Posts for: November, 2015

By Carey & Aylward, DDS, PC
November 23, 2015
Category: Oral Health
Tags: oral health  
TakingCareofOralHealthCrucialtoQualityofLifeforHIVPositivePatients

In the early Eighties, dentists began noticing symptoms among a few patients that indicated something far more serious. They were, in fact, among the first healthcare providers to recognize what we now know as HIV-AIDS.

Today, about 1.2 million Americans have contracted the Human Immunodeficiency Virus (HIV). It’s a retrovirus, somewhat different than other viruses: it can invade immune system cells and hijack their replication mechanism to reproduce itself. Untreated it eventually destroys these cells to give rise to the more serious, life-threatening disease Acquired Immunodeficiency Syndrome (AIDS).

Thanks to antiretroviral drugs, most HIV positive patients live somewhat normal lives and avoid the more serious Acquired Immunodeficiency Syndrome (AIDS). But while antiretroviral therapy effectively inhibits the action of the virus, it isn’t a cure — the virus is a permanent resident of the body and can still affect health, especially in the mouth.

In this regard, one of the more common conditions associated with HIV is Candidiasis, a fungal infection also known as thrush, which causes cracking of the mouth corners and lesions or white patches on the surface of the tongue or roof of the mouth. HIV patients may also experience limited saliva flow that causes dry mouth (xerostomia) with effects that range from bad breath to a higher risk of tooth decay.

The most serious effect, though, of HIV on oral health is the body’s lower resistance to fight periodontal (gum) disease. HIV patients are especially susceptible to a severe form known as Necrotizing Ulcerative Periodontitis (NUP), a sign as well of immune system deterioration and the beginning of AIDS. This painful condition causes gum ulcerations, extensive bleeding, and the rapid deterioration of gum attachment to teeth.

If you or a family member is HIV positive, you’ll need to pay close attention to oral health. Besides diligent brushing and flossing, you or they should also regularly visit the dentist. These visits not only provide diagnosis and treatment of dental problems, they’re also an important monitoring point for gauging the extent of the HIV infection.

Taking care of dental problems will also ease some of the discomfort associated with HIV. Thanks to proper oral care, you or someone you love can experience a higher quality of life.

If you would like more information on oral and dental health for patients with HIV, please contact us or schedule an appointment for a consultation.


By Carey & Aylward, DDS, PC
November 19, 2015
Category: Dental Procedures
Tags: veneers  

It’s important to know what to expect before you get veneers in Westland, MI.

Interested in hiding those minor dental imperfections to get a straighter, brighter and more even smile? Your Westland, MI dentists Dr. VeneersDennis Aylward and Dr. Brent Carey can help with dental veneers. But before you decide to take the plunge, find out a little about what getting veneers entails.

Your Consultation

Coming in to see your dentist in Westland about veneers is the first step in figuring out if this is the right cosmetic treatment for you, or if there are other treatment options that would work better for your smile. Now is the time to talk to us about what you are looking to fix about your smile so we know if veneers can give you what you need.

We will examine your smile to determine what we will need to achieve to give you the perfect smile. We will also want to ensure that you aren’t dealing with any untreated issues like dental caries (cavities) or gum disease, which will need to be treated before you can get cosmetic dentistry.

Tooth Preparation

Once we deem you appropriate for veneers you will have your teeth prepared for their new look. Since just applying the veneers directly to your teeth will cause a bulky and unrealistic-looking smile we will need to file down a small amount of enamel to make room for your veneers. Usually, we only need to remove about ½ millimeter of tooth enamel, which is completely painless and won’t even require anesthesia to complete.

After your teeth have been prepared then we will make molds of your teeth to send to a lab. These molds will be used to create veneers that match the proper shape and size of your natural teeth. We will also decide on an ideal veneer shade together.

Veneer Application

During your final visit it’s now time for you to approve the look of your veneers and make sure you are satisfied with them before they are applied. Once you are happy, we will apply special cement between your veneers and your teeth and then use a laser to harden the cement. Now you have your new and improved smile!

Ready to get veneers? Then call your dentist at Carey & Aylward, DDS, PC to schedule a veneer consultation right away.


By Carey & Aylward, DDS, PC
November 15, 2015
Category: Oral Health
SofiaVergaraObsessedWithOralHygiene

A woman as gorgeous and funny as Sofia Vergara surely planned to be a model and actress from the get-go, right? Wrong! Sofia’s first career choice actually was to be… a dentist! That’s right, the sexy star of TV’s Modern Family actually was only two semesters shy of finishing a dental degree in her native Columbia when she traded dental school for the small screen. Still, dental health remains a top priority for the actress and her son, Manolo.

“I’m obsessed,” she recently told People magazine. “My son thinks I’m crazy because I make him do a cleaning every three months. I try to bribe the dentist to make him to do it sooner!”

That’s what we call a healthy obsession (teeth-cleaning, not bribery). And while coming in for a professional cleaning every three months may not be necessary for everyone, some people — especially those who are particularly susceptible to gum disease — may benefit from professional cleanings on a three-month schedule. In fact, there is no one-size-fits-all approach to having professional teeth cleanings — but everyone needs this beneficial procedure on a regular basis.

Even if you are meticulous about your daily oral hygiene routine at home, there are plenty of reasons for regular checkups. They include:

  • Dental exam. Oral health problems such as tooth decay and gum disease are much easier — and less expensive — to treat in the earliest stages. You may not have symptoms of either disease early on, but we can spot the warning signs and take appropriate preventive or restorative measures.
  • Oral cancer screening. Oral cancer is not just a concern of the middle aged and elderly — young adults can be affected as well (even those who do not smoke). The survival rate for this deadly disease goes up tremendously if it is detected quickly, and an oral cancer screening is part of every routine dental visit.
  • Professional teeth cleaning. Calcified (hardened) dental plaque (tartar or calculus) can build up near the gum line over time — even if you brush and floss every day. These deposits can irritate your gums and create favorable conditions for tooth decay. You can’t remove tartar by flossing or brushing, but we can clear it away — and leave you with a bright, fresh-feeling smile!

So take a tip from Sofia Vergara, and don’t skimp on professional cleanings and checkups. If you want to know how often you should come in for routine dental checkups, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor articles “Dental Hygiene Visit” and “Dental Cleanings Using Ultrasonic Scalers.”