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TADs A Cause for Celebration

December 17th, 2018

Dr. Yan Razdolsky and his daughter, Dr. Elizabeth Razdolsky-Michalczyk celebrated her birthday in style at an education conference in November. No kidding! There’s nothing that says party like sitting in a lecture. However, the program did feature orthodontic mini implants and temporary anchorage devices or TADs which are affixed to the patient’s bone to enable simpler, more effective treatment. In some instances, these advanced orthodontic devices can even replace headgear altogether. This is news worthy of celebrating for many patients, and a significant advancement in helping to treat a patient who otherwise might require surgery.

“Treating complicated orthodontic cases in uncomplicated ways, both non-surgically and even conserving teeth by avoiding extractions is a goal for us at Forever Smiles, said Dr. Razdolsky.

“We would always prefer to offer patients the least invasive treatments whenever possible,” he added.

At the two-day conference Dr. Razdolsky and Elizabeth participated in a hands-on workshop and open panel discussion where they learned the latest techniques for mastering effective TADs placement, mechanics and how to address more complex orthodontic cases using TADs.

And, although they did spend Elizabeth’s birthday at the conference there was still time for celebration. All the family gathered together in the evening, and yes… there was cake!

The Forever Smiles Holiday Movie Event

December 17th, 2018

Wow! So many thanks to our amazing patients, friends and families who joined us in our Forever Smiles annual holiday movie tradition. This event is one that the team looks forward to all year and has garnered quite a turnout with patients, family and friends. Past movie events have even been featured in the Chicago Tribune! Dr. Razdolsky and the Forever Smiles team had such a wonderful time at this year’s private movie event held Saturday, November 17 at the Buffalo Groves Theaters. This year we witnessed the magic of Fantastic Beasts - The Crimes of Grindlewald. We won’t spoil the ending, but surely this was one of our most magical movie events ever! We had so many guests in attendance we couldn’t even count.

“This is our way of saying thank you to our amazing patients and friends,” said Anna Razdolsky. “The holidays are a time of giving and sharing, and we want to remind our patients their smile is the most important gift of all!”

The Forever Smiles bright orange sweatshirt give-away this year nearly outshone the smiles on our faces (almost). There was lots of laughter and good times all around, along with mouth-watering popcorn, treats, and most importantly, lots of Forever Smiles!

As always, the Forever Smiles team really enjoys celebrating the Holidays with their patients and friends. See you next year!

We're Really Into Research

November 30th, 2018

Forever Smiles is proud to announce that we are part of the National Dental Practice-Based Research Network. This consortium of participating practices and dental organizations is committed to advancing knowledge of dental practice through research-based studies to improve clinical decision making. This new partnership will allow our office to offer our patients the latest technological advances in treatment materials and techniques, as well as participate in upcoming clinical trials to improve patient care nation-wide.

What makes this so important for you, our patient? Through affiliation with other dental health care providers and academic centers, Forever Smiles can research new opportunities for treatment and share expertise within our community. There's strength in numbers. This highly-successful network amasses topics and ongoing discussions regarding issues that directly impact patient treatment in daily practice by improving outcomes, satisfaction, and efficacy of treatment. Through his leadership and involvement in this network, Dr. Razdolsky will help develop and share clinical research advances and engage in discussion with other PBRN members about scientific approaches.

Dr. Razdolsky has a passion for education, and at Forever Smiles we welcome any questions related to the science behind dental and orthodontic treatment.


Probiotics in Orthodontics

November 15th, 2018

It has long been understood that fixed brackets, bands, and wires used in orthodontic treatment are convenient areas for the retention of food. In fact, one of the most troubling side effects of orthodontic treatment are white spot lesions left behind after treatment has ended. Since oral hygiene becomes more difficult while undergoing treatment, appliances become a perfect ecosystem for the growth of microorganisms which can cause tooth decay and white spot lesions.

Although fluoride varnishes, toothpastes, and sealants are used to mitigate the damage caused by these microorganisms, it is often found that their effectiveness can only be observed when they are regularly used. This disadvantage led researchers to explore probiotics as an alternative.

“Probiotics have been associated with gut health for a while now,” said Dr. Yan Razdolsky. “And while most clinical interest has focused on the prevention or treatment of gastrointestinal infections and diseases, an increasing number of suggested health effects of probiotic bacteria have been reported in the last decade. These include enhancement of the adaptive immune response, treatment or prevention of urogenital and respiratory tract infections, and prevention or alleviation of allergies. And, now that research suggests probiotics may play a significant role in our oral health, the implications of this are very interesting.”

Bacterial therapy or replacement treatment is an alternative way of fighting infections by using harmless bacteria instead of pathogenic microorganisms such as antibiotics. In fact, the benefits of probiotics in the prevention of tooth decay, halitosis, and periodontal disease have been accepted, and more health practitioners are using probiotic treatment for these issues due to the spread of antibiotic resistance in bacteria. Because of this and other perceived health benefits, probiotics can be found in an increasing number of dairy foods including milk, cheese and even ice cream! Research even indicates that probiotics added to a regular daily diet may benefit orthodontic patients as well.

Although the mouth is colonized by 200 to 300 bacterial species, the two main microorganisms that cause tooth decay are Streptococcus mutans (S mutans), responsible for initial tooth decay, and Lactobacillus, which plays a role in those white spot lesions we talked about earlier. Recent studies even suggest the use of probiotic products in orthodontic patients may reduce salivary S mutans and Lactobacillus levels in patients. And while the studies demonstrating the effect of probiotic products and probiotic delivery methods are limited, the good news is researchers did find a decrease in salivary microbial colonizations in orthodontic patients who consumed probiotics daily.

For example, in one study researchers explored daily ingestion of probiotics and the application of a topical probiotic toothpaste and their impact on salivary microbial colonizations in orthodontic patients. While the group who used the probiotic toothpaste did see some reduction in harmful bacterial growth, the group who consumed kefir, a bacterial fermented milk, appeared to experience greater decrease in salivary microbial colonizations.

While the outcome of this study is promising, more studies are needed to compare the relevant probiotic systems and to evaluate the effect of different probiotic products in the fight against tooth decay in orthodontic patients. In the meantime, consumption of daily probiotics with your doctor’s approval may just help protect your smile and minimize your chances for white spot lesions.

“We now understand that at least some probiotic bacteria used in various products may colonize the oral cavity during the time they are in use and therefore are important to understand,” said Dr. Razdolsky. “The extent to how probiotics influence damaging microorganisms is difficult to predict, so this research is important as it may provide new means of preventing or treating oral diseases.”

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