The 8 Habits of Highly Effective Cosmetic Dentists

Cosmetic Dentistry elicits images of celebrities and Kim Kardasian’s smile. Doesn’t it? People want to look attractive to others. And that requires an attractive smile. A smile that often is either improved or completely created by a highly skilled cosmetic dentist.

At Gentle Dental Care in Plainville, CT we are experts at smile makeovers. Our expertise with Porcelain Veneers, all porcelain crowns, CT teeth whitening, smile analysis and a keen eye for tooth color, shape and size blend to give you the smile you deserve.

Smile Makeovers are an art and science. Smile makeovers require the diligent efforts of a skilled cosmetic dentist.

Dr. Thomas Peltzer is the best cosmetic dentist in CT because he has obtained additional training and certifications from major cosmetic dentistry organizations such as:

  • The American Academy of Cosmetic Dentistry
  • The Las Vegas Institute for Advanced Dental Studies
  • The American Society of Dental Aesthetics
  • The Scottsdale Center for Dentistry

There are 8 habits or traits that highly effective cosmetic dentists possess.

1. Effective cosmetic dentists are prolific

At Gentle Dental Care in Plainville, we provide Cosmetic Dentistry to dozens of                 patients every week. We are continually whitening smiles in CT, designing smiles with porcelain veneers and providing smile makeovers.

Many times we utilize our expertise with Sedation Dentistry to help achieve total comfort for our precious patient.

Yes. You can have your smile improved while also benefiting from sedation dentistry.

Being in high demand and practicing many cosmetic dentistry treatments greatly improves the quality of our cosmetic dentistry. I continue to learn from every patient we help. That’s part of the definition of a “professional”….continual learning is essential.

2.Effective cosmetic dentists are efficient

Smile Makeovers require many skills. My ability to chose among the various options of materials, techniques and listen intently to our patient’s feedback as to exactly what each individual patient desires is critical.

We plan the entire treatment sequence from start to finish before starting treatment. That provides our roadmap to success. This eliminates surprises along the way and increases efficiency and quality of my cosmetic dentistry.

Patients want their smile enhanced in an expeditious manner.

Coordination of the treatments with the cosmetic dental laboratory, in advance of the case, is essential. This helps ensure your cosmetic dental treatment will be as beautiful ass you want it to be.

Consultation with the master lab technician prior to starting treatment helps ensure that every member of the dental cosmetic team is working towards the same great result.

3. Effective cosmetic dentists are analytical

Highly skilled cosmetic dentists don’t practice or live in a bubble.

Our entire office team always stays up to date with advanced courses in the many aspects of quality cosmetic treatment.

I take courses with many major international organizations such as The Scottsdale Center for Dentistry, The American Academy of Cosmetic Dentistry, The Las Vegas Institute for Advanced Dental Studies and The American Society of Dental Aesthetics.

I understand that each patient seeking cosmetic dentistry is unique. I listen to my patient’s desires and goals and seek to provide them with the smile they want.

4. Effective cosmetic dentists are lifelong learners

I’ve written to this important issue previously. Some dentists practice the exact same way they have for years.

We are constantly analyzing the profession for new and better treatment techniques all the time.

I am continually evolving, analyzing and studying from the masters of the dental profession. Such continual learning on my part has not gone unnoticed.

I personally invest in hundreds of hours of dental continuing education every year.

This continual learning and refinement benefits our valued patients to achieve the best dentistry possible.

5. Effective cosmetic dentists are focused and consistent

Skilled cosmetic dentists select areas of expertise and emphasize those skills. They do not advertise themselves as being an expert at everything. Remember- focus and discipline are the keys to a highly talented cosmetic dentist.

I plan time regularly to study, learn new techniques in cosmetic dentistry and remain at the top of  my profession.

We are in regular contact with other cosmetic dentistry experts throughout the country to teach and mutually share ideas and new information to advance our professional skills.

6. Effective cosmetic dentists plan ahead

Skilled cosmetic dentists know what they are doing  before treatment begins and know exactly how their efforts will result in a great smile. We have a master plan and we stick to it. Our patient’s valued input and approval along the way is essential.

Yes, we adapt based on feedback, but always to perfect our vision  of a smile makeover and what is best for our individual patient.

Each patient is unique and the successful cosmetic dentist is skilled at many different techniques to provide the best smile makeover.

7. Effective cosmetic dentists are persistent

Top cosmetic dentists understand that perfect results are not achieved overnight. Real proficiency rarely happens quickly. Years of dental cosmetic experience are essential to becoming a great cosmetic dentist.

Time is on our side. To be the best cosmetic dentist takes consistency, hard work, serious study and lots of persistence. As the best cosmetic dentist, we consistently perfect our skill and knowledge and never stop learning.

8. Effective cosmetic dentists are self-starters

To be excellent at cosmetic dentistry, I need to manage my time efficiently. I need to plan which specific cosmetic dentistry education programs I should attend. I need to network and learn from others. I also need to teach others so that they can learn from my experience.

At Gentle Dental Care in Plainville, CT, we often have other dentists visit us to learn from us. Word spreads and the self-discipline I have practiced to achieve our top position as Connecticut’s Cosmetic Dentist can be shared with other self-starters from across the nation.

Visit us at or Call 860-747-5711

Posted in Connecticut Dentistry, Cosmetic Dentistry, Dental Anesthesiology, Dentistry Education, Sedation Dentistry | Tagged , , , , , , , , , , , , | Leave a comment

Can Oral Sex Cause Oral Cancer?

What? Is this really possible? How can this be? Well, there is a virus called Human Papillomavirus (HPV) that exists in over one hundred twenty strains. Only nine of these strains can cause cancer.

Over our own life time, 75 percent of the population will contract one of these strains of HPV. The big question is just which strain of HPV will you contract? Unfortunately Human Papillomavirus does not show up on standard Sexually Transmitted Disease (STD) tests.

HPV is primarily transmitted through intercourse, oral sex and French kissing. Fortunately, dental professionals have the means to detect oral cancer very, very early with either of two primary tests. Some dental professionals have either of two devices called the VelScope or the ViziLite for Oral Cancer screening of our patients.

Vaccines are commonly administered to women age twenty seven and under to protect against HPV infection. The Center for Disease Control (CDC) did not add this vaccine to the recommended immunization schedules for males although young males can benefit from the HPV vaccine.

Since HPV kills one person  every hour of every day, early detection is HUGE. Don’t miss out on this opportunity to be examined for early detection of oral cancer with one of these two life saving devices.

Other than that, there is not much you can do. So ask us for an oral cancer screening and protect yourself.

Additional Resources:

Thomas J. Peltzer, DMD                                                 

Posted in Connecticut Dentistry, Dentistry Education, Health | Tagged , , , , , , , , | Leave a comment

Sedation Dentist Specialist in CT

Welcoming You to the Pleasure  of Sedation Dentistry

You will experience all of the following benefits:

  • Safe and effective sleep sedation
  • Pain free one time dental procedure
  • Experienced friendly staff to facilitate your visit
  • Pleasant seamless dental experience… leaving you with a smile like never before

We have treated patients with all of your dental concerns and much more!

Patients trust us because they know they are safe in our hands. Our doctor and staff have literally had thousands of hours with hands-on experience performing sedation dentistry procedures on numerous patients. Using the very latest in state-of-the-art dental technology and equipment.

Our technical expertise ensures that we are prepared for any situation that may arise during dental treatment. Let us take the pain out of your dental treatment! Find out more about our dental sedation treatment. Watch the video above. Just hit the play button.

Now that you’re ready to experience safe, highly relaxing sedation dentistry , all you have to do is talk to us.

Before you call (860) 747-5711 imagine that smile. The one that you’ve always wanted, then just tell us about it. And we will give you that same bright smile in one single safe visit…

Let us take the pain away… Don’t be afraid to smile again!

Still wondering about sleep dentistry? Then read our patient testimonials on Google Plus before you call us.

Gentle Dental Care, Thomas J. Peltzer, DMD, 87 East Street, Plainville, CT 06062, (860)-747-5711

Posted in Connecticut Dentistry, Oral Surgery, Sedation Dentistry | Tagged , , , , , , | Leave a comment

Pre and Intraoperative Anesthetic Management of Surgical Patients Glycemic Control

diabetes finger stick

BLOOD SUGAR DILIGENCE     by Thomas    Peltzer DMD

Before surgery during the prep visit, determine the patient’s level of glycemic control based on blood glucose levels and, ideally, HbA1c.

Nearly 10% of the U.S. population now has diabetes, and the American Diabetes Association estimates another 30% is pre-diabetic, making it likely you’ll encounter diabetic patients with greater frequency.  Surgical stress and sedation dentistry stress response can lead to short-term resistance to insulin, which in turn causes hyperglycemia. During surgery, hyperglycemia can cause dehydration, fluid shifts, electrolyte abnormalities, a predisposition to infection and impaired wound healing. For patients undergoing major surgery, these occurrences may be associated with increased perioperative morbidity and mortality. While insufficient evidence exists to provide strong recommendations regarding glycemic control specifically for outpatient surgery, here are steps we can take to ward off diabetic complications.

Pre-operative screening   Determine the following pre-operatively:

  • level of glycemic control based on blood glucose levels and, ideally, HbA1c;
  • type (oral antidiabetics and/or insulin) and dose of antidiabetic therapy in use;
  • frequency and symptoms of hypoglycemia;
  • the blood glucose level at which hypoglycemic symptoms occur;
  • hospital admissions that have come about from glycemic control issues; and
  • the patient’s ability to test blood glucose levels.

Diabetic patients should be treated as early in the day as possible, so they fast for less than 12 hours and miss no more than 1 meal. Diabetic patients exhibit gastroparesis and so may not have an empty stomach even following hours of fasting. This is an important consideration with respect to sedation dentistry and anesthesia management.

Pre-operative therapy Hypoglycemia isn’t generally a worry in patients on oral antidiabetic medications; it occurs only rarely with sulfonylureas, meglitinides and non-insulin injectables. Patients should continue use of these drugs, including metformin, until the day before — but not on the day of — surgery.

Pre-operative patient preparation Provide patients with instructions for handling their insulin regimens leading up to surgery (see table for dosing-instruction guidelines). Instruct them to bring all their diabetes medications, including insulin, with them on the day of surgery, and to travel with glucose tablets or a sugary drink in case of post-op hypoglycemia. When the patient arrives, make sure she hasn’t consumed the tablets or drink en route, nor anything else barred by your general NPO instructions.

Pre-operative decision to proceed There isn’t a specific pre-op blood glucose level above which surgery should be postponed; however, you should always consider comorbidities and the risk of surgical complications. Postpone surgery if the patient is suffering significant complications of hyperglycemia, such as severe dehydration, ketoacidosis and hyperosmolar non-ketotic states, on the morning of surgery. If the patient is only hyperglycemic without the above symptoms and blood glucose is below 300 mg/dL, proceed with a plan for perioperative glycemic control.

Intraoperative monitoring and prevention In patients with well-controlled diabetes, intraoperative blood glucose levels should be maintained at less than 180mg/dl. Don’t try to acutely decrease (normalize) the level in the chronically elevated patient. To maintain optimal blood glucose in the first set of patients, administer subcutaneous rapid-acting insulin analogs perioperatively using the “rule of 1,800 or 1,500.” This is meant to represent the ratio of expected decrease in blood glucose with each unit of insulin used. For example, if a patient’s daily insulin dose is 60 units, 1 unit of insulin would reduce the blood glucose level by 25 to 30mg (for example, 1,800/60 or 1,500/60).

Enact PONV-prevention protocols, as patients with diabetes are more prone to post-op nausea, and need to return to normal feeding more quickly, to prevent hypoglycemic complications. You can use dexamethasone 4mg to aid in post op nausea and/or IV Zofran. You should follow this precaution with appropriate monitoring and if necessary, IV modifications of blood glucose levels post operatively or via subcutaneous administration of appropriate insulin injection to optimize blood glucose levels.

At Gentle Care in Plainville, CT we base our frequency of blood glucose checks on the individual patient’s historical glycemic control (HbA1C) and the trend in BG levels over time under anesthesia. The more frequent the changes, the more frequently we monitor blood glucose under anesthesia.

Perioperative blood glucose monitoring and management Check blood glucose levels upon the patient’s arrival to the facility and before discharge home. Be sure to record them on the anesthesia record. Perform intraoperative blood glucose monitoring every 1 to 2 hours, depending on the procedure duration (generally, longer than 2 hours) and insulin type used. For patients who have received insulin and those with lower blood glucose levels, monitor more often as appropriate. You may need to supplement the blood glucose with IV dextrose to remain within safe levels.

Blood glucose under 70mg/dl (4.0mmol/l) is an alert value for hypoglycemia. If the patient is symptomatically hypoglycemic, have the patient consume 15 to 20gm of glucose, repeated until blood glucose rises and symptoms resolve. Avoid overzealous glucose administration, as hyperglycemia can lead to post-op complications.

Post-operative discharge Aim for blood glucose levels in the ideal range before discharge. Observe patients until the possibility of hypoglycemia from perioperatively administered insulin has been ruled out.

Post-discharge advice Instruct patients to check blood glucose levels frequently while fasting. Remind them to use their hypoglycemia treatments if they begin to feel symptomatic. Advise them to delay transition to daily pre-op antidiabetic regimens if normal caloric intake is delayed due to alteration of their normal eating schedule as a result of post op oral surgery pain.


Insulin Regimens in Diabetic Patients

Insulin Regimen Day Before Surgery Day of Surgery
Insulin pump No change; use “sick day” or “sleep” basal rates No change; use “sick day” or “sleep” basal rates
Long-acting, peakless insulins 75% of evening dose if history of nocturnal or morning hypoglycemia is present 75% to 100% of morning dose, administered upon arrival to the facility
Intermediate-acting insulins No change in the daytime dose; 75% of evening dose if history of nocturnal or morning hypoglycemia is present 50% to 75% of morning dose, administered upon arrival
Fixed combination insulins 75% of evening dose if history of nocturnal or morning hypoglycemia is present 50% to 75% of morning dose of intermediate-acting component; neutral protamine Hagedorn in place of lispro-protamine
Short- and rapid-acting insulin No change Hold the dose
Non-insulin injectables No change Hold the dose

Adapted from the Society for Ambulatory Anesthesia’s Consensus Statement on Perioperative Blood Glucose Management in Diabetic Patients Undergoing Ambulatory Surgery.

Visit us at or call 860-747-5711 and view our You Tube Channel at or view us at Google+ at:

Posted in Connecticut Dentistry, Health, Sedation Dentistry | Tagged , , , , , | Leave a comment

Thomas Peltzer Achieves Re-Certification in Advanced Cardiovascular Life Support (ACLS)

As Connecticut’s Premier Sedation Dentist, Thomas Peltzer, DMD has a responsibility to ensure the safest environment and highest level of training for our valued patients. The ACLS Certification that Dr. Thomas Peltzer currently has achieved, is vital to those advanced medical skills. Dr. Peltzer in CT has been an ACLS Certified Healthcare Provider for many years and recently completed rigorous testing to re-certify that ACLS qualification.

ACLS Certification is but one of many vital safety training steps required for mastery of safe Sedation Dentistry and for Dr. Peltzer’s role as a  Dental Anesthesiologist.

ACLS, the acronym for Advanced Cardiovascular Life Support, is an intensive series of life support skills that go far beyond the basic BLS course from the American Heart Organization.

Hands on experience with advanced administration of medications to treat cardiac arrest, stroke and heart disease and Abnormal Heart Rhythms (Arrhythmia) are all part of the essential skills required to become an ACLS certified provider which Dr. Peltzer has achieved for several years.

As a certified ACLS Provider, Thomas Peltzer, DMD at Gentle Dental Care in Plainville, CT is qualified to provide care and supervise a team of healthcare providers in providing greatly advanced, knowledge based, Cardiac Life Support to patients with this emergency need.

Visit us at or our blog at

Our Page on Google+

Thomas Peltzer, DMD, 87 East St., Plainville, CT 06062, 860-474-5711

Sedation Dentist Patient Video Personal Stories On Our YouTube Channel:

Posted in Connecticut Dentistry, Dental Anesthesiology, Dentistry Education | Tagged , , , , , , , | 1 Comment

Sedation Dentistry and Dental Anesthesia Increased Experience By Dr. Thomas Peltzer

Yesterday was Day One of five days I’ll be doing advanced sedation dentistry and dental general anesthesia training with the Anesthesia Faculty of the University of Southern California at Los Angeles. While my body accommodated to the time change well, the flight delays, crew problems and mechanical problems allowed me only 3 hours of sleep before I had to be in the OR at 5 AM. Oh, the joys of flying!

I persisted enthusiastically, in large part due to my excitement to be back with my special anesthesia friends here in CA.  Also, I was looking forward to helping the patients with special needs who were to undergo sedation dentistry in the operating rooms and obtain the dental care they so desperately needed.

My eagerness to again return to the operating rooms and provide anesthesia also had a personal component. More advanced emergency sedation dentistry training would be learned, which is of special importance to me. Sedation dentistry is VERY safe but anything I can do to increase your comfort is priceless. At Gentle Dental Care in Plainville, CT 06062, a central CT dental group practice, I see many severely medically and neurologically compromised people seeking dental sedation and anesthesia. Safety and quality dentistry are always foremost priorities for myself as a sedation dentist.

We treated 21 special needs patients under dental sedation yesterday in the operating rooms. These special needs patients have no alternative ways to obtain their needed care. I give my thanks to the anesthesia faculty and hospital staff nurses and assistants who make such sedation dentistry possible for such patients and for the advanced sedation dentistry and sleep dentistry advanced skills I will return to CT with. I want as my goal to provide the best sedation dentistry and best cosmetic dentistry in CT.

Visit us at: or call 1-860-747-5711

Posted in Connecticut Dentistry, Dentistry Education, Health, Sedation Dentistry | Tagged , , , , , , , , , | Leave a comment

Chronic Inflammation, Periodontal Disease and Heart Disease

Controlling Chronic Inflammation Can Keep Periodontal Disease Under Control!

Inflammation is the fire your body builds to burn out attackers like bacteria, viruses or parasites. If you’ve ever gotten a scratch that grows swollen and hot to the touch you’ve encountered acute, or temporary, inflammation. Then the healing begins.

Far more serious is chronic inflammation (CI). It’s like a fire inside your body that never goes out and increasingly researchers are recognizing it as a significant factor contributing to heart disease and it’s relationship to Periodontal Disease.

A simple blood test for chronic inflammation focuses on C-reactive protein (CRP), which the liver produces when inflammation is present. But your mouth can present more obvious and immediate evidence of CI — if you have sore or bleeding gums. That is periodontal disease (gum disease), and it needs to be treated as soon as it is detected to reduce the risk. Early gum disease treatment also reduces the risk of chronic inflammation of your gums from leading to heart disease.

That’s why routine dental checkups are so critical — not just for your teeth but for your overall health. Don’t permit a destructive fire to rage unchecked inside your body. Arrange for a dental appointment with Dr. Thomas Peltzer at Gentle Dental Care in CT at your earliest convenience! And don’t forget to floss.

As experts in Dental Anesthesiology we can also use Sedation Dentistry and eliminate your chronic inflammation of your gums while you’re asleep. Peacefully, comfortably and with zero stress or anxiety.

Visit or call us at 860-747-5711

Posted in Connecticut Dentistry, Dental Anesthesiology, Health, Sedation Dentistry | Tagged , , , , , | Leave a comment