A comprehensive exam includes the (clinical) examination of the teeth and gums, a full mouth of x-rays and a cleaning.
Prevention is the key to avoiding having relatively minor oral conditions from progressing to more serious dental problems. The aim of both home and in office oral hygiene is maintain healthy gums (gingiva), tongue, and other soft tissue (mucosa) while also preventing cavities from forming. When detected early, the treatment is usually less invasive, less painful, less expensive, and more successful. The basis of sound dental care is twice a year exam and cleaning.
The exam is intended to screen for cavities, infection and oral cancer. It should be emphasized that hardened plaque, which turns into calculus or tartar, cannot be removed with tooth brushing and requires professional intervention. We customize cleanings on the basis of your periodontal (gums and bone) health. Use of ultrasonic scalers is sometimes needed to make the procedure more comfortable and effective. We utilize medicated gels along with prescription mouth rinses in problem areas if necessary.
Sealants should be used as part of a child’s total preventive dental care. Dental sealants are thin plastic coatings which are applied to the chewing surfaces of the molars (back teeth). Most tooth decay in children and teens occurs on these surfaces. Sealants cover the chewing surfaces to prevent decay. Applying sealants does not require drilling or removing tooth structure. It is an easy, painless, three step-process:
We clean teeth with special toothpaste. A special cleaning liquid, on a tiny piece of cotton, is rubbed gently on the tooth and is washed off. Finally, the sealant is painted on the tooth. It takes about a minute for the sealant to form a protective shield. Sealants should be checked regularly, and reapplied if they are no longer in place.
Children and adults at high risk of dental decay may benefit from using additional fluoride products, including dietary supplements, mouth rinses, and professionally applied gels and varnishes.
One in every 10,000 will develop oral cancer. The incidence of oral cancer is much higher in males than females; higher for Hispanic and black males than for white males.
The rate increases with age and becomes more rapid after age 50 and peaks between ages 60 and 70. Each year, more than 36,500 new cases of cancer of the mouth and throat (oral cavity and pharynx) are diagnosed, and more than 7,800 people die of these diseases. The 5-year survival rate for these cancers is only about 50%. Detection of cancer lesions in the early stages increases the survival rate for people with these cancers. Oral cancers are largely preventable type, since most oral cancers are related to tobacco use, alcohol use, or both. Clinically, screening for oral cancer is done by visual examination of the oral cavity and by the use of Velscope. Under a special blue light, there is a change in the natural fluorescence of healthy tissue changes in the presence of tumors/cancers.
A common concern is the amount of radiation we are exposed from taking dental x-rays. A typical dental x-ray image exposes us to about 0.3 units of radiation (mrem). A full mouth of x-rays is roughly 5.4 mrem and a panoramic x-ray about 2 m rem. By contrast, according to the National Council on Radiation Protection (NCRP) and the American Nuclear Society, the average resident of the U.S. receives about 620 mrem every year; half is from natural background sources and half from man made sources. About half of the man-made radiation exposure is related to CT scans. Natural source of radiation comes from outer space, radioactive materials in the earth, and small amounts of radioactive material in most foods we consume.
Some typical sources of radiation exposure include smoke detectors (1 mrem per year), living in a brick house (10 mrem from the radioactive materials in the masonry), cooking with natural gas (10 mrem from radon gas in the natural gas supply), reading a book for 3 hours per day (1 mrem from small amounts of radioactive materials in the wood used to make the paper) flying in an airplane (5 mrem for one cross-country flight), smoking a pack of cigarettes a day (36 mrem), mammogram (42 mrem), an abdominal x-ray (700 mrem). Water contains small amount of dissolved uranium and thorium and both plants and animals contain radioactive carbon and potassium. We receive about 2 mrem per year from sleeping next to someone due to the very small amounts of naturally occurring radioactive materials (carbon-14 and potassium-40) in our bodies. About 5000 mrem/year is the safe allowable dose for people who are exposed to radiation in their work.
One in every 10,000 will develop oral cancer. The incidence of oral cancer is much higher in males than females; higher for Hispanic and black males than for white males.
The rate increases with age and becomes more rapid after age 50 and peaks between ages 60 and 70. Each year, more than 36,500 new cases of cancer of the mouth and throat (oral cavity and pharynx) are diagnosed, and more than 7,800 people die of these diseases. The 5-year survival rate for these cancers is only about 50%. Detection of cancer lesions in the early stages increases the survival rate for people with these cancers. Oral cancers are largely preventable type, since most oral cancers are related to tobacco use, alcohol use, or both. Clinically, screening for oral cancer is done by visual examination of the oral cavity and by the use of Velscope. Under a special blue light, there is a change in the natural fluorescence of healthy tissue changes in the presence of tumors/cancers.
Call 210-681-1500
Trustindex verifies that the original source of the review is Google. Great service. Great customer service. Erica Vasquez2025-03-04Trustindex verifies that the original source of the review is Google. Dr. Alex gets me. I have the last few years become skittish because I've needed more dental work of late. He's patient and helps you along. He can be trusted. Thank you! Nan Cano2024-07-18Trustindex verifies that the original source of the review is Google. I scheduled an appointment for a regular dental cleaning & fluoride treatment. The staff treated me with respect & patiently answered my questions. They also helped me with filling out my new patient forms. Even though the building is older in age, the medical equipment is top notch. The environment was clean & professional, as well as the bathrooms. Given the fact that there's only one dentist, I did have to wait for some time, but I didn't mind. My visit with Dr. Alex went better than I expected. He was casual, kind, & gentle in his manners. In addition, he was patient in explaining to me my X-rays (my wisdom teeth in particular) & where I could make some improvements in my oral hygiene. One thing I will have to admit though is that their website doesn't work & sometimes it can be hard to get through when calling. This was my first time here & it won't be my last! Overall, I'm happy with my experience & would recommend Dr. Alex to anyone who's in need of a dental cleaning or whatever dental problems they might have. Ryannon rogers2024-06-28Trustindex verifies that the original source of the review is Google. Dr. Alex and his team are professional, kind, and honest. They will make sure you feel at home and comfortable. Looking forward for the next appointment. James Zara2024-06-14Trustindex verifies that the original source of the review is Google. Very compassionate, well knowledged, and a very nice staff. Will recommend.. Gss562024-06-13Trustindex verifies that the original source of the review is Google. I was very impressed with his dental work and the fact that he cleaned my teeth himself instead of a dental hygienist. He is easy going and put me at ease with his demeanor right away. Dr. Alex Ionescu was knowledgeable, explained my situation, offered options and recommendations. He answered all of my wife’s questions and mine. My wife said that Dr. Alex has an honest smile. I’m glad I switched dentists. My daughter highly recommended Dr. Alex Ionescu and I’m so glad I listened to her. Arnold Garza2024-06-12Trustindex verifies that the original source of the review is Google. The first thing you notice when you walk into the office is that it's very old school, like stepping back in time. I'm always grateful there's no tv blasting inane home remodels in the small space. Dr. Alex and his dad (whom I've seen at last once) actually do the dental cleanings themselves, which is not something I've encountered before. It makes me think they’re more likely to spot any issues since they’re right there in the trenches. While the lobby is super retro, they seem to be up to date on tech. They're conservative in their recommendations and don't push unneeded treatments or procedures, which is refreshing. They actually fixed up a crown and some fillings for me that weren’t done correctly by my last dentist. So glad I can eat without pain again! Dr. Alex is one of the kindest dentists I've ever had - he just seems like a good, genuine person. Everyone else in the office is pleasant enough and competent, so visits are generally smooth sailing. Highly recommend! Megan Aubuchon2024-06-10Trustindex verifies that the original source of the review is Google. Professionalism at its best, he’s personable. a Dentist that not only knows his profession, I call him: Professional with a heart, Bcz he cares, that you have healthy teeth and only does what is needed, my Dentist for a long long time he cares about your smile. That it looks great! Thank you Dr. Alex Linda Hernandez2024-06-07Trustindex verifies that the original source of the review is Google. Dr. Ionescu made me feel very comfortable and without any judgement despite not having seen a dentist in 10-15 years. He explained very well what he was doing and what the future plan could be if I wanted to move forward, letting me know areas of greater concern needing work first. Immediately upon leaving after just a consultation and cleaning I felt great and confident in my smile. Thanks Dr. Ionescu and staff. Katrina Herbsleb2024-06-05
Mon – Fri: 9:00am – 5:00pm
Sat: Closed
Sun: Closed
8428 Bandera Rd Ste 1
San Antonio, TX 78250