Good Questions, Good Answers

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As a patient, you should always understand the risks, benefits and alternatives to any treatment.  You want to make sure to receive the health care you need and deserve. Healthcare professionals try to help you decided what is the best treatment for your special needs.  It is important that you receive enough information to make an informed decision. It is always a good plan to ask questions during your office visits. Sometimes it is hard to know what exactly to ask. To help you, I have put together some sample questions, particularly with dentistry in mine.

What is the recommended procedure?

           

            Ask for a detailed description of the procedure, why it is recommended, and what typically happens while it's performed. Ask how long will the procedure take and the numbers visits necessary to complete treatment.  Some procedures take more than one appointment, and you will be better able to plan your schedule. Having this discussion will reduce the chance of surprise, and it may also bring to mind other health issues that are important.

For example, if you were having a fixed dental bridge to replace a missing tooth, you must know what a bridge is, why you need the bridge and its advantages and disadvantages, as well as the alternatives to a bridge, such as an implant or partial denture. Plus, you will want to know how to best take care of your new bridge.

What are my options for controlling discomfort?

Many people are surprised to learn that modern dentistry is generally pain-free. There are a variety of methods available for avoiding pain, discomfort, and anxiety. Some of these include nitrous oxide, headphones and conscious sedation.  Your comfort needs are important questions for you to consider.

What results should I expect from the procedure?

The answer will explain the benefits of the procedure. With cosmetic dentistry you should have a smile design.  Using models of your teeth and digital photos of your smile, you will see how your teeth and mouth will look and function. 

What are the alternatives to the procedure?

Depending on your oral health needs, a variety of solutions will be offered.  The best choice can depend on a number of considerations, including the conditions in your mouth, your time requirements, your financial situation, and your general heath. For example:

• A missing tooth can often be treated with an implant, a bridge, or a partial denture; whichever best fits your situation.

• Early periodontal disease can be treated with scaling and root planning, while a more advanced infection may require medication or surgery.

• Discolored teeth can be treated with whitening, but if you would also like to improve the alignment of your teeth, you might prefer veneers, crowns, or a combination of bleaching and braces.

• You also have the option to do nothing and to know the outcome of that non-treatment choice.

What are the risks or complications of the procedure?

           

Understanding the risks of treatment and also the risks of not proceeding with the treatment are an important part of having an informed consent. Considering the risks or complications of each treatment alternative can help you decide on the best one for you.

All healthcare procedures have some risk. However, in dentistry risks are exceedingly small. Dental training, professional standards, and the state regulations are designed to insure patient safety.  This is done through measures like wearing masks and gloves to control infection, using a rubber dam or isolite to protect a patient’s mouth and throat, prescribing antibiotics for some patients prior to certain dental procedures, and finding out about a patient’s health history.

How soon should I have the procedure?

Depending on the circumstances, some dental problems need treatment right away. In others, treatment can be delayed for a short time. It all depends on how advanced your condition is, your general health, and the thoroughness of your homecare routine. I don't advise permanently putting off dental treatment because problems in the mouth can become more serious, requiring more extensive—and expensive—treatment and costing you more time and money. Here are a couple of examples:

• If a tooth gets a cavity that is left untreated, that cavity can infect the tooth’s nerve, leading to root canal therapy. If the decay in the tooth’s nerve is left untreated, an abscess can form around the tooth’s root, causing pain and eventually spread the infection to other parts of the jaw and face.

• If the gums become inflamed with untreated gingivitis, periodontal disease can develop. If this is left untreated, the gum infection can eventually cause loose teeth.  Most teeth that are lost are due to gum disease.

You should feel comfortable about your health decisions and never feel pressured into having a treatment that you do not feel is right for you.  It is important to keep the lines of communication open with your health professional.   And remember—there is no such thing as a silly question!

ENJOY LIFE AND KEEP SMILING!

George A. Malkemus, DDS

Dentist in Rohnert Park
2 Padre Parkway Suite #200
Rohnert Park, CA 94928
Phone: (707) 585-8595
MalkemusDDS.com 

THE JOY OF ROOT CANAL THERAPY!

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Tooth pain can be the excruciating.  Luckily, root canal therapy can relieve intense tooth pain and save one’s tooth.  There is no better joy than that relieve. 

Teeth are meant to last a lifetime.  So if one of your teeth becomes critically injured or diseased, it is best to save it with root canal therapy.  Though root canal therapy has been a standard dental procedure for decades, recent advancements in dental technology has made treatment much more comfortable and predictable.  To help you understand when and why the procedure is needed, I have answered some of the most frequently asked question about root canal therapy.

  

What is a root canal?

           

Root canal therapy is a filling that is placed into the canal of the root after the canal has been thoroughly cleaned.   Filling material is also placed into the cleaned pulp chamber of the tooth.  The pulp is a soft tissue in the center of a tooth that contains the nerves, arteries, veins, and lymph vessels.  When the pulp is diseased or injured and unable to repair itself, the pulp dies, and has to be removed. Root canal therapy then becomes necessary.

Why does the pulp need to be removed?

           

If the damaged or diseased pulp is not removed, the tooth and surrounding tissues become infected.  Pain and swelling may accompany the infection.  Even in the absence of pain, an abscess can form at the tip of the root and eat away the bone in the jaw.  Without root canal therapy, the tooth will eventually have to be removed, because of bone loss.

Are root canals painful?

           

Most root canal therapies are not painful and actually relieve pain.  Once the nerve of the tooth is removed, there should be no more discomfort in that tooth.  The procedure is similar to a filling being placed through the top of the tooth.  The canals are very small, so generally more time is needed to clean out all the infected tissue, and fill the canals.  Last week, I had a man who had endured pain in his lower left molar for 2 years. The tooth had a crown placed upon it 5 years ago. The tooth had been sensitive to hot, cold and chewing for two years, and he had learned to live with the discomfort by avoiding the tooth.  After root canal therapy I called him at home the next day.  All his symptoms of pain had gone away.  He said, “I feel great!  I don’t know why I didn’t do this sooner.”  I receive that same positive response with almost every completed root canal. 

How effective is root canal therapy?

           

Root canals work 98% of the time.  Occasionally root canal therapy is not effective, because of a severe infection or a crack in the root.  In which case, the tooth has to be removed and an implant or bridge must be placed to replace the missing tooth.  Over 80% of the time, a tooth will immediately feel great after root canal treatment with no discomfort at all.  Over 15% of the times a tooth will take up to a week to calm down.  Infrequently, after root canal therapy, a tooth will take up to a month or longer to feel completely normal.

How different will my tooth feel after a root canal?

Other than the fact that your tooth won’t hurt, you will notice no difference.  Since the nerve is gone, there will be no sensation to pain, hot, cold, or pressure.  However, the teeth adjacent to the treated tooth still feel normal sensation and there is sensation in the bone surrounding the root of the tooth, so everything feels the same as far as you can tell.  The treated tooth does lose its vitality and internal life. It becomes more brittle and less resilient to biting forces, which can lead to a tooth fracture.  Therefore, crown placement is required after most root canals to hold the teeth together and prevent fracturing.

Why are most root canals preformed?

           

Root canal therapy is necessary for 3 main reasons, tooth fracture, deep tooth decay, and tooth trauma.  Last month, a young man broke his upper right bicuspid biting into pebble in a hamburger.  The pulp was exposed and a root canal was completed, much to his relief.   A 54-year-old man had deep decay and severe pain in his lower left molar.  He had been putting off treatment for years because of dental fear.  With conscious sedation, root canal therapy was completed along with numerous tooth colored fillings.  He was happy, thankful and pain free for the first time in a long time.   A 36-year-old lady traumatized her upper left molar from years of night grinding.   The dying pulp caused the tooth to ache.   After root canal therapy and a mouth guard to wear at night, she had total relief.    

           

Why do a root canal?  Why not remove the tooth?

           

It is always best to save a tooth if possible.   It is more involved and costly to replace a tooth with an implant or a bridge.  Teeth support each other, like bricks in an archway.  When a tooth is removed and not replaced, the teeth next to the empty space have to endure more forces of chewing with reduced support.  They often shift, become crooked, and are lost as well.

So root canals should be cherished as a joyous advancement to save teeth and eliminate pain.

ENJOY LIFE AND KEEP SMILING!

George Malkemus has had a Family and Cosmetic Dental Practice in Rohnert Park for over 27 years. 

George A. Malkemus, DDS

2 Padre Parkway Suite #200
Rohnert Park, CA 94928
Phone: (707) 585-8595
MalkemusDDS.com

Resolve to Improve Your Dental Health

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Now that we are trying to adapt to writing “2015”, have you given any thought to a New Year’s Resolution?  If you haven’t, it isn’t too late.  And even if you have, you can never have too many!

Typically, dental hygiene and dental aesthetics aren’t usually considered when it comes to reflecting on self improvement.  More than daily flossing, consider your over all oral health.

Brightening up those pearly whites

Do you avoid smiling or find yourself talking while covering your mouth due to a missing tooth, an unsightly chip, large gap, or another imperfection affecting your teeth? Everyone is aware of teeth whitening; here are more options on how easy it is to improve your smile!

Dental Fillings

We see many patients with those old silver and gold fillings. Those unsightly things are no longer the standard of care. Tooth colored composite fillings ones are crafted to match your natural color and are near invisible to the naked eye.

Bonding

Chipped teeth are often healthy, and like gaps, they too cause uneasiness in social situations. Often making you feel like the center of unwanted attention. Dental bonding is one of the least expensive cosmetic procedures, and the color is matched to restore your natural looking smile.

Pain

There are a few different types of tooth pain, all of which should be reported during your dental visit: brief sensitivity to hot and cold foods, sharp pain when biting, dull aches, constant pressure, lingering pain. There is no reason to endure the pain, call so we can help!

Benefits of a Healthy Smile

Enhancing your smile offers huge gains. Not only does it boost a person’s confidence, it can improve a person’s overall health and well being.  It’s like getting a spectacularly wonderful haircut.  You feel better about yourself and notice a new glow surrounding you.  When you have a smile that you are proud of, you naturally show it off to the world! Smiling is known to lower heart rate and reduce stress. Who would say no to that?

This is your year to shine with a healthy smile

Start the year off with your best foot forward and set your mind toward some dental goals.  No matter how big or how small they may be, you will be happy with the results as well as yourself for making it happen!

Prioritize your health and take the first step by calling to schedule an appointment: 

http://www.aae.org/patients/symptoms/tooth-pain.aspx   http://pss.sagepub.com/content/23/11/1372.short

George A. Malkemus, DDS

Dentist in Rohnert Park
2 Padre Parkway Suite #200
Rohnert Park, CA 94928

Phone: (707) 585-8595

WHAT CAN BE DONE FOR COMMON DENTAL EMERGENCIES?

From a broken 

Accidents happen.  From a broken tooth to even a broken jaw, certain steps can be taken to lessen the pain and damage while seeking dental treatment.  First, it is important to remain calm and contact

your dentist as soon as possible.  Keep a copy of your dentist’s after hour and daytime phone numbers in a convenient place or stored on your cell phone.   Many dental emergencies can be handled over the phone and then followed up with a dental appointment in the next few days.  Some emergencies need immediate attention by your dentist or at an emergency room.

Toothache

A toothache is usually the result of an infection from tooth decay or inflamed gums.  Rinse your mouth with warm water and gently use your toothbrush or dental floss to make sure there is no food impacted in or between teeth.   The pain can usually be controlled with Ibuprofen and Tylenol.  Placing an ice pack on your face over the area of pain will help. A bag of frozen peas works well for an ice pack and can be reused, but remember to mark the bag so you don’t eat the peas at a later date.  Your dentist will usually prescribe antibiotics and schedule appropriate treatment.  A toothache left untreated will worsen over time; the dental infection will spread becoming an abscess, affecting the jawbone and other teeth.  A dentist should be seen as soon as possible to prevent possible spread of the infection.

Chipped Tooth

            An injury resulting in a fracture to a tooth or teeth is a fairly common occurrence, especially during childhood.  If the tooth is not sensitive, then make an appointment with your dentist to check and repair the chipped tooth.  Watch for darkening of the tooth or a swelling in the gums, which are signs of nerve damage.  Seek help immediately if there is sever tooth pain to touch or air.

 A short-term trick to protect a fractured tooth is to cover the tooth with sugarless gum.  Don’t use sugar gum or it could worsen the area.  The sugarless gum coverage can keep your tongue from being cut while playing with a sharp tooth edge.  Also the gum coverage can help prevent temperature sensitivity on the fractured tooth.

              Children or adults who engaged in contact sports such as soccer, basketball, football, or wrestling should wear a mouth guard for protection against injury to the mouth and teeth.  Custom fitted mouth guards can be fabricated in the dental office, while regular mouth guards are available in sporting goods store.  Mouth guards are an inexpensive way to prevent tooth injuries.

Broken Jaw

Usually you will have pain and swelling in the joint area, ear or tongue.  Often you will not be able to close your jaw or get your upper and lower teeth to align properly.  Use an ice pack to control swelling and pain.  Stabilize the jaw, using a small towel wrapped beneath the jaw and tied on top of the head [like in the old Three Stooges comedy films].  The jaw needs to set by an Oral Surgeon referred by your dentist or a hospital emergency room.

Knocked Out Tooth

            When a permanent tooth is knocked out of the mouth, it is essential that treatment be sought immediately to insure the best possible chance of saving the tooth.   The tooth needs to be reinserted within the first hour after the accident. On the other hand, a knocked out, baby tooth should not be saved or placed back into the socket because it might damage the developing permanent tooth.

            Here are some important steps to follow if a permanent tooth is knocked out of the mouth:

1. Remain calm and bite on a clean cloth or gauze with pressure to control any bleeding.
2. Find the tooth and pick up the tooth by the crown only, do not touch the root surface. A ligament surrounds the outside of the root and can be easily damaged.
3. Rinse off any dirt gently with running water.  Do not scrub the tooth.
4. Gently try to reinsert the tooth into the socket and hold in place with firm pressure.
5. If the tooth won’t go into the socket, put it in saliva inside the lip of the mouth, or place in a glass of milk, or use Save-A-Tooth® for transfer to a dentist for reinsertion.  Do not let the tooth dry out.  [Save-A-Tooth® is a kit for preserving an knocked out tooth during transfer to a dentist for reinsertion. Save-A-Tooth® can be purchased at local pharmacy and is a great addition to a first aid kit, especially for sports teams. In fact, most professional sports teams as well as the U.S. Olympic team use Save-A-Tooth®.]
6. Head to the dentist immediately.  For reinsertion, success is directly related to the amount of time from the accident to replacement.

 Tooth That Is Pushed Out Of Place

            Often times a tooth is push out of place but still remains in the boney socket from an injury. With a permanent tooth, it is important to place the tooth back into its original position.  Gently push the tooth back into that position and hold it there.  Biting can also help push the tooth into its original position.  If seen soon, a dentist can numb the area and press the tooth back into position and then bond it into its original position until healing is completed.  The sooner you see the dentist, the better chance of positioning the tooth correctly.

            Many years ago, I treated an 11-year–old boy who had a bicycle accident and damaged his upper front teeth.  One tooth was chipped which I repaired with a bonded filling.  A second tooth was fracture into the nerve, so root canal therapy was completed with a large tooth-colored filling. A third front tooth was knocked down and back, so I press it back into position. All three teeth were temporarily bonded together, which held them in place while the bone and gums healed.  After 6 months, I removed the bonding and smoothed the teeth, which were firm and look good. When he was 17, after braces for teeth alignment, he had permanent cosmetic crowns and veneers.   He had a great smile for his senior pictures.  

ENJOY LIFE AND KEEP SMILING!

George Malkemus has had a Family and Cosmetic Dental Practice in Rohnert Park for over 27 years.

George A. Malkemus, DDS

Dentist in Rohnert Park
2 Padre Parkway Suite #200
Rohnert Park, CA 94928
Phone: (707) 585-8595
MalkemusDDS.com

SNORING? TRY A SNORE GUARD!

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If you snore, it's not such a big deal…for you. Your significant other might have a different opinion. While you’re snorting and wheezing, deep in slumber, your mate may be seething, robbed of precious sleep, leading to tensions and animosity.

But the truth is, even if your own snoring doesn't wake you up, it can still be causing you to lose restful sleep. And a bad night tonight can mean a bad day tomorrow.

More than 90 million people in North America, nearly one third of the population, snore while sleeping.  20% of the people who snore suffer from obstructive sleep apnea [OSA], which is a life threatening obstruction of the airway.  A snore guard can prevent snoring and OSA.

What Causes Snoring?

           

During sleep, the whole body relaxes.  The muscles and soft tissues in the throat and mouth relax making the breathing airway smaller. The decrease in airway space increases the velocity of air flowing through the airway during breathing. As the airway closes and the speed of the air increases, the soft tissues in the back of the mouth and throat begin to flutter against one another, causes the obnoxious snoring sounds.

Obstructive Sleep Apnea [OSA]

Snoring may be a sign of something more serious: obstructive sleep apnea.  OSA occurs with reduced airflow during sleep to the point where oxygen levels in the body drop.  Even complete blockage of the airway space by the soft tissues and the tongue can occur. A person with OSA can stop breathing 20 or 30 times an hour for 10 to 20 seconds at a time. Snoring can alternate between from being extremely loud to periods of complete silence. Gasping or choking can even occur during sleep. The lungs struggle to catch a breath—choking sounds—until the chest muscles can force the airway to open—the gasp.

 OSA affects about 18 million people in the U.S. and can be life-threatening.  OSA increases the person's risk for a heart attack, stroke and high blood pressure. Lack of continuous, restful sleep puts the sufferer at high risk for being involved in an auto accident and an inability to efficiently and safely function during the day. Morning headaches, sore throats, daytime sleepiness, trouble concentrating, and depression are often systems of OSA.  Usually the individual is lethargic and tired throughout the day.

What Can Be Done

Studies have shown that excess body weight, heavy alcohol consumption, smoking, and sedative medications increase the severity of snoring. Reducing or stopping alcohol drinking and smoking will help reduce snoring. Even a 10% drop in weight can dramatically reduce snoring and improve the quality of sleep.  Sleeping position can effect snoring.  Usually sleeping on one’s side can help, so the tongue does not fall back into the throat as easily, helping to keep the airway open.

Surgical techniques to enlarge the airway by removing soft tissue structures, such as the uvula, tonsils and adenoids as well as partial removal of the soft palate have been attempted to remedy snoring with mixed results. Various studies have shown these soft tissue surgical procedures to have only a moderate success rate of between 20 to 40 percent.

For severe OSA, a continuous positive airway pressure machine is necessary. When sleeping, a mask is worn that is attached to a machine that produces constant air pressure, forcing the airway open and producing increased oxygen intake.  Usually a referral is given for sleep studies to determine the oxygen levels during sleep to determine the degree of OSA.

For the majority of snorers and for treatment of mild to moderate OSA, the most affordable, non-invasive, comfortable and effective treatment is wearing a snore guard.

Snore Guard

           

A snore guard is a custom-fitted mouthpiece prescribed by a patient’s dentist that helps open the airway during sleep. Snore guards are recommended for snoring and mild to moderate sleep OSA. The snore guard works by moving the lower jaw forward, opening the airway, which reduces air velocity and soft tissue vibration.  The snore guard has different adjustments to move the jaw forward to the necessary opening position. In clinical research studies, snore guards have exhibited initial snoring prevention success rates of over 80%. 

   

The improvement in quality of life for people that stop snoring is amazing.   If OSA is prevented, their energy level increases dramatically. In my dental practice, I treated a 49-year-old male patient who snored so loudly that his wife made him sleep on the living room couch. Needless to say, it was negatively affecting their marriage.  His snoring had been an on going problem for many years.  He was also extremely tired at work, dragging through the day.  After fitting him for a snore guard, he had immediate improvement; his snoring stopped.  He and his wife are happily sleeping together again and he has renewed energy at work.

If you or a loved one snores or have symptoms of OSA, ask your dentist about a snore guard or see your physician about a sleep study to determine oxygen levels.  It could dramatically improve your quality of life and maybe even save your life.

Enjoy Life and Keep Smiling!

George Malkemus has had a Family and Cosmetic Dental Practice in Rohnert Park for over 27 years.

George A. Malkemus, DDS

Dentist in Rohnert Park
2 Padre Parkway Suite #200
Rohnert Park, CA 94928
MalkemusDDS.com
Phone: (707) 585-8595

Laughter is the Best Medicine

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What Does the Dentist of the Year Get? A Little Plaque!

What did the Dentist say to the Computer?This won’t Hurt a Byte!

                                         Health Benefits of Humor and Laughter

Laughter improves our mental and physical health, increasing our capacity to fight disease. Humor and laughter strengthen our immune systems and help us recover from illness.  Laughing relaxes the body and reduces the risk of heart disease, strokes, arthritis, and ulcers, as well as brings joy into our lives.
A good hearty laugh can help:

    * Reduce stress and foster instant relaxation

    * Lower blood pressure

    * Elevate mood - make you feel good

    * Boost immune system

    * Improve brain functioning

    * Protect the heart

    * Connect you to others

How do You Clean a Tuba?  With a Big Tuba Toothpaste!

 Laughter Lowers Blood Pressure

            People who laugh heartily on a regular basis have lower standing blood pressure than the average person.  When people have a good laugh, initially the blood pressure increases, but then it decreases to levels below normal.  Breathing then becomes deeper which sends oxygen enriched blood and nutrients throughout the body.

            One study showed that laughing causes the blood vessels to expand, thus lowering blood pressure.  While monitoring the blood flow and pressure of healthy volunteers, half the group watched a movie that was filled with violence and suspense while the other half a ‘very funny movie.’  Those who watched the suspense film experienced an immediate constriction of the blood flow.  Those who watched the comedy had the opposite experience.  Their bloods vessels opened up, helping protect them from a stroke or heart attack.
  

In addition, it was concluded that watching a funny movie may have as much positive effect on the arteries as 20 minutes of jogging.  This doesn't mean you should become a couch potato, but if you are going to lie around, you will be better off watching a comedy than a R-rated violent movie.

What was the Dentist Doing in Panama?  Looking for the Root Canal.

Laughter Protects the Heart

            Laughter, along with an active sense of humor, may help protect you against a heart attack, according to a study at the University of Maryland Medical Center. The study found that people with heart disease were 40 percent less likely to laugh in a variety of situations, compared to people of the same age without heart disease.

The most significant finding of the study was that people with heart disease responded less humorously to everyday life situations.  They generally laughed less, even in positive situations, and they displayed more anger and hostility.

Historically, research has shown that distressing emotions (depression, anger, anxiety, and stress) are all related to heart disease.  A good sense of humor and the ability to laugh at stressful situations helps reduce the damaging physical effects of distressing emotions.

What Do You Call a Depressed Dentist?   A Little Down in the Mouth!

Laughter Gives Our Bodies a Good Workout

            Laughter can be a great workout for your diaphragm, abdominal, respiratory, facial, leg, and back muscles.  It massages abdominal organs, tones intestinal functioning, and strengthens the muscles that hold the abdominal organs in place.  Not only does laughter give your midsection a workout, it can benefit digestion and absorption functioning as well.  It is estimated that hearty laughter can burn calories equivalent to several minutes on the rowing machine or the exercise bike.

Doctor, I have Ringing in My Ears?Don’t Answer!

           

Laughter Improves Brain Function

           
     Humor improves mental health.  Laughter stimulates both sides of the brain to enhance learning.  It eases muscle tension and psychological stress, which keeps the brain alert and allows people to retain more information.

Why Did the Guru Refuse Novocain at the Dentist? He Wanted to Transcend Dental Medication!

Laughter Relives Stress

Humor is a powerful emotional medicine that can lower stress, dissolve anger and unite families in troubled times.  Mood is elevated when humor is found in difficult and frustrating situations. Laughing at ourselves during difficult situations helps reveal that small things are not the earth-shaking events they sometimes seem to be at the time.  Looking at a problem from a different perspective can make it seem less formidable and provide opportunities for greater objectivity and insight.

Humor also helps us avoid loneliness by connecting with others who are attracted to genuine cheerfulness.  And the good feeling that we get when we laugh can remain with us as an internal experience even after the laughter subsides.

Rodney Dangerfield went to the Dentist, “Doctor, I have Yellow Teeth, What can I Do?”   “Wear a Yellow Tie.”  No Respect!

Force Yourself to Laugh

Laughter seems like it should be a spontaneous act.  But for many of us, laughter does not come easily.  Try forcing yourself to laugh for one minute and see how it improves your mood.  The next time, you are totally frustrated [ say stuck in traffic, or your mind is stuck on a upsetting thought] try forcing yourself to laugh.  I bet you will feel much better.
Did You Hear about the Dentist who Planted a Garden?    A Month later, He was Picking his Teeth.

Keep laughing and you will live a longer, happier life.  The old saying that “Laughter is the Best Medicine,” is definitely true!

What did the Dentist See at the North Pole?A Molar Bear.   Ha! Ha!

            Enjoy Life and Keep Smiling and Laughing!  And Remember to Be Kind to your Dentist!  He has fillings, too!

 

George Malkemus has had a Family and Cosmetic Dental Practice in Rohnert Park for over 27 years.  

George A. Malkemus, DDS2 Padre Parkway Suite #200Rohnert Park, CA 94928 Phone: (707) 585-8595