Gary P Tobin, DDS

Gary P Tobin, DDS Dr. Tobin was born and raised in New York. He graduated high school from Francis Lewis, and attended the Queens College for four years as an undergraduate.

After graduation he went to dental school in at NYU College of Dentistry for another four years where he graduated with his Doctor of Dental Surgery Degree (D.D.S.). Dr. Tobin was the director off clinical services at the Core-Vent Corporation, and has completed a two year fellowship in Implantology at Brookdale Hospital in New York. He received specialty training in Anesthesiology at Mount Sinai

Hospital in New York and taught Oral Medicine at NYU College Dentistry. Dr. Tobin met and married his wife Joyce in New York. They decided to move cross country and moved to California and have been here since 1986. Dr. Tobin has two lovely children, Daniel and Erica. Dr. Tobin has been practicing for 27 years and loves the field of dentistry. He is always looking to learn new techniques and tries to keep up with all new technology such as, digital x-ray, laser caries detection, and a computer software system that detects caries in a digital x-rays, he was the first doctor in the San Fernando Valley to own the Cerec machine in 2002. Dr. Tobin is always accepting new patients and is looking forward to continuing the goal of building beautiful healthy smiles.

02/04/2014

A foods acid or alkaline-forming tendency in the body has nothing to do with the actual pH of the food.
Lemons are very acidic but, their end- products they produce after digestion are very alkaline. So, lemons are very alkaline forming for your body.
Meat is very alkaline before digestion but, it leaves very acidic residues in the body. Like nearly all animal products, meat is very acidic-forming in your body.

12/17/2013

Around 95% of fluoride in the body is contained in your bones and teeth. Once it enters the bloodstream it is rapidly absorbed into the developing bones and teeth of children. It increases the crystal density of forming fluorapatite. Fluorapatite hardens your enamel and stabilizes bone.

11/12/2013

To***co use is one of the leading preventable causes of death in America. It is responsible for one out of every five deaths. Annually, it killed approximately 443,000 Americans from 2000-20004.

10/24/2013

Periodontal disease is the most common chronic inflammatory condition worldwide, with prevalence among American adults estimated at approximately 50%. Periodontal pathogens are essential for the initiation of the disease process, yet insufficient by themselves to cause significant disease. The patient with these bacteria may develop gingivitis, the reversible form of the disease, while the susceptible patient may progress from gingivitis to periodontitis, which is characterized by the loss of connective tissue attachment and bone. In one study, investigators concluded that chronic inflammation is a new risk factor for type 2 diabetes. They are both diseases of chronic inflammation and frequently asymptomatic for extending periods. Chronic periodontal inflammation can spill over into the systemic system. It has the potential to exacerbate insulin resistance and worsen glycemic control. Periodontal treatment that decrease inflammation may help reduce insulin resistance.

10/10/2013

Evidence shows that breastfeeding provides a host of systemic health benefits-from helping prevent childhood lymphoma and leukemia to increased cognitive development and disease immunity. Some studies have suggested that prolonged breastfeeding may affect caries risk, quality of masticatory function, orofacial growth and development, and occlusion. Poor oral hygiene, low socioeconomic status, and negative parental behaviors-rather than breastfeeding-may be greater risk factors for caries formation. In vitro studies indicate that compounds found in breast milk may have the ability to inhibit the adhesion and proliferation of Streptococci mutans on tooth surfaces, although there is no epidemiological evidence to suggest breastfeeding reduces the risk for caries in infants. There is no right time to stop breastfeeding and mothers should be encouraged to continue as long as they wish.

09/10/2013

According to the International Journal of Cardiology, there is a relationship between periodontal health and cardiac dysrythmia. Authors of the study believe that one way to lower the risk of developing atrial fibrillation is to receive a dental scaling at least once a year. Atrial fibrillation is the most common type of arrhythmia (abnormal heart rhythm). The electrical activity of the heart is disorganized, which causes an irregular heartbeat. Atrial fibrillation causes incomplete emptying of the atrium that leads to higher risk for clots, strokes, and heart failure. Symptoms include irregular or rapid heartbeat, palpitations, lightheadedness, extreme fatigue, shortness of breath, and chest pain. Other studies have indicated that inflammation might play a significant role in the initiation, maintenance, and perpetuation of atrial fibrillation. Inflammatory markers are elevated and correlate to longer duration of Atrial Fibrillation, success of cardioversion, and thrombogenesis. Researchers are continuing to explore this data.

08/29/2013

Over the past 16years, the amount of sugar in American diets has increased by 28%, with about a third of it coming from soft drinks. To decrease sugar intake, some individuals are turning to diet soft drinks containing artificial sweeteners and synthetic chemicals. The FDA has approved five artificial sweeteners: Aspartame (Equal) which is 180 times sweeter than sugar, Neotame (NutraSweet) which is between 7,000 and 13,000 times sweeter than sugar, Saccharin (Sweet N Low) which is 300 times sweeter than sugar, Sucralose (Splenda) 600 times sweeter than sugar, and Acesulfame potassium (Stevia) –a plant derived noncaloric sweetner. Both Aspartame and saccharin are toxic and cause many health problems and chronic disease. Many people drink diet soda to help maintain or lose weight, but the opposite is actually true. When drinking diet soft drinks, your body experiences a sweet taste and expects calories, but when nourishment is not met you become hungrier and your body starts craving more sugar and starchy carbohydrates to satiate your hungry. The long term result is weight gain. Aspartame will turn body cells into into a fat storing machine, especially in hips and thighs. All sodas are acidic and play a role in eroding tooth enamel. Diet soda has a pH of only 3.2. Consider using a straw to keep soda away from tooth enamel. The evidence is strong that cutting back on sugary drinks or eliminating them altogether is ideal.

08/13/2013

Dentinal hypersensitivity is one of the most common complaints. It affects as many as 57% of dental patients. It is defined as a “short, sharp pain” arising from exposed dentin in response to stimuli. Usually the pain is localized and of short duration which is different than pulpal pain which is dull, aching, poorly localized, and lasts longer. Clinicians usually rely on exposing the suspected tooth to an air blast or hot or cold liquid to elicit a response from the patient. The treatment is nerve desensitization. There are at- home options or in-office options available. An at-home option would be using a desensitizing toothpaste that contains potassium salts (potassium nitrate, potassium chloride, or potassium citrate). Potassium ions diffuse along the dentinal tubules, which block nerve action, dulling the pain associated with hypersensitivity. Potassium salts are effective but may take up to two weeks of consistent use for patients to feel the effects. Fluoride and prescription fluoride toothpastes are another effective strategy for relief. Products containing calcium phosphate technologies are also useful. Tricalcium phosphate is the newest addition providing a slow release of calcium to the tooth surfaces. It is designed to boost the remineralizing effects of fluoride. An in-office therapy would be using a desensitizing prophylaxis paste that uses 8% arginine and calcium carbonate to form plugs of arginine, calcium, phosphate, and carbonate. It has been shown to endure normal pulpal pressure and acid challenges. A fluoride varnish allows for the slow and continuous release of fluoride. Varnishes provide a natural resin-based vehicle for fluoride and have the ability to adhere to tooth structure. Chlorhexidine-containing varnish forms a mechanical barrier after drying, reducing sensitivity, and provides an antiplaque and antibacterial action. Cases of hypersensitivity are not straight forward. A combination of techniques may be warranted to provide long term relief.

08/08/2013

Clear evidence shows that a bidirectional relationship exists between diabetes and periodontal disease with untreated periodontitis making it difficult to control diabetes and uncontrolled diabetes increasing the risk of periodontitis. Diabetes is a disease of metabolic dysregulation, primarily carbohydrate metabolism characterized by elevated blood glucose. The CDC considers diabetes the epidemic of modern time. Type 2 diabetes, also called adult onset diabetes, is expected to double in the next 20years. Hemoglobin A1c is the gold standard for assessing and monitoring diabetes status. It provides information on a person’s glycemic control over the past 2-3 months. Diabetics are at higher risk for developing infections, having heart attacks, strokes, and kidney disease. Periodontal disease is the most common chronic inflammatory condition worldwide. Systemic infections result in increased systemic inflammation, which encourages insulin resistance and makes glucose control difficult. Chronic periodontal disease can exacerbate insulin resistance and worsen glycemic control. A recent study showed a reduction in required insulin doses following definitive periodontal therapy, including scaling and root planning. Periodontal treatment that decreases inflammation may help reduce insulin resistance.

07/30/2013

Dental caries is a widespread but preventable chronic oral health problem. 20% of young people age 12 to 19 have untreated decay. Reports indicate that there was a decline in smoking to***co in 2009 and 2010. However, ma*****na use increased significantly. One study documented an increased prevalence and severity of caries in adolescents. Another study reported that almost half of the adolescents surveyed indicated they used more than one type of to***co product simultaneously with ma*****na. The trend line of to***co use and ma*****na use was similar suggesting that there may be a synergestic effect between the two. It has also been suggested that the frequent use of ma*****na use will often produce stains and xerostoma which is associated with an increase in dental caries and breath malodor. Consistent ma*****na use can create chronic inflammation of the oral epithelium, increase the risk of periodontal diseases and delay wound healing. There is also some thought that those who use ma*****na snack more often leading to an increase in caries risk. It is difficult to ascertain whether the rise in caries incidence is due to increased intake of sugary substances.

07/23/2013

Temporomandibular disorders occur as a result of problems with the jaw, jaw joint, and surrounding facial muscles that control chewing and moving the jaw. These disorders are often incorrectly called TMJ, which stands for temporomandibular joint. The cause of TMD is not clear. Some dentists believe that symptoms arise from problems with the muscles of the jaw or with parts of the joint itself. Causes of TMD include grinding or clenching the teeth, dislocation of the soft cushion of disc between the ball and socket, presence of osteoarthritis in the TMJ, stress, which can cause a person to tighten facial and jaw muscles or clench teeth. Common symptoms include pain or tenderness in the face, jaw joint area, neck and shoulders, and in and around the ear when you chew, speak, or open your mouth. You may hear clicking or popping sounds. You can also have swelling on the side of the face, develop difficulty chewing or have severe pain and discomfort. Your dentist can do a thorough examination and a MRI or CT scan. Treatments include eating soft foods, applying heat or cold packs to the side of your face, take NSAIDS (non-steroidal anti-inflammatory medications), and wear a splint or night guard. Learning relaxation techniques can also help control muscle tension of the jaw.

07/16/2013

Dental sealants were first introduced in the 1960's. Placing sealants on children's permanent molars is effective in preventing cavities. Also, placing sealants over early/small cavities can help prevent the decay from progressing- thereby reducing the need to place a restorative filling. Not all children's permanent molars need to be sealed. For instance, if a child has biting surface antatomy that is shallow and not deeply fissured.

Address

16055 Ventura Boulevard, Ste 1035
Encino, CA
91436

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Thursday 8pm - 5pm
Friday 8am - 5pm

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