Aug 4, 2020
Are you the type of person who gets excited or nervous before your dentist appointment with Dr. Brunacini, Dr. Karagiorgos, or Dr. Smith? Although it’s completely normal to have a few butterflies before you sit in the exam chair, you should be excited that you’re not sitting in a dental office in 1720–you might not have had any teeth when you left! At FDA, we are committed to patient comfort no matter the century. But what was it like being a patient of dentists 100, 200, or even 300 years ago? Let’s take a look!
1720: Fake Smiles
The 1700’s saw the first professionals trained in the treatment of teeth. However, a combination of disease, high-sugar diets, and very few fresh fruits and vegetables meant most people suffered from slow and painful tooth decay and loss. Because of this, 18th century dentists were focused on tooth extraction and not tooth preservation. 
The tools used for extracting teeth were not elegant–and anesthetic technology had yet to be invented. Forceps, pliers, hot coals, and string were all common tools of the dental trade. In fact, specially-trained dentists only serviced the wealthy; middle and lower class folks frequently visited their local blacksmith if they had a toothache.
With tooth loss running rampant, false teeth were extremely common. Ivory and porcelain were popular materials for making a set of false teeth– but nothing could beat genuine human teeth! It was common practice to pay people (especially children and teenagers) for their teeth. Although it seems incredible now, during a time when poverty was common, a penny for an incisor or molar was a tempting offer for many people!
1820: Comfortably Numb
Three important scientific discoveries during the 19th century propelled dentistry towards the science and practice of preserving smiles.
American dentist Horace Wells first applied the anesthetic effects of nitrous oxide in a tooth extraction, leading to more comfortable dental visits and pioneering other anesthetic techniques.
A few states away, Charles Goodyear was experimenting with techniques to make a flexible rubber, which he called Vulcanite. Dentist Thomas W. Evans took Goodyear’s vulcanite and created a rubberized denture–a much more cost effective option compared to ivory or porcelain. Dr. Evans eventually created a set of vulcanite dentures for Mr. Goodyear.
Last but certainly not least, 19th century microbiologist Dr. Willoughby D. Miller was the first dentist to suggest that bacteria in the mouth was to blame for tooth decay. So began the never-ending fight against cavities!
1920: Setting the Standard
The 19th century laid the groundwork for the modern practice of dentistry, and the 20th century continued to build on that foundation. 
The use of x-ray technology on teeth affirmed dentistry’s commitment to tooth preservation. Dr. Frederick McKay devoted his dental practice to the study of fluoride’s effects on enamel health–ultimately leading to the fluoridation of city water across the United States.
Dental schools took definite shape in the 20th century; the American Dental Association started the practice of formal licensure for clinics and practice; modern dental tools such as tarter scrapers and removers were invented and standardized across the practice.
2020: Helping Hands
As you can see, the 21st century is the best place to be when it comes to dental care. The largest shift from the 20th to the 21st century was the introduction of dental hygienists as integral members of the dental practice.
We are grateful for our incredible team of hygienists, they help us provide you with the best oral health care. We’re also happy that all of our dentists are kind, talented, and trained medical professionals–not blacksmiths with pliers and a spare moment! We pride ourselves on providing not just great dentistry, but compassionate and stress-free oral health care!
We look forward to seeing you at your next 21st century dentist appointment. Be sure to read through our COVID Protocol page to make sure that you’re prepared for your appointment!
May 28, 2019
Oral health is important no matter your age. It’s not just a part of maintaining a beautiful smile, but also a crucial element in overall wellness and quality of life. The health of your body and the health of your mouth are connected, and both require ongoing care. This is especially true for our older patients. Aging certainly doesn’t mean you have to resign yourself to dentures…with proper care, your teeth can last a lifetime. However, there are additional concerns that come up for patients over 60. To learn more, here are 5 tips from Dr. Brunacini and Dr. Karagiorgos.
1. Watch Out For Cavities As You Age
As we age, we become more prone to cavities. Dry mouth, also called xerostomia, is often the cause and is a side effect of many medications. Saliva is one of your mouth’s best defenses against tooth decay. Be sure to tell Dr. Brunacini or Dr. Karagiorgos about any medications you are taking or if you are experiencing dry mouth. They will have recommendations for how to restore moisture and work with you to help keep your mouth healthy.
2. Share Your Medical History with Dr. Brunacini and Dr. Karagiorgos
We are a part of your health care team. Beyond sharing what medications you are taking, it is important to share any medical conditions such as heart conditions. In such cases, Dr. Brunacini and Dr. Karagiorgos may recommend antibiotic prophylaxis, which is taking antibiotics prior to a dental procedure. We all have bacteria in our mouths, but for people with certain conditions when that bacteria enters the bloodstream it can cause infection elsewhere in the body. Talk to Dr. Brunacini or Dr. Karagiorgos if you have any questions or concerns about the interactions between your medical conditions and oral care.
3. Cosmetic Procedures Are For Patients of Every Age!
If you are self-conscious about your smile or wish you could improve the look of your teeth, let us know! There are several cosmetic options for patients of any age that can dramatically improve your smile. Examples include:
- Veneers: These can be done on aging teeth can help patients have more confidence in their smiles.
- Teeth Whitening: This works on natural teeth and can make teeth look more youthful. Please note that whitening does not work on crowns.
- Orthodontics: There are options that exist as long as teeth have good bone support. Our teeth become more crowded as we age which can result in some teeth becoming crooked over time.
4. Let Us Know if Your Dentures Are Loose
There have been many advances in recent years to help people with loose dentures. If you have discomfort or concerns about the fit of your dentures, talk to Dr. Brunacini or Dr. Karagiorgos. They can discuss possible choices for you such as implants which help dentures have a tighter fit, or implant-support bridges. The point is, there are options and we are here to help!
5. Don’t Forget Your Oral Health Care Basics
It’s important for all our patients, especially those over 60 to follow our recommended oral health care regimen: brush twice daily, floss daily, and schedule regular appointments with FDA. We hear from some patients with arthritis that brushing can be a literal pain. We recommend an electric toothbrush to help get to all parts of your teeth while limiting your arm movement. We also like to remind our patients to include healthy diet as part of their oral health care. For example older patients need to make sure they are getting enough calcium–not just from supplements, but from dairy products and leafy greens to support teeth health.
Thank you Dr. Brunacini and Dr. Karagiorgos! If you have more questions about your oral health or need to schedule an appointment, please give us a call at 207.781.5900. Our entire staff is dedicated to providing you with the most caring and comfortable environment possible while also providing top quality dental care for all ages.
*Image courtesy of www.cdc.gov
Feb 16, 2015
George Washington was plagued by dental disease almost his entire life. His adult teeth began falling out in his early 20’s. Others had to be extracted due to advanced decay. By the time he became president only one remained.
Because of this, Washington frequently sought out the help of dentists. During the Revolutionary War he became close to Franco-American dentist Jean-Pierre Le Mayeur, who became a lifelong friend. Later, during his presidency, Washington relied on dentist John Greenwood to fashion him several sets of false teeth. However, none were made from wood. One set was made from ivory and held together with gold springs, which is a bit more presidential than a hunk of wood. One pair of Washington’s dentures survives and is on view at his home in Mount Vernon.
George Washington’s story is a good reminder of how far we’ve come in dentistry. Despite the best efforts of Revolutionary Era dentists, Washington still suffered a lifetime of discomfort and regularly took laudanum (an opiate painkiller) to deal with the pain. His poor teeth also hurt his self-esteem and made him reluctant to give speeches.
Although there are many ways you should inspire to be like our nation’s first president, having unsightly teeth is not one of them. At Falmouth Dental Arts we offer dental solutions that fit your specific needs and budget for your complete comfort both physically and financially. Most importantly, we will get your teeth functioning properly and looking beautiful once again. Call today to see how we can improve your smile.
