Sensitive Teeth

As the weather warms up in Florida we will be looking for ways to cool down.

One of our family’s favorite ways to cool down is with some homemade ice cream (recipe at the end of the blog if you’re interested). For some just hearing the word ice cream send chills down their teeth. People with sensitive teeth can have the condition that can ranges from very mild to extremely sensitive.

I recommend my patients with sensitive teeth to start with switching to sensitive toothpaste first. If that helps then you’re free to enjoy your ice cream. We often see patients that have gum recession, which exposes the dentin, as a main cause of tooth sensitive.

The cause of the recession is due a number of different reason but aggressive brushing and grinding are some of the more common causes. There are dental procedures that can be done to correct this from a simple bonding to gum grafting.

Another cause for sensitive to could the obvious: a cavity. If your tooth is sensitive to hot, cold and sweets likely you are experiencing that due to cavity. A simple filling can correct that if caught early enough and if the pain is severe and throbbing then it is possible that a root canal may be needed.

If you are experiencing sensitive teeth, get it checked out by a dental professional. 

Ice cream recipe: any fruit, honey and milk (almond coconut or cows whichever you prefer) blend and throw in ice cream maker

Lindsy Vojdanoski

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I lost my retainer….

Misplacing your retainer is number one cause for replacements that we hear from out patients.

After finishing your ortho treatment either traditional braces or Invisalign  retainer is almost always recommended.

After spending so much time,money and effort trying to keep your teeth sparkling clean while in the braces treatment it would be shame everything to go to waste.

Forgetting that little plastic box with the retainers while you are on vacation,your best four legged friend eat it,or misplacing in in the moving boxes all of those reasons we are hearing on weekly basis.

Making a replacement retainer is usually one or two visit procedure ,with Invisalign we can even order the retainer over the phone since the company have the digital records so they can make new one right away.

If the retainer was lost for some time then taking one simple impression and send it to the lab would take care of that problem.

If you have a problem with your retainers,you need new one  give us a call at 561-881-0067 for a free consultation with Dr.Alek.

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Replacing silver fillings

Tooth talk by Lindsy V RDH

We had a patient ask us last week about changing out her silver or amalgam fillings.

Since this question comes up fairly often I thought it would make a great topic. Silver fillings were a great option in dentistry for many many years. Many adults still have those fillings in their mouth and they are doing a great job. At Alek Dental in North Palm Beach, we do not recommend replacing fillings that are functioning properly.

Sometimes you can run into other problems when you just go in and have them all replaced.

For example: If the filling is deep you could be at risk of exposing the nerve or causing sensitivity. During your cleaning and exam we are alway very diligent about checking each tooth. We take intra-oral pictures so that you can see up close what we see and it helps up to see if something is the same as last visit or if it is getting worse.

When we start to see signs of the filling breaking down or leaking we always recommend taking care of it as soon as possible to avoid further damage. We find that most patients have had their fillings done around the same which typically means when they do start to break down usually it happens around the same time. It is important to be self aware and if you ever notice extreme sensitivity to temperature or sweets that is sign that something is not right.

If you ever unsure give us a call at 561-881-0067. Aleksander Vojdanoski Dental is here to help.

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Dental X-rays Do I really need them?

Do I need X-rays today? 

We have this question asked frequently.

Without dental x-rays the dentist cannot properly do his job of diagnosing dental disease. Many things are factored into our diagnoses processes x-rays are one important tool. While we use x-rays to diagnose and help prevent disease from becoming too serious taking x-rays at every dental visit is not necessary.

At Aleksander Vojdanoski Dental we use the ADA recommended ALARA, which stands for As Low As Reasonably Achievable. What that means is we look at each patient and determine what is necessary for them.

We look at multiple factors when making that decision such as: caries history, diet, oral hygiene, medications, and previous dental work. If a patient has a history of having a cavity every time they come in for their dental check-up we would likely recommend that patient have bitewing x-rays taken once a year.

On the opposite end if a patient has no dental disease present that patient could go longer even up to two years with a check-up x-rays.

While x-rays are a very important tool, know that here at Alek Dental in North Palm Beach we use patient-centered factors on determining how often we take dental x-rays.

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Bad Breath(Halitosis)

Bad breath (Halitosis)

Bad breath, also known as  halitosis, is a common and also  embarrassing problem.

Most common cause is build up of bacteria on the teeth gums and the tongue.

Good oral hygiene is essential in solving this problem,regular brushing,flossing ,cleaning of the tongue and using mouthwash usually solves the problem.

Major causes of bad breath can be also decided in several groups:


Food with strong odor(garlic,curry,some cheeses,fish and acidic beverages) also affect the air a person exhales.When proper oral hygiene is not practiced food particles of those foods get stuck between the teeth so the bacteria can grow and the  bad breath is exaggerated.That bacteria can also cause tooth decay and gum disease.

Low carb diet can also cause “ketone breath” as a result of the body burning the fat as a energy which results in end product ketones which is fruity acetone -like odor.

Dry mouth

When a person has a decreased flow of saliva,food particles are not effectively removed from the mouth and the bad breath is quite common.Dry mouth is mostly result of medications,breading through the mouth or issues with the saliva glands.


Chewing and smoking cigarets are common cause for bad breath and also number one cause of stained teeth ,gum disease .

Medical problems

Multiple medical conditions may cause bad breath:


Gum or periodontal infection

Pharinygitis or tonsillitis 

Respiratory tract infection

Liver and kidney disease

Sjorgen syndrome

Lactose intolerance


Most often when the dentures are not properly cleaned ,food debris is stuck on the dentures where the bacteria can grow.

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New Year Resolution

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New Year’s Resolutions:

That time of the year has come again when we start to make promises to live a healthier lifestyle. We at Alek Dental in North Palm Beach are no different. Dr Alek and I made a resolution to reduce our sugar intake. We know how living a healthy lifestyle will help us be better parent to our son. We want to teach him the importance of living a healthy lifestyle. They best way to teach him is by us modeling healthy habits ourselves.

Here are some tips to help your oral health.

Tip 1: Healthy eating habits are important for overall health but also key to have a healthy mouth. Crunchy nutritious foods like apples, carrots and cucumbers not only make a great snack but consuming these foods verse cookies or crackers help keep your teeth clean and healthy.

Tip 2: Kick the soda habit. Even diet soda is very acidic which can wreak havoc on your mouth. Any constant supply of sugar and acid on the teeth is damaging. If you can’t knock the habit completely then try not to sip on it all day. For example, we drink coffee daily but we make a habit to sit down have our cup of coffee and then brush our teeth. Sip the coffee or soda all allows to acid and sugar to destroy the tooth enamel. Give yourself a time limit for your drink and then be done and switch to water.

Tip 3: Make you a priority. As a working mom to a busy toddler, I know how are it is to make sure you are taken care of but it is so important. Seeing the dentist regularly will help reduce the risk of dental emergencies and keep costs down. Make an appointment for your routine dental exam and cleaning.

Tip 4: Floss correctly. Patients often say yes I floss whenever I have something stuck in my teeth. Trust me, there is always something stuck in your teeth. Once you create a habit for flossing you will find when you miss a day you notice. When you floss make sure you hug or wrap the floss around each side of the tooth to make ensure proper cleaning.

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I`m not flossing anymore…..

white teeth

This is week we have had not one but TWO a patients that have broken their teeth from “flossing”.

One of the patients told me, “I threw it out after that and haven’t use it since”

Not what a hygienist wants to hear BUT I’m pretty sure that they are back on team flossing again. Sigh of relief. . . That’s what brought me to this topic: flossing. I can tell you this if it was a healthy intact tooth or filling would not come from flossing. Its good stuff but not that good.

Dr Alek “famous” joke is only floss the ones you want to keep. But seriously here is what happened in both those cases and countless other “I broke my tooth on . . . (Insert any soft food or dental floss in this case)” When 50% or more the tooth structure is an amalgam filling from 20+ years there is a chance it is going to break. We watch for signs and we give advise but no one can tell you when or even if it is going to break. So what can you do you ask?

The easiest and best thing you can do is brush and floss. Good home care is key to helping dental work last a long time. Next, come see us, not just when it hurts or there’s a problem but come in for prevention. The last thing I would watch for is your habits: i.e. chewing ice -it’s a no no, grinding your teeth at night and or clinching or grinding during the day, those things put more stress on your teeth which can lead to problems down the road.

For more information about healty teeth and beautiful smile give us a call at 561-881-0067 or visit us at 712 US hwy 1 Ste 220 North Palm Beach

Lindsy V RDH

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