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Columbia SC Cosmetic Dentist | The Periodontal Disease – Diabetes Connection

Nearly 30 million Americans suffer from diabetes. Besides blood sugar control, diabetes includes a number of other health complications. Recent studies have suggested that there is a two-way connection between diabetes and periodontal (gum) disease. Patients with gum disease have increased risk of other diabetic complications and patients with diabetes are more prone to developing gum disease.

Gum disease causes inflammation in the body, which can make controlling blood sugar more difficult for diabetic patients. Severe periodontal disease has even been shown to increase blood sugar, which can raise the risk of additional diabetic complications.

Patients with diabetes are more prone to infections in general. This is especially true for patients whose diabetes is not well controlled. Diabetic patients with poor blood sugar control are more likely to develop gum disease, to have a more severe case, and to lose more teeth from gum disease.

Diabetic patients are more prone to other oral health issues, such as dry mouth or thrush (a fungal infection of the mouth). Reduced saliva production or infection in the mouth can increase risks of developing periodontal disease as well.

Smoking can escalate these risks even further. Studies have shown that smokers are 5 times more likely than non-smokers to develop gum disease, overall. Diabetic smokers age 45 or older have been found to be 20 times more likely to develop severe gum disease.

Fortunately, when diabetes and blood sugar are well-controlled, the risks of periodontal disease and other oral health complications are no different than for patients without diabetes.

Be sure to let us know if you have diabetes and how well-controlled it is. We may need to discuss your medication schedule when planning treatments or to postpone a treatment if your blood sugar is not controlled. Keep in mind that healing from treatment can take longer for diabetic patients, even when blood sugar is well-controlled.

If you have questions or concerns about your risk of periodontal disease with diabetes, contact our office for more information.

Columbia SC Cosmetic Dentist | Dental Implant Restorations

About 1 in 4 adults experience tooth loss between the ages of 21 and 30. Dental implants are a safe and long-term option for tooth replacement that improve the appearance and functionality of your smile.

A dental implant can be paired with a replacement crown for single tooth replacement or can be used in small groups to anchor a denture or dental bridge. Dental implants are a strong, long-lasting solution for tooth loss and serve to prevent jaw bone loss in the same manner as a natural tooth root.

There are many benefits to choosing dental implants as a tooth-replacement solution. Some of these include:

  • Natural looking smile: Dental implants are crafted to closely resemble your natural teeth, restoring a natural-looking smile.
  • Improved oral health: Since there is no need to alter surrounding teeth to anchor implants, more of your natural teeth are preserved intact, improving long-term oral health.
  • Improved speech: With removable, non-anchored dentures, teeth can slip within the mouth, causing slurred or mumbled speech. Dental Implants remove that concern.
  • Improved comfort: Dental Implants avoid the slipping and discomfort of removable dentures.
  • Improved function: Dental Implants function like your natural teeth, allowing you to eat without pain.
  • Durability: Dental implants are stable, strong, and stain-resistant.
  • Protect healthy bone structure: Empty spaces caused by tooth loss can, over time, lead to deterioration of the jawbone. Since Dental Implants function like tooth roots, they are able to prevent this type of deterioration, just as natural teeth do.
  • Long-term solution: Dentures must be replaced about every 5-7 years. Dental Implants, when cared for properly, can last a lifetime.

If you are missing one or more teeth, dental implants may be right for you. We will consider your oral and overall health prior to determine if you are a good candidate for dental implants. Some considerations include:

  • Adequate bone support to anchor the implant
  • Healthy gum tissue
  • Sinus and nerve location
  • Overall health, including any chronic illnesses

In some cases, we may recommend advance treatment for your upper or lower jaw to enable you to have the bone support needed for implantation. As always, your treatment plan is created based on your specific needs and goals for your healthy smile.

If you are interested in learning more about dental implants or would like to schedule a consultation, contact our office today for an appointment. We’re here to help restore the health and beauty of your smile.

Columbia SC Cosmetic Dentist | Are Dental Veneers Right for Me?

We often have visitors to our office ask about solutions for fixing stained teeth or filling in gaps between teeth. We sometimes suggest veneers. Veneers are one cosmetic option available for correcting your smile. Here’s what you should know about veneers, and whether they are right for you and your smile.

What Are Veneers?

A Veneer is a thin cover placed over the front of the tooth. Typically, they are made of dental porcelain and designed to cover your existing tooth, not replace it.

What They Do

Veneers are used to fix a broken or chipped tooth, shrink the noticeable gaps in between teeth, or reduce the visible stains on teeth. Our office specially sizes them to fit your teeth. Generally, the structure of your teeth is not altered since the veneers are placed over your teeth.

What You Need to Know

Those who get veneers sometimes experience a minor increase in sensitivity, particularly to hot or cold food and drinks. Veneers are typically nonreversible, as they often require a small amount of tooth enamel to be removed. After getting them, it is advisable to avoid drinks such as wine, coffee, or tea that are often culprits of causing staining. Taking care of them still requires you to brush twice each day and floss regularly as well. Your teeth are not invincible to staining or decay so be sure to continue to take care of them.

It is important to know that veneers are a solution to minor tooth issues such as discoloration, gaps, or misaligned teeth. They are not a substitute for braces, bridges, or other dental work. Schedule a visit to our office to meet with our dentist. Together our team can work with you to develop a plan to reach the goals and look you are hoping to achieve.

For more information on how to achieve the smile you have dreamed of, contact our office. We look forward to seeing you during your next visit with us!

Columbia SC Cosmetic Dentist | You Need to Know About Oral Thrush: Here’s Why

Even a healthy mouth is lined with bacteria. Normally, your daily oral hygiene routine helps prevent oral health complications. However, it is possible to develop an excess of bacteria and fungi, which can lead to additional problems. Here’s what you should know about oral thrush and what you can do to prevent it.

What is it?

Oral thrush is caused by a collection of the fungus Candida in your mouth. Bacteria and fungi occur naturally in your mouth, but it is important that they are not permitted to build up. Thrush can appear as white, thick scrapes on your tongue or inner cheek. It may also look like patchy, white sores.

Who does it affect?

Young children, infants, and the elderly are at a higher risk of developing oral thrush. If you have a weakened immune system or diabetes, it is even more important that you stay active to keep your mouth healthy and prevent issues like oral thrush. Smokers also tend to develop oral thrush more than other patients.

What can it do?

Oral thrush can lead to trouble swallowing and tasting. As it develops, it can become painful. Oral thrush can make affected areas feel like they are burning, and slight bleeding can occur if you are scraping your tongue or cheeks. Some describe the feeling as having cotton in their mouth.

Thrush can spread. If you have a weakened immune system, it is possible that thrush moves into your lungs, digestive tract, and even your heart.

How can I prevent It?

Our best recommendation for preventing oral thrush is a vigilant daily oral hygiene routine that includes a thorough brushing and flossing of your teeth, and includes your tongue. We sometimes recommend a patient use a tongue scraper to clean your tongue. Just like brushing your teeth, your tongue depends on daily cleaning to stay healthy and free of germs and bacteria.

The American Dental Association recommends that for some patients it might be helpful to consider an antimicrobial toothpaste or mouthwash. Check with our doctor to see which solutions might be best for you.

We cannot overstate the importance of regularly scheduled dental exams. If you are a diabetic, it is even more important that you schedule regular visits to our office. By having your mouth checked by our staff, we can work with you to prevent oral health issues like thrush.

For more tips on keeping your mouth healthy or to schedule your next visit, please contact our office.

Columbia SC Cosmetic Dentist | Gaining Wisdom on Wisdom Teeth

Wisdom teeth are the last new teeth that will enter your mouth. Most patients have some form of complications resulting from their wisdom teeth. Did you know that your wisdom teeth can impact your overall health? Here’s what you need to be aware of regarding your wisdom teeth.

The Basics

Typically, your wisdom teeth will come in between the ages of 17 and 25. According to the American Association of Oral and Maxillofacial Surgeons (AAOMS), as many as 90% of patients have an impacted wisdom tooth. An Impacted tooth is unable to properly grow through your gums because of a lack of space.

What This Means for You

An impacted wisdom tooth is something you should talk to our doctor about. Impacted teeth can cause infection and damage to surrounding teeth. It is extremely important these issues are addressed early on. Your wisdom teeth are hard to clean in the back of your mouth. An infected tooth not receiving the proper care can be a breeding ground for bacteria leading to infection and gum disease.

Wisdom Teeth & Your Overall Health

An infection of your wisdom teeth can lead to oral diseases, but it can also lead to further, more serious complications as well. THE AAOMS explains that oral bacteria that gets into your bloodstream can lead to heart, kidney, and other organ infections. That’s right, your teeth can impact your overall health!

The Importance of Examinations

You might not notice any pain or discomfort around your wisdom teeth, but that does not necessarily mean they are healthy. Even wisdom teeth that fit properly can be the target of a future infection. It is essential to keep up with regular examinations so that our trained, experienced team can take a close look at your wisdom teeth.

What You Can Do

We cannot overstate the importance of regular oral examinations. Our doctor can help assess your wisdom teeth and whether they will need to be removed. Wisdom teeth can have a significant impact on your oral health and your overall health, so we recommend staying vigilant with your daily oral hygiene routine.

For more questions about wisdom teeth or to schedule your examination, please contact our office.

Columbia SC Cosmetic Dentist | Can Kissing Be Hazardous to Your Health?

Columbia SC Cosmetic Dentist | Can Kissing Be Hazardous to Your Health?

When you are close to someone you can often be overly comfortable in sharing.  This is especially true with kissing. In one kiss, more than 500 germs can be shared between two people. Sharing a kiss can have an impact on your oral health. Here are some of the dangers of kissing.

Colds & Flus

When you feel like you might be coming down with a cold or flu, it is best to avoid kissing. You certainly don’t want to transmit any diseases. Colds and flus are easily passed on through saliva and nasal fluids.

Cold Sores

If you see a cold sore near your mouth and lips, you should avoid kissing someone. Cold sores will look like small, clear blisters usually close to your lips. Cold sores are a viral infection, but are extremely contagious. Cold sores that are leaking fluids are especially contagious, however even a sore without any fluid can spread to others in contact. Avoid contact if you see cold sores!

Mono – The Kissing Disease

Mononucleosis, or mono, is spread very rapidly through kissing. The disease can also be spread by sharing behaviors such as sharing a cup, food, or straw. We recommend avoiding sharing your food and drink with others. Someone carrying mono might appear healthy, so always play it is safe by avoiding sharing your food and your germs.

Tips for Fresh Breath

It makes sense to want to have a clean, fresh breath when kissing. It is best to avoid foods that contain strong spices and flavors, such as garlic or onion. Long after they have been consumed, it is still possible to smell these foods on someone’s breath. Make sure you follow a regular daily oral hygiene routine. This includes brushing your teeth twice daily, as well as brushing your tongue, roof of the mouth, and inside of your cheeks. We suggest using a mouthwash or sugar-free gum after eating to help diffuse strong odors. Sometimes bad breath can be caused by other factors, so if you feel these solutions are not working, make an appointment with us.

Hundreds of germs can be shared when kissing. Watch out for cold sores as well as cold or flu symptoms. Don’t forget to keep up with your daily brushing and flossing routine.

For more tips on keeping your mouth healthy, or to schedule your next visit, contact our office.

Columbia SC Cosmetic Dentist | Tobacco & Your Teeth: The Risks of Chewing and Smoking

Chewing and smoking tobacco are known to cause severe health problems, particularly in the lungs. But the risks to your mouth and teeth can be just as extensive and alarming. If you use tobacco, stop. Here’s what tobacco can do to your oral health.

Chewing Tobacco

According to the Academy of General Dentistry (AGD), tobacco chewers increase their risk of developing gum and cheek cancers by 50 times. Tobacco dissolves the gums which leads to sensitivity from exposed roots. This also makes for an ideal location for bacteria to grow, leading to decay. If you are chewing tobacco, stop, and ask our experienced oral health team about what you can do to keep your mouth healthy.

Smoking

According to a report by the AGD, smoking one pack a day can lead to the loss of two teeth each decade of your life. Smoking increases your odds of losing teeth. Cigarettes and cigars are both damaging to your oral health. Smoking can cause staining as well, leading to an unattractive smile.

Oral Cancer

Oral cancer can develop in several places in your mouth including on your tongue, lips, mouth floor, and gums. Those over 50, are at an increased risk of developing oral cancer, as are men. However, Oral cancer has been on the rise, especially for people under 30 according to the AGD.  Schedule an appointment with us to receive a thorough oral health examination, and ask us about an oral cancer screening, particularly if you are a tobacco user. Oral cancer screenings are often very quick as our dentist checks your mouth, teeth, and cheeks for signs of irregularities. If caught early, oral cancer can be treated.

If you are a tobacco user, we strongly advise you to quit. You can work with our professional dental team as well as your doctor to overcome tobacco use. Everyone should be receiving regular oral health examinations, but if you are a tobacco user, you need to be especially vigilant in doing so. Schedule a visit to our office so that we can work with you to identify any potential issues.

For more tips on keeping your mouth healthy or to schedule your next visit to our office, please contact us.

Columbia SC Dentist | Are You Brushing your Teeth Properly?

Brushing your teeth the wrong way may cause oral health problems. Learn how to brush your teeth the right way and you will protect them for many years to come.

Many people are surprised to learn that, for years, they have actually been brushing their teeth the wrong way. Brushing your teeth the wrong way may cause oral health problems. Learn how to brush your teeth the right way and you will protect them for many years to come.

The common way people brush their teeth is the back and forth motion, similar to sawing back and forth, until you feel like your teeth are clean and slippery. This is the wrong way to brush your teeth. This motion causes you to scrub away tooth enamel, which will make your teeth sensitive to hot and cold liquids and food much sooner then they normally would be. This sawing motion is very abrasive to your teeth and gums. Over brushing can increase your chances of developing cavities and receding gums. This method also does not clean effectively. Since the bristles are moving back and forth, they are essentially bouncing from one tooth to the next, which causes you to miss the spaces in between the teeth to remove plaque and other tiny particles of food.

So what is the proper way to brush your teeth? Start by placing your toothbrush at a 45 degree angle to where the teeth meet the gums. Then gently move your toothbrush back and forth and making sure the bristles cover each tooth and work their way around the sides of the tooth. This method allows you to find all of the food particles and plaque in the spaces between your teeth.

The importance of brushing teeth properly is overlooked, but it is an important part of keeping your teeth and gums healthy. Using the right method to brush your teeth will prevent plaque build-up that is harmful and can lead to many oral health problems. Brushing properly will prevent:

  • Gingivitis: a gum disease that develops when there is plaque beneath the gum line and separated the teeth from gums
  • Cavities: permanent damages in the form of tiny hold on the hard surface of the teeth
  • Tooth Decay: damage that occurs when bacteria in your mouth make acids that eat away at a tooth

It’s not easy to relearn brushing after you’ve been using one method. Switching over will take some getting used to, but the results will speak for themselves. If you have any questions regarding the correct method of brushing your teeth, please contact our office.

Columbia SC Cosmetic Dentist | Gum Health and Alzheimer’s Disease

Columbia SC Cosmetic Dentist | Gum Health and Alzheimer’s Disease

Your gum health may have an impact on your cognitive function. One recent study found a correlation between gum disease and increased cognitive decline for people living with early stages of Alzheimer’s disease. While more studies are needed to make a definitive connection, this study illustrates the importance of continuing the conversation about oral health and its impact on your entire body.

Details of the Study

The study was administered by King’s College London and the University of Southampton. It observed 59 patients with early stages of Alzheimer’s disease. Blood tests were utilized to examine inflammatory markers present in the bloodstream, while patients’ dental health was examined by dental hygienists.

What it Found

The study found that patients with gum disease experienced cognitive decline at a rate 6 times faster than those without gum disease. The study suggested that the body’s reaction to inflammation may be responsible for causing the rapid decrease in brain function.

Importance of Healthy Gums

Previous studies have determined that gum disease can increase your risk of developing complications such as heart disease and stroke. Maintaining healthy gums is essential to staying healthy overall. You can keep your gums healthy by following good daily oral hygiene habits. This includes brushing twice each day for two minutes, as well as flossing regularly.

For those living with Alzheimer’s disease, it is imperative to maintain good oral health. If you are a caregiver of someone with the disease, make sure they are following an effective daily oral hygiene routine, as well as visiting our office for regular examinations. Keeping your gums healthy may be one key to keeping your body and brain healthy throughout your lifetime.

For more information about gum health, or to schedule your next visit to our office, please contact us.

Columbia SC Dentist | Dental Care Tips While Traveling

When you are traveling, it can be challenging to keep up with your usual daily routine. For many people, this can include having difficulty finding the time to properly brush and floss. Whether you are traveling for business or pleasure, we have gathered a few helpful tips to help you stay on track with your oral health while you are away from home.  

Pack Wisely 

Be sure you are traveling with enough toothpaste and floss to last your entire trip, if possible. If space is tight, travel sized products can be a great option. You may also wish to purchase a disposable toothbrush for use during your travels. These often require less space and will not cause distress if accidentally left behind. Some disposable toothbrushes even come with toothpaste already applied. These can be ideal for a one-day trip.  

Cover Your Toothbrush 

When you travel, you are likely to encounter new and varied germs along the way. Whether you are at a hotel or visiting family, you may be required to share surfaces used by many other people. Consider using a toothbrush cover that slips over the head of your toothbrush to protect it from contact with sinks or nightstands. 

Drink Water 

One fun part of travel is being able to eat and experiment with new and unusual foods. However, eating and drinking sugary or acidic drinks can be damaging to your teeth. Drinking water is an excellent way to wash away bacteria, as well as helping neutralize the acids that damage tooth enamel. Water also stimulates the flow of saliva, which helps to keep your teeth strong and healthy.  

Don’t Break Your Good Habits 

Be sure to continue your daily oral hygiene routine while you travel. This should include brushing for two minutes, twice each day, as well as regular flossing. Traveling can make this difficult to fit in, but doing so will keep your mouth healthy. 

Travel can be both fun and stressful. Don’t lose track of time and forget to brush and floss. Your teeth depend on regular, thorough care. After your return, schedule a visit with us. We will provide a comprehensive cleaning and examination while you tell us about your trip. 

To schedule your next visit to our office, please contact our team

We Are Here For You

Dr. Julia K. Mikell
Solo Practitioner

3261 Harrison Rd.
Columbia, SC 29204

(We are easy to find in Forest Acres at the corner of Harrison Rd. and Budon Ct., near the Zesto’s on Forest Drive.)

(803) 738-1114

Providing Dental Care
For Many Communities Including:

Forest Acres, Fort Jackson, Arcadia Lakes, Lake Katherine, Heathwood, Shandon, Rosewood, Downtown Columbia, Earlewood, Cottontown and the University of South Carolina

Hours:

Monday, Tuesday, Wednesday, Thursday: 8:30 AM - 5 PM
Friday: 8:30am - 2:00pm, one Friday a month

Request an Appointment
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Dentist in Columbia, SC

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“My husband and I had our 1st appointment with Dr. Mikell today and we left there feeling like we absolutely made the right choice! She and her staff were professional, kind, competent, and very respectful to us. We feel like this was a fabulous start to a long and happy relationship!”

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