Comprehensive Treatment Aligned With Each Patient's Goals
Services we offer include:
- Cosmetic Dentistry
- Cosmetic Contouring
- Crowns & Bridgework
- Dental Implants
- Porcelain Veneers
- Removable Dentures
- Root Canal Treatment
- Scaling and Root Planing
- Teeth Whitening
- Jaw/TMJ Appliuance Therapy
- Sleep Apnea Device Therapy
- Perio Restorative Dentistry
Keeping your teeth and gums clean and healthy is the best way to ensure long and successful oral health. Fredrick A. Lurie DDS, Inc. offers a number of general and restorative dental care options that can help you maintain the health of your teeth and gums and prevent problems from occurring down the road. From routine oral exams and cleanings to root canal therapy, Dr. Lurie offers a comprehensive array of treatment options to meet your needs, all in a latex-free and mercury-free environment.
- If you have any questions, feel free to call our office at (216) 371-2707.
A Latex-Free Environment
The office of Dr. Lurie is a latex-free environment. Some proteins in latex products, which are manufactured from a milky fluid derived from the rubber tree (Hevea brasiliensisi), can cause a range of mild to severe allergic reactions. Latex-free environments are seldom available in either clinical or academic settings, but this office has been latex-free for over twenty years years.
Your teeth are an integral part of your body, and your oral and dental health can have a major influence on other disease processes in your body. Mercury is a well-known neurotoxin, and it is known to bioaccumulate in the bodies of people and animals that have chronic exposure. While the amount of mercury absorbed from dental amalgam fillings is only a small fraction of the average daily intake from food and other environmental sources. Bottom Line: Mercury is a poison.
The office of Dr. Lurie maintains a mercury-free environment to minimize potential risk to our patients. Dr. Lurie does not place dental amalgam restorations(a filling compounded by the use of mercury). He is opposed to the the use of of all dental amalgam restorations as well as most dental metals. This practice has not placed a dental amalgam restoration for over thirty years.
Our concern for our patient's health extends far beyond their teeth.
Premedication Prior To Dental Treatment
There is always a great concern about infections seondary to any type of invasive medical/dental procedures. The professionals are concerned about an infection that occurs on heart valves known as "infective endocarditis". IE can become a life threatening situation because its symptoms do not show themselves until long after the illness is established. Another concern is an infection that involves newly placed implants and indwelling devices. Here the infection becomes isolated to the site and can lead to the loss of the device or worse.
This practice feels that premedication with an antibiotic is essential, but recognizes that the current research has shown exactly who needs it and how much. Every patient that may be included in these needs will be screened and verification of all conditions will be made with their physician prior to dental treatment of any kind.
A Little Science:
Infective endocarditis, distant site infection (hip, knee joint replacements, stents, etc.) are believed to occur when oral bacteria (streptococci) get into the bloodstream creating a "bacteremia". Other sources of bacteria are through the skin and gut. Research shows that 20-40% of the identified infections are caused by the bacteria (streptocci) from the mouth. Therefore, oral hygiene is an essential piece of the puzzle and poor oral hygiene should most seriously be considered to be a source of bacteria.
The problems occur when the bloodborne pathogens reach the heart valves or implants and establish themselves at these sites. They then form colonies which create damaging growths. These growths destroy the healthy tissues and foster chronic infections.
Who Is At Risk?
The concern is for patients with prosthetic heart valves, previous IE, rheumatic or congenital heart disease, or valve replacements, pacemakers/defibrillators, or advanced heart disease. Other concerns that are not heart oriented include: kidney dialysis patients, diabetes, indwelling catheters (bloodstream), history of injected drug usage, and anyone with poor oral hygiene (risk factor).
Who Needs To Premedicate?
Traditiionally, dentists have followed guidelines that have been established by the American Dental Association, the American College of Cardiology, predominately along with other internationally identified organizations. Over the years, the guidelines have changed due to the new research results and improved understanding of antibiotic interactions. This practice is using the most recent guidlines established as of January 1, 2018. It is important to note that controversies exist throughout this subject and are recognized by this practice, but the reduction of risk in susceptible patients is of paramount concern, and by following our established guidelines, it is believed that the patient's overall health remains our utmost concern.
For any patient at risk of IE or distant site infection, secondary to implant placements, (hip, knee, ets.), it is important to know that this pratice highly recommends conscientious oral hyghiene with regularly scheduled recare visits, careful wound care and the use of appropriate antibiotics should any type of infection become evident. Please do not have tattoos or piercings which could become a source of bacteria into yuour bloodstream. All patients at raisk of these infections, who suspect they may be ill due to an infection, should contact hteir medical professional as soon as possible because early diagnosis is imperative.
Whereas there are issues about the effectiveness of antibiotic prophylaxis prior to invasive dental procedures, this practice finds that the value of the intervention far exeeds the risks/lack of effectivenes. The ultimate usage of antibiotic prophylaxis will always be the patient's chhoice, but risk protection will always be the practices' choice.
Oral dental exams are the basis for your routine check-up and serve to identify problems or potential problems among your teeth and gums. Regular oral exams, determined by each patient's need, can help prevent problems and diagnose and treat minor problems before they become major ones. They can go a long way in making sure you maintain great oral health and a beautiful smile. Oral cancer screening is an integral part of every exam and will be preformed at every examination. It is not a seperate procedure in this practice.
Dental Hygiene - Recare
Good brushing and flossing habits are essential to maintaining the health of your teeth and gums; however, professional dental recare are also vital to staving off future dental problems and keeping your teeth clean and free of accumulated tatar deposits. Fredrick A. Lurie DDS, Inc. recommends at least two dental hygiene appointments each year but will work with each patient and their hygenist to determine the best protocol for their individual needs. We use only the most advanced dental technologies to ensure that your dental recare appointments are performed effectively and as comfortably as possible. Routine dental recare can also provide you with necessary education about ways you can improve your at-home dental routines.
Dental emergencies such as tooth injury, severe pain, and other issues can be addressed swiftly by Dr. Lurie. Please call 216-586-9122 if you feel you need immediate treatment. If you are in the United States and are experiencing a medical emergency, please call 911 or call for emergency medical help on the nearest telephone.
Contact Dr. Lurie
If you would like more information on our general dental care options, or if you would like to schedule an appointment with Dr. Lurie, please contact Fredrick A. Lurie DDS, Inc. today or call 216-371-3707.