Posts for tag: oral health
Did you know that you probably do at least one thing during the course of an average day that puts your healthy smile at risk? These are some of the more common offenders:
Coffee, Soda, and Sports Drink Consumption
If you really can’t give them up, try to consume these beverages with restraint. Their high acidity and/or sugar content can erode protective tooth enamel, making your pearly whites more prone to staining and decay. Even natural fruit juices should be consumed in moderation as they tend to be high in sugar and sometimes acidity (e.g. orange juice). Your best bet? Water, of course. It won’t damage your teeth and thanks to fluoridation may even help remineralize and fortify your enamel.
Brushing Immediately After Eating
If you were told to brush after every meal, forget it. Acids in foods and beverages can soften your enamel, and brushing may actually accelerate erosion. Wait at least an hour to brush, which is the time it generally takes for your oral pH to normalize and your tooth enamel to reharden. However, it is advisable after eating to floss and rinse out your mouth with plain water or a mineralized dental wash to help wash away food particles.
Jaw Clenching, Tooth Grinding, Pencil Chewing
These and similar “parafunctional” behaviors — outside the uses for which teeth are designed — can cause undue tooth wear and exert stresses that can cause chips and fractures. They can affect other parts of the oral system, too, potentially resulting in jaw joint pain and muscle spasms, headaches and other head and neck ailments.
It’s hard to cut out all high-sugar/high-acid foods and beverages, so where complete elimination isn’t possible, focus on moderation and try to consume them only during mealtime. Jaw clenching and other parafunctional behaviors are often subconscious and may be harder to control; in such cases an unobtrusive device like a clear occlusal (bite) guard can alleviate the problem.
If you would like more information about tooth damage and prevention please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Tooth Decay” and “Stress & Tooth Habits.”
In modern times, metals have played an important role in tooth preservation and restoration. From the dental amalgam used for a century and a half to fill cavities to the titanium alloy of dental implants, your dental care would not be as comprehensive as it is today without them. But could these metals, so important in providing oral health, cause an allergic reaction in some people?
An allergy is an exaggerated response of the body’s immune system to any substance (living or non-living) it identifies as a threat. The response could be as minor as a rash or as life-threatening as a systemic shut-down of the body’s internal organs. An allergy can develop with anything, including metals, at any time.
A low percentage of the population has an allergy to one or more metals: some surveys indicate 17% of women and 3% of men are allergic to nickel, while even fewer are allergic to cobalt and chromium. Dermatitis patients seem to have a higher reaction rate, some allergic even to metals in jewelry or clothing that contact the skin.
Dental amalgam, an alloy made of various metals including mercury, has been used effectively since the mid-19th Century to fill cavities; even with today’s tooth-colored resin materials, amalgam is still used for many back teeth fillings. Over its history there have been only rare reports of allergic reactions, mainly localized rashes or moderate inflammation.
The most recent metal to come under scrutiny is titanium used in dental implants. Not only is it highly biocompatible with the human body, but titanium’s bone-loving (osteophilic) quality encourages bone growth around the implant’s titanium post inserted into the jawbone, strengthening it over time. But does titanium pose an allergic threat for some people? One study reviewed the cases of 1,500 implant patients for any evidence of a titanium allergy. The study found a very low occurrence (0.6%) of reactions.
The conclusion, then, is that the use of metals, especially for dental implants, carries only a minimal risk for allergic reactions and none are life-threatening. The vast majority of dental patients can benefit from the use of these metals to improve their oral health without adverse reaction.
If you would like more information on metal allergies with dental materials, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Metal Allergies to Dental Implants.”
As life spans have increased over the last century so has the importance of maintaining good oral health. Teeth are such a critical component in good nutrition and disease protection, it’s important we do all we can to preserve them for a lifetime.
Through advances in dentistry and oral hygiene, two of teeth’s greatest enemies, dental caries (tooth decay) and periodontal (gum) disease, are not only quite treatable but even preventable. The fact remains, though, that like the rest of our body, our teeth are still subject to aging. The irreplaceable outer layer known as enamel is especially susceptible to wear over time.
The normal wearing down of teeth occurs because of occlusal (bite) activity. As our upper and lower teeth interact with each other through constant biting and chewing activities, some of the enamel surface naturally wears away as we age. Our biggest concern shouldn’t be the wear itself but the rate of wear — whether it’s exceeded the normal range.
Habits that increase the frequency and rate of biting forces are the most common reason for excessive enamel erosion. Such habits include excessive tooth-to-tooth contact as when we clench or grind our teeth and tooth-to-foreign object, the chronic habit of holding hard objects (nails, pencils, pins, etc.) tightly between the teeth. Many of these habits are a response to psychological stress that can even carry over into our sleep.
The key is to minimize these effects on the normal process of wear, and to protect teeth for as long as possible. How to accomplish that goal depends on your individual circumstance: treatments could include such things as orthodontics to correct bite problems that contribute to abnormal wear, considering restoring worn teeth with new crowns or fillings, or reducing grinding or clenching with nocturnal mouth guards or some form of stress-relief therapy.
In cases where abnormal wear has passed the point where it doesn’t make sense to repair your natural teeth, all is not lost — restorations such as dental implants can help restore lost function and inhibit further erosion. Advances over the last thirty years in restoration techniques can, in effect, extend a new lease on life for your teeth. What’s more, we can also restore form — to bring back that smile from your younger years.
If you would like more information on tooth erosion and aging, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “How and Why Teeth Wear.”
That “squeaky clean” feeling on your teeth might be the most noticeable result of a professional cleaning performed by a dental hygienist. Rest assured, though, there's more to it — regular professional cleanings yield long-term benefits to your oral health.
A basic procedure known as coronal cleaning removes plaque (bacteria and leftover food deposits) on the crowns, the visible portion of the teeth. If you are showing signs or are at risk for gum disease (a bacterial infection of the gum tissue) your hygienist may also initiate cleaning below the gum line with a procedure called scaling. This common technique removes plaque and tartar (hard deposits) above and below the gum line using either a traditional set of hand instruments (known as curettes) or an ultrasonic scaler, a device that uses vibrations from ultrasonic frequencies and water to remove plaque and tartar.
Root planing takes the cleaning even deeper, using curettes to remove plaque and tartar adhering to tooth roots. This is typically necessary for patients with advanced gum disease, and may need to be repeated over a number of visits as inflammation subsides.
Polishing is another common hygienic procedure performed both above and below the gum line. It's the procedure you most associate with that feeling of smoothness after a cleaning. The hygienist will typically apply to the teeth polishing paste held in a small rubber cup attached to a motorized device. As the motor rapidly rotates the rubber cup, the paste works into the teeth to remove surface stains and bacterial plaque. While it's considered a cosmetic procedure, it's more accurately defined as a prophylaxis, a dental term derived from the Greek meaning to guard or prevent beforehand.
Professional cleaning performed by a dental hygienist is only one half of an overall hygiene plan; the other half is your own daily habit of brushing and flossing. Both your daily hygiene and regular dental checkups and cleanings will go a long way toward preserving your teeth as they were meant to be — for a lifetime.
If you would like more information on teeth polishing, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Teeth Polishing.”
If the words “root canal” frighten you, what you probably don't know is that “root canal treatment” doesn't cause pain, it alleviates it — by treating infection deep in the root of your tooth.
- What is a root canal? The central chamber of a tooth contains the living vital tissues comprising the pulp including its nerves and blood vessels. The interior of the tooth's roots containing the pulp make up its root canals.
- How do I know if a tooth has a root canal infection? Symptoms of root canal infection may include sharp, intense pain when you bite down, a dull ache or pressure, or tenderness and swelling in gums near an infected tooth. There may be lingering pain after eating cold or hot foods. However, sometimes an infected tooth may stop hurting and you no longer feel pain. This doesn't mean the infection has gone, only that the nerve may have died. Make an appointment if you suspect that you have any or some of these symptoms.
- Why would a tooth need root canal treatment? If the tissues in the root canal/s become infected or inflamed because of deep decay or trauma to a tooth, root canal treatment is needed to treat the infection and save the tooth. If left untreated, root canal infection can spread into the bone immediately around the root.
- What takes place in a root canal procedure? After a local anesthetic is administered to numb the tooth and surrounding area, a small opening is made in the biting surface for a back tooth, or behind a front tooth. Dead and/or dying tissue is removed from the pulp chamber and the root canals are cleaned, disinfected, and sealed to prevent future infection.
- What can I expect afterwards? Your tooth may feel tender or sensitive for a few days. You can take over-the-counter non-steroidal anti-inflammatory medication, aspirin or ibuprofen, for example, to relieve pain or discomfort. Contact us if you have pain that lasts more than a few days. A crown is usually needed to protect the tooth following root canal treatment. Further arrangements need to be made for this stage of the procedure. Don't chew on the affected tooth until symptoms subside and the tooth has been restored as necessary.
- Who performs root canal treatment? While all general dentists have received training in endodontic treatment and can perform most endodontic procedures, in complicated situations you may be referred to an endodontist, a specialist in root canal diagnosis and treatment.
Contact us today to schedule an appointment to discuss your questions about root canal treatment. You can learn more by reading the Dear Doctor magazine article “Common Concerns About Root Canal Treatment.”