Abrasiveness of toothpastes.

April 23, 2011

Just thought I would share this table with the relative value of a lot of the toothpastes out there today. The lower the number the less abrasive it is.

table 2
Relative Dentin Abrasiveness of Dental Dentifrices
RDA Dentifrice brand and variety
04 ADA reference toothbrush and plain water
07 Plain baking soda
08 Arm & Hammer Tooth Powder
35 Arm & Hammer Dental Care
42 Arm & Hammer Advance White Baking Soda Peroxide
48 Arm & Hammer Dental Care Sensitive
49 Arm & Hammer Peroxicare Tartar Control
49 Tom’s of Maine Sensitive (given as 40s)
52 Arm & Hammer Peroxicare Regular
53 Rembrandt Original (“RDA”)
54 Arm & Hammer Dental Care PM Bold Mint
57 Tom’s of Maine Children’s, Wintermint (given as mid-50s)
63 Rembrandt Mint (“Hefferren RDA”)
68 Colgate Regular
70 Colgate Total
70 Arm & Hammer Advance White Sensitive
70 Colgate 2-in-1 Fresh Mint (given as 50-70)
79 Sensodyne
80 AIM
80 Close-Up
83 Colgate Sensitive Maximum Strength
91 Aquafresh Sensitive
93 93 Tom’s of Maine Regular (given as high 80s low 90s)
94 Rembrandt Plus
94 Plus White
95 Crest Regular (possibly 99)
101 Natural White
103 Mentadent
103 Arm & Hammer Sensation
104 Sensodyne Extra Whitening
106 Colgate Platinum
106 Arm & Hammer Advance White Paste
107 Crest Sensitivity Protection
110 Colgate Herbal
110 Amway Glister (given as upper bound)
113 Aquafresh Whitening
117 Arm & Hammer Advance White Gel
117 Arm & Hammer Sensation Tartar Control
120 Close-Up with Baking Soda (Canadian)
124 Colgate Whitening
130 Crest Extra Whitening
133 Ultrabrite
144 Crest MultiCare Whitening
145 Ultrabrite Advanced Whitening Formula
150 Pepsodent (given as upper bound)
165 Colgate Tartar Control (given as 155-165)
168 Arm & Hammer Dental Care PM Fresh Mint
175 Colgate Luminous (given as 150-200)
200 Colgate 2-in-1 Tartar Control/Whitening or Icy Blast/Whitening (given as 190-200)
200 FDA-recommended limit
250 ADA-recommended limit


A confession to my coach, Marla

April 23, 2011

Let’s go back over a year ago when I first met Marla. A dentist in Temple City, Jack Von Bulow, recommended that I listen to what Marla had to offer. Now when Jack, the self proclaimed Molar Jockey ( he writes a regular column for his local paper) recommends someone then it is usually for a good reason.

Marla has since become one of the guiding lights in my life. Marla was the first real influence in my life to get me more involved in social media. Until Marla, I thought facebook was just to let people know when your birthday was. Heck, if you weren’t close enough to me to know when my birthday was then it was no big deal. But Marla changed by attitude about facebook and I am constantly amazed at how much there is to learn (often it is overwhelming…but what the heck, I am just a dentist)

But for Marla, being involved with facebook was not just about the computer, it was also about adjusting attitudes. She presented me with a very simple article to read called “Gratitude Can Change Your Life”. Among other things the article talked about how gratitude is a great attractor, improves your ability to solve problems and strengthens. At the same time Marla gave me a journal so that every night I could write down 10 things that I am grateful for. Well Coach, I have failed on this one, I haven’t been doing it for a while. But here is where my blog comes full circle.

I am going to do a public 10 things for which I am grateful for

I AM GRATEFUL FOR

1. Having my health. This gives me the opportunity to correct for my past errors (like not working on list for a while)
2. Having the support of my wife. Wow, this is a big one, Janis has been my wife, partner, best friend for over 22 years now. Its corny but that song is true I love you more today than yesterday. (thank you Spiral Staircase)
3. Having two great sons, who are actually very good friends. You have no idea of how gratifying this is for me
4. Having a beautiful, state of the art, dental office with a loving and caring staff to help my patients. And they have to put up with me everyday.
5. Having some of the best patients that anyone could ask for. I learn something from them every day.
6. My exercise bicycle. I know it well, as I have used it at a rate of better than 4 out of 5 days this year.
7. Preventive Dentistry. This is my passion in dentistry since I feel so strongly that no child should ever have a cavity or gum disease in their lifetime, including as an adult.
8. Jack von Bulow for introducing me to Marla, and of course Marla.
9. For my family and friends, whose continued support over the years has been one of the pillars of my life. A special shout out to Oded, my dear cousin, whose continued love and friendship is invaluable.
10. Mom and Dad, who allowed me the opportunity to go to college and dental school. This is turn gave me all the opportunities that I have today.

What do you have to be grateful for?

I have so much to do, and Ms Marla, as much as it is my intention to work on this every day, I can’t promise that I will, only that I will try. More importantly, I need to live my life with gratitude for everything that the world presents to me. This one I need to handle.

Till next time


ASK THE DOCTOR

April 18, 2011

What’s up with different acidity of different beverages out there?

This is a great question because there is so much out there that the public generally does not know about.  The acidity in beverages can lead to erosion which is basically the dissolution of tooth structure without any involvement of bacteria.  While the acidity is an issue the ability of the mouth to neutralize the acidity is what really determines the erosive potential of the drinks.  For reference, neutral is measured at pH 7.0, the lower the number the more acidic it is.

So, even though Cola drinks may have the highest acidity (in the range of pH 2.5), they are relatively easy for the mouth to neutralize and therefore have a medium erosive potential.  Orange juice (pH of 3.8), apple juice (pH of 3.2) and grapefruit juice (pH of 3.2) are less acidic that cola, yet they are much harder for the mouth to neutralize.  Grapefruit juice is twice as hard to neutralize compared to the other juices and is over 13 times harder to neutralize than cola drinks.  All these juices have high erosion potentials with grapefruit juice being the worst on the market that we know of.

Red Bull (pH of 3.32) and Gatorade (pH of 2.95) are harder to neutralize than the cola drinks and can range to 3 to 11 times more erosive than cola according to a recent article in the Journal of the California Dental Association.  And unless you are drinking Gatorade while exercising at a high level studies have proved it has no advantage over water.  (While exercising the advantage is it tastes better than water so you might actually drink more of it)

But it doesn’t stop here.  If you are eating hard food while consuming these beverages (like nuts hard grains etc you can increase the amount of erosion. 

What are some of the tips to prevent erosion.  Gulping it down, drinking it faster helps.  Swishing these drinks around your mouth makes it harder to neutralize and creates more erosion.  And here is the biggest tip of them all.  You should NOT brush your teeth for 30 minutes after drinking these acidic beverages.  Your teeth are more susceptible to mechanical abrasion during these erosive periods.


AT THE YMCA

April 17, 2011

Picture this; 10:30ish am and the DJ starts playing the U2 hit “It’s a Beautiful Day” and that pretty much describes how great an event the ‘Healthy Kids Day 2011” was at the Hollywood Wilshire YMCA was on April 16. 

It was the first really hot day of the year and over 800 kids and their families came through the fair.  There were health screenings, dental screenings, healthy foods and fun activities for the kids.  The Y set up a stage for there to be different performances during the day.  There was the Adult Latin Dance group that kicked it off and then came all the little dancers.  Some of them were very young and had some stage fright but the audience cheered them all on equally. They had the karate class do an exhibition and of course they had the dunk tank to get back at all the YMCA regular staff.

Our office was blessed to have the incredible support of our super Crest Rep, Ashley Grant, who provided samples for all the kids and their families.  There were coloring books and little games to help motivate the kids to brush their teeth and of course all types of tooth pastes for everyone to use.  We had one of our superstar hygienists, Madison, there to help and I even enlisted the help of my son, Joey, to help set up and distribute products.  And all we got in return all day were just smiles and thank you’s.  What a great day. 

But I took away something more important than just our team helping in our community.  I saw, first hand, how very important the YMCA is for the community.  They did not stop their regular schedules programs, all day long people were going in and out and utilizing the facility.  I look forward to continuing our office support as we start working with the at risk women that live in a special part of the Y. 

SMILES FOR LIFE:  We are almost halfway through the charity event where anyone, patients or strangers, can get their teeth whitened in our office for a reduced fee and all the proceeds go to children’s charities.  Our office has chosen the YMCA Wilshire Crest School program for our local charity.  It’s a Win Win for everyone…so get your teeth whitened today.

Last but not least, I have a confession to make.  There are times I like to eat a good old hamburger, bun and all (not too often it is not on my diet).  Last week I had the best hamburger I have ever had in Los Angeles at the “Hole in the Wall” Burger Joint located at Santa Monica Blvd Bentley Ave.  Run by excellent Chef Bill Dertouzos (who at different times won the best restaurant and best cupcake in Los Angeles)and the equally incredible Susan McAlindon, you get a half pound of fresh ground angus beef, never frozen.  I had it on the pretzel bun (recommended by the person taking my order) and had the juiciest burger ever.  They also have turkey and veggie burgers as well.  They are starting to get much pub about their joint…which is actually small, but set up really well.  If you are ever on the west side and want a burger…I highly recommend it.


Time Flies

April 10, 2011

I can hardly believe that we are already into the second quarter of 2011.  There has been so much going on in the world over the last few months it makes everyday life look pretty simply

So how have you been doing on your New Year’s resolutions?  MY GOAL FOR THE NEXT YEAR IS TO TRY AND BRIGHTEN UP THE DAY FOR EVEYONE THAT I DEAL WITH.  This is exactly what I wrote in my first blog of 2011.  This is a tough one for me since I am a dentist, and there are some of you out there, that no matter how hard our profession tries, we just can’t make you relax at all in our office.  But that doesn’t stop me from trying.  I had a patient this week tell me that she was so grateful to be in our office because of the compassion that not only I show her, but that everyone shows her.  How about that for working at our goals.  But this resolution is going to have legs to keep going on and I don’t know if I will ever get it right..but I am working on it.

So let’s see how I score for the first 3 months on my fitness and diet routine.  I am definitely eating more fruit and vegetables and I have worked out a total of 74 out of the first 90 days of the year.  On the negative side my weight has gone up a few pounds, but not my waist at all.  I am going to look at the positive side and say that muscle is much denser than fat and I have been slowly turning fat into muscle.  Clothes as loose as ever…so for now..I go on the positive side of the equation.

On a quick personal note I need to say something about one Janis Krauthamer who 22 years ago on April 9th said  “I do” to me.  22 years she has put up with me, she has given birth to two of the greatest boys anyone could have asked for, and has really been the calming factor in my life. We had a really nice dinner last night and stayed in a beautiful suite at the London Hotel in West Hollywood to celebrate the day.  I love you Janis, more than words can say.


It’s All About The Kids

April 4, 2011

I have to admit, there is very little that I enjoy more than being around kids.  My entire life, even from when I was a teenager, I have been able to enjoy myself with kids.  I can remember on family vacations, even when I was an older teenager I could build sandcastles with kids I did not even know. We were just staying at the same motel in Laguna Beach and there was sand and buckets and fun.  And today..it is no different.  Kids just bring out the biggest smiles in me.

So lets talk about smiles…..as in our annual Smiles for Life Whitening fundraiser.  Now, through the end of June you can get your pearly whites even whiter…and every single penny you pay goes to children’s charities throughout the country.  I am part of a great bunch of dentists called the Crown Council and we have set up where discus Dental provides the supplies, we supply our labor and you get a 100% tax write off since all the money raised goes to the charities.  50 % goes to national charities and 50% goes to the local charity of my choice.

This year I have chosen the Hollywood Wilshire YMCA and their program of providing after school activities at the Wilshire Crest Elementary School.  There is no longer any funding for physical activity at the school so the YMCA is picking up the slack (at a cost of about $100 per student)  They are also trying to educate them on eating right and all the other things they should be doing to be healthy. Did you know that a recent study printed in the medical journal called Obesity found that obese kids actually had poorer salivary flow than other kids and had a higher rate of cavities?  So you can whiten your teeth (at reduced rates) and help kids get healthy.  If that is not a WIN WIN than I don’t know what is.  And you don’t have to be a patient at our office to participate.  SO, if anyone you know is interested in whitening their smile have them give us a call as this charity drives ends when June ends.

Today, Sunday, was actually a pretty nice day and I was lucky enough to spend it with a lot of the staff from my office and their kids at the Wilshire LAPD Carnival.  The police department does not get any funding for their programs for the kids so this was one of their fundraisers.  My wife and I had the pure pleasure of watching Daniel and Alyssa (Andrea’s kids along with her better half’s younger sister), Kira (Wendy’s little girl), Hank (Madison’s son) and Alyssa #2 (Anna’s granddaughter…..I know she doesn’t look old enough to be a grandmother) and special friend Ahneesah scream with joy on different carnival rides.  There were even a fair amount of grownups there including a previous employee, Laura.  Again, it was about the kids.  And you know how good the carnival was.  Madison was concerned that Hank wasn’t enjoying a spinning ride and when he got off he described it as good and weird at the same time but he really liked it.    Thank you to all of the team who came out and made it a really great event for our office.  Let’s do it again sometime, ok.

And last night I got to go to my first Elk’s event as my wife’s cousin was installed s the head of their chapter.  The Elk’s proved for Veterans and Kids.  It was a really nice affair and it seems like they really get into what they do. There was a small highlight for me that had nothing to do with the event last night. The surprise for me was a woman I had met at another family affair last year told me what an impact I had on her young son.  It seems that at the dinner last year for some reason I brought up how gum disease leads to other issues with the human body.  I had no idea how intently her y son was listening but he wasn’t too happy when his dentist told him he needed to brush better because he had gingivitis.  He remembered my talk and got to taking better care of his teeth.  It was a complete surprise and so gratifying to know that I actually impacted a young boy and now he will be healthier for life.

IT’S ALL ABOUT THE KIDS