Posts for category: Oral Health
While out with friends one evening, you take a bite of ice cream. Suddenly, pain shoots through your teeth. It only lasts a second, but it's enough to ruin your good time.
This could be tooth sensitivity, a painful reaction to hot or cold foods. It often occurs when the enamel in prolonged contact with acid has eroded. Acid is a waste product of bacteria found in plaque, a thin film of food particles that builds up on tooth surfaces due to inadequate brushing and flossing. Enamel normally mutes temperature or pressure sensation to the underlying dentin layer and nerves. Loss of enamel exposes the dentin and nerves to the full brunt of these sensations.
Sensitivity can also happen if your gums have shrunk back (receded) and exposed dentin below the enamel. Although over-aggressive brushing can often cause it, gum recession also happens because of periodontal (gum) disease, a bacterial infection also arising from plaque.
The best way to avoid tooth sensitivity is to prevent enamel erosion or gum recession in the first place. Removing accumulated plaque through daily brushing and flossing is perhaps the most essential part of prevention, along with a nutritious diet low in sugar and regular dental cleanings and checkups.
It's also important to treat any dental disease that does occur despite your best hygiene efforts. Gum disease requires aggressive plaque removal, especially around the roots. While receded gum tissues often rebound after treatment, you may need gum grafting surgery to restore lost tissues if the gums have receded more deeply. For enamel erosion and any resulting decay you may need a filling, root canal treatment or a crown, depending on the depth and volume of structural damage.
While you're being treated you can also gain some relief from ongoing sensitivity by using a toothpaste with potassium nitrate or similar products designed to desensitize the dentin. Fluoride, a known enamel strengthener, has also been shown to reduce sensitivity. We can apply topical fluoride directly to tooth surfaces in the form of gels or varnishes.
Don't suffer through bouts of tooth sensitivity any more than you must. Visit us for a full exam and begin treatment to relieve you of the pain and stress.
If you would like more information on the causes and treatment of tooth sensitivity, 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 “Treatment of Tooth Sensitivity.”
Your teeth naturally wear as you age, but you may be making it worse if you grind your teeth.
Teeth grinding is a behavior that causes the teeth to gnash, grind or clench against each other generating forces greater than those produced from normal biting. These forces often result in tooth wear that cause not only functional problems but result in a more aged appearance. Grinding occurs while a person is awake, but most often episodes occur while asleep at night.
Teeth grinding is quite common in children, but not usually of great concern since most grow out of it. There's even a school of thought that teeth grinding might even help readjust an uneven bite.
Among adults, though, other factors seem to contribute to teeth grinding. Many researchers believe nighttime grinding occurs as a person passes through different sleep phases including deep REM (Rapid Eye Movement) sleep. It may also have a connection with chronic snoring.
Certain medications seem to contribute to teeth grinding, particularly psychoactive drugs like amphetamines. Nicotine falls in this category, which could be why tobacco users report twice the incidence of the habit compared to non-users. Teeth grinding is also connected to another fact of modern life: stress. People who grind their teeth tend to have higher levels of anxiety, hostility or depression.
Because there are multiple triggers, there are many treatment approaches. Whatever course we take, our aim is to eliminate or minimize those factors that contribute to your habit. For example, we can create a custom mouth guard for night wear to prevent the teeth from making solid contact and thus reduce the biting pressure.
Perhaps the most important thing is to control or reduce stress. This is particularly helpful at night to prepare you for restful sleep by changing some of your behaviors. We also encourage investigating other stress therapies like biofeedback, meditation or group therapy.
Whatever the means, bringing teeth grinding under control not only reduces problems now, but could also help prevent abnormal teeth wearing and future health issues down the road.
If you would like more information on causes and treatments for teeth grinding, 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 “Stress & Tooth Habits.”
X-rays revolutionized dental care in the 20th Century. The same could happen in the 21st Century as cone beam computed tomography (CBCT) becomes a fixture beside the traditional x-ray machine.
CBCT made its debut in dental offices about a decade and a half ago. It utilizes the same invisible energy as traditional x-rays to create images of the face and jaw. But unlike traditional x-rays, which can only depict structures in the two dimensions of width and height, CBCT can create three-dimensional images in amazing detail.
The CBCT's x-ray projector rotates around a patient's head. As it emits a cone-shaped beam of x-rays, the device simultaneously collects anywhere from 150 to 599 distinct image views. It transmits these views to a computer that assembles them into three-dimensional images that can be viewed on a computer display.
From the data file of images, dentists can re-format a variety of views and angles of teeth, jaws and other facial bones at various levels of magnification. Because of this wide range of views, all in striking detail, CBCTs are highly useful among other things for diagnosis of malocclusions (bad bites), the size and location of infections, obstructions at possible implant sites, or jaw problems prior to surgery.
Because they expose a patient to higher doses of radiation than a standard x-ray machine, they're normally limited to more complex oral situations. That means you'll still undergo standard x-rays for most of your dental treatment needs. CBCT radiation levels are lower, however, than medical CT scans, which use a fan-shaped beam that can expose a patient to ten times the radiation of a CBCT. For dental care, a CBCT machine also produces greater image detail than an MRI.
Depending on your needs, CBCT may one day be a part of your dental care.Â With their range and accuracy, it could play a major role in helping you attain good health.
If you would like more information on cone beam diagnostics, 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 “Getting the Full Picture with Cone Beam Dental Scans.”
With a 95%-plus success rate, dental implants are an effective and durable replacement for lost teeth. But we can't place them and forget them: if you don't clean and maintain them they could fail as a result of disease.
The inorganic materials that make up the implant aren't in danger of infection. But the living gums and bone that surround and support the implant are at risk. In fact, there's a particular periodontal (gum) disease involving implants called peri-implantitis (“peri” – around; implant “itis” – inflammation).
Peri-implantitis begins when the gum tissues around the implant become infected and inflamed. This happens most commonly because plaque, a thin film of bacteria and food particles, builds up on implant surfaces. Another less frequent cause is a buildup of excess cement used to bond the crown to the implant. We need to remove the built-up plaque or the excess cement during your dental visit.
If the infection isn't treated or you don't keep up effective, daily hygiene practices, the infection can grow and extend deeper into the tissues and finally the bone. This can destroy the all-important integration of bone and metal titanium post that has created the implant's strong hold. When that support becomes compromised the implant can lose its attachment and, if untreated, eventually fail.
It's important to keep an eye out for any indications you may have a gum infection around an implant. Look for redness, swelling, bleeding or pus formation. If the implant feels loose, this may mean that extensive bone loss has already occurred. If you encounter any of these signs, see us immediately for an examination.
The best approach, though, is to prevent peri-implantitis in the first place. So, brush and floss daily around your implant as you do your natural teeth. And be sure you keep up regular dental cleanings and checkups.
With proper care and maintenance you can avoid problems with disease that could affect your implant. Healthy gums and bone will ensure your implant will last for many decades to come.
You can't go wrong with an early start caring for your child's teeth and gums. In fact, dental care should begin in earnest when their first tooth appears.
You should begin by gently cleaning your infant's gums and new teeth after each feeding with a clean, water-soaked washcloth or gauze pad. Once they start eating solid food, you should transition to a soft-bristled brush with just a smear of fluoridated toothpaste. Around age 2, you can increase that to a pea-sized amount and begin teach them to brush for themselves.
The next important element in your child's dental care is beginning regular dental visits around their first birthday. There are good reasons to begin visits at this time. There primary teeth should now be erupting in earnest and you'll want to begin prevention measures against tooth decay if needed. You'll also want to get them used to going to the dentist early in life: if you wait a year or two later, they may not respond well to the unfamiliar surroundings of a dental office.
There are also a number of things you can do to support hygiene and dental visits. You should not allow your child to sleep with a pacifier covered or a bottle filled with anything but water. Milk, juices and other sugar-containing liquids will raise the risk of tooth decay. And speaking of sugar, limit their consumption to meal times: snacking constantly on sugar can create an environment ripe for decay.
Of course, dental disease isn't the only hazard your child's teeth may face. Accidents can happen and your child's otherwise healthy teeth could be injured. So, make sure they don't play too close to hard furniture or other features around the house they could fall on. If they should begin playing contact sports, invest in a custom mouth guard — avoiding an injury is well worth the cost.
Getting into dental care with your children as soon as possible will set the foundation for good oral health. And the example you set will stick with them as they take on their own dental care when they're older.
If you would like more information on caring for your child's teeth, 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 “Top 10 Oral Health Tips for Children.”