hoofstukke
Why the drill sound puts people off
[00:00:04 – 00:03:12]
For many patients, the worst part of a dental visit is the sound of the drill, a high-pitched whine that often carries into the waiting room. That whine comes from air turbine handpieces, which work much like a small jet engine with a propeller.
Electric motors with geared handpieces are far quieter. These reach around 200,000 rpm and make very little noise, although work on upper teeth can still send some vibration through the skull. If the sound is what keeps you away, you can simply ask whether a practice uses electric handpieces.
How hard tissue lasers cut teeth
[00:03:12 – 00:08:00]
Hard tissue lasers, mainly from the erbium family, fire short pulses of light that the water inside the tooth absorbs. That water turns to steam and blows away a tiny particle of tooth, a little like microscopic popcorn. There is no spinning burr, no grinding pressure and very little vibration.
These lasers are slower than a drill, but for a small cavity in a nervous patient, a slower and calmer approach can be the better choice. They can cut enamel, and they are even better at removing decay.
A practice that advertises laser dentistry most likely has a diode soft tissue laser. Diode lasers are much less expensive, excellent for gums and something every good modern practice should have, but they cannot cut teeth. Erbium lasers that cut enamel and dentine cost far more, with one high-end model priced at around 1.8 million rand, so it is worth asking exactly which laser a practice uses.
Sound, pain and injections
[00:08:00 – 00:09:42]
A hard tissue laser replaces the drill’s whine with a soft popping sound. For someone who has avoided the dentist because of the noise, that alone can make a visit easier to face.
A Cochrane review found that patients treated with lasers reported less pain and needed fewer injections, with decay removed just as well. The evidence came from small trials and was of very low quality, so the result needs to be read with caution. Deeper decay still needs an injection, and anyone promising completely painless dentistry is selling something.
Precision and heat
[00:09:42 – 00:12:39]
Decayed tooth holds more water than healthy tooth, so a laser can remove decay efficiently in small, careful steps. It is no magic decay detector, though. A decay-detecting solution and a gentle spoon excavator are still needed to check whether the remaining tooth is hard or soft.
Precision comes from knowing when to stop, and that applies equally to a laser and a drill.
Heat is the other concern. With water spray and very short pulses, a laser keeps the tooth within a safe temperature range, but poor technique can overheat it and damage the nerve. Drills carry exactly the same risk when run without enough water, which is why plenty of water spray matters with either tool.
What lasers cannot do
[00:12:39 – 00:16:34]
Lasers cannot safely remove old amalgam fillings, because doing so releases mercury vapour. Safe removal calls for a drill used in a specific way, with high volume suction, an amalgam separator and plenty of water. Lasers are also too slow for removing porcelain inlays or crowns, or for shaping a tooth for a crown.
A patient who chooses a laser practice to avoid the drill may still end up having one. A dentist might drill out an old filling and only then use the laser on the decay underneath.
Removing old ceramic tandheelkundige fineer is where hard tissue lasers stand out. Passed over the veneers with water spray, the laser can release them without drilling, so no more tooth is lost than was removed when they were first placed. The teeth can then be restored, for example with injection moulded composite bonding.
How well fillings bond after a laser
[00:16:34 – 00:18:33]
Claims that a laser makes etching unnecessary are not backed by the research. A laser does leave the tooth surface rough, but bonding results vary widely between different lasers and adhesives. A full bonding routine is still needed.
Water-shrouded air abrasion, using a unit such as AquaCare, is one way to prepare the surface further. A few seconds of very fine 29 micron aluminium oxide leaves enamel and dentine clean and roughened, so the etch and bond work even better. The laser is simply another tool in that process.
Where lasers shine: gums and implants
[00:18:33 – 00:22:28]
Lasers excel with gums and soft tissue. When a gummy smile is caused by thick gum covering the enamel, a diode laser can trim it back to the enamel junction. Full crown lengthening is a bigger procedure that usually involves a scalpel, bone removal and stitches, although skilled users of erbium lasers can carry out some of these procedures with a laser.
Erbium lasers also suit tongue ties and lip ties, including a tight lip attachment that pulls on the gum and can lead to recession. Around crowns and tandheelkundige inplantings, they can clean inflamed tissue with less bleeding, and an EMS cleaning machine with a special implant powder appears to do a similar job.
Lasers cannot drill bone for an implant. That still calls for guided surgery and a slow, water-cooled drill following a strict protocol. When a laser is clearly the best option for a treatment, referral to a dentist who has one is the sensible route.
Cost, and what to ask before choosing a laser dentist
[00:22:28 – 00:26:23]
Hard tissue lasers cost millions of rand and need serious training, which in South Africa can mean close to a year-long programme. They are slower for many procedures, which does not suit practices built on speed and volume. Fees are sometimes the same as for a standard filling, but extra codes are often added to cover the cost of the laser.
The drill is still an excellent tool, and lasers add choice without replacing clinical judgement. Before booking, ask what type of laser the practice has, whether it suits your particular tooth and, if you have a silver filling, whether the laser can actually remove it. Be wary of social media claims that you will never need an injection.
The future lies in the right tool for the right tooth at the right time. Anything that helps patients avoid crowns or wortelkanaalbehandeling is welcome, and robotic drills now in testing may well be the next big step.
Transcript
[Eon Engelbrecht – E-Radio-SA] (0:04 – 1:06)
Welcome back to Save Your Money, Save Your Teeth, and once again we look at what genuinely protects your teeth and your wallet. The last time we looked at bioactive materials, the smart fillings that help a tooth protect itself. Today we’re looking at the tool that does the cutting.
For most people the worst part of a dental visit isn’t the pain, it is the sound, that high-pitched whine of the drill. Lasers have been used on gums for years, but there is another class of laser that can actually remove tooth structure, often with no whine, no vibration and sometimes even no injection. So today, can a laser really replace a drill?
Is every laser dentist using the same thing? What can’t lasers do? And also, is this worth paying more for?
Joining me with the answers is Dr Clifford Yudelman from OptiSmile in Sea Point, Cape Town. Dr Yudelman, welcome back.
[Dr Clifford Yudelman – OptiSmile] (1:07 – 1:16)
Thanks, Eon, great to be back, and looking forward to today’s talk on laser beams, to quote Dr Evil.
[Eon Engelbrecht – E-Radio-SA] (1:17 – 1:33)
Yeah, but yes, interesting that people are so sensitive to the sound, eh? But I mean, sometimes you can hear that high-pitched whine of that drill, you can almost hear it next door while you’re waiting for the dentist, and I mean that is not a very welcoming sound, if we’re being honest.
[Dr Clifford Yudelman – OptiSmile] (1:33 – 3:12)
Yes, in fact I absolutely hate that sound myself, and if I’m watching a movie or something, or there’s a video and then a dentist is drilling and I hear that very loud whining sound, it really creeps me out. And you’re probably thinking, well then, how do you manage to go to the practice every day and so on? And to be honest, I haven’t used one of those very loud whining drills since I went to Australia in 2002.
We use an electric motor that, when you run it at full tilt, you can’t even hear it, and then you put a handpiece on there that’s got gearing, and it can actually go 200,000 rpm and it barely makes any sound. When it’s in your mouth on a lower tooth, there’s very little noise, but obviously if it’s on your upper tooth, you know, there’s vibration, should I say, like there is a whine which comes through your skull. But if you walk in here and there’s three or four dentists and we’re all doing fillings, or, you know, whatever we do with drilling, you will not hear a drill. You actually hear the suction more than you hear the drill.
So I know that was a little bit off-subject, but it was a good time to say that if you hate the sound of the drill, you don’t have to look for a laser dentist, just ask if the dentist uses electronic drills rather than air turbines. Those air turbines that whistle very loud are actually just like a jet engine with a little propeller.
[Eon Engelbrecht – E-Radio-SA] (3:12 – 3:23)
Wow, it’s scary, it’s not very welcoming. So we know lasers can treat gums, but can they really cut tooth enamel without a drill?
[Dr Clifford Yudelman – OptiSmile] (3:24 – 4:44)
So yes, there’s hard tissue lasers, mainly the erbium families, so E-R-B-I-U-M, it’s a type of laser. There’s different types of erbiums, we won’t get into too much detail, this is a consumer podcast, but they basically fire a little pulse of light, and then the water inside the tooth absorbs that, and then the water actually turns into steam, and it’s a tiny little explosion basically, and it blows away a tiny particle of tooth. So it’s like microscopic popcorn. There’s no spinning burr, there’s no, or drill should I say, there’s no grinding pressure, there’s very, very little vibration. Not that I’ve ever had it used in my own mouth, but I have played around with them at dental conferences on extracted teeth.
Look, it is slower than the drill, but for a small cavity on a nervous patient, slower and calmer could be right. Unlike last week, I’m going to wait for all the questions rather than jumping the gun. So yeah, it can cut enamel and remove decay, which is what it’s actually better at.
But I think it might be coming up, let’s see.
[Eon Engelbrecht – E-Radio-SA] (4:45 – 4:53)
If a practice advertises laser dentistry, does it mean they can do fillings with it as well?
[Dr Clifford Yudelman – OptiSmile] (4:53 – 7:35)
So it’s often not what the patient thinks, and one has to actually ask the right questions. So most dental lasers in practice are soft tissue lasers. So almost every good modern dentist will have a laser, which would be generally a diode laser, which is a much less expensive and more readily available laser.
I’ve been using one since 2004, and those are the ones when we spoke about gummy smile and lasering some gum, those are very common. In fact, personally, I wouldn’t recommend going to a dentist that doesn’t have a soft tissue laser, because there’s a lot of things that we use it for every day, every other day, that we wouldn’t be able to do if we didn’t have this laser, and they’re excellent for the gums. But they can’t cut teeth, and the erbium lasers that cut enamel and dentine are very different.
So they’re much more expensive. We were looking at one for OptiSmile, it would be nice to have one. We were looking at a Fotona recently at the South African Dental Association conference, and it’s a mere price of 1.8 million rand, and it does have a lot of bells and whistles, and it is a beautiful machine. There is a more popular one that a lot of dentists have been trained on, even in South Africa, called a BIOLASE. And personally, I haven’t used one, I don’t have much experience. But we do sometimes refer patients to another dentist in the area that has one of these for specific uses where it just is definitely the best thing.
So when someone says, we use lasers, it may just mean that they use it for gums. In fact, that leads me to a funny story going back to when I was in Perth, and there was a particular practice, I won’t say the name, but let’s just say it was Claremont Laser Dentistry, that was the name of the practice. And I went up, and all the team were at this lecture, it was on something unrelated, and they all came in their scrubs, and it had this very nice logo and it said Laser, Claremont Laser Dentistry.
In fact, there is a Claremont in Perth, so it wasn’t Claremont Laser Dentistry, by the way. I’m just using a name in Cape Town. And I went to the dentist and I said, does the laser work well?
And he said, oh, it’s fantastic. I said, what do you mean? He said, it sits in the corner, we hardly ever use it, but the phone doesn’t stop ringing.
[Eon Engelbrecht – E-Radio-SA] (7:42 – 7:44)
Oh, no, man.
[Dr Clifford Yudelman – OptiSmile] (7:44 – 7:59)
Yeah. So that’s a true story. You can’t make that stuff up, I promise.
So, you know, 1.8 million for, like, to get the phone to ring doesn’t sound too bad these days, does it?
[Eon Engelbrecht – E-Radio-SA] (8:00 – 8:12)
Yeah. And good. Thanks for sharing that, Doctor.
I also want to ask you, does a laser get rid of that high-pitched drill sound? And also, is it true that you sometimes don’t need an injection?
[Dr Clifford Yudelman – OptiSmile] (8:13 – 9:41)
So, like, instead of that whining sound, or like I mentioned on the upper tooth, you get some, like, a grating sound when the drill’s actually touching the tooth. You know, it’s just like a soft popping sound, like pop, pop, pop, pop, pop, like that. And it’s almost like popcorn popping.
And for someone who’s avoided the dentist for a long time because of the sound, it’s a big deal. They did find in a review, in a Cochrane review, that people treated with lasers reported less pain and needed fewer injections. The decay came out the same way.
But it was very low-quality evidence from small trials. Deeper decay still needs injections. And anyone promising painless, you know, dentistry is just selling.
If they say lasers are painless, or we don’t need to numb you, I don’t think that’s true. Like I said, it’s just from research I’ve done. I don’t have a hard tissue laser.
You know, the comfort is something that people, you know, they’re really worried about that. But, you know, if you come in early, there’s less need for dentistry. And, you know, one of the things that’s coming up later on is very important when it comes to this question.
So I won’t jump the gun there. Let’s wait for that.
[Eon Engelbrecht – E-Radio-SA] (9:42 – 9:49)
Is a laser more precise than a drill? Does it actually save more healthy tooth, Doctor?
[Dr Clifford Yudelman – OptiSmile] (9:49 – 11:07)
So look, it can be, because decayed tooth holds more water than healthy tooth. And so the laser will remove the decay quite quickly and efficiently in small, careful steps. It isn’t a magic decay detector.
And so when I did my course in laser dentistry, on one of these erbium lasers, back in 2004, so they’ve been around for a long time. And some of the newer models, you know, do have more bells and whistles, but the basis is similar. They do, they make a different sound.
And you can tell when you’re getting to the harder part of the tooth. But it doesn’t mean, like, if I was using a laser, that I wouldn’t then go and put a decay-detecting solution and also use a gentle little spoon excavator to scratch and scrape at the tooth gently to see, is it hard? Is it soft?
So we were able to do the same thing without a laser. And, you know, precision dentistry isn’t about speed. It’s about actually training yourself, you know, knowing when to stop, whether using a laser or a drill.
[Eon Engelbrecht – E-Radio-SA] (11:07 – 11:14)
Okay. And does the laser actually heat up the tooth, and can that damage the nerve?
[Dr Clifford Yudelman – OptiSmile] (11:14 – 12:30)
So if it’s used properly, with a water spray and very short pulses, and they use it properly, the temperature can stay in a safe range. But if a dentist doesn’t use it properly, it can overheat a tooth. It’s just like a drill.
We always use a lot of water spray to keep the drill cool. If a dentist uses a drill without enough water spray, that reminds me of another story. Now, when I was in London, there was a poorly trained dentist from, let’s just say, Ireland or Scotland.
I remember she did have an accent, and she always used to do crowns and use very little or no water. And you could tell when she was in the practice, because when you walked past her room, it smelled like burning hair. Until one day I said to her, have you ever considered turning up the water and using some water spray?
I just couldn’t bear the smell anymore. And of course, most of the teeth that she put crowns on, the nerves died. And that was in the 80s and in the UK.
So I’ve got a lot of stories like that. But yeah, you need lots of water when you use it.
[Eon Engelbrecht – E-Radio-SA] (12:30 – 12:30)
Ja.
[Dr Clifford Yudelman – OptiSmile] (12:30 – 12:38)
Yeah. Yeah. Let’s follow that.
I had just the thought of it. I know exactly what you mean.
[Eon Engelbrecht – E-Radio-SA] (12:39 – 12:46)
Doctor, also, what can’t lasers do? I mean, can they remove old metal fillings, for example?
[Dr Clifford Yudelman – OptiSmile] (12:47 – 16:34)
Oh, that’s a question I was waiting for. So there’s a lot that lasers can’t do. And in fact, so much dentistry on, like, say, an older person, say like myself or some of my friends that need treatment, and some of the patients that I see, that’s where you had an old silver filling, or even an old inlay that needs replacing, or there’s decay around the edges.
And even if you do go to a proper laser dentist that has a proper laser, erbium laser or multiple lasers, because they love all their toys, they cannot remove an old amalgam with a laser, because it releases the mercury vapour. And we’ve spoken about that. So, you know, if you’re going to take out a silver filling, a mercury filling, you’ve got to use a drill in a particular way, and a high volume suction, and have an amalgam separator and lots of water.
And you just can’t actually use a laser. It would be too slow to take out a porcelain inlay or a crown, or shaping a tooth for a crown. And it really doesn’t do a lot of the stuff that we do every day.
So in that case, you’d still have to use a drill. Say you went to one of these dentists and you’re expecting to not have a drill, you know, you’ve just been, I wouldn’t say duped, but you’ve got to know the right questions. So then you’re going to, basically, maybe after he drills out the filling, he’s going to zap it with a laser to get rid of the decay, but now you’ve really had the drill in your mouth.
But something that I did want to say is they’re unbelievable for removing old veneers, or veneers that need replacing. These are the ceramic veneers. And that is the time that I refer patients down the road to a very good laser dentist who uses BIOLASE properly.
He sees a lot of patients, young kids that need a tongue tie. He uses a BIOLASE for releasing tongue ties, which is a soft tissue thing, but he is an expert in soft tissue. But the one time, like recently, I had a patient that had very bad ceramic veneers done in Johannesburg, and I could tell that the dentist fortunately hadn’t drilled the teeth down much or at all.
And it was a case, one of the few cases, where I thought, I’m going to take these veneers off and replace them with composite injection moulding. In fact, the patient lives in London, and she was in the day before yesterday. So the story is still fresh.
So we sent her to the dentist on the same day, and he waved his magic BIOLASE with water spray up and down over these six veneers, and they literally just popped off in his hand. And then he sent her down to me. And then she needed a little bit of gum lasering, which I did myself with my diode laser.
And then we were ready to actually replace them with beautifully designed composite bonding, injection moulded composite, which we’ve done a number of programmes on. And so if I did get one of these lasers, one of the main things I would use it for is removing old veneers. Because then you don’t have to drill through them, and you’re not going to remove any more tooth than someone has already removed.
So I think they’re amazing for that.
[Eon Engelbrecht – E-Radio-SA] (16:34 – 16:40)
Okay. And do fillings stick as well to a tooth that’s been prepared with a laser?
[Dr Clifford Yudelman – OptiSmile] (16:40 – 18:32)
So, a lot of the claims, like when you go to the dental conferences and they try to tell you, oh, you don’t need to etch a tooth, and you don’t need to do this, and the laser does all of this for you. You’ve got to go back to the research.
And so even though the laser does leave the tooth rough, you still need to follow your normal protocols, because the results in the research vary a lot between different lasers and different adhesives. So the dentist still should do a full bonding routine. So we at OptiSmile, and many of my other colleagues in Cape Town at better practices, have got something called AquaCare.
That is a, I shouldn’t say better, I’m going to get in trouble with the HPCSA. Should I say dentists that have invested in more technology than an average practice. I’m still going to get into trouble here, but let’s leave that in.
I don’t know how to say it, but there’s things that will help a dentist do a better job based on research. And one of these things is a machine called an AquaCare that, it’s basically like a little sandblaster, but it covers the dust with a shroud of water. And if you use that for a few seconds on enamel or on dentine, it gets it super clean, and it roughens it up to where the etch and the bond work even better.
So if I was using a laser, I would use the AquaCare on that, using a very fine powder, aluminium oxide, 29 microns. That’s like the size of two red blood cells stuck together. So yeah, the laser itself is just another tool really.
[Eon Engelbrecht – E-Radio-SA] (18:33 – 18:40)
And where would you say lasers really shine, pardon the pun, around gums and implants?
[Dr Clifford Yudelman – OptiSmile] (18:41 – 22:27)
So when it comes to gums and soft tissue, reshaping a gum, reshaping the gums for a gummy smile, if it means just removing excess gum, that is called delayed passive eruption, or depending on whether the patient’s got a thick or a thin biotype. If the patient has a thick biotype, where the gum is really meaty and covering the enamel, you can trim it back with a laser to the enamel junction so that the enamel is visible again.
And we do that a lot at OptiSmile when it’s called for. That’s very different to a crown lengthening, where the gums normally have to be cut with a scalpel, peeled back, and then bone removed with a drill, and then stitched back into place. So there are dentists that are very good with BIOLASE that can do those types of procedures with a BIOLASE.
There’s different settings, and they can go under the gum and remove bone and trim the gum and do all of this kind of stuff. And it heals. I’ve seen lots of good lectures, and I think it would be amazing.
That’s another reason why we would want it at OptiSmile, for something like that. Again, it’s more of a soft tissue thing. If we had our own laser, like a BIOLASE or this Fotona, for a tongue tie or a lip tie.
So sometimes, if you pull on the lower lip and the little string thing is pulling on the gum to where it’s blanching, then that means that it’s going to cause recession, or maybe it’s caused recession, and it’s very good for trimming that. I wouldn’t necessarily want to do that with my normal diode laser. I think the other ones are a little better.
Having said that, we had a presentation on the latest diode lasers, and we’re busy saving up for one. A good one now is only about 350,000 rand, but the one we have is still working nicely and does most of the things that we need it for. So, inflammation around a crown or an implant, BIOLASE is very good for cleaning around implants with less bleeding.
Having said that, we now have an EMS machine, which has got special powder for use around implants and cleaning up around implants. I would have to actually do a direct comparison, but I believe they work in a similar way. Some of the erbium lasers, like I mentioned, can cut bone, but in implant surgery you still have to do guided surgery and use drills.
If I was getting an implant, I’d want to be sedated, just the thought of someone drilling into my bone. It’s like drilling and putting a screw in a piece of wood, not to put anyone off, but that’s basically what it is. You can’t drill out the bone with a laser.
You have to use a drill. It goes very, very slowly. Literally, you can see it rotating very, very slowly, with lots of water, and it’s a very specific protocol.
I think if you’ve got a laser during that procedure, there’s a few little things you can do. I don’t know enough about it to be making that up. But yes, look, nice to have, and there are things that it does, and for the things that it’s really good at, that we don’t have one of those, we do refer. Rather than say to people, I know it doesn’t work, we will refer people to someone who has one of those lasers.
[Eon Engelbrecht – E-Radio-SA] (22:28 – 22:34)
So why doesn’t every dentist use one, and does a laser filling actually cost more? I would imagine.
[Dr Clifford Yudelman – OptiSmile] (22:34 – 23:52)
So look, they’re expensive. They need serious training. In South Africa, if you want to buy a BIOLASE, you’re pretty much doing a master’s in laser dentistry.
There’s a lot of training, so like a whole one-year programme, etc. They can be a lot slower for many procedures. In some cases, they’re faster for other things.
But if a practice is built on speed and volume, which OptiSmile isn’t, but you’re asking about every dentist, then slower doesn’t pay. I did mention, when I said expensive, I’m talking in the millions. There might be cheaper ones, but they probably don’t work as well.
As for fees, they’re sometimes the same, but a lot of the time there’s extra codes and things, and dentists will pump up the fee a little bit, because someone has to pay for the laser. It’s not for everyone. I’ve managed to practise 43 years without a hard tissue laser, but I wouldn’t mind having one just for the things that it can do.
Yeah, definitely anything to avoid crowns or root canals, that would be good.
[Eon Engelbrecht – E-Radio-SA] (23:52 – 24:00)
Just finally, is it the death of the dental drill, and what should patients ask, Doctor?
[Dr Clifford Yudelman – OptiSmile] (24:00 – 25:25)
So no, and it shouldn’t be. The drill is still an excellent tool. The lasers give us a choice, but they don’t replace judgement.
If you’re curious, ask three things. What type of laser do you have? Would it suit my particular tooth?
If you came to OptiSmile and we had to take out an amalgam, and you thought, oh, I’d rather go and see my friend’s laser dentist, make sure before you do that to ask them, can you use your laser to take out my silver filling? Luckily, you’ve listened to this podcast. The other thing is, don’t believe everything you see on the internet, now it’s TikTok, Instagram, people saying that you won’t need an injection, because in many, many cases you will need an injection.
Unfortunately, the future isn’t drill-free. It’s the right tool for the right tooth at the right time. I do think that when we have robotic drills, which are now very much in the testing phase and look amazing, I’ll be the first one to get one.
But it’s still going to be the drill. It’s not going to be a robotic laser. And I think that’s a good place to end.
[Eon Engelbrecht – E-Radio-SA] (25:26 – 25:33)
Amazing. Dr Yudelman, thank you so much for all the insights today, as always, and we really appreciate it.
[Dr Clifford Yudelman – OptiSmile] (25:33 – 26:12)
Thank you. And yeah, because of yourself and E-Radio and all the work that you and I have been doing for over two and a half years now, and what’s today, podcast hundred and something, 132. Yes, that’s right.
I’m actually, you know, very thankful for the podcast, and that the people who do listen to it have managed to save money and in some cases save their teeth. It’s just amazing. I really love this.
Thank you very much.
[Eon Engelbrecht – E-Radio-SA] (26:13 – 26:18)
No, all thanks to you, Doctor, and well done. And we’ll chat to you again next week.
[Dr Clifford Yudelman – OptiSmile] (26:18 – 26:21)
Amazing. Thank you and have a good one.
[Eon Engelbrecht – E-Radio-SA] (26:21 – 26:22)
Jy ook. Dankie.
[Dr Clifford Yudelman – OptiSmile] (26:22 – 26:23)
Okay. Cheers.
[OptiSmile Omroeper] (26:42 – 27:27)
Ontdek die wêreld van tandheelkundige uitnemendheid met OptiSmile. Sluit by ons aan vir 'n weeklikse podcast met dr Clifford Yudelman, 'n gesoute kenner met 40 jaar se tandheelkundige ervaring oor vier kontinente. Kry unieke insigte en kundige tandheelkundige advies deur OptiSmile.co.za te besoek vir artikels wat die pad na optimale mondgesondheid verlig. As jy ongeëwenaarde tandheelkundige sorg in Kaapstad soek, kontak OptiSmile of bespreek direk aanlyn op OptiSmile.co.za. OptiSmile, waar wêreldwye kundigheid plaaslike sorg ontmoet.
Vrywaring: Die inhoud verskaf in hierdie poduitsending, "Save Your Money Save Your Teeth" op Mediese Maandae, is slegs vir inligting en opvoedkundige doeleindes. Dit is nie bedoel om as tandheelkundige of mediese advies te dien nie. Die insigte en menings uitgespreek deur Dr. Clifford Yudelman en enige gaste is ontwerp om 'n beter begrip van tandheelkundige gesondheid, voorkomende maatreëls en algemene welstand te bevorder, maar moet nie geïnterpreteer word as professionele tandheelkundige of mediese aanbevelings nie.Dr. Clifford Yudelman diagnoseer, behandel of bied voorkomingstrategieë vir enige gesondheidstoestande direk deur hierdie podcast aan. Hierdie platform is nie 'n plaasvervanger vir die persoonlike sorg en advies wat deur 'n gelisensieerde tandarts of gesondheidswerker verskaf word nie. Ons moedig ons luisteraars sterk aan om met hul eie tandheelkundige sorgverskaffers te konsulteer om individuele tandheelkundige gesondheidsbehoeftes en bekommernisse aan te spreek. Die inligting wat hier gedeel word het ten doel om luisteraars te bemagtig met kennis oor tandheelkundige gesondheid, maar moet nie as 'n basis gebruik word om gesondheidsverwante besluite te neem sonder professionele leiding. Jou tandheelkundige sorgverskaffer is die beste bron van advies oor jou tandheelkundige en algemene gesondheid. Soek asseblief altyd die advies van jou tandarts of ander gekwalifiseerde gesondheidswerkers in oor enige vrae of bekommernisse oor jou tandheelkundige gesondheid.
