New Year’s Day marks the beginning of the calendar year in most parts of the world. The holiday is celebrated on January 1st of each year. Customs and celebrations vary by country, religion, and even individual desires. Whether celebrated quietly or with gusto, the day brings the start of new opportunities for those that observe it.

United States and Canada

In both the US and Canada, celebrations begin on New Year’s Eve. At midnight on January 1st the New Year is welcomed with bells, horns, whistles, and other noisemakers. Fireworks are often part of the celebrations. In New York City, Times Square comes alive with revelers. In Toronto, there are large celebrations which may feature concerts, late-night partying, sporting events, and fireworks, with free public transit service during peak party times. Many individuals in North America greet the year by making resolutions for improvements in their lives.

China

In China, many people celebrate two forms of a new year. They may observe January 1st, but the traditional Chinese New Year is based on a lunar calendar. Parades with paper lanterns and dragons made from silk are a significant part of the festivities. Legends say that the dragon spends most of its time in hibernation so fireworks are used to keep the dragon awake.

Jewish Celebration

Jewish New Year’s observances begin with Rosh Hashanah, the first day of the New Year, and end with Yom Kippur, the Day of Atonement. This ten-day celebration is held in September or October, based on the Hebrew calendar. The New Year is not marked as much with loud celebrations as with personal insight to mend wrongs and resolve to better oneself.

Other countries and cultures also have different dates for New Year’s Day observances:

• Vietnam observes the New Year in February
• In Iran, the day is celebrated on March 21st
• Islamic cultures often observe the tenth day of the month of Muharram
• Russian Orthodox observers use the Julian calendar and celebrate on January 14th
• Buddhist celebrations are held from April 13th through 15th

If you observe New Year’s Day by making healthy resolutions, include dental care in your plans with Dr. Robert Wortzel. The health of your teeth and gums contributes to your overall health. Caring for your mouth now can prevent many dental problems later in life. Wortzel Integrative Dental Care wishes you a healthy, prosperous, and happy New Year!

Oral hygiene has always been an important part of maintaining overall health. For thousands of years, humans have found ways to keep their teeth and mouths clean. According to the American Dental Association (ADA), “early forms of the toothbrush have existed for nearly 5,000 years.” But what exactly did the first toothbrush look like?

Toothbrush Timeline

With help from The Library of Congress, Dr. Robert Wortzel and our team have compiled a timeline with some interesting details about the evolution of the toothbrush:

• 3000 BC – Perhaps the earliest form of the toothbrush, the “chew stick” was used by Ancient civilizations. People would rub this thin twig with a frayed end against their teeth to remove food and plaque.
• 1498 – The bristle toothbrush was invented in China and had many similarities to the toothbrushes used today. These devices were made by attaching the stiff, coarse hairs from the back of a hog’s neck to handles that were typically made from bone or bamboo.
• 1938 – Signaling the end of the boar bristle, Dupont de Nemours introduced nylon bristles, and Americans welcomed Doctor West’s Miracle Toothbrush, the first nylon toothbrush.
• 1960 – The Squibb Company introduced Broxodent, one of the first electric toothbrushes, to the American market.

Toothbrushes Today

Today, there are many brands of toothbrushes that often advertise different benefits. The variety of options may seem overwhelming, but the most important thing is for you to find a toothbrush that you like and find easy to use.

The ADA recommends that you choose a toothbrush that fits comfortably and allows you to effectively reach all areas of your mouth. Whether you decide to use a manual or a powered toothbrush, make sure that you thoroughly clean all surfaces of your teeth twice a day.

Society has come a long way since the days of the chew stick, but one thing that remains the same is the importance of consistent and effective personal oral hygiene.

If a sip of ice water, spoonful of ice cream, or piping hot latte is enough to send shivers up your spine from tooth sensitivity, be assured you are not alone. It’s estimated that as many as one in eight adults suffers from tooth sensitivity.

What causes sensitive teeth?

Some of the causes of tooth sensitivity include brushing too hard, a cracked tooth, receding gums, periodontal disease, tooth bleaching, or other conditions that expose the sensitive roots of your teeth. For example, brushing too aggressively can injure your gums, and lead to exposed roots and tooth sensitivity.

When the enamel on the outside of the tooth or tissue located between the teeth breaks down or wears away, nerves inside the tooth trigger sensitive teeth that are particularly noticeable when you drink or eat anything hot or cold.

How to alleviate tooth sensitivity

Fortunately, there are a number of things you can do, both at home and at the dental office, to reduce the discomfort of sensitive teeth. Brushing with desensitizing toothpaste is one of the ways to reduce tooth sensitivity: it works well for many patients, and is typically the first course of action.

• Brush with toothpaste specifically designed for sensitive teeth.
• Change the way you brush by using a soft toothbrush and not brushing too aggressively.
• Avoid brushing teeth after consuming acidic foods and beverages, like orange juice and pickles.
• Drink water or milk after eating or drinking acidic foods or beverages.
• Sip through a straw when you drink acidic beverages.
• Wear a mouthguard at night to prevent teeth grinding that wears down teeth.
• Ask Dr. Robert Wortzel about fluoride dental treatments or plastic resin.

For moderate-to-serious cases of tooth sensitivity, more invasive professional dental treatments are available. These include a bonding agent designed to seal/cover the exposed root, obtaining new gum tissue through graft (for receding gums), fillings, crowns, inlays, or bonding. When tooth sensitivity is persistent and results in hypersensitivity, endodontic treatment in the form of root canal may be recommended.

To learn more about tooth sensitivity, or to schedule an appointment with Dr. Robert Wortzel, please give us a call at our convenient Mountainside, NJ office!

Of all the dental hygiene techniques you can use at home to promote clean teeth and good oral health, flossing is likely to be the one that troubles most people. It can be viewed as confusing and time-consuming, but when you learn how to floss your teeth correctly, you’ll find it’s easy to do on a daily basis.

Proper flossing techniques are vital to the health of your teeth and gums. These tips will help you with the correct flossing procedures. Likewise, Dr. Robert Wortzel and our team can also help you learn how to floss effectively and efficiently.

Steps to Flossing Your Teeth Properly

1. Choosing Dental Floss. You can find dental floss in various flavors, as well as waxed or unwaxed. If the floss you use seems to get stuck between your teeth, switch to waxed to make it easier.
2. Flossing “Helpers.” Beginner flossers who have trouble coordinating the floss and the movements of their hands can use a floss holder to help them get in and around teeth.
3. Preparing the Floss. Cut an 18-inch piece of floss to use for flossing a few teeth. This allows you to make progress before you must stop and cut another piece of floss.
4. How to Hold It. Wind the ends around your middle fingers. Hold the floss taut, pinching each side with your thumbs and index fingers. Leave a couple inches free in the middle.
5. The Process of Flossing. Use your index fingers to guide the floss toward your gum line. Bring it down between the teeth with a zigzag motion. Hold the floss in a C-shape around the tooth, and move it up and down along the side.
6. Where to Floss. Use a clean portion of the floss to clean around and in between each tooth. Don’t forget about the molars in the back of your mouth, too!

Flossing: A Vital Part of Oral Care

Periodontal disease begins at the gum line; this is where flossing comes in. Regular flossing helps you remove plaque from the gum line and between your teeth to avoid gum disease. In conjunction with daily brushing and twice-a-year visits to Wortzel Integrative Dental Care, floss each day to maintain good oral hygiene and overall health. Gum disease can have an impact on your general health, but it doesn't have to. This easy-to-prevent condition can be avoided with regular visits to our Mountainside, NJ office and daily flossing. Allow our team to partner with you in maintaining a bright, shiny smile and good oral health.

Donna and Lisa have been avid runners for 30 and 10 years, respectively. This mother and daughter team was excited by the chance to run a local race which donated all profits to Lord Stirling School, which has been serving at risk teens for over 50 years. Aptly named for our unofficial state mascot, the New Jersey Devil, the race was called the Swamp Devil. It was one of those perfect fall mornings where the air was crisp and the autumn leaves were at their brightest. Donna and Lisa completed the 5K and are both excited to run the 15K Swamp Devil next year!

Scientists have discovered tooth decay in specimens that are more than 15,000 years old. The ancients once thought that cavities were caused by something called “tooth worms” … Eew! They didn’t exist, of course, but how else could humans explain the holes that cavities make in teeth?

The appearance of cavities on a widespread basis is often traced to the rise of farming. The new diet filled with grains and carbs made our mouths a haven for cavity-causing bacteria. As we added more sugar to our diets, our teeth got worse.

The “tooth worm” idea didn’t completely disappear until the 1700s when scientists finally began to understand the process of dental caries. Once that part of the puzzle was solved, they began focusing on filling existing cavities and preventing new ones.

Dental Fillings Come of Age

Many different materials, including beeswax, cork, aluminum, tin, and even asbestos, have been used to fill the holes caused by dental decay. Sometime in the mid-1800s, however, dentists began to use metal fillings such as gold, platinum, silver and lead amalgams.

The amalgam we use today is mixed from liquid mercury, silver, tin, copper, zinc, and other metals, but some patients still like the look of a gold filling. Newer options include composite-resin fillings, which are made from a tooth-colored mixture of plastic resin and finely ground glass-like or quartz particles that form a durable and discreet filling. Porcelain or ceramic fillings are natural in color, but more resistant to staining.

Dr. Robert Wortzel can help decide which filling is best for you, based on cost as well as your dental and lifestyle needs. You may not have “tooth worms,” but if you have cavities, contact our Mountainside, NJ office so we can take the proper action to protect the health of your mouth.

At Wortzel Integrative Dental Care, we love to celebrate the holidays with vigor! Dr. Robert Wortzel would love to share some unique ways of celebrating Thanksgiving from beyond the Mountainside, NJ area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

Does your mouth always feel like it’s dry? If it does you may be suffering from xerostomia. Xerostomia is defined as dry mouth resulting from reduced or absent saliva flow. There are various medical conditions that can cause this type of dry mouth, which you can ask more questions next time you visit us at Wortzel Integrative Dental Care.

Xerostomia can factor into both minor and more serious health problems. It can affect the ability to eat and enjoy food and it can jeopardize one’s dental health. Some of the more common symptoms can include sore throat, burning sensation in the oral cavity or tongue, and difficulty swallowing.

One of the more serious problems associated with dry mouth is an increased risk of tooth decay. Decrease in saliva causes more plaque to form and there is less saliva to act as a buffer to the things we eat and drink. Less saliva also means more food debris is retained in the mouth. These things can lead to an increase in tooth decay.

So, what causes xerostomia?

There are several things that may cause xerostomia. Among the biggest culprits are prescription medications. Some examples are antihistamines, antidepressants, anti-hypertensives, anti-anxiety agents, anti-diarrheals, bronchodilators, and muscle relaxers.

Certain diseases can also cause dry mouth. The more common ones include rheumatoid arthritis, lupus, diabetes, hypertension, and thyroid disease. Xerostomia is also common in patients being treated for cancer. Head and neck radiation as well as certain chemotherapy drugs can cause severe dry mouth.

What should you do if you are experiencing dry mouth symptoms? First make sure to hydrate with plenty of water. If you are taking medications that cause xerostomia, make sure to drink water before taking the medication as well as a full glass of water with the medication. Be diligent with brushing and flossing and discuss your condition at your next appointment with Dr. Robert Wortzel. We can recommend specific products to help moisten the oral cavity and reduce your symptoms such as saliva substitutes, xylitol products, and certain toothpastes. Another option may be a prescription home fluoride treatment to help prevent new cavities. You may want to try gum or candies to stimulate saliva flow but make sure they are sugar free! Avoid food and beverages that dehydrate such as caffeine and alcohol.

Xerostomia is a common problem that is currently on the rise. Our team can help you to reduce any symptoms and improve your comfort while living with a dry mouth. Contact our Mountainside, NJ office today!

Every hour of every day, someone in North America dies of oral cancer, the sixth most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved.

This grim statistic may make you think that oral cancer is a particularly deadly form, when in fact the high death rate has more to do with how late in its development oral cancer is detected. Routine screening is the key to early detection and survival, and in our continuing efforts to provide the most advanced technology and highest quality care available to our patients at Wortzel Integrative Dental Care, we proudly screen our patients for oral cancer.

So, who’s at risk for oral cancer?

Anyone can develop oral cancer, but some people are at a higher risk. These high-risk groups include those over the age of 50 and men, who are twice as likely as women to develop the disease. Smoking or chewing smokeless tobacco products, consuming alcohol excessively, and constant exposure to the sun at a young age are also risk factors.

How is oral cancer detected?

Dr. Robert Wortzel and our team at Wortzel Integrative Dental Care suggest our patients perform a monthly self-examination to check for unusual red or white patches, sores, lumps, or thickenings anywhere inside the mouth, on the lips, or in the throat and neck area.

We encourage you to give us a call at our convenient Mountainside, NJ office if you find any of these symptoms or if you have trouble swallowing or experience a chronic sore throat and hoarseness. During your visit, Dr. Robert Wortzel will inspect the oral tissues and neck to determine if abnormalities are present.

What happens if oral cancer is detected?

If we discover abnormal tissues during your visit, a biopsy will be required. The results from the biopsy will be sent to a laboratory to determine if the cells are cancerous or precancerous. If a diagnosis of cancer is made, surgery, as well as treatment such as chemotherapy or radiation may be necessary. Dr. Robert Wortzel and our team will work closely with your oncologist and other members of your medical team to ensure that you achieve the best possible oral health care both during and after treatment.

Finding out you have oral cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk. Through a routine visual inspection, Dr. Robert Wortzel and our team at Wortzel Integrative Dental Care can often detect premalignant abnormalities and cancer at an early stage when treatment is both less expensive and more successful, and can potentially save your life. Ask us about a screening during your next visit!

When most people think of complications of diabetes, they think of an increased risk of blindness, limb amputation, heart disease, and neuropathy. However, Dr. Robert Wortzel and our team want you to know that emerging research is revealing a possible connection between uncontrolled diabetes and dental problems. Whether you have type 2 diabetes or type 1, uncontrolled high blood glucose level increases the risk of certain oral health conditions, including:

• Cavities
• Tooth decay
• Gingivitis (early gum disease)
• Periodontal disease (advanced gum disease)

Diabetes and proper dental care

If you have diabetes, it is more important than ever to take your dental care seriously and practice excellent oral hygiene. These recommendations will help:

1. Manage your diabetes. First and foremost, it is vital to control your high blood sugar in accordance with your physician’s instructions — not only for the sake of your oral health, but your overall health. With properly controlled blood sugar, you reduce your risk of developing gingivitis and other oral health issues.
2. Practice good at-home oral hygiene. This means brushing at least twice a day AND flossing. At a minimum, brush your teeth in the morning and at night, but after meals and snacks if you can. Use a soft toothbrush to avoid injuring your gums. Don’t neglect flossing, because it helps to remove plaque below the gumline and between teeth.
3. Visit the dentist regularly. While it is important to see the dentist every six months even if you don’t have diabetes, it is even more crucial to have a professional teeth cleaning and dental exam if you have the disease. As dental professionals, our team at Wortzel Integrative Dental Care is able to detect early dental conditions before they develop into something more serious and costly.
4. Tell your dentist that you have diabetes. If you were recently diagnosed with diabetes, be sure to let us know as soon as possible, and remind us at every appointment.
5. Be conscientious about examining your own gums and teeth. By looking for early signs of gum disease, which can include bleeding gums, irritated gums, gums that are red (versus a healthy pink), or swelling, we can get started on treatment right away.

Managing diabetes takes effort, not only in watching your diet, exercising, monitoring your blood sugar levels, and taking your medication, but obtaining proper dental care.

To learn more about the link between diabetes and oral health, or to schedule an appointment with Dr. Robert Wortzel, please give us a call at our convenient Mountainside, NJ office!

My wife, Donna, and I have two daughters, Lisa, who is now a dentist in our practice, and Arielle, who attends Rutgers to study environmental studies. Bella, an Australian Shepherd, is our wonderful family dog. In my leisure time, I enjoy playing the guitar, singing, and writing songs. If you have the opportunity, you should ask me to show off my avid juggling talent!

As a native of Union, New Jersey, it is a joy for me to help serve the members of the community that I have called home for so long. Aside from providing the members of my community with exceptional dental care, I also stay active in the community as the Co-Chair of the Brotherhood at Temple Sinai.

1) Favorite color: Red

2) Lucky number: 3

3) Favorite cartoon character: Bugs Bunny

4) Favorite movie: Casablanca

5) Favorite singer: Van Morrison

6) Favorite food: Spaghetti

7) One thing you won't leave the house without: My cell phone

8) If I could go back in time I would want to go to...: the 1960s

9) Kindle or paperback books? Paperback

10) What is your favorite season? Fall

Citation:

When I’m not in the office, my free time is spent reading, painting, and drawing. I love being with friends and family outdoors and enjoy hiking the many New Jersey trails. In an effort to help those who are voiceless in our society, especially animals and children, I love to spend time volunteering in shelters and helping those in need.

1) Favorite color Yellow

2) Lucky number: 4

4) Unique pet I would like to have: tiger

5) If I was anything besides a dentist I would have been a painter

6) Favorite food I love any fusion foods!

7) One thing you won't leave the house without Chapstick!

8) If I could go back in time I would want to go to... back in time I would go back to see dinosaurs

10) What is your favorite season? Autumn!

Citation:

I vividly remember being 15 years old and knowing that dentistry was to be my calling. While working with my dad during the summer, I saw how dentistry was such an exciting combination of my two favorite things. I understood that the blend of science and art would give me the ability to help people smile.

In my spare time I enjoy being with my family and friends, running, traveling, painting, and as a true “Jersey Girl,” I love the Jersey Shore. I am thrilled to be a part of the practice in which I grew up. I look forward to meeting you and your loved ones to form a relationship where we work together to reach all of your oral health goals.

1) Favorite color: Green

2) Lucky number: 4

3) Favorite cartoon character: Mickey Mouse

4) Favorite movie: My Cousin Vinny

5) Favorite singer: That’s a toss-up between Paul Simon and Bruce Springsteen!

6) Favorite food: Pasta

7) One thing you won't leave the house without: My Chapstick!

8) If I could go back in time I would want to go to...: A jazz saloon in the 1920s

9) Kindle or paperback books? Paperback hands down!

10) What is your favorite season? Fall

Ingredients: Makes 12-24 cookies

3 cups rolled oats

1 ½ cups whole wheat pastry flour

¼ tsp sea salt

1 cup raisins

½ cup chopped almonds

1tsp cinnamon

2 tsp vanilla

½ cup chopped walnuts

3 TBSP corn oil

1 cup barley malt OR brown rice syrup

1 cup Water

Method:

Preheat oven at 375°F. Mix rolled oats, sea salt, flour, raisins and nuts together.  Add oil and mix again.  Add barley malt and mix thoroughly.  Add water to make a thick batter.

Place spoonfuls of batter about 1 ½ inches apart on oiled cookie sheet and press down to form cookies.  If cookies are too thick, they will not cook thoroughly.

Bake at 375°F for 25-30 minutes, or until golden brown.

Ingredients

2 C fine white, medium, or yellow plain corn meal
2 sticks butter
2 cups sugar
8 large eggs
1 Tbsp baking powder
1 tsp cinnamon
1 tsp vanilla extract
1/2 tsp allspice
1 1/2 tbsp grated lemon zest
1 tsp salt

Glaze:
3/4 cup granulated sugar
3/4 tsp baking soda
1/4 cup buttermilk
1/4 cup butter
1/2 Tbsp light corn syrup
1/2 tsp vanilla extract

Method

Preheat oven to 325°F. Lightly grease a 9-inch tube pan.   In a mixing bowl, cream butter and sugar together until light and fluffy. In a separate bowl, beat eggs. Mix corn meal, baking powder and salt together. Alternating with corn meal, mix eggs into creamed mixture. Add cinnamon, vanilla and allspice; mix well. Add lemon zest and mix for one minute.

Pour into prepared pan. Bake for 90 minutes, or until a toothpick inserted into the center comes out clean. Cool and invert cake onto plate.

Glaze: Put granulated sugar, baking soda, buttermilk, butter and corn syrup in a saucepan. Bring to a boil, stirring constantly, 3 to 4 minutes.

Remove from the heat and add vanilla. Pour over cooled cake. Let sit for about 10 minutes and serve.

Ingredients

• 1 cup old fashioned rolled oats (not instant)
• 1 cup non-fat milk (or soy milk
• 1 cup whole wheat flour
• ½ cup unsweetened applesauce
• 2 egg whites (or 2 Tbl ground flax seeds mixed w/ 4 Tb water)
• 1 tsp baking powder
• ½ tsp baking soda
• ½ tsp salt
• 1 tsp cinnamon
• 1 tsp sugar
• nuts & raisins (optional)

Instructions

1. 1. Let oats and milk soak for 20 minutes before starting.
2. 2. Mix all wet ingredients together
3. 3. Mix all dry ingredients together
4. 4. Mix together wet & dry ingredients
5. 5. Grease muffin tins.  Fill 2/3 full.  Bake at 375 for 25 minutes or until knife inserted comes out clean.

Ingredients

2 C fine white, medium, or yellow plain corn meal
2 sticks butter
2 cups sugar
8 large eggs
1 Tbsp baking powder
1 tsp cinnamon
1 tsp vanilla extract
1/2 tsp allspice
1 1/2 tbsp grated lemon zest
1 tsp salt

Glaze:
3/4 cup granulated sugar
3/4 tsp baking soda
1/4 cup buttermilk
1/4 cup butter
1/2 Tbsp light corn syrup
1/2 tsp vanilla extract

Method

Preheat oven to 325°F. Lightly grease a 9-inch tube pan.   In a mixing bowl, cream butter and sugar together until light and fluffy. In a separate bowl, beat eggs. Mix corn meal, baking powder and salt together. Alternating with corn meal, mix eggs into creamed mixture. Add cinnamon, vanilla and allspice; mix well. Add lemon zest and mix for one minute.

Pour into prepared pan. Bake for 90 minutes, or until a toothpick inserted into the center comes out clean. Cool and invert cake onto plate.

Glaze: Put granulated sugar, baking soda, buttermilk, butter and corn syrup in a saucepan. Bring to a boil, stirring constantly, 3 to 4 minutes.

Remove from the heat and add vanilla. Pour over cooled cake. Let sit for about 10 minutes and serve.

Here's a lovely video of Lisa Wortzel, Dr. Wortzel's daughter, accepting her diploma upon her graduation from the New Jersey Dental School.

On May 20, 2013, our daughter, Lisa graduated from New Jersey Dental School. It was one of my proudest moments as a father and as a dentist to have had the honor to place her graduation hood, officially welcoming her into my profession of 35 years.

Whenever I meet another dentist, or father for that matter, and tell them that my daughter will be graduating from dental school and joining my practice in Mountainside, I always get the same reaction. Their jaws drop, they look off in the distance, and they say, “You’re so lucky. Out of all of my children, I could not find one who wanted to follow in my footsteps”.

Lisa has loved dentistry since she was 3 years old and accompanying Donna and me to the office when we had to see an emergency patient. She decided to choose dentistry for a career, after spending a summer during high school assisting me with my patients. Throughout college, I would continually question her to make sure she was choosing Dentistry for all the right reasons, and I would say…….”So tell me why you want to be a dentist”? She’d say, “Daddy, do I have to say it again?” I’d say, “yes”, and she’d say, “OK. I like art. I like science. And I like helping people. What better profession could I choose”?

Well, I could never have given a better answer. Lisa will be advancing her skills in a Restorative Residency Program at Newark Beth Israel Hospital before joining Wortzel Integrative Dental Care in August of 2014.

Here's a wonderful recipe from Linda McCartney's Vegetarian Home Cooking cookbook.

• 3/4 cup lentils (brown)
• 1 cup Cheddar cheese – grated (vegan cheese is great substitute)
• 1 onion -- chopped
• salt & freshly ground pepper to taste
• 1 teaspoon dried herb -- (rosemary, sage, or thyme)
• 1 cup fresh bread crumbs
• 1 egg -- beaten
• 3 tablespoons butter or margarine

Preheat the oven to 350 ° F and lightly grease a one pound loaf tin. Wash the
lentils twice in cold water and drain them well. Cover them with twice their
volume of cold water in a large saucepan, cover, and bring to a boil. Reduce
heat and simmer the lentils for 20 minutes, until they are quite soft.

Mix the cheese, onion, salt, pepper, and herbs in with the cooked lentils.
Add the breadcrumbs, egg, and butter or margarine to the lentil mixture and stir
well. Add more bread crumbs if the mixture is sloppy.

Press the mixture into the loaf tin and bake for 40-45 minutes. Turn out on to
a platter and serve hot.

Want a delicious, vegan treat for your next family gathering? How about this recipe for vegan brownies from your friends at Integrative Dental Care.

Ingredients:
12 oz. silken tofu, pureed
1/2 cup flour
1 cup water
2 1/4 cups sucanat
1 1/2 tsp salt
1 tsp vanilla
1 1/8 cup cocoa
3/4 cup oil
2 1/4 cup flour
1 1/2 tsp. baking powder

Method:

1. Cook tofu, 1/2 cup flour and water together over low heat for about 3 minutes until thickened. Allow to cool.
2. Add sucanat, salt and vanilla to the mixture.
3. Add cocoa and oil to the mixture.
4. Stir in remaining 2 1/4 cup flour and baking powder until blended.
5. Bake in 9x13 pan for around 35 minutes at 350 degrees. Set pan on wire rack to cool, then cut into bars.

Enjoy this delicious quick bread this Easter Sunday with your entire family!

Ingredients:
1/2 cup unbleached white flour
1 cup whole wheat flour
1 cup wheat bran
3/4 cup brown sugar
1 tsp. baking powder
1/2 tsp. baking soda
1/2 tsp. sea salt
1/2 cup walnut pieces
1 cup cranberries
1 egg
1/2 cup milk
1 cup orange juice
1/3 cup oil

Preheat oven to 350°F.

In a large bowl, mix together the egg, milk, orange juice and oil. In a separate bowl, combine flours, bran, sugar, baking powder, baking soda, salt, walnuts and cranberries. Add dry mixture into wet and mix until just combined.

Pour into a greased 9x5x3” loaf pan. Bake for 55-60 minutes, or until the bread is firm in the center. Cool in pan 10 minutes, remove to rack and cool before slicing.

Ingredients: Makes 16

1 1/3 cups whole wheat pastry flour
1/4 cup sugar
1/2 cup packed natural brown sugar

1/2 teaspoons baking soda
1 teaspoon ground cinnamon
1/4 teaspoon salt
2 eggs*

2/3 cup canola oil
1 teaspoon vanilla extract
1 Fuji apple, cored, peeled and diced
1/2 cup seedless raisins
1/2 cup grated carrots
1/2 cup walnuts, finely chopped
1/4 cup plus 2 tablespoons dried flaked   unsweetened coconut, divided

* substitute 2 TBSP flax seed mixed 4 TBSP water

Directions:

Preheat oven to 350°F. In a large bowl, mix together flour, sugar, brown sugar, baking soda, cinnamon and salt; break up any brown sugar lumps with your fingers or a wooden spoon.

In a separate bowl, whisk together eggs, oil and vanilla, then add to flour mixture and stir just until combined. Add apples, raisins, carrots, walnuts and 1/4 cup of the coconut and stir gently until well combined.

Spoon batter into 16 paper-lined muffin tins, filling each about 2/3 full. Top evenly with remaining 4 teaspoons coconut and bake for 25 to 30 minutes, or until cooked through

This week we are sharing our recipe for some delicious chickpea crabcakes! What are your favorite healthy eating recipes? Be sure to share them with us on Facebook!

Ingredients:
1 cup dried chickpeas, soaked for about 8 hours and drained
1 ½ cups yellow onion, roughly chopped
2 cloves garlic, crushed
½ cup fresh cilantro and/or parsley (roughly chopped)
½ tsp baking powder
2 tsp Old Bay seasoning
1/8 tsp cayenne
½ tsp dry mustard
½ tsp salt
¼ tsp black pepper
½ cup vegetable oil
Whole grain buns

Method:

• In a food processor, pulverize the soaked & drained chickpeas using “pulse” function until beans form a paste that sticks together when you squeeze it in your hand.  Be careful not to over process:  it it’s too smooth, the batter will fall apart when cooking.
• Add the rest of the ingredients (except the oil) and combine using the “pulse” function approximately 12 times; batter will be somewhat grainy and speckled with herbs.
• Shape into patties using a 1/3 cup measure and refrigerate until firm (about 30 minutes)
• Preheat oven to 350.  In a shallow 12 inch skillet, heat ¼ cup of the oil over medium-high heat.  Gently place the patties into the hot oil in small batched and fry first side until golden brown, about 3 minutes.  Gently trun and fry 2^nd side the same way.
• place on paper towels for a few moments to absorb any excess oil, then place on baking dish for 10-15 minutes.
• Serve on a bun with cocktail sauce or your favorite condiment

Makes 8 entrée-size patties

Nutrition per patty:  343 calories, 39 gr carbohydrates, 9 g protein, 17 g fat (2 g saturated), 0 mg cholesterol, 5 fiber, 542 sodium.

Source:  from The Meat Lover’s Meatless Cookbook by Kim O’Donnel

At Integrative Dental Care you may already be familiar with our "whole person" approach to oral and overall healthcare. We believe this helps our patients live longer, healthier, and enhances the quality of your life.

As part of our efforts to encourage healthy eating habits, we wanted to share this delicious whole grain pinwheel recipe with you. Please feel free to share your recipes with us on Facebook!

Pinwheels

Ingredients:

• 1 Pk. Multi-Grains Wraps (6)
• 1 tub (8 oz.) cream cheese ( Vegan substitute- Tufutti imitation cream cheese)
• Cranberry fruit spread
• 1 Cup brown rice (cooked)
• 2 cups Ganola with dried berries and nuts
• 2 very ripe bananas (sliced thin)
• Wheat Germ

Method:

1. Spread cream cheese followed by fruit spread and remaining ingredients on wraps in thin layers
2. Roll wrap loosely
3. Using a sharp knife, slice into 1 inch wide pinwheels
4. Secure with fancy toothpicks

Looking back at childhood photos, you may notice picture after picture of yourself with a mouthful of shiny white teeth. When you look in the mirror today, you wonder what happened to that beautiful smile. Many adults struggle with tooth discoloration and find it embarrassing to show off their teeth in a smile. Once you identify the cause of your tooth discoloration, there are treatment options that can restore your teeth and your confidence.

What Causes Tooth Discoloration?

There are a host of factors that may cause your teeth to discolor. Some are directly under your control, and others may not be preventable. Here is a list of common reasons that teeth become discolored.

• Genetics: Much of your dental health is determined by genetic factors beyond your control. Some people naturally have thinner enamel or discolored teeth.
• Medications: Several medications lead to tooth discoloration as a side effect. If you received the common antibiotics doxycycline or tetracycline as a child, your teeth may have discolored as a consequence. Antihistamines, high blood pressure medications, and antipsychotic drugs can also discolor teeth. If you think a medication may be leading to tooth discoloration, talk to your dentist. Never discontinue the use of a medication without consulting your doctor, however.
• Medical Conditions: Genetic conditions such as amelogenesis or dentinogenesis cause improper development of the enamel, and can lead to yellowed, discolored teeth.
• Poor Dental Hygiene: Failing to brush your teeth at least twice a day or regularly floss may lead to tooth decay and discoloration.
• Foods and Tobacco: Consumption of certain foods, including coffee, tea, wine, soda, apples, or potatoes, can cause tooth discoloration. Tobacco use also causes teeth to turn yellow or brown.

Treatments for Tooth Discoloration

There are a variety of treatments available to individuals with discolored teeth. One of the easiest ways to reduce tooth discoloration is through prevention. Avoid drinking red wine, soda, or coffee and stop using tobacco products. If you drink beverages that tend to leave stains, brush your teeth immediately or swish with water to reduce staining.

After determining the cause of tooth discoloration, our dentist can suggest other treatment options. Over-the-counter whitening agents might help, but in-office whitening treatments provided at our office would be more effective. When whitening agents do not help, bondings or veneers are among the alternative solutions for tooth discoloration.

If you are worried about your teeth becoming yellow or brown, think carefully about your diet and medication use. Talk to your dentist to identify substances that may be causing the problem. After treatment for tooth discoloration, you will have a beautiful white smile you can be proud to show off.

Perhaps you don't even know you grind your teeth. Maybe a spouse or loved one woke you up in the middle of the night and made you aware of what was happening.

For many people, teeth grinding is a habit and a mechanical reflex; when they’re awakened and informed they were grinding their teeth, they have no recollection of it at all. According to the American Dental Association, this is the nightly situation for roughly ten percent of Americans. From young children to the elderly, teeth grinding, known in the dental community as bruxism, is a serious concern.

Many people who grind their teeth in their sleep have no idea they're doing it. In fact, when they wake up in the morning they feel no jaw pain and their teeth are fine: if it hadn’t been for someone telling them about it, the teeth grinding would have gone unnoticed.

There are other people, however, who wake up with jaw pain, shoulder and neck pain, and headaches. Teeth grinding can cause a host of dental complications. From cracked teeth and receding gums to a misaligned jaw, teeth grinding is not something to take lightly.

Preventive measures are the key to combating bruxism, and our office can set you on the path to a healthy and safe night sleep.

The Reasons for Teeth Grinding
There are many reasons for teeth grinding. For some people, it’s a habit they acquired when they were a child and never grew out of. On the other hand, some research claims that the condition is related to stress, anxiety, or some other type of psychiatric issue.

Still other studies point to everything from poor muscle control or over-eating before bed to gastro-esophageal issues. However, the root cause of the teeth grinding is less important than identifying preventive measures against it.

Common solutions to teeth grinding include:
• Wearing a protective nightguard
• Stress management techniques
• Medications and muscle relaxers

When you make an appointment at our office, we will assess your situation and determine what the best course of action is. Teeth grinding is a dental concern that can cause serious health issues down the road, so be sure to take preventive measures today.

Dr. Robert Wortzel and the team from Integrative Dental Care want to inform you that our office is currently without power. We are fortunate to have weathered the storm safely and hope that you and your family are safe as well.

Our practice will open as soon as we are able, so be sure to 'like' our Facebook page where we will keep you updated with news, events and information from our practice.

Contact us directly at 908-514-5951 for emergencies or any questions you may have.

Thank you,
Dr. Robert Wortzel and team

Snoring may not be something you take seriously. You might even laugh or joke about it. But the fact is, anytime you or your partner snore to the point of waking, it could be a sign of serious health problems.

Sleep Apnea and Its Effects

Sleep apnea is a sleep disorder that is potentially dangerous, and the most common symptom is loud snoring. Breathing repeatedly starts and stops throughout the night, and you wake up feeling tired. Other serious effects from sleep apnea could be potentially dangerous to your health if left unaddressed.

Besides losing a good night's sleep, you may experience difficulty concentrating. Depression, risk of heart attack, irritability, high blood pressure, memory loss, sexual dysfunction, and chances of stroke all increase when sleep apnea is not treated.

Sleep apnea occurs when the muscles in the back of the throat relax to the point of inhibiting natural breathing. The muscles used to support the soft palate relax and the airway closes, causing breathing to stop for 10 to 20 seconds. This lowers the oxygen level in the brain. As the brain senses the inhibited oxygen levels it rouses the sleeper awake so the airway can reopen. Normally, the reawakening is so brief the person won't remember it.

If you think you may have sleep apnea, visit our office and let the doctor determine what treatment is needed. Without it, you could risk losing more than a restful night's sleep.

Prevention and Treatment
Anyone can develop sleep apnea, but it is more common among middle-aged adults who are overweight. Our dentist can help you determine the cause and suggest positive treatment.

A common treatment for apnea is the placement of oral devices that are designed to help keep the airway open. By bringing the jaw forward, the device opens the airway and thereby discourages snoring. Our dentist is experienced in sleep apnea appliances and can prescribe a fitted device and monitor its success with follow-up therapy.

A continuous positive airway pressure mask, known as a CPAP, is among the other treatment options. A mask is fitted over the mouth and forces oxygen through the throat while you sleep. The pressure holds the soft tissue and throat muscles open.

The professionals in our office can advise you of other ways to prevent sleep apnea, including weight loss, avoiding alcohol, or alternative sleeping positions. We can help you sleep return to easy sleep, knowing you are safer and healthier during your resting hours.

If you suffer from dental anxiety, a visit to our office might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our office, there is nothing to be afraid of. We understand you may be anxious about receiving dental treatments, and we’re here to help you have a comfortable, pain-free experience that will put your fears to rest.

You’re not alone!
A 1984 study that appeared in the Journal of the American Dental Association reported that up to 75% of all adults in the United States have some degree of dental anxiety. This includes five to ten percent whose dental anxiety is so severe that they try to avoid a dentist’s office at all costs.

Treatment
If you experience dental anxiety, it is important to let our office know in advance, so we can provide you with the dental care you need with an added touch of TLC. We can assist by explaining behavioral techniques for relaxation, by administering nitrous oxide (laughing gas), or by prescribing a relaxing medication prior to your dental procedure.

-Many people who are careful about brushing and flossing their teeth wonder how they still end up with cavities or tooth decay. Several factors affect wear and tear on tooth enamel. Diet is a major factor, with certain foods increasing the likelihood that your enamel will become discolored or decayed. Pay close attention to the foods you eat to keep your pearly whites looking healthy and clean.

What Causes Enamel Damage?

Tooth enamel refers to the hard, semi-translucent, whitish part of the tooth that shows above your gums. The enamel is primarily composed of minerals that are strong but susceptible to highly acidic foods. When acid reacts with the minerals in enamel, tooth decay results. Strongly pigmented foods can also damage enamel by discoloring the surface of the tooth.

Foods that Harm Enamel

Acidic foods are the greatest source of enamel damage. To determine whether a food is acidic, look up its pH. Scientists use pH, on a one-to-seven scale, to define the relative acidity or alkalinity of a substance. Foods with low pH levels, between a one and three, are high in acidity and may damage your enamel. Foods with high pH levels, such as a six or seven, are far less likely to cause enamel harm.

So which foods should you avoid? Many fruits are high in acidity, including lemons, grapefruit, strawberries, grapes, and apples. The high sugar and acid content in soda makes it another huge contributor to enamel decay. Moderately acidic foods include pineapple, oranges, tomatoes, cottage cheese, maple syrup, yogurt, raisins, pickles, and honey. The foods that are least likely to cause enamel damage include milk, most cheeses, eggs, and water.

Beverages such as red wine and coffee also damage the enamel by discoloring it. Although stains do not necessarily undermine the integrity of your teeth, they can be unsightly.

What Can I Do to Prevent Enamel Damage?

Fortunately, there are several measures you can take to prevent your enamel from discoloring or decaying. The easiest way to avoid decay is to steer clear of high-acidity foods. This may not always be possible, but eliminating sugary fruit juices and soda from your diet is a good start. Brushing your teeth after each meal and flossing frequently also preserves your enamel. Another good idea is to rinse your mouth with water or mouthwash after eating to wash away high-acidity particles.

Although enamel damage is common, it does not have to be an inevitable occurrence. Knowing the foods that harm your teeth gives you the tools to prevent discoloration and decay. With some easy preventive measures, your teeth will stay strong and white for years to come.

You may not understand it, and the more you think about it the less you want to believe it, but you’re positive you have a cavity, and a painful one, too. How did this happen? You brush twice a day and floss regularly. You rinse with hydrogen peroxide, just like the dentist recommended. In fact, you can’t remember the last time you had a cavity, but you think it was when you were a little kid, back when you ate sugary cereals like Lucky Charms and Cocoa Puffs for breakfast. In all seriousness, you thought only kids got cavities. Weren’t you supposed to have outgrown these things the way teenagers outgrow acne?

The Signs and Symptoms of a Cavity

It’s believed that roughly 90% of Americans will get at least one cavity in their lifetime. Those other ten percent, it seems, can eat as much pie, cake, and sugary cereals and sweets as they want.
That’s not really true; just a stab at dental humor, and it was as bad as the pain your cavity is probably giving you.

When a cavity is in its initial stages, you will often be symptom-free and experience no discomfort at all. It’s not until the tooth decay has reached a certain level that you will begin to notice the signs and symptoms. While a toothache and sensitivity to hot and cold foods and liquids are surefire signs that you have a cavity, there are lesser-known symptoms as well. If you’re experiencing any of these warning signs, you may want to consider making an appointment with our office as soon as possible:

• Persistent bad breath or a bad taste in the mouth
• When you bite down, there is a sticky, tarry feeling
• Puss or discharge around a tooth
• A visible discoloring, usually black or brown
• Small pits or holes in the tooth

Routine dental care is important. While good oral hygiene, a healthy diet, and regular cleanings at the dentist will deter the formation of cavities, they do not constitute a foolproof practice. A cavity can occur at any time, no matter what your age. Bacteria causes tooth decay, and no amount of brushing, flossing, and rinsing will eradicate all the bacteria from your mouth. If you think you may have a cavity, please contact our office immediately.

Bad breath, also called halitosis, can result from poor dental health habits and may be a sign of other health problems. Bad breath can also be made worse by the types of foods you eat and other unhealthy lifestyle habits. You may not even be aware of your own bad breath, so if you’re concerned you may be suffering from it, give us a call. We can help identify the cause and, if it’s due to an oral condition, develop a treatment plan to treat it.

There are many reasons for bad breath:
• What you eat can also affect the way your breath smells. Certain foods, such as garlic and onions, can have a very strong and lasting odor.
• If you don't brush and floss daily, particles of food remain in the mouth, collecting bacteria, which can cause bad breath, not to mention tooth decay and gingivitis.
• Bad breath can be caused by dry mouth (xerostomia), which occurs when the flow of saliva decreases. Saliva is necessary to cleanse the mouth and remove particles that may cause odor.
• Tobacco products cause bad breath. If you use tobacco, ask us for tips on kicking the habit.
• Bad breath may be the sign of a medical disorder, such as a local infection in the respiratory tract, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment. If this is the case, you may be referred to your family doctor or a specialist to determine the cause.

The good news is there are many ways to help eliminate bad breath from your life. Maintaining good oral health is essential to reducing bad breath, so schedule regular dental visits for a professional cleaning and checkup. Brush twice a day with fluoride toothpaste to remove food debris and plaque, and don’t forget to brush your tongue, too!

Did you happen to catch this broadcast of Dr. Rob Wortzel at the Barron Arts Center in 2006? Dr. Wortzel's friend in the hat is also a dentist and was Dr. Wortzel's roommate from dental school!

Now that many of the schools are back in session, we would like to remind all of our patients about the importance of scheduling appointments in advance. With school, clubs, sports and family duties to consider, we know that it can be challenging to find time this fall.

Here are some important things you can do to prepare for the new school year:

• Brush your teeth twice a day with a fluoride toothpaste.
• Floss at least once a day
• Limit sugary snacks that cause tooth decay

In order to accommodate all of our patients’ busy schedules, it is important that you plan ahead for your appointments so that we are able to provide you with an appointment time that is convenient for you.

We look forward to seeing you soon!

If you have ever suffered from a toothache, you know how excruciating the pain can be. Tooth pain is usually caused by irritation to the nerves in the roots of the teeth, although there are other potential sources of the pain as well. Fortunately, there are ways to both prevent and resolve a toothache, regardless of its cause.

Causes of Tooth Pain

Some of the most common causes of tooth pain include:

1) Tooth Decay – Also known as cavities, tooth decay occurs when bacteria erodes the enamel of the tooth, which can eventually expose the nerve. This is the most common cause of tooth pain.

2) Gum Disease – Also known as periodontal disease, occurs when bacteria populate along and below the gum line.

3) Injury – An injury can include a small chip or a large break in the tooth.

4) Impaction – Teeth often become impacted beneath the surface of the gums. This condition is most common in molars, such as the wisdom teeth. An impacted tooth may cause no pain at all, or it could become extremely painful if it begins to affect the nerves and teeth around it.

Pain Resolution

Determining the source of your pain starts with a trip to the dentist. Usually, your dentist will conduct a thorough examination that may include X-rays. If your X-rays or examination reveal tooth decay, the solution may involve a simple filling, a root canal or even a tooth extraction. Your dentist will decide which option is best for you based on how advanced the tooth decay is, as well whether an infection is present within the tooth.

If, however, gum disease is causing your tooth pain, the solution may be as simple as a root planing and scaling, followed by administration of oral or topical antibiotics to kill the bacteria causing your symptoms. If you have a cracked, chipped or broken tooth, your dentist may resolve your pain by either filling the crack, or covering the tooth with a crown designed to prevent bacteria from entering the tooth.

If your dental X-rays reveal that you have an impacted tooth, you will most likely need to have it extracted to avoid causing damage or misalignment to the other teeth. Impacted teeth can also become infected, which is why it is important to remove impacted teeth before they begin to cause problems.

Prevention

Although there are ways of treating a toothache, the best way to treat it is by preventing it altogether. Some causes of tooth pain are not preventable, such as an impacted tooth or a predisposition to tooth sensitivity. However, tooth decay and gum disease are easily prevented by using good hygienic practices at home and visiting your dentist for regular examinations and cleanings. By brushing your teeth twice a day and flossing, as well as wearing protective mouthguards when participating in high impact activities, you can significantly decrease your chances of developing tooth pain in the future.

Most people know that visiting the dentist is an essential part of caring for their teeth. Regular checkups and cleanings are, of course, very important. But what some people don't realize is that good dental hygiene starts long before you get to the dentist's office. You may be saying, "I know, it starts with my toothbrush and floss." But actually, oral health begins even before that. A healthy smile starts at your grocery store.

Dental checkups can detect problems early on and address them, but only good nutrition can give your teeth and gums the healthy foundation they need. If your diet is rich in tooth-friendly nutrients, you will be less prone to gum disease, tooth decay, and even jawbone loss.

So, which nutrients are the most important? Here are a few tooth-building superstars.

Calcium:
We all know that calcium builds strong bones and teeth. Most expectant mothers are even aware that the calcium-rich foods they eat during pregnancy will ensure that their babies develop strong, healthy teeth later on. But did you know that calcium is important to your teeth long into adulthood?

On its "Milk Matters" page, the National Institutes of Health tells us that calcium can protect teeth against decay. Furthermore, a 2001 study published by the US National Library of Medicine found that elderly people who had adequate amounts of calcium in their diets were more likely to retain their teeth as they aged.

Good sources of calcium include yogurt, cheeses, milk, and leafy green vegetables. If you can't get an enough calcium from your diet alone, talk to your doctor about adding a calcium supplement.

Vitamin D:
Vitamin D is sometimes called the sunshine vitamin because your skin can synthesize it during exposure to sunlight. Vitamin D could also be called the healthy smile vitamin. It not only helps your teeth, but it also keeps your gums healthy. Another study published by the National Library of Medicine has shown a connection between low levels of dietary vitamin D and gingivitis. People in the study who had more of the vitamin in their diets had healthier gums.

While most of us get plenty of vitamin D from sun exposure, people who live farther from the equator may need to take a supplement during the winter months.

Vitamin C:
Long ago, British sailors were called "Limeys" because their superiors made them eat limes on long ocean voyages. Why? Because limes are rich in vitamin C and without it, the sailors got scurvy and often lost their teeth. While there's little danger of developing scurvy today, a study in the year 2000 of people who ranged in age from 20 to 90, showed that vitamin C is still necessary for healthy gums. People in the study who had the lowest dietary intake of this essential vitamin were at the highest risk of gum disease.

Vitamin C is perhaps the easiest of vitamins to get from your diet. Rich sources include strawberries, apricots, oranges, lemons and, of course, limes. Red and yellow peppers also have lots of vitamin C, as do tomatoes and brussel sprouts.
Never put off regular dental checkups and cleanings, but in between appointments, watch your diet. Making sure these essential nutrients are a part of your daily intake will ensure that your teeth and gums are as healthy as they can be.

It's that dreaded time of day for many parents — the nighttime routine. As kids whine and stomp up the stairs and you send them off for pajamas and bedtime, you face the daunting task once again of trying to get your children to brush their teeth. While this is certainly a chore for many parents across the country, the following are several tips you can use in order to make brushing teeth a fun, enjoyable time.

1. Give them exciting toothbrushes
By buying your children special toothbrushes in their favorite colors, or decorated with their favorite TV characters, they will see their toothbrush as more of a toy than a tool. By keeping things fresh and fun, children will be excited to use their toothbrush since it represents a little bit of who they are and what they enjoy.

2. Make a rewards chart
For each night your children willingly — and without argument — brush their teeth, give them a sticker. After a week of stickers, give them a special reward.

3. Keep it fresh with different toothpaste
While adults may not care too much what flavor their toothpaste is, children are a different story. Be sure to purchase flavored toothpaste that kids will enjoy. Mint is always a good option, but many toothpaste companies create other flavors as well, including fruit flavored toothpastes and even bubble gum toothpaste.

4. Buy a fun flossing tool
Flossing is an essential part of good oral hygiene, especially for children. Encourage this habit along with tooth brushing by purchasing a fun flossing tool. These colorful contraptions get children excited about flossing their teeth, and if you find that they prefer flossing to brushing tell them that the only way they can floss, is if they brush their teeth first.

Instead of making children feel like brushing their teeth is something to be dreaded, parents can make this ritual a lot more fun and exciting using these tips. The more fun parents make this routine, the more children will be encouraged to brush their teeth. We all know that a healthy mouth and healthy child begin with healthy teeth — so getting kids in the good habit of brushing often is essential in the long run.

At Wortzel Integrative Dental our goal is to provide you with the highest standard of personalized dental care while preserving a strong belief in traditional comprehensive dentistry. We offer a “whole person” approach to oral health which helps our patients live longer, healthier, and more vibrant lives.

Take a look at our recent video where Dr. Wortzel discusses his goal in achieving oral and overall health for each of our patients. If you have questions, please contact our office or find us on Facebook!

Gingivitis is a type of periodontal disease in which only your gums are affected. Gingivitis, according to the American Dental Association (ADA), is a milder and often reversible type of periodontal disease. However, it can lead to periodontitis -- a more destructive and serious disease -- if proper professional treatment and home care aren't put into place. No tissue damage or irreversible bone damage is present in the gingivitis stage of periodontal disease.

Many people with gingivitis won't experience any discomfort, particularly in its early stage. However, as the bacteria in plaque builds up, it can cause your gums to become inflamed, which may make them red and swollen. You may also experience blood when brushing your teeth, indicates the American Academy of Periodontology.

Causes of Gingivitis

The most common cause of gingivitis occurs when plaque builds up due to inadequate oral hygiene.

Other less common causes of gingivitis include:
* diabetes
* aging
* smoking
* improper nutrition
* hormonal fluctuation
* stress
* pregnancy
* substance abuse
* certain medications
* genetic predisposition

Up to 30 percent of people in the United States may be susceptible genetically to gum disease or are six times more prone to developing gum disease, according to the American Academy of Periodontology. Therefore, if one of your family members has gum disease, it may indicate that you have a higher risk of developing the condition as well. If you are one of these people who are more susceptible to developing gum disease, your dentist may recommend more frequent cleanings, check-ups, cleanings, and treatments.

Implications of Gingivitis
If gingivitis is left untreated, it can progress to periodontitis. In periodontitis, the bone and inside layer of your gum pulls away from your teeth, allowing small pockets to form. These small pockets are danger zones because they allow bacteria to collect, and can they can then become infected. As periodontitis progresses, these pockets deepen, resulting in even more bone loss and gum tissue damage. Eventually, teeth that were once anchored in place become loose. Tooth loss often follows.

Treatment of Gingivitis
In practically all cases, gingivitis can be reversed, according to the Cleveland Clinic. Treatment includes proper control of plaque, which consists of having a professional teeth cleaning, at least two times a year. It also includes daily teeth brushing, which will eliminate plaque from the surfaces of your teeth. You should also floss daily to remove plaque and food particles from in between your teeth.

Lifestyle and health changes may help decrease the risk of developing gingivitis or reduce its severity or progression. These lifestyle changes include stopping smoking, decreasing your stress, eating a well-balanced diet, and avoiding grinding and clenching of your teeth.

Brushing your teeth every day keeps them cleaner, improves your breath, and reduces plaque buildup. But did you know that there may be a connection between your dental health and chronic illness? Some scientific evidence suggests that poor dental health may be linked to cardiovascular disease. Although more research is needed to explore this association, it provides yet another reason to brush your teeth twice per day, floss daily, and visit your dentist regularly.

Over 2,400 people die from cardiovascular disease each day, making it an immense public health problem. Cardiovascular disease occurs when arteries become harder, making it more difficult for blood to easily pass through your circulatory system. Plaques also build up in your blood vessels, further restricting blood flow. Periodontal disease, also known as gum disease, affects nearly 75% of the U.S. population, according to the American Academy of Periodontology. It is a chronic inflammatory condition that can cause bone and gum tissue to deteriorate, causing bad breath, swollen or bleeding gums, sensitive teeth, and loose teeth.

If periodontal disease affects your teeth and cardiovascular disease affects your heart, what’s the connection between the two? Scientists have known for years that the two conditions share several risk factors. Increasing age, cigarette smoking, and type 2 diabetes increase your risk of developing both periodontal disease and cardiovascular disease. None of these risk factors, however, explain the causal mechanism connecting the two conditions.

According to a 2009 review article by the editors of the American Journal of Cardiology and the Journal of Periodontology, one possible explanation is inflammation. Moderate to severe periodontal disease triggers chronic systemic inflammation, affecting not only your mouth but also your circulatory system, leading to cardiovascular disease. Another hypothesis is that bacteria from your mouth can cause heart disease. People with periodontal disease have billions of bacteria and other microorganisms teeming in their mouths. Chewing food and brushing your teeth release these bacteria into the bloodstream. The Harvard Heart Letter reports that the types of bacteria that cause periodontitis have been associated with plaque buildup in your arteries.

Not all scientific findings have shown a relationship between the two conditions. In April 2012, the American Heart Association published a scientific statement in the journal Circulation denying that gum disease causes heart attacks or stroke. The American Dental Association’s Council on Scientific Affairs and the World Heart Federation also endorsed the statement, agreeing that there is no conclusive evidence that the conditions are related. More scientific research needs to be performed to determine the exact relationship between periodontal disease and cardiovascular disease.

Although the scientific evidence has been mixed, periodontal disease can be very harmful to your health even if it does not lead to cardiovascular disease. It is important to reduce your risk of gum disease by careful tooth brushing, frequent flossing, and regular trips to the dentist.

Our team knows one thing no patient likes hearing when visiting our office is “root canal.” But what, exactly, is a root canal, and when might you need one?

A root canal is a treatment uses to repair and save a tooth that is infected or badly decayed to the point where the nerve is involved. In the past, if a patient had a tooth with a diseased nerve, dentists in most cases would recommend an extraction. Today, however, with a procedure called root canal therapy, available at our office, you may save that tooth—and your beautiful smile—after all!

Here are some symptoms that indicate a decayed or infected tooth, courtesy of WebMD:
• Severe toothache pain upon chewing, biting or application of pressure
• One tooth consistently more sensitive to hot or cold than other teeth
• Pain that hurts without any stimulus, keeps you awake or wakes you up at night
• A tooth that feels loose
• Discoloration (a darkening) of the tooth
• Pain that persists weeks following a filling or replacement of a filling
• Chronic pain and/or pressure that may extend to the ear, eye or neck

If any of these symptoms apply to you, we recommend you schedule an appointment with us right away.

The best way to avoid a root canal is to practice good oral hygiene at home, and that includes brushing at least twice a day and flossing to reduce plaque and bacteria. For more tips on how to avoid root canal therapy or for general questions about your dental treatment, we invite you to ask us during your next visit to our office! We also invite you to ask us on Facebook!

Thanks for the question! Yes! In fact, it's even more important that patients receiving orthodontic treatment visit our office regularly. When you're wearing braces, food may be caught in places that your toothbrush normally can't reach. This causes bacteria to build up and can lead to cavities, gingivitis and even gum disease. Believe it or not, an estimated 80 percent of American adults currently have some form of gum disease. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Our team will work closely with your orthodontist to make sure that your teeth stay clean and healthy while you're undergoing orthodontic treatment.

If it has been more than six months since your last visit to our office, please give us a call! We look forward to your next visit!

It’s hard to believe, but July is already here and half of 2012 has already passed! As July 4th approaches, our team thought it would be fun to share some facts and safety tips for celebrating our country’s independence day.

Fun Facts:
• Betsy Ross, according to legend, sewed the first American flag in May or June 1776, as commissioned by the Congressional Committee.
• The major objection to being ruled by Britain was taxation without representation. The colonists had no say in the decisions of English Parliament.
• The word ‘patriotism’ comes from the Latin patria, which means ‘homeland’ or ‘fatherland.’
• The first public Fourth of July event at the White House occurred in 1804.
• And what could be more fitting than spending the day in a place called “America”? There are five such places in the country, with the most populous being American Fork, Utah, with 21,941 residents. Check out American Fact Finder.

Safety Tips:
• Avoid buying fireworks that are packaged in brown paper because this is often a sign that the fireworks were made for professional displays and that they could pose a danger to consumers.
• Keep a bucket of water or a garden hose handy in case of fire or other mishap.
• Never carry fireworks in a pocket or shoot them off in metal or glass containers.
• To prevent a trash fire, be sure to douse the spent fireworks with plenty of water from a bucket or hose after fireworks complete their burning and before discarding them.
• Make sure fireworks are legal before buying or using them.

What are your plans this 4th of July? Share them with us! We’d love to hear what you and the rest of the community will be doing to celebrate! (Don’t forget to make sure there are no restrictions on fireworks! Check out this link to see if fireworks might be an issue for you this year.)

Also, check out these 4th of July party invitations, eGreeting cards, and delicious recipes!

July 4th eCard invitations!

Happy Independence Day eCards

Independence Day Recipes


Photo by shawnajean

If you have missing teeth, it is crucial to replace them. Without all your teeth, chewing and eating can destabilize your bite and cause you discomfort. Dental implants are a great option for replacing missing or badly diseased teeth. A dental implant offers comfort, support, stability, and is as close to a natural tooth that a restoration can be.

There are many benefits to dental implants:

• Dental implants restore your ability to chew food properly.
• They fill out a face that may otherwise look sunken in because of missing teeth.
• They don’t need to be removed for overnight cleaning and soaking.
• No adhesives are needed.
• You’ll feel more confident to show off your smile to the world.
• Each implant is created to fit in perfectly with the look of the rest of your teeth.

Dental implants would be an appropriate treatment for you if you’re in good health, have healthy gums, and have enough bone structure to support an implant. A simple visit with our office will reveal if a dental implant is the best option to restore your smile to its absolute best.

Bad breath, also called halitosis, can result from poor dental health habits and may be a sign of other health problems. Bad breath can also be made worse by the types of foods you eat and other unhealthy lifestyle habits. You may not even be aware of your own bad breath, so if you’re concerned you may be suffering from it, talk to our team. We can help identify the cause and, if it’s due to an oral condition, develop a treatment plan to treat it.

There are many reasons for bad breath:

• What you eat can also affect the way your breath smells. Certain foods, such as garlic and onions, can have a very strong and lasting odor.
• If you don't brush and floss daily, particles of food remain in the mouth, collecting bacteria, which can cause bad breath, not to mention tooth decay and gingivitis.
• Bad breath can be caused by dry mouth (xerostomia), which occurs when the flow of saliva decreases. Saliva is necessary to cleanse the mouth and remove particles that may cause odor.
• Tobacco products cause bad breath. If you use tobacco, ask us for tips on kicking the habit.
• Bad breath may be the sign of a medical disorder, such as a local infection in the respiratory tract, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment. If this is the case, you may be referred to your family doctor or a specialist to determine the cause.

The good news is there are many ways to help eliminate bad breath from your life. Maintaining good oral health is essential to reducing bad breath, so schedule regular dental visits with our office for a professional cleaning and checkup. Brush twice a day with fluoride toothpaste to remove food debris and plaque, and don’t forget to brush your tongue, too!

In honor of June Dairy Month, our team would like to thank all of our hard working families in the Dairy Industry. You make us proud!

In fact, dairy is important to your overall health! A 2008 study from the American Academy of Periodontology (AAP) found that regular consumption of dairy products, such as milk, cheese and yogurt, can lower your chances of contracting periodontal disease (also known as gum disease).

Results of the study show that adults who consume at least 55 grams of lactic acid a day are less at risk for gum disease. Eating dairy is not just healthy for building strong bones, but is essential for maintaining a strong, healthy mouth.

One word nobody wants to hear when they visit the dentist is Cavity! That’s right, the dreaded cavity; but what exactly is a cavity and how do you get one? A cavity is a hole that develops in a tooth when the tooth begins to decay. It’s important to get a cavity filled as soon as it’s detected so that it does not grow bigger.

So, what causes a cavity? A cavity is caused by plaque, a sticky substance that forms on the tooth as a result of germ and bacteria build-up. Plaque is acidic and as it clings to your teeth the acids eat away the outside of the tooth (also called the enamel) and a hole is formed.

Yes, cavities can be repaired by your dentist, but here are a few simple steps you can take to prevent cavities:

• Brush your teeth with fluoride toothpaste at least twice daily
• Gently brush your gums to keep them healthy (when choosing a toothbrush it is recommended to use soft bristles)
• Floss your teeth at least once a day to remove plaque and food that may be caught between the teeth where your toothbrush can’t reach
• Limit the amount of soda and sugary treats you eat/drink
• Be sure to visit your dentist every six months for a teeth cleaning and check-up

Memorial Day weekend, a time to remember and honor the men and women lost while serving for our country. Memorial Day is also the unofficial start of summer, and for many folks getting out of town for three days after being cooped up in the classroom or the office spells sweet, sweet relief.

What about you? What are you up to this Memorial Day weekend? Whether you are headed to a barbecue, a camping trip, or just hitting the great American open roads, we’d like to hear all about it!

Our entire team wishes you a happy, safe and relaxing Memorial Day weekend!

You water the garden three times a week, you change your car's oil every three months, and you replace the batteries in your smoke detectors once a year. Your teeth need to see your dentist on a regular schedule, too.

While daily oral hygiene habits are essential to good oral health, professional dental cleanings at our office ensure your teeth are treated to a deeper level of cleaning. We recommend for most of our patients to have a checkup at least every six months. In addition to a thorough cleaning and polishing of your teeth, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

If you are predisposed to oral diseases, you may need to visit our office more often than every six months. Factors at play in these diseases include age, pregnancy, tobacco use, medical conditions (such as diabetes, dry mouth, or HIV infection), along with how well you take care of your teeth on a daily basis.

Thanks for the question. Your first visit typically includes an x-ray that allows us to view the structure of the jaw, the position of any teeth that have not yet erupted, malformed roots, and tooth decay.

The initial visit also involves getting your medical history. When you share your medical history with us, be sure to provide complete, up-to-date information on your health. Please let us know if you have experienced recent hospitalization or surgery, or if you have recently been ill. Also tell us the names, doses, and frequency of any medications you are taking — whether prescription or over-the-counter products — and the name of your physician. Please also let us know about any changes in your health or medications. This information will us select the most safe and effective method of treatment path for you.

Have any more questions about your first visit? Please give us a call!

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about the dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctor and staff – we hope this will be a valuable resource for our patients, their families, and friends!