DeCastecker Dental Specialists wants to help you prevent damage to your teeth.

Published on September 27, 2016 by

Relieve Tension, Prevent Grinding and Protect Your Teeth from Wear


A ‘night guard’ (occlusal appliance) is a thin piece of hard plastic made from impressions of your teeth that is placed on the upper teeth. The night guard is hard enough to be durable but it is softer than teeth and protects them from wear. A night guard protects your teeth and jaw from the detrimental effects of nighttime teeth grinding. The pressure created by grinding can eventually wear your teeth down to nothing! Other warning signs that you may be grinding your teeth at night include headaches (sometimes severe) and jaw pain when you wake up in the morning.

The Food and Drug Administration (FDA) has recently approved the NTI Tension Suppression System (NTI) as a drug-free alternative to reducing headache pain and migraine-related episodes that affects 28 million Americans. This safe and effective device is simple to use, requires no surgery and has no side-effects.

In a multi-center trial of the NTI device, 82% of sufferers had a 77% reduction within 8 weeks.


Occlusal ‘Night Guard’ Appliances for Patients with Tooth Wear

From my experience in the dental field, I have seen an increased number of patients with tooth wear issues. Grinding or ‘clinching’ is present in a high percentage of people. This behavior can be caused by a nerve triggering muscles during sleeping, or a bad habit that people develop during stressful moments.

The benefits of having an occlusal ‘night guard’ appliance are multiple. Occlusal appliances:

• Significantly decrease the wear of patient’s teeth.

• Significantly reduce the deterioration of patient’s restoration, preventing chipping and wear.

i.e.: crowns on implants  and molar restoration are more susceptible to fracture and chipping than natural teeth.

A custom-made ‘night guard’ appliance is made of a hard acrylic. This appliance not only protects the teeth from wearing, but also can modify the patient’s occlusion. There are ‘generic’ over-the-counter appliances available, but all of them are made of a soft material, so its use is limited.

Modification of the occlusion offers the ability to control the activity of the muscles used for chewing. For example, studies have shown that canine tooth contact due to lateral jaw movement (right to left), decreases muscle activity. On the other hand, group function or the contact of premolars and molars in lateral movement, significantly increases the activity of the muscles used in chewing.

Molar teeth are not meant to touch when the lower jaw is moving from right to left, for their shorter roots are not made to support this type of contact. The constant lateral contact in these posterior teeth will cause an increased chance of bone deterioration and of developing gum disease.

Other studies have shown that ‘soft’ night guard occlusal appliances significantly increase muscle activity, making these issues worse.

I believe a custom ‘night guard’ occlusal appliance is very effective and a preventative service. I highly recommend them to my patients.

Dr. Estela DeCastecker, DDS.
Mentor, Ohio Dentist

Call us to schedule an appointment at (440) 975-9885, and get started on the path to healthier teeth today!




Visit DDS Decastecker Dental Services on Facebook

Published on April 19, 2016 by

Decastecker Dental Facebook Page















Spring is Just Around the Corner

Published on April 14, 2016 by

It’s time to start your spring cleaning
and enjoy some-spring-blossoma healthy year ahead.

Include a check-up on your dental needs today!

Refer a friend! 

Thank you for showing your confidence in us through the referral of your friends!

Click to send a Referral Email



To Your Health on St. Patty’s Day

Published on March 17, 2016 by

Indulge in St. Patrick’s Day festivities without worry!
If you have tooth sensitivity due to acid erosion, we have you covered.


Tooth decay has many causes — including acidic beverages like beer, pop, and sports/energy drinks that create an acidic environment in your mouth, which can lead

to multiple cavities.

Medications for high blood pressure, allergies, or other issues can lead to dry mouth 
(a decrease in saliva production). The result is increased plaque and an acidic environment. Receding gums, which is the exposure of the root surface of your teeth, 
also dramatically increase the incidence of tooth decay.

To help prevent further dental problems or the loss or your teeth, the two products below can offer you many benefits.

Once you’re done celebrating St. Patrick’s Day, call DeCastecker Dental Specialists for more information about these products and to make an appointment for a Fluoride Varnish application or a MI Paste Plus treatment.

Sláinte! “To Your Health,”

Estela V. DeCastecker, DDS
DeCastecker Dental Specialists

Mentor Ohio Dentist

How to get the most benefit from your dental insurance.

Published on March 4, 2016 by

This information is to help you understand how to get the most benefit from your dental insurance.

Your insurance policy is a contract between you and your insurance carrier. We will, as a courtesy, bill your insurance and help you receive the maximum allowable benefit under your policy. However, we expect patients to be responsible for communicating with their insurance carrier on any open claims. I find that patients who are involved with their claims process are more successful at receiving prompt and accurate payment services from their insurance carrier.

We find that many patients get confused by the fact that dental insurance is not the same as medical insurance, where there are very different benefits. Most dental insurance is a separate policy that has an annual benefit maximum. Once this annual amount is used for services rendered, you are responsible for any balance due. If you do not use your benefits for the year, you may lose that benefit because most dental insurances do not carry that amount over to the following year.

So if you are paying for dental benefits, be sure to take advantage of what they offer. Even if there is no work to be done, you are still allowed routine exams and cleaning, usually twice a year, at no cost to you depending on your dental benefits package.

To ensure you receive your insurance benefits, it is your responsibility to know if our office participates with your insurance plan. Failure to provide all required information might mean the patient has to pay for all charges.

When insurance is involved, we are contractually obligated to collect co-payments, co-insurance, and deductibles, as outlined by your insurance carrier.

We truly enjoy providing service to you as our patient, and we would like you to have a satisfied, stress-free experience with our team at DeCastecker Dental Specialists, (DDS).

Dr. Estella DeCastecker

For more information or to schedule an appointment, please call our
Mentor, Ohio Dental Office today at 440-975-9885.

DDS DeCastecker Dental Specialists

Mentor Ohio Dentist

Be Aware of Dental Erosion!

Published on November 30, 2015 by

Many people are suffering from dental erosion and they probably don’t even know it.

Dental erosion causes severe wear to the teeth due to sustained direct contact between tooth surfaces and acidic substances. It is caused by a chemical component. A chemical component can refer to any liquid with a low Ph and a high titratable acidity. Dental erosion can be found in areas where there is ‘no occlusion’ or no contact between the teeth in regards to the relationship between the upper and lower teeth. It can also appear as cup-like lesions on the cusps of lower molars and premolars, or it can be recognized by seeing fillings or restoration over the natural surface of the teeth.

In European studies*, research has concluded that dental erosion by a chemical acid process is a bigger problem in the US today than mechanical tooth wear, attrition or abrasion. Erosion or corrosion can be caused by gastro esophageal reflex, bulimia, acidic beverages, citric fruits and personal habits.

  • Gastro esophageal reflex is a condition, where 25-50% of the people affected have no other symptoms other than dental symptoms. This condition causes severe wear of the lingual surface (the surface of a tooth that faces inward toward the tongue and oral cavity), of the upper and lower teeth, and also the occlusal surface (the surface of the teeth that comes in contact with those of the opposite jaw) of the posterior teeth.
  • Bulemia specifically affects the upper anterior teeth.
  • Acidic beverages, such as sodas, coffee, energy beverages, and tea are most commonly known to wear the enamel of the buccal surface of the teeth (the front surface of the teeth which face the cheek). They are also known to create ‘islands’ of missing enamel in the teeth.
  • Citric fruits will create tooth wear specifically in the area of most contact, generally in the upper anterior teeth (incisors and canines). The most common fruits, from more to less harmful are limes, grapefruit and oranges.
  • Personal Habits can be harmful too. One example of putting aspirin specifically on an area of your mouth, can localize enamel erosion in that area.

Making sure that you eat and drink the right foods and beverages is important to you and your teeth. If you consume too many acidic foods and beverages, the acid could be wearing away your enamel. Prevention now is more important than ever. If you notice these types of changes in your mouth, please consult us to prevent further damage to your teeth and/or to discuss treatment options.

Dr. Estela DeCastecker 

For more information regarding the long-term effects of dental erosion or to schedule an appointment, please call our Mentor, Ohio Dental Office today at 440-975-9855.

Mentor Ave. Dentist

* Article:

1: Int. J. Prosthodont, 1999 Sep-Oct:12(5):401-8.
A difference in perspective–the north American and European interpretation of tooth wear
Bartlett D. Phillips K. Smith B.
Division of Conservative Dentistry. Guy”s
King’s and  St Thomas. Dental Institute London, UK

What is Gum Disease?

Published on June 26, 2015 by

Gum disease is a condition that is very prevalent in our adult population today. In the beginning stages of its development, the disease does not cause pain or discomfort. However, if symptoms are ignored or not properly diagnosed, and patients do not see their dentist on a regular basis, many with the disease will not even know they have it.

With recent investigations focused on finding a more efficient treatment for gum disease, researchers have come to a better understanding of the oral bacteria mechanism that causes periodontitis (a severe form of gum disease).

The human body is comprised of 10 times more bacterial cells than human cells. The bacterial cells are usually helpful, functioning to clean or control the overpopulation of harmful bacteria. However, when there is a disturbance in the balance of bacteria in the oral environment, periodontitis is present. This imbalance is called dysbiosis.

Porphyromonas gingivalis are one type of bacteria that causes dysbiosis. It is also a keystone pathogen, which are bacteria that can’t cause the disease by themselves, however they instigate other normally nonpathogenic bacteria to cause the inflammation.

P. gingivalis attacks immune cells – and it affects the immune system in 2 pathways.

  1. By promoting the degradation of a protein—MyD88—which normally clears infection.
  2. By activating an enzyme—P13K, which increases inflammation—affecting the immune cells’ ability to kill bacteria.

Bone loss and bleeding gums are the result of this attack.

This recent discovery opens new paths for the development of innovative treatments for Periodontitis, and also suggests a bacterial strategy that could be at play in other diseases involving dysbiosis, such as IBS, (irritable bowel syndrome), colon cancer, and more.

The good news is that periodontal treatment can give us a new protocol to address other bacterial diseases that develop within our bodies.

Dr. Estela DeCastecker  

For more information regarding the long-term effects of gum disease or to schedule an appointment,
please call our Mentor, Ohio Dental Office today at 440-975-9855.




ORAL CANCER is Growing at an Alarming Rate

Published on January 30, 2015 by

“Hello. My first topic this year is Oral Cancer — a disease that unfortunately has been featured too-often in recent news. Oral Cancer is rapidly increasing in the US, especially in our younger population. I understand the growing public concern, for the consequences of suffering from Oral Cancer can be quite devastating.  You can survive this type of cancer, however, without early detection, you will be left with a scar that will not allow you to forget it.

The signs and symptoms of Oral Cancer often cannot be seen by the naked eye. For this reason, I have acquired new equipment in my practice, that will help me to detect suspicious lesions in the oral mucosa.  This new Identafi® Oral Cancer Screening Device is a wan light which uses 3 different types of light waves to excite oral tissue in a distinct and unique way.

Through the use of fluorescence and reflectance, these different light waves will excite the tissue to allow me to observe biochemical and morphological changes.  The fluorescence, violet light, allows me to see biochemical changes while morphological changes can be monitored with reflectance, amber light.  With the use of filtered glasses, my ability to see these changes is enhanced.

The violet light allows your normal tissue to show its natural fluorescence, which causes lesions or suspicious tissue to appear dark (due to its loss of fluorescence). If suspicious abnormalities are present, I will be able to see the morphology of the vasculature by switching the light to amber light. Healthy tissue usually has an organized pattern of the circulation around it, while abnormal tissue will show a diffused and irregular pattern.

This device will allow me to detect any suspicious changes in the cells of the mouth, throat, tongue, and tonsils that may potentially lead to Oral Cancer. It will provide my patients with a more comprehensive and accurate oral exam (as compared to a direct visual exam alone), and provide assurance for recommending biopsies.

According to the Oral Cancer Foundation, close to 37,000 Americans will be diagnosed with Oral Cancer this year and it will cause over 8,000 deaths. Oral Cancer is not hard to detect, but it is usually diagnosed too late, when it is in its advanced stages.

Serious health conditions can affect all of us. I truly care for the health and well-being of each and every one of my patients – so if I can help in any way to prevent or treat Oral Cancer early, I will reach for the tools that are available to do it”.

Dr. Estela DeCastecker

For more information regarding Identafi®, Oral Cancer screening or to schedule an appointment,

Please call our office today.

General Dentist Mentor Ohio

What is a crown, and why do I need it?

Published on November 19, 2014 by

“A crown is a restoration. A tooth that has had a trauma or decay will need to be restored. There are different types of restoration, and all have a different purpose.

Crowns are particularly used to protect a tooth that has lost more than 50% of its structure due to decay or trauma. Also, crowns are used to restore root canal teeth and teeth that need to be modified anatomically for functional or esthetic reasons. Over the years, I have seen many people loose their root canal teeth, due to the lack of crown restoration. I would like to emphasize this point, for root canal treated teeth usually do not cause pain, and therefore patients forget that a crown is needed. Posterior teeth in particular are the most susceptible to fracture due to the lack of a crown. The force that our posterior teeth or molars have to withstand during normal activity is 9 times more than anterior teeth. This is why they end up fracturing, and many times the teeth are not restorable.

Today, a diversity of materials are available that are used to fabricate a crown. The most recent materials developed are very resistant to fracture and dislodgment. Also, the current cement and resins used to bond the tooth structure increase the strength of a crown. Crowns can help keep the natural function and support the structure of your teeth without sacrificing the esthetics, because the new materials can resemble the natural dentition very closely.

As your dentist, I recommend crown restoration — to protect your teeth, as well as to maintain their health, function and esthetics”.


Dr. Estella DeCastecker  Mentor Ohio Dentist

Dentures and Regular Checkups

Published on October 8, 2014 by

“Most people who wear dentures have struggled with chronic gum disease or have had a history of poor oral health. This means they have suffered from chronic inflammation in their mouth, for long periods of time… which can be considered one of the causes of oral cancer.

These patients eventually will require dentures to replace their missing teeth, which by themselves won’t cause cancer. However, due to the history of the patients’ oral health, it is very important that they are mindful to reduce the chances of inflammation in their mouth. Poorly fitting dentures can trap substances and injure gum tissues due to uneven pressure in the ridge of the jaw. This pressure can cause lacerations and ulcers in their gums. Unfortunately, this situation can mimic the chronic inflammation that these denture-wearers had before their appliances.

Therefore, it is very important to maintain good oral hygiene by making regular visits to your dentist. He/she can evaluate your appliances, the condition of your gums and screen for oral cancer. A 6 month periodic exam with ultrasonic cleaning of the dentures will help to prevent inflammation in the oral cavity and will help to increase the longevity of your dentures”.

Dr. Estella DeCastecker  Mentor Ohio Dentist