J. Peter St. Clair, DMD, PC

BACK-TO-SCHOOL QUIZ

September 3, 2024

Question #1: The risk factors for gum disease are the same as for heart disease (genetics, smoking, weight, lack of exercise, and high cholesterol).

Answer: False. Genetics and smoking tobacco are major risk factors, but stress, medications, lack of proper hygiene, and systemic problems, such as diabetes, are additional risk factors. Just like heart disease, management of gum disease requires strict maintenance visits to monitor and control the disease. Taking care of your body includes taking care of your oral health.

Question #2: Less than one in ten people will experience a fractured tooth.

Answer: False. About one in four sustain a fracture to a front tooth by the age of 18. Front teeth tend… (Read More)

Oral Health is Important

August 26, 2024

What is your definition of oral health? Is there even a standard definition of oral health? One thing is clear; the definition of oral health is not solely the absence of pain. Pain is also not necessarily an indication of poor oral health.

It wasn’t until the year 2000 that oral health was brought to the forefront of the surgeon general’s report as a critical component to overall health. This was an important event, but unfortunately never amounted to much in terms of being incorporated into most healthcare policies. This has led to continued poor to non-existent cross-over coverage between medical and dental insurance. Lack of benefits are one of the top reasons people do… (Read More)

AREN’T ALL DENTISTS THE SAME?

August 19, 2024

No two dental practices are alike! Each takes on the characteristics of the practitioner and the supporting team. Every office/patient interaction is the key to how that office “feels” when you walk in the door.  Some practices may feel “clinical and efficient”, while others feel somewhat more home spun and laid back.  This approach is often reflected in the office’s treatment preferences as well.

I would hope that all dentists suggest what they feel to be the very best plan for any given patient…..and present any reasonable options. The differences between the treatment suggested by one dentist and that of another reflects that dentist’s preferences based on his or her experience. Thus, differing treatment plans… (Read More)

BUT IT DOESN’T HURT

August 12, 2024

A while back, The Boston Globe ran an article entitled “Advice for all ages: Don’t skip the dentist.” It started with, “A team of researchers from London and the University of Connecticut announced that aggressive treatment of gum disease can improve the function of blood vessel walls in the body, potentially reducing the risk of heart attacks.” 

The concept is nothing new. We have known for years of the mouth-body connection with health. However, the key to the statement above is “aggressive treatment of gum disease”.

What does aggressive treatment of gum disease mean? Basically, it means that instead of watching and waiting for resolution of gum problems on their own, whatever treatment is needed… (Read More)

DO YOU PERCEIVE THE NEED?

August 5, 2024

We all have people we look up to, whether in our personal or professional life.  One of those people in my professional life is the late Dr. LD Pankey. Dr. Pankey was a true visionary. There is an advanced dental education institute named after him in Florida, where dentists learn from his influential teachings.

One of my favorite quotes from him he wrote in 1981, 8 years before his death. It is interesting to read some of the things he wrote, because it shows how little things have changed, and how well he understood people and his profession. I would like to share a few paragraphs from this piece:

“Another important element, then, in the… (Read More)

WHAT DO YOU WANT?

July 29, 2024

Gravity is precise in nature, governed by laws and formulas; it does not respond to individual circumstances or objectives. It’s easy because it always works. Clinical dentistry, on the other hand, is science for sure, but an inexact science at best. Inexact science requires the skill of an artist to create a consistent and predictable result, since it is not a matter of an equation; hence the “Art and Science of Dentistry.” This inexactness is something that dentists struggle with daily.

I am currently treating a patient who presented with a bunch of broken teeth. The patient is frustrated because these teeth have been “fixed” numerous times over the past few years. His previous dentist… (Read More)

APPOINTMENT ETIQUETTE

July 22, 2024

Your dentist may have the best technology, may have gone to a top dental school, and do great clinical work, but none of those are the primary reasons people choose to stay with a dental practice or any service provider. Generally speaking, people stay with their provider because of the relationships they have built with individuals within the office.

When we have a problem, we all like the convenience of calling someone we know and are comfortable with. Whether that problem is a broken filling or needing to change an appointment, it is nice to deal with people who know us and are eager to help with solving our dilemma.

I recently had an appointment… (Read More)

SHOULD I SAVE THE TOOTH?

July 15, 2024

Many patients and dentists face a decision-making process when it comes to keeping a natural tooth with root canal therapy vs. removal of a tooth and replacing it with a dental implant. The introduction of dental implants has proven to be a pivotal technology in dentistry. In a profession that strives to help patients keep their dentition, the point when it becomes necessary to opt for dental implants is a judgment call.

So, is one treatment better than another? There have been many scientific papers written on this subject. In one more recent study published in the Journal of Dental Research the authors noted, “Both options should be seen as complementing each other, not as… (Read More)

THE GOAL OF DENTISTRY

July 8, 2024

There have been lots of changes over time in the materials used to restore teeth. Many of the materials I use today were not in existence when I started to practice. The most significant changes have been to materials that are tooth-colored.

There are very few patients who ask for gold or silver fillings any more. And, while some of these newer materials are tooth colored, there are factors which need to be considered in determining what material is appropriate for each individual situation. The longest lasting restorations I have ever seen are gold done by dentists who really knew the art of working with gold.

Prevention of decay and other factors that… (Read More)

YOUR PERSONAL LIFE SAVER

July 1, 2024

You’ve heard it before – three in four adults over 35 have some form of gum disease. A preponderance of clinical research reveals that gum disease poses a far greater threat to health than just losing a tooth. Periodontal disease may actually increase your risk for a variety of health concerns including heart attacks, low birth weight babies, diabetes, stroke, and other bad things.

Dr. Isadore Rosenfield, noted cardiologist and media health consultant once said – “People with chronically infected gums have twice as much heart disease as the rest of us. We have an imperative to treat gum disease – to save not only teeth but also patients.”

Dr. Steven Offenbacher, former director of… (Read More)