Saturday, April 7, 2012

National Cancer Control Month

April is National Cancer Control Month

Dentists have always taken an important role in early cancer detection, since they are more likaly to see their patients more often than the physician.
In order to increase awarenes of the importance of early detection of cancer, I have written an article in VOXXI, an internet based newspaper/blog site.
Here is a copy of the article:


As general dentists we see patients that are healthy, feel fine and may not go to see their physician unless they get sick. Many individuals do not realize the importance of regular visits to the dentist to help them stay healthy.

One of the many services or added benefits that our office provides is oral cancer screening. As part of our initial and periodic exams, you may notice that Dr Boudet palpates your neck, looks at your throat, at the sides and under your tongue, and many other areas of your mouth that are not just the teeth.

As a
Dentist in West palm beach , Dr Carlos Boudet has been providing these services to the community for almost three decades now and in that time has been able to keep his patients healthy by detecting many lesions that would have gone undetected and untreated, resulting in more severe problems for the patient.

Cancer awarenes month was created to make individuals aware of the benefits of early detection. Dentists are in a position that allows them to detect oral cancer lesions early and this makes a big difference in the treatment of
oral cancer. Some oral cancer is very agressive and if not detected early can result in damage that can leave the patient disfigured and totally change his quality of life. The same cancer detected early can prevent those disfiguring surgeries and make a tremendous difference in the life of a person.

The most common causes of oral cancer were listed as tobacco and alcohol, but recent research has found a link between the
human papilloma virus (HPV) and cancer. The papilloma virus is a virus that produces papillomas or "warts" in squamous epithelial cells that cover the surfaces of many areas of the body, such as the inside of the mouth. Most papilloma viruses produce the benign warts, but there are several of these viruses that are "high risk" because they produce the pre-cancerous and cancerous lesions. The cancerous warts cannot be distinguished from the benign ones by simple visual observation, and the dentist needs to remove the lesion and send it to a pathology laboratory to be looked at under the microscope. A trained pathologist then makes the final diagnosis.

As part of the of modern technology that we have incorporated in our office, we can now detect and remove these lesions with the use of the
dental laser in a manner that is most comfortable for the patient. the removal is done without a scalpel, does not need sutures or stitches and results in faster, more comfortable healing for the patient.

Scientists working in biological research have developed two vaccines for the most common cancer producing human papilloma viruses. You may want to go to the
american cancer society website if you would like to read about the proposed guidelines for recommending and administering the vaccines. They also have information about the individuals at a higher risk, the cost of the vaccine, insurance coverage and how it is administered.

Yours for healthy living,

West Palm Beach Dentist
Carlos Boudet, DDS










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Sunday, April 1, 2012

West Palm Beach Dentist Does Porcelain Crowns In One Day

Dr. Carlos Boudet, a West Palm Beach Dentist has been using the latest Cad/Cam technology for several years now to fabricate porcelain crowns in one day.

The Cad/Cam technology that he uses is not new.  It has been available for over a decade, but due to the high cost of the equipment needed to produce these crowns, few dentist are willing to invest in the technology.

Normally crowns have to be made in the laboratory, a process that takes about two weeks and requires the patient to wear a temporary that could loosen or fall out and would require a second visit to remove the temporary, try the new crown and if all goes well, cement it.

Dr. Carlos Boudet also does porcelain crowns in the laboratory for special cases that require it, but for those that want the convenience of not having to take time to schedule a second appointment having their porcelain crowns done in one day is great service.

The equipment that Cosmetic Dentist Carlos Boudet uses is Cerec from Sirona, which was the  first cad cam system to be designed for dentists.  With more than a decade of research and improvements, it is the system with the most experience and best track record in the market.

The way the system works is this:
The dentist prepares the tooth or teeth the same way, but instead of taking an impression with a paste inside a tray, a small camera takes a digital impression and transmits it to the computer, where the dentist designs the crown for the patient.  Once the design is done, it is sent wirelessly to a milling machine that uses diamond bits to carve the crown out of a solid block of porcelain.  Then when the crown is finished and polished, the dentist bonds it in place in the mouth and the whole procedure is done in one visit.

As a general dentist Dr. Boudet provides a variety of services for his patients such as dental implants with many years of experience both placing and restoring dental implants with great success.  Dr. Boudet also provides orthodontic services including Invisalign clear aligners and laser dentistry that increases the comfort and speeds healing in many cases where surgery would be needed.

Dr. Boudet has been providing caring expert dental care for his patients since 1983 in the area of West Palm Beach and adjacent communities such as Palm Beach, Palm Springs, Wellington, Lake Worth, Royal Palm Beach and surrounding areas.

West Palm Beach Dentist
Carlos Boudet, DDS, DICOI
1840 Forest Hill Blvd, Suite 204
West Palm Beach, Florida  33406
Phone: (561) 968 6022


Friday, March 30, 2012

New Article By West Palm Beach Dentist Carlos Boudet, DDS

Inside Dentistry is one of the leading monthly magazines for dentists with one of the widest circulation in the United States.  The magazine has published an article by Dr. Boudet on "The Mandibular Bar Overdenture" in the April 2012 issue.  The article describes the details of this well accepted dental procedure from treatment planning to completion including references from the dental literature.
The mandibular overdenture is indicated to correct or eliminate a loose lower denture.  It helps the patient bite comfortably in cases where the lower denture is loose, uncomfortable or unstable.
If you would like to see the article please follow this link:
http://www.dentalaegis.com/id/2012/04/the-mandibular-bar-overdenture
For a link to other articles published by Dr. Boudet, please click here:
http://www.boudetdds.com/articles.htm
Thanks for reading our blog.

Carlos Boudet, DDS, DICOI


Website: http://www.boudetdds.com/
Implants Blog: http://www.palm-beach-implants.com/
Spanish Website: http://www.palmbeachdentist.net/

Thursday, March 15, 2012

Technology in Dentistry

Recently I watched a presentation by marketing experts in Dentaltown that listed some of the things that new patients look for when they are selecting a dentist, and I was happy to see that one of the things they look for is whether the dentist is up to date and offers the latest technology in his office.
I don't consider miself a "gadget" person. I evaluate carefully the benefits that any particular technology or "gadget" offers and whether it is of value for me to offer it to my patients.  I don't sell "dentist recommended" electric toothbrushes, pharmaceuticals, etc... and the items I dispense I consider important and necessary for succesful surgical outcomes.
But over the years I have invested in pieces of equipment that are considered advanced technology (quite expensive also, since only a small fraction of dental offices have them) and I do dot consider them "gadgets".  Let me explain some of the benefits of some of these.
The "All Tissue Laser" :  The laser is one of those pieces of equipment that dentists say "there is nothing that I can do with a laser that I could not do with the equipment I already have".  And those dentists would be wrong.  It is true that you can do many of the same things with existing equipment, but there are procedures that are done best with the laser, such as debriding and detoxifying the surface of an infected implant, and closed (no surgical flap) osseous crown lengthening in the anterior region for more comfort and quicker. healing. These are things that you can do in other ways with existing equipment, but I argue that not as well.
Another piece of equipment that has changed dentistry tremendously is the Cad/Cam technology that allows me to offer a patient a beautiful porcelain crown designed and fabricated in my office in an average of a couple of hours, eliminating the need for impressions that sometimes elicit a gagging reflex, eliminating temporaries that may loosen and come out and avoiding the need for a second visit to cement the crown.
Sure, you can get the same crown made in the laboratory and put up with the conventional impression and the temporary and then wait two weeks to spend more time at the dentist for a second appointment, but, I believe that in the not fo far away future all dentists will have to have cad/cam systems in their office.
I could go on, but you get the point.
If you are searching for an experienced, gentle, technologically advanced dentist in West Palm Beach, please visit my website and look no further.
Sincerely,

Carlos Boudet, DDS, DICOI
Website: http://www.boudetdds.com/
Implants Blog: http://www.palm-beach-implants.com/
Spanish Website: http://www.palmbeachdentist.net/

Sunday, February 5, 2012

Cerec Connect Article by Dr Carlos Boudet, DDS

This is an article that was accepted for publication in Chairside Magazine and came out in print and online this month.
The article relates to digital impressions transmitted electronically to the lab using the Cerec system by Sirona.
Here is the editor's comments:

" Digital impressions are slowly catching on with our customers at the lab. The majority of the digital impressions we receive are from Sirona CEREC® owners, who typically use this digital impression system to design and mill a crown, such as IPS e.max® CAD, in their own offices. However, we are seeing more CEREC dentists who want to take advantage of high strength monolithic restorations that cannot be milled in the office, such as BruxZir® Solid Zirconia.

In this article, Dr. Carlos Boudet outlines the steps transmitting a digital file to the lab via CEREC Connect. "

INTRODUCTION

A common fear among dentists who purchase the latest technology in the form of a new piece of equipment is the uncertainty of how soon it will be made obsolete. This fear is greater when it is unclear if the manufacturer will offer system upgrades that allow the dentist to continue using the equipment when improved features and new options become available.

For years, the ceramo-metal restoration has been the gold standard in crown & bridge procedures. Although durable and time-tested, this type of restoration may not be the most esthetic. For years, patients have asked for metal-free restorations, and the industry has accommodated this request with various resin composite and ceramic systems.



THE CEREC CAD/CAM SYSTEM

There are two chairside CAD/CAM systems available today: CEREC (Sirona Dental Systems; Charlotte, N.C.) and E4D Dentist™ (D4D Technologies; Richardson, Texas). Also available are three chairside digital impression systems: Lava C.O.S. from 3M ESPE, iTero from CADENT1 and IOS FastScan from IOS Technologies Inc. (The last was recently released to a select group of dentists in Southern California. A fourth chairside digital impression system developed in Israel, Densys, is not yet available to U.S. dentists but is expected to be released stateside in late 2011.) I own a CEREC 3D Redcam system, which now has been replaced by faster hardware and better software with Sirona's CEREC Bluecam.

Soon after I purchased the CEREC Redcam system, I had the opportunity to test out the CADENT iTero.2 I liked the system's ability to create a very precise model that allowed me to choose virtually any material for the fabrication of crowns & bridges from a digital impression. This got me thinking: Wouldn't it be nice if I could take digital impressions with my CEREC unit and send them to the lab for cases that, because of the choice of materials3 or other reasons, cannot be fabricated using the compact milling unit?


For the complete article, please visit my website link here:
http://www.boudetdds.com/articles.htm
Or visit chairside magazine's link here:
http://www.glidewelldental.com/downloads/dentist/chairside/issues/spring2011-v6-2.pdf

West Palm Beach Dentist
Carlos Boudet, DDS, DICOI
1840 Forest Hill Blvd, Suite 204
West Palm Beach, Florida  33406
Phone: (561) 968 6022


Saturday, February 4, 2012

Porcelain Veneer Course

The first part of a new course on Porcelain Veneers has been posted by West Palm Beach Dentist Carlos Boudet, DDS on youtube video form.  The course is one hour long and is divided into three parts.  The first part consists of a detailed description of the smile design principles used in creating beautiful smiles. Dentists interested in learning about porcelain veneers should find it useful.
The youtube video can be seen here:
http://www.youtube.com/watch?v=2YDGR_jXo1Y
The embedded video is found below:



The next video, part two will be posted soon.
West Palm Beach Cosmetic Dentist
Carlos Boudet, DDS, DICOI
Website: http://www.boudetdds.com/
Implants Blog: http://www.palm-beach-implants.com/
Spanish Website: http://www.palmbeachdentist.net/

Thursday, February 2, 2012

Is CVS Pharmacy Ripping You Off?

Is CVS Pharmacy Ripping You Off With Your Prescriptions?

I normally keep my mouth shut and will not write anything negative about anything or anybody, but I feel bad for those that have a problem paying for their medication, and rely on discount pharmacies and advertised low prices to stay within their budget on a fixed income like our elderly seniors. As a dentist in West Palm Beach, Florida I write many prescriptions and if my patients can benefit from this, then I think is worth my writing about it.

A month ago I went to a CVS pharmacy conveniently located near my house to fill a prescription. I gave it to the pharmacy staff and asked if he could tell me the cost of my medicine and if CVS would give me the lowest cost. I also gave him my insurance information. He checked in the computer and said that the prescription would cost $15. I then asked him to tell me what the medicine would cost without my insurance, he hesitated and said it would be the same $15. I thought it was strange, but went ahead and filled the prescription. When I received the medicine, I noticed that I was given only thirty capsules, even thought the doctor prescribed a quantity of ninety. When I asked the clerk, he said that my insurance would not pay for more than thirty capsules at a time. That was my second red flag.

I took all my medication like a good patient should and the following month I took the empty container to a different pharmacy (I had two additional refills) and asked the staff if she could tell me how much my medication would cost. She asked me for my insurance information and I gave it to her. She looked in her computer and quickly replied: “Ok, if you get the medicine through your insurance, I have to charge you a $15 copayment, but if you don’t use it the prescription will cost you $10.” Of course I did not use my insurance, but when I received the medication it was for the full ninety capsules and not thirty like CVS had given me.
This means that if I had gone to CVS to fill the prescription (a total of 270 capsules, 90 caps X 3 refills) I would have paid $15 X 9 (they only gave me 30 at a time) or $135, while at the other pharmacy I would only pay $30.
I called CVS and asked for an explanation, but they were unable to provide one for me.

This incident also helped me reinforce my conviction that insurance companies are ripping us off and they don’t care about the patient, they just care about making money. I was paying for expensive medical insurance which should have paid for prescription drugs and my copayment was higher than the cost of the medication without insurance. Go figure!

I have the prescription numbers and can verify everything I have written.
I can afford the cost of the medicine in CVS, but I think they need to be more honest and give you all the information with your best interest in mind.
The next time you need a prescription filled, you may want to think twice about taking it to CVS pharmacy.

Carlos Boudet, DDS
West Palm Beach Dentist
http://www.boudetdds.com

Friday, January 20, 2012

Lasers In Dentistry

There has been a tremendous amount of technological advances in dentistry in the past ten years. The dental laser is one of those advances that is causing a lot of excitement in the dentists that have adopted the technology, and skepticism and controversy in those that do not use it.

The main reason that more dentists are not using the dental laser is cost as some of the hard and soft tissue lasers can cast upwards of $60,000 dollars. These high end lasers are used for soft tissues and hard tissues also such as bone and teeth.

A more recent addition to the dental laser technology that has made the use of the dental laser more affordable to the dental practitioner has been the diode laser. The diode laser is very small in size compared to the all tissue lasers, and is meant for soft tissue applications and is gaining popularity due to their lower cost and better tissue response than the older technology of electrosurgery. The diode laser cannot be used for hard tissues such as bone and teeth.

One statement that always comes up when dentists talk about lasers is “ all the procedures that I would do with a laser I can do with the equipment I already have”. The dentist that uses the laser knows that although a lot of the procedures done with the laser can be done with a scalpel or an electrosurgery unit, the laser has certain advantages, such as faster healing, less trauma to the surrounding tissues and less post-operative discomfort. With additional training, dentists can do procedures that are not possible with conventional dental equipment such as the LANAP procedure in periodontics.
This brings us to the most interesting and controvertial topic which is the use of the laser in the treatment of gum disease, a topic that has some periodontists very excited while the majority still resist with skepticism.

Gum disease in its moderate to advanced stages is routinely treated by periodontists with periodontal surgery. The purpose of the procedure is to eliminate the deep spaces between the gums and the roots called “periodontal pockets” that harbor bacteria and do not allow the individual to clean properly when brushing and flossing. Periodontal surgery is also used for regenerative procedures where the dentist tries to regain the lost bone and gum tissues with bone grafts or gingival grafts. When the dentist performs periodontal surgery an incision is made around the teeth with a scalpel in order to peel the gums away from the bone and allow visualization of the bone defects for remodeling or regeneration. The diseased soft tissue is also removed in the process. The surgery has some negative aspects such as moderate discomfort after the procedure, healing that takes several weeks, sensitivity to temperature changes, and gingival recession caused by the loss of soft tissue removed during the surgery.
Periodontal surgery is well accepted as the standard of care for the treatment of moderate to advanced periodontal disease.
The laser procedure uses a special laser to treat periodontal disease by first removing the diseased gum tissue in the periodontal pocket in layers so thin that are not possible with a scalpel, then the pocket is decontaminated and sealed with a "clot". This procedure has been show in literature reports to regenerate some of the lost bone from around the treated teeth, without the negative aspects of periodontal surgery.

The American Academy of Periodontology says that there has not been enough research published to substantiate the claims of successful bone and new attachment regeneration with the laser and additional studies are needed, but several well known and respected dentists have published excellent results, and more articles are being published all the time.

It is the opinion of this author that lasers such as the ND YAG and the Erbium YAG lasers will be increasing in popularity as they are minimally invasive and offer an alternative to surgery.

Carlos Boudet, DDS
West Palm Beach Dentist
http://www.boudetdds.com/

Saturday, January 14, 2012

How To Find A Good Dentist In West Palm Beach Florida

At the risk of being accused of writing biased information, I will discuss several things that I consider important in selecting a dentist in west palm beach to take care of your family.
I grew up with old fashioned ideas so when I started my dental office in West Palm Beach I thought that it would take more than five years for my practice to get busy, and advertising was not considered very ethical, so I did not advertise and I waited for word of mouth to bring patients to my doorstep.
While it is true that asking family and friends to recommend a dentist is a good way to help you select a dentist in West Palm Beach, today you also have local advertisements and tons of information in the internet easily accessible.
You may need a general dentist for your whole family, or maybe you need a particular service such as Orthodontics (Braces, Invisalign), or an implant dentist. Talk to your family and friends and get their input, then do some research. Here is some information that you should look into when selecting your West Palm Beach Dentist:




  • Background- What are the dentist's qualifications, license, special training, specialty. Some areas such as implantology are not recognized by the american dental association as a specialty in dentistry, so training or accreditation from reputable institutions are things to look for.


  • Experience- When I started my practice thirty years ago I would have disagreed with this, but experience helps. The more experience that the dentist has under his belt, the smoother the treatment is likely to be since experience has taugh him or her what things to avoid.

    Ask to view their work- Dentistry is art with a science background. Great artists like to show their work. Before and after pictures of the type of dentistry that you need give you a good idea of the type and quality of the work that this dentist can do for you.


  • Accessibility- This is important to me. I hate calling my doctor and having to talk to his nurse instead. Call the office, see if he (she) returns your call personally.


  • Patient centered staff- Are they focused on your needs? Do they explain your insurance benefits. Help you get the most without running over? Work around your schedule? Get to know you as a person?


  • Time- Does the dentist takes time to talk with you and listen to your concerns or explain your options rather than force you to accept his proposed treatment?


  • Technology- The latest would be nice. Dentistry has advanced tremendously in the last ten years. Cad/Cam dentistry, all ceramic crowns, implants, ct scans, lasers, all have found applications in dentistry that benefitthe dental patient tremendously.
Now, you may have some concerns about costs involved and how expensive your treatment could be. I have seen many patients go to a dentist that advertises low prices just to find out that, after the work is done, it was not low priced; long waits, less than optimal treatment and treatment rendered in a rush. 

If money is a problem, I suggest you select a dentist in west palm beach that will give you:




  • A recommended treatment plan with your needed treatment and any other alternatives




  • Work with you and your insurance to maximize your benefits and minimize your out of pocket expenses.




  • Send a predetermination to your insurance for expensive work before committing you to pay for it.




  • Treat problems early to reduce costs.  Early treatment prevents major work like root canals and crowns.




  • Use and recommend preventive measures to avoid the need for more dental work.



A word about dental insurance: Choosing a dentist in west palm beach because he or she is on the list of providers of an HMO insurance is not the wisest thing to do (see above). If you are able, pick an insurance plan that is a PPO which allows you to pick a dentist even if he (or she) is not on the list.
If you have questions or comments about this writing, you can visit my website's contact information here:

http://www.boudetdds.com

West Palm Beach Dentist
Carlos Boudet, DDS

Friday, October 7, 2011

Dental Products Report - October 2011 [99]





Dental Products Report - October 2011 [99]





Dental Products Report has published an article by West Palm Beach Dentist Dr. Carlos Boudet on Dental Photography for case documentation and marketing in the dental office. The article is a condensed version of the original article with only a fraction of the original sample photographs. It was written to help motivate fellow dentists to document their cases using dental photography. Here is an excerpt:




After many years of sharing information with my colleagues I have noticed that the majority of dentists take very few photographs and don’t take time to document their work—even the interesting cases—with photographic records. In today’s economic and business environment, it has become a necessity to adequately promote your business, and I consider photography a very important part of that.
With this article, I would like to introduce a simple but effective way of documenting your cases with dental photography that will help you in many ways with your practice.
Photo documentationDental photography has two parts. Intraoral and extraoral photography, and you need some basic tools as follows:
1. A camera that allows you to take both full face or profile pictures and also intraoral close-up shots.2. Two sets of intraoral photographic mirrors and two sets of retractors. There should be one occlusal mirror and one lateral mirror in each set.





If you would like to read the full article, the condensed article can be viewed here:




http://www.dentalproductsreport.com/dental/article/let-dental-photography-help-promote-your-practice




or here:




http://digital.dentalproductsreport.com/nxtbooks/advanstar/dpr_201110/#/113/OnePage





The original article, including all the sample photographs can be seen at :





Http://www.boudetdds.com/articles.htm





The article is available as a training tool for dentists enrolled in participation courses at the Altantic Coast Dental Research Clinic in West Palm Beach, Florida.