drinking coffee can make teeth discolor more quickly, for instance. Myth #5: You must have the treatment in a dentist's office to get good results. Not necessarily. Dentists use a concentrated bleaching gel and a light to help whiten teeth. They make sure the amount used is safe and apply something to protect your gums. And, even if you need to repeat the procedure, just one visit can provide results. The American Dental Association has not approved at-home bleaching strips, gel kits, and whitening toothpastes. They may be effective, but it's important to consult your dentist before trying any of them. Ask if a specific teeth-whitening kit would be safe for you. Get some tips to make sure you'll use it correctly. Learn more about Downtown Dental's cosmetic whitening options.
Over-the-counter pain pills are safer and more effective than prescription opioids for  controlling the pain following dental procedures, a review of the evidence has found.

Researchers analyzed five reviews of studies of medication and medication combinations for pain relief. They included only reviews of high or moderate methodological quality.

The data included many randomized trials on the use of oral medication for the most severe kinds of postoperative dental pain — for example, the pain following the extraction of a molar. More than three dozen drugs and drug combinations were tested in various dosages. The study is in The Journal of the American Dental Association.

The researchers conclude that the most effective pain relief with the fewest side effects comes from a combination of 400 milligrams of ibuprofen (Advil and other brands) with 1,000 milligrams of acetaminophen (Tylenol). No opioid or opioid-containing medicine or any other combination of drugs was more effective.

READ MORE in the New York Times

Sometimes cavities fly under the radar. Other times, though, cavity symptoms might make you feel like your mouth is a trainwreck.

Spoiler alert: cavities don't always hurt. In fact, many people assume they don’t have a cavity because they don’t feel anything. However, cavities don’t cause pain-at least not in the early stages. When they do start to cause pain, you have waited too long, and you will have to pay for more extensive treatments instead of quick and convenient ones. After all, you won’t feel pain until the cavity reaches the pulp in the center of your tooth. At that point, an abscess, or an infected hole could form around the tooth’s roots.

Abscesses don’t just cause pain. They can also spread bacteria to neighboring teeth or even other areas throughout the body. So don’t wait for treatment if you have a cavity. It's like going to your physician for your annual examinations hoping for the reassurance that everything is fine with your body and that, overall, you are healthy. Sometimes, however, your doctor may detect an issue of concern and order further tests. Sometimes, these tests  reveal  an underlying condition even though you are feeling quite well and are experiencing no signs or symptoms – ones that you can detect that is! Clinically (with our eyes), we only see about a third of a person’s dental health which is why, in the absence of pain or signs and symptoms, a picture is truly worth a thousand words. 3D dental imaging at Downtown Dental provides valuable information that allows us to see areas of the tooth that is below the gum line as well as the bone that supports it. Being able to see the mouth in three dimensions allows the dentist to better and more effectively formulate an approach to treat dental conditions. Click here to learn more about laser assisted fillings at Downtown Dental. SaveSave SaveSave SaveSave SaveSave

Chronic and acute Migraine Headache relief can be achieved with breakthrough procedure called a SPG BLOCK.
 
So many people suffer from migraines in Nashville – yet there are few options for relief, but Downtown Dental now offers a new breakthrough therapy for migraine treatment. 
[embed]https://www.youtube.com/watch?v=kmVATpWgRFk[/embed]
 
SPG is a revolutionary procedure for immediate relief from chronic and acute migraines, cluster headaches, and others. The treatment is performed without needles or pills by properly administering a small amount of anesthetic into each nostril and takes about five minutes. The anesthetic can “turn off” or “reset” the nerve pathways that keep headaches going and can work for people that have not responded to other treatments and medications.
 
The SPG is a collection of nerve cells located just under the tissue lining the back of the nose. By applying a local anesthetic to the area, nerve impulses can be temporarily blocked, providing relief from various types of pain.
 
Most types of facial or head pain can be treated with an SPG block. Temporarily blocking function of the SPG can provide prompt, and sometimes sustained, relief of pain. It is theorized that an SPG block provides sustained relief by disrupting dysfunctional neuronal activity, allowing restoration of normal function.
 
There are very few circumstances in which an SPG Block cannot be used.  There are no incapacitating effects like drowsiness or impaired function which would prevent you from continuing with your normal day.  
 
Are you interested in digging deeper into SPG block therapy for migraine headache relief? Call our office at (615) 254-1393 to schedule a visit with Dr. Clark. 
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When we think about visiting the dentist’s office, we often think of bright lights, blue bibs, toothbrushes, picks, drills and bubblegum toothpaste. However, advanced imaging utilizing CBCT technology is slowly but surely making its way into dental offices across the United States. Because of their wide recognition as contributors to quality dental care, CBCT machines are now becoming more commonplace among technologically up-to-date offices across the world. 3D dentistry, at its most basic, involves developing a digital, 3D image of the mouth and skull. Traditional X-rays only develop a 2D picture of your mouth, while other methods took longer bouts of radiation to create a detailed picture, and were more unpleasant and intrusive to the patient. 3D dental images are most often used for diagnosis and treatment planning. Being able to see the mouth in three dimensions allows the dentist to better and more effectively formulate an approach to treat dental conditions.

What are the advantages of 3D Dentistry?

Some of the patient benefits of 3D dentistry include the following: Diagnostic Accuracy: Three-dimensional scans can catch problems 2D scans simply can’t by differentiating between many types of tissue. Pathology, infections, and abnormal sinus anatomy and joint dysfunctions can all be properly visualized and identified with 3D CBCT imaging. This means patients are properly diagnosed the first time and can get appropriate help much sooner than they would with previous methods. Minimal Radiation Exposure: Repeated prolonged exposure to radiation can cause eye damage, the development of malignancies and other health risks, which is why new medical technologies seek to reduce patient exposure. When compared to traditional medical CT scans, 3D CBCT scans emit substantially less radiation, reducing the dosage up to 98.5%. Non-Intrusive: No need to bite down on a mold or piece of plastic. The CBCT can scan your entire head without you needing to do anything. This is especially helpful for patients with particularly sensitive gums or teeth, as well as pediatric patients. Lower Cost: Going to a third-party imaging center for a medical CT scan can be extremely expensive. Bringing in a 3D CBCT dental imaging device provides all the technology into one place, eliminating the middle-man and saving you money. Short Scan Time: A typical 3D CBCT scan takes around ten seconds to complete, meaning your dentist can see and solve problems more quickly than ever. An in-house 3D CBCT scanner at your dentists’ office also means you don’t need to go to a third-party imaging company for a medical CT scan. SaveSave SaveSave
[caption id="attachment_2138" align="alignleft" width="584"] The Las Vegas Institute for Advanced Dental Studies[/caption] Downtown Dental staff recently landed in Vegas for TMD Practical Advanced Training (PAT) with LVI (The Las Vegas Institute for Advanced Dental Studies), a postgraduate training center for dentists. This course was designed to teach the components of the real world TMD evaluation. Dr. Clark and his team participated in a hands on workshop to discuss TMD records, comprehensive evaluations, head and neck radiographic evaluations and the OSA/TMD relationship. We were also presented with opportunities to help solve advanced problem cases with a live patient demo in addition discussions and reviews for difficult cases brought by the participants. It was a worthwhile trip and the training made us even BETTER at diagnosing and treating head, neck, and jaw issues. [caption id="attachment_2141" align="alignleft" width="640"] DD Team Members experience the advanced TMJD course with an emphasis in posture, dental orthopedics and upper cervical health in relation the the TMJ.[/caption]
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American Dental Association Adopts Policy on Dentistry’s Role in Sleep-Disordered Breathing

In October 2017, the American Dental Association (ADA) adopted a policy on dentistry’s role in treating sleep-breathing disorders including obstructive sleep apnea (OSA). Sleep-breathing disorders are “recognized as potentially serious medical conditions caused by anatomical airway collapse and altered respiratory control mechanisms,” the ADA said in a written statement to Sleep Review. “As experts in the oral cavity, dentists are able to question patients about pertinent symptoms during routine dental evaluations, and refer patients to physicians for diagnosis. The policy was adopted to address dentistry’s growing role in the multidisciplinary care of patients with [sleep-breathing disorders].” In a news release from October, the ADA lists key takeaways that describe the role dentists should play:
  • assess patient risk for sleep-breathing disorders as part of a comprehensive medical and dental history and refer affected patients to appropriate physicians
  • evaluate the use of oral appliance therapy and provide it for mild and moderate OSA when CPAP fails
  • identify and address the side effects of oral appliance therapy
  • communicate patients’ treatment progress with referring physician and other healthcare providers.
Another point made in the policy is dentists treating sleep-related breathing disorders should stay up-to-date on the disorders and training in dental sleep medicine with continuing education. When asked what education the ADA will be providing dentists about how to screen for sleep-breathing disorders, the ADA advised that is currently under consideration. The evidence brief that inspired the policy shows there is a large portion of people could have undiagnosed sleep-breathing disorders that could potentially be identified and treated by dentists who abide by these policy guidelines. It states that the prevalence of OSA is “estimated to be 3% to 7% in men and 2% to 5% in women. Prevalence is higher (greater than 50%) in patients with cardiac or metabolic disorders, relative to the general population.” MORE: Sleep Review Magazine 
Whether it's echinacea or aspirin, always tell your dentist about any medications and supplements you are taking. Everything you ingest, even vitamins, causes a certain reaction. If your dentist doesn’t know what drugs or supplements you have taken, he or she will not know how to protect you from possible substance interactions. This is particularly important if you are undergoing any surgical treatment. Conventional versus herbal Although many conventional (prescription and over-the-counter) medications sold in the United States are derived from plants, they are different from herbal medications. Conventional drugs, which must be approved for use by the Food and Drug Administration, are based on an active ingredient or chemical that manufacturers synthesize when they develop the drug. In other words, a conventional drug is based on a chemical that is made in a laboratory, even though it may have originally come from a plant. Herbal (also called botanical or alternative) medications are made from natural chemicals extracted from a plant and are produced either in original form (sometimes combined with other herbal extracts) or refined. When an herbal medication is refined, the essential extract is taken out of the plant source, concentrated and then added back to make the original herbal medication more potent. Combinations to avoid Even seemingly innocuous herbal and vitamin supplements can have serious side effects for a few dental patients. Here are some combinations to be aware of: Ginkgo biloba and vitamin E can be dangerous when taken with aspirin because they each can act as blood thinners. The combination may cause difficulties in blood clotting, which could be serious for patients undergoing surgery. Taking high dosages of vitamins before undergoing anesthesia can also cause concern. In particular, vitamin C, often taken in high dosages for cancer treatment, can weaken the efficiency of anesthesia, among other problems. Calming supplements, such as Kava Kava or St. John's Wort, can strengthen the effects of anesthesia. What your dentist can do Always provide your dentist with a complete medical history, including any herbal medication and conventional drugs you are taking. Some patients who take alternative medicines are afraid the dentist will not respect their decision to take an herbal medication and will tell them to stop taking it; however, as herbal medications become more popular, many dentists are beginning to use them in their practices. Your dentist might even have an alternative, herbal solution for you. If an herbal medication could interfere with your dental treatment, your dentist may ask you to stop taking the medication until the treatment is complete. The dentist also may be able to prescribe a different drug for treatment, if one is available. More: Delta Dental  SaveSave