Alex E. Ivanoff, DDS

17776 Sonoma Highway
Sonoma, CA  95476

                                                                                                                                                           Hablamos Español!
Dental Resources
Pregnancy Concerns

  • Medication use during pregnancy is very common, 2/3 women take prescription medicine during pregnancy. The common 5 types of drugs prescribed by dentists are: analgesics and anti-inflammatory, antibiotics, local anesthetics, sedatives and emergency medications. Although most dental procedures can be postponed until the pregnancy is over, dental treatment for a pregnant woman who has oral pain, advanced disease or infection should not be delayed. Drugs should only be prescribed in pregnancy if the expected benefit to the mother is thought to be greater than the risk to the fetus, and use of drugs should be avoided if possible during the first trimester. If a drug is considered acceptable to use during pregnancy, it is usually reasonable to continue its use during breast-feeding because the infant is exposed to a much higher concentration of the drugs during pregnancy than lactation.  However, it is recommended that most women minimize the breast-fed child’s exposure by timing feedings or pumping and discarding the milk until most of the drug is out of the women’s system. If you have any questions about your personal situation, do not hesitate to ask Dr. Ivanoff.  (Information on Full Review)

Endodontic Treatment in Children

They are needed when:

    1. A child feels pain in a tooth at any time, for no apparent reason
    2. Has a tooth that is very sensitive to temperature changes
    3. Has a broken tooth with exposed pulp
  • Endodontic treatment involves the pulp of a tooth. The pulp contains the tooth’s nerve and the blood vessels that give the tooth oxygen and nutrients. When the pulp is injured or infected, endodontic treatment is often done to try to save the tooth. Although endodontic treatments are usually done on permanent teeth, they also are often done on baby teeth to support a healthy tooth development. Baby teeth serve as place holders for permanent teeth. If a baby tooth is removed too early in child development neighboring teeth can move into the empty space which will block the permanent tooth from coming in, or cause it to grow in tilted.
  • There are two kinds of treatments: vital pulp therapy and non-vital pulp therapy. Vital Pulp Therapy for Primary Teeth is done by removing the tooth’s pulp from the crown of the tooth, but not from the root. For this to be done there cannot be any swelling or abscesses and the tooth cannot be loose. Non-vital pulp therapy, also called root canal treatment, is the removal of the pulp from both the crown and the root. This is done when the pulp is too damaged to be saved, the dentist removes all of the pulp from inside of the tooth and fills it with a special material. The material will be absorbed when the body starts reabsorbing the root in preparation for the tooth to fall out. A stainless steel crown is then placed on the tooth to protect it. This treatment requires more than one visit. 


These evidence-based guidelines were prepared and presented by the American College of Prosthodontist in cooperation with the American Dental Association. Using over 120 manuscripts the whole ACA taskforce was able to develop these complete guidelines to provide providers and patients with the best evidence-based guidelines for the care and maintenance of complete dentures. (Information on Full Review)

  1. Careful daily removal of the bacterial biofilm present in the oral cavity and on complete dentures is crucial. This is important to minimize denture stomatitis (a yeast that causes infection in the mouth) and to help contribute to good oral and general health.
  2. To reduce the levels of biofilm and potentially harmful bacteria and fungi, patients who wear dentures should do the following:
    • Dentures should be cleaned daily by soaking and brushing with an effective, nonabrasive denture cleanser. It is important to note that denture cleansers should only be used OUTSIDE of the mouth. They should then be thoroughly rinsed after soaking and brushing with denture-cleansing solutions prior to reinsertion into the oral cavity. Always follow product usage instructions.
  3. Although evidence is weak, dentures should be cleaned annually by a dentist or dental professional by using ultrasonic cleansers to minimize biofilm accumulation over time.
  4. Dentures should never be placed in boiling water.
  5. Dentures should not be soaked in sodium hypochlorite bleach, or in products containing sodium hypochlorite, for periods that exceed 10 minutes.
  6. When not in use, dentures should be cleaned and stored immersed in water to avoid warping.
  7. Denture adhesives, when properly used, can improve the retention and stability of dentures and help seal out the accumulation of food particles beneath the dentures, even in well-fitting dentures.
  8. Evidence regarding the effects of denture adhesives on the oral tissues when used for periods longer than six months is lacking. Thus, extended use of denture adhesives should not be considered without the periodic assessment of denture quality and health of the supporting tissues by a dentist, prosthodontist or dental professional.
  9. Improper use of zinc-containing denture adhesives may have adverse systemic effects. Therefore, as a precautionary measure, zinc-containing denture adhesives should be avoided.
  10. Denture adhesive should be used only in sufficient quantities (three or four pea-sized dollops) on each denture to provide sufficient added retention and stability to the prostheses.
  11. Denture adhesives should be completely removed from the prosthesis and the oral cavity on a daily basis.
  12. It is not recommended that dentures be worn continuously (24 hours per day) in an effort to reduce or minimize denture stomatitis.

Adverse Drug Interactions

  • The potential for interactions with current medications should always be considered when administering or prescribing any drug. Considering the staggering number of drugs patients may be taking, this task can be daunting. Although the limited number of drugs used in dental practice, prescribed for only short periods of time reduces these risks it is extremely important to communicate any medication use with Dr. Ivanoff, DDS. This will not only reduce any dangerous side effects but will provide the most effective medication results. (More information)
Website Builder