Many mothers have experienced gum disease, dental pain and/or tooth extraction during or shortly after their pregnancy. This is often seen as being a "normal" side effect of being pregnant. However, dental disease, which is an infection of the teeth and/or gums, is not "normal" for any patient. There are three basic events that happen during pregnancy which make the patient more susceptible to dental disease. First, hormonal changes may make the gums more susceptible to gum disease.
Second, pregnant women tend to eat smaller, more frequent meals, exposing their teeth and gums to sugars and acids more often. Third, cravings for "junk foods" and inadequate oral hygiene pose an increased threat to the teeth and gums.
Pregnant women should be advised to schedule a dental evaluation and receive preventive dental care. Personalized oral hygiene instruction should also be given to fight disease and promote overall good health for the mother and her baby.
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The American Dental Association says that over 75-80% of all adults have or will have some form of gum disease.
Gum disease, or more correctly called "periodontal disease", is a bacterial infection in the gums and supporting structures of the teeth. It can be divided into several categories.
The first stage is called "gingivitis" and is characterized by gum tissue that is red, puffy, and bleeds easily when touched with a toothbrush, floss or dental instrument.
The second, third, and fourth stages are initial, moderate, and advanced "periodontal disease", respectively. These stages are different from gingivitis because the infection has destroyed the bone supporting the teeth, causing eventual tooth loss. The treatment is more involved at these stages, usually consisting of a special cleaning with anesthesia and sometimes gum surgery.
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A thorough dental examination for presence of tooth and gum infection is recommended prior to joint replacement.
Periodontal disease is a commonly occurring oral infection of the adult population (80% of adults are affected) destroying the bony support of the teeth. This infection slowly progresses over the lifetime of the patient and is often manifested in the advanced stage in the senior population.
Because of the lack of any discomfort to the patient until total loss of bony support to the teeth, many adults are unaware that they have this infection. However, the bacteria from this bone destroying disease, especially in the more advanced cases, has been attributed to possible infection of joint replacements.
Candidates for joint replacements who have not been seen by a dentist in over a year should be considered for a thorough dental evaluation of their teeth and gums before surgery.
Depending on the severity of the infection, treatment of gum infections and tooth abscesses may take from two weeks to two months before the patient reaches adequate health before surgery.
If you have any questions about infection in joint replacements, please call our office.
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Periodontal disease can go on for years without pain and without detection unless specific examination procedures are performed. Visual oral examination by itself (even by a dentist) will not reliably detect periodontal disease until it has reached an advanced stage.
Early detection and adequate diagnosis require measurement of pockets (the crevice between the tooth and gum) with a periodontal probe. Effective prevention and treatment is available, but the damage caused as the disease progresses is irreversible.
Early detection and treatment is critical to prevent tooth loss and disfigurement. Although the procedure is simple, painless and requires only a few minutes, millions of American adults have never had it done.
Signs of periodontal disease - bleeding gums, redness of gum tissue, swelling of gums around the teeth, breath odor, receding gums, mobility of teeth.
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One of the easiest problems to spot is a build-up of plaque. Plaque is the soft, sticky layer of bacteria, which is constantly forming on the teeth. Usually it is invisible to the naked eye, but when a person is not brushing adequately, it can build up to where it appears to be a thick whitish coating on the teeth at the gum line. If not removed, it can lead to gum disease.
Another potential problem, which is easy to spot, is missing teeth. Many patients assume that if they are still able to eat, they are O.K.
But very often, losing just one tooth can lead to the loss of support, and teeth begin to drift into the empty space, causing a change in the bite. It also forces the remaining teeth to carry an additional load, sometimes past their ability to adapt. In most cases, when even one tooth is lost, the remaining teeth suffer and are more likely to be lost as well.
Our focus is in the treatment of problems such as these. Call our office for the care you need.
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Prevention is an overused word in our vocabulary but we all know it works. You see it in what you do every day. Who wouldn't rather prevent a crisis than manage one?
Awareness of gum and underlying bone disease is very low. Only 50% of the population visits a dentist on a regular basis. Of that 50%, 80% have some degree of gum and bone disease. It is an epidemic. Were this any other disease, we would be calling on the CDC for immediate action!
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Gingivitis is the most common periodontal disease, affecting 90% of the population. It is an infection of the gums caused by bacteria that form plaque. In small amounts (when it is newly formed), plaque is invisible and relatively harmless. But when left to accumulate, it increases in volume and the proportion of harmful bacteria grows. These bacteria release toxins that result in inflammation of the gum tissue. Eventually, the plaque hardens and forms hard deposits called calculus or tartar. If not properly treated, gingivitis may progress to periodontitis, a disease in which there is loss of the bone that supports the teeth.
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Many people have had silver fillings placed into their teeth because they had "cavities". These silver fillings are called amalgams. Amalgam fills the space where the decay in the tooth has been removed.
However, over time, the amalgam corrodes and leaks which blackens the silver, and many times the tooth. This is easily seen as soon as a patient opens his or her mouth and is usually a source of embarrassment for the patient.
Composite fillings are made of a porcelain-like material that actually bonds to the tooth for a tight seal. They are strong and stain-resistant, and they are color-matched to the natural tooth, making them "invisible".
Composite fillings also lack the sensitivity that is often associated with silver amalgam fillings. They are especially suited for smaller cavities and for patients who may be allergic to metal fillings.
Please don't hesitate to call our office with any questions you may have about the benefits of replacing silver amalgam fillings with invisible composite fillings.
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For over 100 years, dentists have been using silver-mercury amalgam fillings to restore decayed or broken teeth. The only other alternative was gold and that was always too expensive for most folks. Now there is a new and economical way to restore teeth using tooth-colored resin fillings. The resin is made up of glass particles in a plastic matrix. The doctor bonds the putty-like material to the tooth with a high-intensity light. This hardens the material and allows it to be shaped and polished for immediate use.
Once completed, the tooth has a natural appearance and is actually stronger than before due to the strength of the adhesive agent used to bond the resin to the tooth. Resin restorations not only look better, but they are stronger and last longer than the old silver-amalgam fillings. Resin restorations can range from $150 to $350 per tooth.
Please call with any questions you may have about the benefits of resin restorations.
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Tooth bleaching involves the placement of a bleaching solution on the teeth to eliminate stains and discoloration. The solution is held in place by a custom-made, see-through tray that fits over the teeth - much like a mouthpiece worn by a professional boxer. Bleaching is a safe, effective and relatively easy means of producing a whiter smile.
Two bleaching methods are available: Power Bleaching with a Laser, done at our office, and At-Home-Bleaching, which provides for home use (not to be confused with over-the-counter bleaching products available in your local drug store).
The difference between the two is the strength of the whitening agent and the time it takes to get effective results. Power bleaching usually takes three to six visits, while home bleaching may take up to four weeks of regular use.
Sensitive teeth, or those that are chipped, eroded or weakened by cavities, should be repaired or protected before they are bleached.
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Bonding is typically painless and can yield dramatic results in a single office visit. Essentially, bonding hides any natural flaws through the placement of a thin plastic coating on the front surface of the teeth.
After treating the tooth surface, a puttylike bonding material is applied that is then sculpted, shaped and colored to suit the patient's needs. A high-intensity light causes the plastic to harden after which the new surface is smoothed and polished.
Bonding can lighten stains, close gaps and even alter crooked or malformed teeth. It can be utilized to change the shape or color of a single tooth or if necessary to revamp the entire smile.
Please call our office for a cosmetic consultation.
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The appearance of the teeth has a dramatic effect on both the person's attractiveness to others and on their own self-image and self-esteem. Studies have shown that a person's appearance will have a strong effect on their social and career success, by influencing how others perceive them.
While the appearance of the teeth is one of the most important contributors to facial beauty, it is also probably the most often neglected when improvements to appearance are sought. A person with low self-esteem connected to their facial appearance, can often be greatly helped by cosmetic dental procedures.
Dental make-overs have become more common, less invasive, and more effective in correcting deformities and cosmetic dental problems. The effect of these procedures can be nothing short of dramatic both in terms of appearance and also in terms of correcting, at least partially, personality deficiencies caused by poor self-image. Ugly teeth are no longer a matter of fate; they are now becoming a matter of choice.
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Porcelain veneers are often used for the same reasons as bonding (to lighten stains, close gaps and even alter crooked or malformed teeth). They are considerable more durable and stain resistant than bonding.
The veneer is actually a thin piece of porcelain similar in size to a fingernail. Once it is "bonded" onto the tooth it becomes extremely strong. It also blends in with the remaining tooth structure so that it is unnoticeable to the naked-eye. Once in place, it looks, feels, and functions just like a regular tooth.
Porcelain veneers can be utilized to change the shape and color of a single tooth or if necessary, revamp an entire smile. Porcelain veneers can also be used to correct teeth that have been worn from clenching and grinding.
Please call for a cosmetic consultation. You may ask any questions you have about the benefits of porcelain veneers.
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Teeth are often restored with fillings of silver or composite plastics. These materials can often accomplish the aim of replacing the part of the tooth that has been lost in a strong and good-looking manner.
However, there comes a point where the damage to the tooth has removed too much structure to hold a filling. The restoration must be done by a technique that will attach to the remaining tooth, stand up under heavier use and meet more elaborate cosmetic requirements.
The Crown is the dental restoration that can strengthen and restore the entire top of a tooth. The crown can also be part of the attachment of a fixed bridge for the replacement of teeth. The tooth is strengthened because it is covered from the outside with a casting of metal or ceramic that will wrap up and splint the tooth.
The chewing of the tooth can be improved because it can be reshaped to match more efficiently with the opposing teeth. A crown can improve cosmetics by the use of modern ceramic processes that produce translucency and color that is more natural than has ever been possible.
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For over 100 years, dentists have been using silver-mercury amalgam fillings to restore decayed or broken teeth. The only other alternative was gold and that was always too expensive for most folks.
Now there is a new and economical way to restore teeth using tooth-colored resin fillings. The resin is made up of glass particles in a plastic matrix. The doctor bonds the putty-like material to the tooth with a high-intensity light. This hardens the material and allows it to be shaped and polished for immediate use.
Once completed, the tooth has a natural appearance and is actually stronger than before due to the strength of the adhesive agent used to bond the resin to the tooth. Resin restorations not only look better, but they are stronger and last longer than the old silver-amalgam fillings. Resin restorations can range from $150 to $350 per tooth.
Please call with any questions you may have about the benefits of resin restorations.
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If you are missing one or more teeth, you'll want replacements that are as natural as possible. If dentures don't work for you, you may consider dental implants. Unlike dentures, which can be removed, implants are permanently anchored into the jaw itself.
You are a good candidate for dental implants if you have jawbone ridges that are in good shape and healthy oral tissues. When the implant device is inserted into the jaw, a chemical and mechanical bond is formed. The jawbone actually grows into the implant.
With dental implants, you get a perfect fit, and they will look and feel as good as (or better than!) your original teeth.
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Losing a tooth by accident or by extraction is not the end of the matter. When a tooth is missing, the resulting gap will allow nearby teeth to tilt or drift from their normal position, and the teeth above the gap will move downward. Aside from the obvious cosmetic problem, the changed positions of these teeth can lead to severe bite problems causing jaw pain and headaches.
Missing teeth should be replaced to keep other teeth in their normal position. This can be done by means of a fixed bridge or a dental implant. Both of these treatments offer a good functional and cosmetic result.
Please call our office with any questions you may have about the benefits of replacing missing teeth with bridges or dental implants.
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If you have lost a tooth, it is likely that one of your options is to replace it with a dental implant. Before you decide a course of action, you should consider asking your dentist some simple questions:
When you are more knowledgeable about your implant treatment, you will be able to have more input to give your dentist and better your chances of a successful treatment outcome.
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A dental implant is a titanium metal replacement for a root of a tooth that is surgically implanted in the jawbone. As the body heals for approximately two to six months after the surgery, the bone around the implant fuses to the implant through a process called osseointegration. After the healing phase is complete, the implants are used to anchor crowns, bridges, or dentures. Dental implants are the most natural replacement for a missing tooth.
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The process should begin with a thorough evaluation of the patient's medical and dental history, and a full clinical examination of the entire mouth and missing tooth area. The clinical exam should also include specific X-rays. After assessing the patient, a comprehensive treatment plan can be devised. From that point, implants are surgically placed in the jawbone under local anesthesia. The length of the healing time is based on the quality and quantity of bone, as well as the type of implant placed. After adequate healing is allowed to occur, the implant can be used to support a crown, bridge, or denture.
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This is a question that should be determined during the treatment plan. A good rule-of-thumb is to place one implant for each tooth replaced. Other decisive factors for the number of implants needed for success is the quality and quantity of the patient's bone. Equally as important are the existing anatomy of the bone and the financial resources of the patient.
Placing enough implants to restore teeth is vitally important to the long-term success of the restoration. Simply stated, the most costly mistake is to have an implant fail because not enough implants are placed to support the teeth. If the number of implants is limited due to financial constraints of the patient, then the implant treatment should be avoided or the type of restoration must be altered.
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"Well, you know Doc, it's just a back tooth. No one will see it so I'll just get rid of it. It's not going to make a difference."
The plain truth is that it will make a difference. The loss of just a single tooth can set a course that can destroy an entire mouth. "Well, if that's true, tell me more. I sure don't want to lose the front ones that I smile with."
Teeth will drift and tip into a space that is created by missing teeth. Just like two gears of a car that are not properly aligned, pretty soon you've got a whole lot of problems.
"Well, I don't like that. What can I do?" If it sounds like I've heard this conversation a few times, you're right. If I'm going to keep a patient happy, I need to provide options at this point.
One of the options would be an implant. This is the replacement of a tooth with a false root that is surgically placed. It is then followed by the careful construction of a crown to replace the missing tooth, to prevent teeth from shifting and thereby causing further tooth loss.
If you have any questions about missing teeth and possible implant treatment, please call our office.
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When getting dental implants, you should select a dentist or dental team with in-depth knowledge and prior experience with all aspects of the treatment. It is important to know that implant treatment consists of two components: a surgical phase and a restorative phase.
Traditionally, a dental surgeon, like an oral surgeon or a periodontist, performs the surgical component. A general dentist, or prosthodontist and laboratory technician performs the restorative component. However, as implant dentistry has become more sophisticated, sometimes a dentist who specializes in restorative dentistry conducts the entire procedure.
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The technology has been around for decades. In fact, some patients have had dental implants for more than 40 years. Hundreds of thousands of dental implants have been inserted with more than a 90% success rate. All other metal implants in the body (including hips and knees) are the result of the dental implant technology.
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Yes, several types are available. The American Dental Association considers both the endosteal and the subperiosteal implants to be acceptable. An important factor for selection is to determine whether your jawbone can adequately support the implant. Most dental implants placed today are endosteal root form fixtures (similar to a man-made tooth root).
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In the case of a single missing tooth, a dental implant can be placed in the jawbone area of the missing tooth. The implant will serve as a replacement for a tooth root and an individual crown. The total apparatus is referred to as a single-tooth implant crown. Once in place, the implant crown will look, feel, and function like a natural tooth. They are cleaned and flossed just like natural teeth, and best of all, they do not require any special tools to clean around them like bridges. Although dental implants will not decay, they require impeccable oral hygiene.
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For over 100 years, dentists have been using silver-mercury amalgam fillings to restore decayed or broken teeth. The only other alternative was gold and that was always too expensive for most folks. Now there is a new and economical way to restore teeth using tooth-colored resin fillings. The resin is made up of glass particles in a plastic matrix. The doctor bonds the putty-like material to the tooth with a high-intensity light. This hardens the material and allows it to be shaped and polished for immediate use.
Once completed, the tooth has a natural appearance and is actually stronger than before due to the strength of the adhesive agent used to bond the resin to the tooth. Resin restorations not only look better, but they are stronger and last longer than the old silver-amalgam fillings. Resin restorations can range from $150 to $350 per tooth.
Please call with any questions you may have about the benefits of resin restorations.
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Teeth are often restored with fillings of silver or composite plastics. These materials can often accomplish the aim of replacing the part of the tooth that has been lost in a strong and good-looking manner.
However, there comes a point where the damage to the tooth has removed too much structure to hold a filling. The restoration must be done by a technique that will attach to the remaining tooth, stand up under heavier use and meet more elaborate cosmetic requirements.
The Crown is the dental restoration that can strengthen and restore the entire top of a tooth. The crown can also be part of the attachment of a fixed bridge for the replacement of teeth. The tooth is strengthened because it is covered from the outside with a casting of metal or ceramic that will wrap up and splint the tooth.
The chewing of the tooth can be improved because it can be reshaped to match more efficiently with the opposing teeth. A crown can improve cosmetics by the use of modern ceramic processes that produce translucency and color that is more natural than has ever been possible.
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The crown serves two important functions. First, it restores the appearance of your teeth and your face. If your tooth is severely decayed or cracked, the dentist will need to restore it prior to preparing a cap. Teeth also support the muscles in our faces, so anything less than a full tooth may affect the way you look.
Second, a crown will be the same size and shape as the natural tooth. As a result, it will keep your jaw and bite aligned; it will also make sure that other teeth don't shift locations or take on a greater share of the work of biting and chewing.
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Crowns are most often made of gold or porcelain. Crowns also can be made of stainless steel, but those crowns are often temporary and not designed for long-term wear.
Porcelain crowns usually are built on a metal base, which fits snugly over the natural tooth. Your dentist will choose a porcelain that matches the color of your natural teeth. Porcelain crowns usually are so carefully matched in color, they cannot be distinguished from your natural teeth. Many people choose porcelain crowns for the cosmetic appearance and the confidence it gives them.
New materials are now available that allow the use of "all-ceramic" crowns in some cases. They have a beautiful life-like appearance and short-term studies support their success, with long-term trials ongoing.
Crowns also can be made of all gold. Some people prefer not to use gold because it stands out from the other teeth in appearance. At the same time, if the crown is on a back molar, some people feel the cosmetic issue is not a big one. Your dentist will discuss the types of materials available if a crown is recommended.
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Once your crown is in place, make sure the area is brushed well and that you floss below the gum line. While the crown protects your remaining tooth from further decay, you must protect the base of the crown from bacterial growth and gum disease. Regular brushing and flossing as you would your natural teeth will ensure that your crown will be in place for years to come!
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While bad breath might be a symptom of some other disorder, it most likely stems from dental decay and periodontitis.
Periodontitis is a disease affecting gums and bone that support the teeth, and it results from inadequate tooth brushing and flossing. In this disease, the irritated gums pull away from the teeth and form pockets between the teeth and the gums. These pockets fill with bacteria and pus which give off a foul odor.
Patients with bad breath need a complete dental evaluation. If gum disease and/or dental decay is diagnosed, it can be treated readily. The patient will no longer have an infection in his or her mouth, and he or she will no longer have the embarrassment of bad breath.
If you have questions regarding halitosis, please call our office.
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Signs and appearance of teeth displaying bottle caries:
Children who have erupted teeth or are past the age to be weaned are highly susceptible to rotted front teeth when being put to bed with a bottle containing milk, juice or other sugar-containing liquids. There is decreased salivary flow during sleep and clearance of the liquid from the teeth is slowed.
The liquid pools around the upper front teeth and creates an excellent environment to promote the growth of decay-causing bacteria. Removing the bottle before the first tooth appears and wiping the child's gums and teeth with a soft cloth before being put to bed can help prevent decay.
At 18 months of age, parents should be encouraged to ask their dentist to examine their child and recommend home care.
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Fluoride has been a great benefit to patients of all ages in helping prevent dental decay. Regular brushing and flossing lowers the chance of developing "cavities." However, the most decay-prone areas of teeth are the grooves and depressions on the chewing surfaces of the back teeth, which require further preventive care.To prevent decay, a plastic-like coating called a sealant should be painted on the chewing surfaces of all the back teeth. Studies have shown that sealants can reduce tooth decay by as much as 90% to 100%.
The American Dental Association recommends sealants be placed as soon as the first adult back teeth come in at age 6 or 7. Sealants should continue to be used as each adult back tooth comes into the mouth. All back teeth that need to be sealed are present by age 13. Sealant application is simple, fast, and painless.
Please call our office with any questions you may have about the benefits using a sealant in preventing dental decay.
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Why should you wear a mouthguard? While mouthguards are not mandatory equipment in all sports, their worth is indisputable. Mouthguards cushion blows to the face and neck. A mouthguard should be part of every athlete's gear, no matter the sport. Even adults or weekend athletes need to protect their smile and preserve their health.
Do: Wear a mouthguard at all times when playing sports. Wear a mouthguard custom-fitted by your dentist, especially if you wear bridges or braces.
Don't: Wear removable appliances like retainers when playing sports.
There are two types of mouthguards:
Custom-made: Designed by a dentist and made on a cast of your teeth. These cause very little interference with speaking or breathing. They provide the best protection and fit over braces and fixed bridges. They also cost more.
Ready-made: Purchased at most sporting goods stores. They are the least expensive, the least effective, and least comfortable.
Please call our office if you would like to "play it safe!" and wear a comfortable mouthguard and protect your teeth.
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Fluoride, in proper dosage, has been shown to significantly reduce dental decay. When fluoridated water has less than the ideal amount or is not available, fluoride supplements are recommended. (A call to your local water district is all that is necessary to determine whether your water has fluoride or not.)
When supplements are needed, the administration of fluoride supplements should begin shortly after birth and continue through the time of eruption of the second permanent molars (approx. 12 years of age).
Regular dental check-ups should begin no later than 18 months of age.
If you have any questions or need more information, don't hesitate to call.
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If the tooth is loose, even extremely so, but is still attached in any way, leave it in place; do not remove it.
If it is out of its socket completely and unattached, but still in the victim's mouth, it is best to have the person hold it there, if possible, until a dentist can attempt re-implantation.
If it is out of the mouth, do not let it dry out. Handle it as little as possible. Do not attempt to disinfect the tooth, or scrub it, or remove any tissue attached to it.
If it is recovered from the ground or other soiled area, rinse it off in lukewarm water. Preserve it in milk until a dentist is available. If milk is not available, lukewarm water will suffice.
Time out of the socket is critical in the long-term success of re-implantation. After 30 minutes, the success potential begins to decline. However, re-implantation is still possible after several hours, so the attempt can still be made even if the tooth has been out for a long period.
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A root canal procedure limits the infection and keeps it from destroying the tooth. During the root canal treatment procedure, the dentist removes the inflamed or infected pulpal tissue, carefully cleans, disinfects, and shapes the root canal space inside the tooth, and then fills and seals this space. It may take one or more appointments to complete the procedure. A protective restoration should be placed after root canal treatment has been completed in order to restore the tooth to function and help prevent tooth fracture.
Think of a root canal as washing the invasive bacteria out of the root, filling it with a biocompatible material that soothes the area, then sealing it back up again. Top it off with a solid filling or a crown, and you're as good as new.
And that means you get to keep your tooth. And that's a good thing.
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Many people flinch when their dentists tell them they need root canal therapy. While dentists are sympathetic to fears of pain, they also want patients to know that root canal therapy has three purposes:
The root canal is actually a channel that runs from the root of the tooth, which connects to the bone, up to the top surface of the tooth. The canal contains blood vessels, nerves, and the complex cells that make up the living tissue inside the tooth. This lifeline inside the tooth is called the pulp.
When a tooth is decayed or cracked, bacteria can get to the pulp. The acid from the bacteria irritates the pulp and it becomes inflamed; it's the same process you watch when other parts of your body become infected. When the pulp tissue becomes inflamed, it's harder for blood to flow to the tissue, and the resulting pressure creates pain inside your tooth.
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Endodontic disease can manifest itself with a wide variety and combination of symptoms. Common symptoms of endodontic disease include:
If you have any of these symptoms, it would be wise to see your dentist because you might have root canal disease or another dental problem. Some of these symptoms may also be attributable to decay, defective fillings, periodontal diseases, cracked teeth, or other tooth or bite-related problems. On other occasions, the symptoms may even be caused by disorders that are not related to the teeth.
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A thorough dental examination for presence of tooth and gum infection is recommended prior to joint replacement.
Periodontal disease is a commonly occurring oral infection of the adult population (80% of adults are affected) destroying the bony support of the teeth. This infection slowly progresses over the lifetime of the patient and is often manifested in the advanced stage in the senior population.
Because of the lack of any discomfort to the patient until total loss of bony support to the teeth, many adults are unaware that they have this infection. However, the bacteria from this bone destroying disease, especially in the more advanced cases, has been attributed to possible infection of joint replacements.
Candidates for joint replacements who have not been seen by a dentist in over a year should be considered for a thorough dental evaluation of their teeth and gums before surgery.
Depending on the severity of the infection, treatment of gum infections and tooth abscesses may take from two weeks to two months before the patient reaches adequate health before surgery.
If you have any questions about infection in joint replacements, please call our office.
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A recent survey of dental patients showed that patient protection was #1 on their list of concerns about dental care. Some patients have even quit going to the dentist because of their fears.
Fortunately, trips to the dentist have never been safer. The case in Florida where the patient was apparently infected with the AIDS virus by her dentist is the only such case out of tens of millions of dental treatments performed since the introduction of the virus. The Center for Disease Control still does not know the method of infection.
However, even one case is too many. We have responded by adopting "universal (or standard) precautions". These involve sterilizing all instruments in dry-heat ovens or steam autoclaves to kill any bacteria. Disposable items are used whenever possible. The chance of contracting an infection in the dental chair is extremely remote, but the chance of losing one's teeth because of lack of proper dental care is extremely likely.
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This is a good habit to start early! The teeth must be cleaned as they erupt. Use a damp wash cloth or a toothbrush.
If your health care provider agrees, use a tiny dab of fluoride toothpaste. Tooth brushing is definitely a parents job in the preschool years.
Children are usually able to brush their teeth well when they are 8 years old. Be sure to check your child's teeth regularly for any chalky white or brown spots which could be the beginning of tooth decay.
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Since the eruption of primary teeth is a normal and natural process, these signs and symptoms are to be expected:
Children may display other symptoms such as fever and systemic disturbances, such as croup, diarrhea, etc. These are coincidental to eruption and should be treated as needed medically by the pediatrician as necessary.
If you have any questions or need more information, don't hesitate to call our office.
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Sore gums from teething often occur for a few days at a time between six months to age three. Babies often get relief from a clean teething ring, cool spoon, cold wet washcloth or toothbrush. Chilled teething rings or rubbing a clean finger on the sore gum area often helps too.
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Signs and appearance of teeth displaying bottle caries:
Children who have erupted teeth or are past the age to be weaned are highly susceptible to rotted front teeth when being put to bed with a bottle containing milk, juice or other sugar-containing liquids. There is decreased salivary flow during sleep and clearance of the liquid from the teeth is slowed.
The liquid pools around the upper front teeth and creates an excellent environment to promote the growth of decay-causing bacteria. Removing the bottle before the first tooth appears and wiping the child's gums and teeth with a soft cloth before being put to bed can help prevent decay.
At 18 months of age, parents should be encouraged to ask their dentist to examine their child and recommend home care.
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"First visit by first birthday" sums it up. Your child should visit a dentist when the first tooth comes in, usually between six and twelve months of age. Early examination and preventive care will protect your child's smile now and in the future.
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Dental problems can begin early. A big concern is Baby Bottle Tooth Decay (BBTD), which is preventable. BBTD can result from long periods of exposing baby teeth to liquids that contain sugar including formula, milk, breast milk, and juice.
A baby who has a habit of sleeping with a baby bottle filled with any sugary liquid or a breast in their mouth is at risk of getting BBTD. Frequent snacking on sweet or sticky foods can also cause decay.
The earlier the first dental visit, the better chance of preventing dental problems. Children with healthy teeth can chew food well, speak clearly and share precious smiles. Start your child on a lifetime of good dental habits now!
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Taking your baby off of the breast when he/she falls asleep can prevent baby tooth decay. Hold your baby while bottle feeding. Always take a bottle filled with milk or juice away from the sleeping child.
If your child requires a bottle at bedtime provide a bottle filled with water. Instead of a bottle try comforting your child with a pacifier or a favorite toy or blanket.
Check with your health care provider to make sure your child is getting the right amount of fluoride. Brush your baby's teeth with a soft toothbrush daily.
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Fluoride, in proper dosage, has been shown to significantly reduce dental decay. When fluoridated water has less than the ideal amount or is not available, fluoride supplements are recommended. (A call to your local water district is all that is necessary to determine whether your water has fluoride or not.)
When supplements are needed, the administration of fluoride supplements should begin shortly after birth and continue through the time of eruption of the second permanent molars (approx. 12 years of age).
Regular dental check-ups should begin no later than 18 months of age.
If you have any questions or need more information, don't hesitate to call.
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Thumb sucking is perfectly normal for infants; most stop by the age of two. Prolonged (beyond age 5 or 6 years) thumb sucking can create crowded, crooked teeth or bite problems. Your dentist will be glad to suggest ways to address a prolonged thumb-sucking habit.
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In 1960, the average maximum benefit paid by insurance carriers was $1,000 per year. In 1999, the average is still approximately $1,000 per year. Can this be true? Yes! An ever-increasing number of patients cannot gain access to needed dental services because the maximums have not even kept pace with inflation. Is there a solution? Absolutely. A Blueprint and Direct Reimbursement.
A "Blueprint" is a complete and full treatment plan, customized to your wants and needs, that will allow you to phase in ideal treatment over a period of time leading to the ultimate goal of ORAL HEALTH.
"Direct Reimbursement" dental benefit is a simple reimbursement system that preserves your right to choose treatment with minimal paperwork and no preliminary authorizations. Employers who select this alternative benefit plan can save money and purchase plans that provide cost-effective services employees.
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A prosthodontist is a specialist in the restoration and replacement of broken and missing teeth. Their training lasts an additional three years after four years of dental school. During that time, they are taught in greater detail both removable and fixed prosthodontics. Removable prosthodontics includes replacing missing teeth with appliances that the patients themselves can take in and out of their mouth, such as dentures and partial dentures. Fixed prosthodontics includes replacing missing and/or broken teeth with restorations that the patient cannot take in and out, such as veneers, crowns, bridges, and implants.
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What are dentures?
Dentures are removable prosthetic devices designed to replace missing teeth.
What are partial dentures?
Partial dentures are dentures that replace only a few missing teeth.
What are complete dentures?
Complete dentures are dentures that replace a complete set of missing teeth.
What is the difference between conventional dentures and immediate dentures?
Conventional dentures are dentures that are made and placed after the remaining teeth are removed and the tissues have healed. Immediate dentures are dentures that are placed immediately after the removal of the remaining teeth.
What is an over-denture?
An over-denture is a denture that fits over a small number of remaining natural teeth or implants.
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What are partial dentures?
Partial dentures are dentures that replace only a few missing teeth.
How do you wear a removable partial denture?
Removable partial dentures are attached to your natural teeth with metal clasps or devices called precision attachments.
How long will it take to get used to wearing a partial denture?
Your partial denture may feel awkward or bulky for the first few weeks, but your mouth will eventually get used to it.
How long should you wear a partial denture?
Initially, you may want to wear your partial denture all the time. Your dentist will give you specific instructions on how long it should be worn and when it should be removed. Generally, your mouth tissues need to rest so it is advisable that you take out your partial denture at least 15 minutes per day.
Will the partial denture change the way you speak?
Your partial denture may help your speech. It can be difficult to speak clearly when you are missing teeth. However, it also will take time to get used to it.
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What do dentures feel like?
For a few weeks, new dentures will feel awkward until you become accustomed to them. They might feel loose until the cheek and tongue muscles learn to hold them in position. It is not unusual to feel minor irritation or soreness. The patient needs to see his or her dentist for regular fit adjustments to relieve any sore areas.
Do dentures need to be replaced?
Dentures will need to be relined, remade, or rebased due to normal wear over a period of time and normal shrinkage of your gums and bones.
Are you able to eat with dentures?
Eating with dentures will take a little practice. You should start with soft foods that are cut into small pieces. As you become used to chewing, you can return to your normal diet.
Are there foods you should avoid if you wear dentures?
There are only a few eating restrictions for denture wearers. Avoid biting down directly on crunchy or hard foods, like whole apples, hard pretzels, crusty bread, or large sandwiches. They can break because of the angle where the denture comes into contact with the hard surface.
Biting is limited only by the stability of the dentures themselves. Insufficient bone structure (shrunken bone ridges covered by gum tissue), old or worn dentures, and a dry mouth decrease stability.
If you wear dentures, are dental adhesives necessary?
Today's dentures have been significantly improved through advances in both dental and materials technologies. As a result, dentures that fit properly usually do not require adhesives to secure the dentures. When you are just getting used to dentures, adhesives may be advised, but otherwise should not be necessary.
A loose denture is a sign that it doesn't fit your mouth correctly. When first getting used to dentures, you may notice them slipping when you laugh, smile, or cough, which is caused by air getting under the base and moving it. The more you wear dentures, the better you will be able to control their movements in these situations.
If your mouth has insufficient bone structure, dentures will be more difficult to retain. Your dentist may advise the placement of implants. These are placed in the bone and retain the denture with small, precision attachments.
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How do you clean your dentures?
When cleaning your dentures, you should first rinse away loose food particles thoroughly. Then moisten your toothbrush and apply denture cleanser. Brush every surface, scrubbing gently to avoid damage.
How many times a day does the denture need to be cleaned?
The denture needs to be cleaned two to three times daily.
What is good oral hygiene when you have full dentures?
In addition to taking care of your dentures, taking care of your mouth also is vital if you wear full dentures. This includes brushing your gums, tongue, and palate every morning with a soft-bristled brush before inserting your dentures. This stimulates your tissues and helps remove plaque.
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What should you do if your dentures crack or break?
Call your dentist immediately. Normally, dentures can be repaired quickly, often on the same day. Damaged dentures can cause additional oral health problems, so see your dentist right away. Never attempt to repair dentures yourself. They require professional repair and adjustment.
Why can't you fix dentures that break with glue?
Glues often contain harmful chemicals and are not effective in the proper repair of dentures.
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Your orthodontist knows you probably have plenty of questions about getting braces. Here are a few that prospective patients often ask.
What Usually Happens During an Initial Orthodontic Exam?
In order to determine your specific needs, the orthodontist will completely evaluate your mouth. This will likely include:
Your orthodontist will then carefully evaluate your specific needs and provide you with a treatment plan for correction. Following the recommended plan is important for proper correction.
What Are Spacers?
Teeth normally fit tightly against one another. Spacers are inserted before placement of your braces to provide some space between teeth for attaching the bands. There are two types of spacers, small springs or plastic modules. In just a few days they gently move desired teeth slightly apart.
Spacers often cause some soreness, but this goes away in a few days. Rinse your mouth with warm salt water to relieve the irritation. Your normal chewing also helps to get your mouth feeling better.
What Do I Do If a Spacer Comes Out?
Call your orthodontist immediately for a replacement. That little spacer is making just enough room for a comfortable fit for your braces and plays an important role.
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You can eat just about anything, but there are some exceptions. Getting used to braces also usually means making a few adjustments in your eating habits. This is because some food might damage your braces or cause problems for your teeth. Here's a list of items to avoid (or some ways they can still be enjoyed with caution):
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What is orthodontics?
Orthodontics, also known as malocclusion or "bad bite," is described by the American Association of Orthodontics as the branch of dentistry that specializes in the diagnosis, prevention, and treatment of dental and facial irregularities.
What is an orthodontist?
An orthodontist is a dentist who has undergone specialized training to diagnose, prevent, and treat dental and facial irregularities in patients. Within the U.S., orthodontists are required to complete a two- to three-year advanced residency program in orthodontics following the completion of their four-year graduate dental program. Each of these programs must be accredited by the American Dental Association's Commission on Dental Accreditation.
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Most orthodontic problems are inherited, including tooth size and jaw size, and may lead to crowding of teeth or spacing of teeth. Overbites, underbites, extra or missing teeth, and irregularities of the jaws, teeth, and face also are inherited. Other orthodontic problems can be caused from accidents, pacifier or thumb sucking, dental disease, or the premature loss of either the primary or permanent teeth.
What habits contribute to "bad bites"?
A number of childhood habits can lead to orthodontic problems, such as thumb or finger sucking, sucking on a pacifier, sucking on a lip, mouth breathing (often caused by enlarged tonsils and adenoids), fingernail biting, and "tongue thrust".
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A simple guideline we use is that children should be examined at the time the permanent teeth are beginning to come in. However, every child is different, and the best starting time for orthodontic treatment depends on the type of problem and how severe it is. So the answer really is: "It depends..."
If your child requires treatment, early intervention can make a real difference. We see the best results with treatments that would be impossible once your child's face and jaw have completely developed.
Also, when started early, completion of treatment at a later age is much easier.
During an initial examination, your dentist will evaluate your child's facial growth, spacing between teeth, crowding, extra or missing teeth. And they will look for habits like tongue-thrusting and thumb-sucking that may hinder normal growth and development. These problems can change tooth alignment as well as alter facial appearance.
If your child doesn't require any early treatment, most dentists will schedule periodic follow-up exams while the permanent teeth are coming in and the face and jaws continue to grow.
Orthodontic treatment can bring your child's teeth, lips and face into harmony. And we all know that a pleasing appearance and beautiful smile give children -- and adults -- a big advantage in life.
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When your mouth is loaded with extras -- bands, brackets, and wires -- brushing your teeth gets tougher and extra important. Plus, braces interfere with the natural chewing process that normally bathes and exercises gums and helps clean teeth. Caring for your teeth and keeping them cavity-free is a top priority during orthodontic treatment.
While proper-fitting bands or brackets usually protect the covered portion of your teeth, the brackets and wires on the outside of teeth make it harder for the toothbrush to clean between teeth. Trapped food particles and plaque are a breeding ground for cavity-causing bacteria. Gum disease also can develop, causing swelling and making cleaning even more challenging and painful. Improper care can also stain tooth enamel.
How Often Do I Need to Brush?
Preferably within five minutes after you eat anything, whether you're snacking or after a meal. Brushing away cavity-causing bacteria helps keep your teeth cavity-free. Carry a travel toothbrush in a backpack, purse, or briefcase to always have on hand for brushing away from home.
How Do I Brush My Teeth With Braces?
Brush between wires and gums to loosen any food particles. There are special toothbrushes for this, check with your orthodontist for recommendations. Start on the outside of your upper teeth, positioning the bristles at a 45 degree angle, toward the gum. Brush two to three teeth at a time using a circular motion, about ten strokes.
You may also want to use a water oral hygiene device that helps to remove food particles the toothbrush may not reach. It is used in addition to brushing and flossing, not as a substitute.
While wearing braces, be sure to schedule regular dental exams every three to six months for cleanings to keep your teeth and gums healthy. Ask your dentist and orthodontist how often they wish to see you.
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Many mothers have experienced gum disease, dental pain and/or tooth extraction during or shortly after their pregnancy. This is often seen as being a "normal" side effect of being pregnant. However, dental disease, which is an infection of the teeth and/or gums, is not "normal" for any patient. There are three basic events that happen during pregnancy which make the patient more susceptible to dental disease. First, hormonal changes may make the gums more susceptible to gum disease.
Second, pregnant women tend to eat smaller, more frequent meals, exposing their teeth and gums to sugars and acids more often. Third, cravings for "junk foods" and inadequate oral hygiene pose an increased threat to the teeth and gums.
Pregnant women should be advised to schedule a dental evaluation and receive preventive dental care. Personalized oral hygiene instruction should also be given to fight disease and promote overall good health for the mother and her baby.
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Each year about 400,000 people with cancer develop treatment-related complications in the mouth ranging from lesions to chronic dry mouth to bone disintegration. If serious, these complications can be life threatening. While many are unavoidable, some can be prevented or minimized.
It is recommended that whenever possible, a pre-therapy dental evaluation with a full set of mouth x-rays be performed. Any decay, gum disease and abscesses should be treated, if time permits, prior to chemotherapy and/or radiation therapy.
Even patients who have no pain or dental disorders need a thorough cleaning. The goal should be to have the patient's mouth in optimal health prior to beginning anti-cancer therapy.
If you have questions regarding cancer treatment and your dental health, please call our office.
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Many people don't see a dentist on a regular basis. They go only when they feel they have a problem. We call this "crisis treatment" as opposed to "preventive treatment". While these patients may feel they are saving money, it usually ends up costing much more in both dollars and time. The reason for this is that most dental problems don't have any symptoms until they reach the advanced stages.
An example is tooth decay. We hear all the time, "Nothing hurts...I don't have any problems". But tooth decay doesn't hurt! Until, that is, it gets close to the nerve of the tooth.
Then a root canal and crown are usually necessary, instead of the small filling, which could have been placed several years ago when the cavity was small. We can usually detect a cavity 3-4 years before it may develop any symptoms. It is not uncommon to see a patient with a tremendous cavity and they have never felt a thing!
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Signs and appearance of teeth displaying bottle caries:
Children who have erupted teeth or are past the age to be weaned are highly susceptible to rotted front teeth when being put to bed with a bottle containing milk, juice or other sugar-containing liquids. There is decreased salivary flow during sleep and clearance of the liquid from the teeth is slowed.
The liquid pools around the upper front teeth and creates an excellent environment to promote the growth of decay-causing bacteria. Removing the bottle before the first tooth appears and wiping the child's gums and teeth with a soft cloth before being put to bed can help prevent decay.
At 18 months of age, parents should be encouraged to ask their dentist to examine their child and recommend home care.
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Fluoride has been a great benefit to patients of all ages in helping prevent dental decay. Regular brushing and flossing lowers the chance of developing "cavities." However, the most decay-prone areas of teeth are the grooves and depressions on the chewing surfaces of the back teeth, which require further preventive care.To prevent decay, a plastic-like coating called a sealant should be painted on the chewing surfaces of all the back teeth. Studies have shown that sealants can reduce tooth decay by as much as 90% to 100%.
The American Dental Association recommends sealants be placed as soon as the first adult back teeth come in at age 6 or 7. Sealants should continue to be used as each adult back tooth comes into the mouth. All back teeth that need to be sealed are present by age 13. Sealant application is simple, fast, and painless.
Please call our office with any questions you may have about the benefits using a sealant in preventing dental decay.
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Many mothers have experienced gum disease, dental pain and/or tooth extraction during or shortly after their pregnancy. This is often seen as being a "normal" side effect of being pregnant. However, dental disease, which is an infection of the teeth and/or gums, is not "normal" for any patient. There are three basic events that happen during pregnancy which make the patient more susceptible to dental disease. First, hormonal changes may make the gums more susceptible to gum disease.
Second, pregnant women tend to eat smaller, more frequent meals, exposing their teeth and gums to sugars and acids more often. Third, cravings for "junk foods" and inadequate oral hygiene pose an increased threat to the teeth and gums.
Pregnant women should be advised to schedule a dental evaluation and receive preventive dental care. Personalized oral hygiene instruction should also be given to fight disease and promote overall good health for the mother and her baby.
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Diets low in certain nutrients reduce resistance to oral and dental infections, that is, periodontal disease (gum disease) and decay. A healthy immune system is essential to controlling periodontal disease.
Counseling in the Four Basic Food groups will improve dental health and general health. The consumption of sugar, especially in sticky forms or in a baby bottle while sleeping, contributes to the rapid development of dental decay.
The trace nutrient fluoride, may not be adequately supplied by bottle or municipal water supplies. Supplementation with oral tablets and topical application will reduce the incidence of dental decay by more than 60%.
Together, a balanced diet, daily use of fluoride, effective brushing, and sensible eating habits can reduce the risk of, or even prevent, infectious dental disease.
Please don't hesitate to call our office if you need more information on diet or fluoride supplementation and its relationship to dental health.
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More seniors today have retained their own teeth, avoiding the trauma of removable dentures. Many are on medications creating dryness of the mouth as a side effect. Without the natural benefit of saliva to decrease bacterial action, we see an increase of cavities on the root surfaces of these patients.
Anyone on a medication causing a dry mouth effect should be encouraged to see their dentist for regular dental cleanings and topical fluoride rinses.
For more information regarding dental problems of the elderly, please call our office.
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A thorough dental examination for presence of tooth and gum infection is recommended prior to joint replacement.
Periodontal disease is a commonly occurring oral infection of the adult population (80% of adults are affected) destroying the bony support of the teeth. This infection slowly progresses over the lifetime of the patient and is often manifested in the advanced stage in the senior population.
Because of the lack of any discomfort to the patient until total loss of bony support to the teeth, many adults are unaware that they have this infection. However, the bacteria from this bone destroying disease, especially in the more advanced cases, has been attributed to possible infection of joint replacements.
Candidates for joint replacements who have not been seen by a dentist in over a year should be considered for a thorough dental evaluation of their teeth and gums before surgery.
Depending on the severity of the infection, treatment of gum infections and tooth abscesses may take from two weeks to two months before the patient reaches adequate health before surgery.
If you have any questions about infection in joint replacements, please call our office.
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In the past, the loss of teeth (edentulism) was dismissed as a natural part of the aging process, and dentures were considered a normal sign of old age.
While such ignorance is rapidly becoming a thing of the past, there is still not a general awareness of the seriousness of edentulism. Multiple tooth loss is most commonly caused by periodontal disease, i.e. gum and bone disease. Periodontal disease has a high statistical correlation with chronic debilitating disease, such as diabetes, cardiovascular disease and arthritis.
So it is not very surprising that studies now show a shortened life expectancy by as much as 10 years for persons who have lost their natural teeth, when compared to those who have kept their teeth.
In addition to longevity, quality-of-life differences are just as significant. The functional efficiency of dentures has been measured to be only 20% of that of natural teeth. Can there be any doubt that nutritional deficiencies will be much more prevalent in those without their natural teeth?
Loss of teeth often causes a feeling of loss of wholeness and a sense of deterioration and aging. Given these factors, preservation of the natural teeth is integral to whole-person wellness.
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Why should you wear a mouthguard? While mouthguards are not mandatory equipment in all sports, their worth is indisputable. Mouthguards cushion blows to the face and neck. A mouthguard should be part of every athlete's gear, no matter the sport. Even adults or weekend athletes need to protect their smile and preserve their health.
Do: Wear a mouthguard at all times when playing sports. Wear a mouthguard custom-fitted by your dentist, especially if you wear bridges or braces.
Don't: Wear removable appliances like retainers when playing sports.
There are two types of mouthguards:
Custom-made: Designed by a dentist and made on a cast of your teeth. These cause very little interference with speaking or breathing. They provide the best protection and fit over braces and fixed bridges. They also cost more.
Ready-made: Purchased at most sporting goods stores. They are the least expensive, the least effective, and least comfortable.
Please call our office if you would like to "play it safe!" and wear a comfortable mouthguard and protect your teeth.
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The good habits of effective daily brushing, diet, and use of fluoride will help the aging person adapt to changing conditions. Reduced salivary flow and addition of medications will affect oral health dramatically.
Changes of the teeth and gums: Teeth will darken because of long-term exposure to plaque and changes in the dentin within the tooth. The gums may recede and uncover the roots. Exposed roots will be darker than the enamel part of the tooth and are prone to decay. Fillings can decay and darken, too, as they weaken over time.
"Dry Mouth" may develop: Saliva is useful to lubricate, wash away plaque, and neutralize the acid produced by plaque. Flow of saliva can be reduced by a medical disorder or be a side effect of antihistamine, decongestants, pain killers or diuretics.
The build-up of plaque will accelerate tooth decay. There will also be more gum infection which will cause a loss of bone support for the teeth. Poorly-fitting or poorly-cleaned dentures, illness, and some medications increase the severity of the problem.
For more information regarding dental problems of the elderly, please call our office.
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Periodontal disease can go on for years without pain and without detection unless specific examination procedures are performed. Visual oral examination by itself (even by a dentist) will not reliably detect periodontal disease until it has reached an advanced stage.
Early detection and adequate diagnosis require measurement of pockets (the crevice between the tooth and gum) with a periodontal probe. Effective prevention and treatment is available, but the damage caused as the disease progresses is irreversible.
Early detection and treatment is critical to prevent tooth loss and disfigurement. Although the procedure is simple, painless and requires only a few minutes, millions of American adults have never had it done.
Signs of periodontal disease - bleeding gums, redness of gum tissue, swelling of gums around the teeth, breath odor, receding gums, mobility of teeth.
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Fluoride, in proper dosage, has been shown to significantly reduce dental decay. When fluoridated water has less than the ideal amount or is not available, fluoride supplements are recommended. (A call to your local water district is all that is necessary to determine whether your water has fluoride or not.)
When supplements are needed, the administration of fluoride supplements should begin shortly after birth and continue through the time of eruption of the second permanent molars (approx. 12 years of age).
Regular dental check-ups should begin no later than 18 months of age.
If you have any questions or need more information, don't hesitate to call.
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One of the easiest problems to spot is a build-up of plaque. Plaque is the soft, sticky layer of bacteria, which is constantly forming on the teeth. Usually it is invisible to the naked eye, but when a person is not brushing adequately, it can build up to where it appears to be a thick whitish coating on the teeth at the gum line. If not removed, it can lead to gum disease.
Another potential problem, which is easy to spot, is missing teeth. Many patients assume that if they are still able to eat, they are O.K.
But very often, losing just one tooth can lead to the loss of support, and teeth begin to drift into the empty space, causing a change in the bite. It also forces the remaining teeth to carry an additional load, sometimes past their ability to adapt. In most cases, when even one tooth is lost, the remaining teeth suffer and are more likely to be lost as well.
Our focus is in the treatment of problems such as these. Call our office for the care you need.
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Burning mouth usually occurs in individuals over 50, but can affect others as well. There are several reasons why it occurs.
Denture problems: a new denture, or one that doesn't fit well, can irritate your entire mouth.
Reduced salivary gland function: this will cause the mouth to become dry, inviting oral discomfort, difficulty eating or swallowing, loss of taste, and a burning mouth. Salivary gland dysfunction sometimes comes with age. But there are saliva substitutes and rinses to protect your oral tissues, and soothe burning sensations.
Medications: these often dry the mouth (side effects)
Vitamin deficiency: there is some evidence linking burning mouth syndrome to Vitamin B deficiency.
Candida infections: this is a common oral fungus, usually apparent to the eye but sometimes undetectable. A topical anti-fungal agent can be prescribed.
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Each year about 400,000 people with cancer develop treatment-related complications in the mouth ranging from lesions to chronic dry mouth to bone disintegration. If serious, these complications can be life threatening. While many are unavoidable, some can be prevented or minimized.
It is recommended that whenever possible, a pre-therapy dental evaluation with a full set of mouth x-rays be performed. Any decay, gum disease and abscesses should be treated, if time permits, prior to chemotherapy and/or radiation therapy.
Even patients who have no pain or dental disorders need a thorough cleaning. The goal should be to have the patient's mouth in optimal health prior to beginning anti-cancer therapy.
If you have questions regarding cancer treatment and your dental health, please call our office.
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Many denture wearers breathe a sigh of relief when they get their first pair of dentures because they think their dental problems are over. What they soon realize, however, is that have just traded some old problems for new ones.
Even the best dentures can't compete with natural teeth in ability to chew food efficiently and comfortably. As the years go by, the supporting ridges that remain after teeth have been removed gradually change and get smaller.
For most patients, the dentures need to be "relined" or "refitted" every 2-4 years so that the denture will conform to the changing ridge. A large change in weight can also alter the shape of the mouth, causing changes in the fit.
If you have questions about your dentures, please call our office.
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The good habits of effective daily brushing, diet, and use of fluoride will help the aging person adapt to changing conditions. Reduced salivary flow and addition of medications will affect oral health dramatically.
Changes of the teeth and gums: Teeth will darken because of long-term exposure to plaque and changes in the dentin within the tooth. The gums may recede and uncover the roots. Exposed roots will be darker than the enamel part of the tooth and are prone to decay. Fillings can decay and darken, too, as they weaken over time.
"Dry Mouth" may develop: Saliva is useful to lubricate, wash away plaque, and neutralize the acid produced by plaque. Flow of saliva can be reduced by a medical disorder or be a side effect of antihistamine, decongestants, pain killers or diuretics.
The build-up of plaque will accelerate tooth decay. There will also be more gum infection which will cause a loss of bone support for the teeth. Poorly-fitting or poorly-cleaned dentures, illness, and some medications increase the severity of the problem.
For more information regarding dental problems of the elderly, please call our office.
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"Well, you know Doc, it's just a back tooth. No one will see it so I'll just get rid of it. It's not going to make a difference."
The plain truth is that it will make a difference. The loss of just a single tooth can set a course that can destroy an entire mouth. "Well, if that's true, tell me more. I sure don't want to lose the front ones that I smile with."
Teeth will drift and tip into a space that is created by missing teeth. Just like two gears of a car that are not properly aligned, pretty soon you've got a whole lot of problems.
"Well, I don't like that. What can I do?" If it sounds like I've heard this conversation a few times, you're right. If I'm going to keep a patient happy, I need to provide options at this point.
One of the options would be an implant. This is the replacement of a tooth with a false root that is surgically placed. It is then followed by the careful construction of a crown to replace the missing tooth, to prevent teeth from shifting and thereby causing further tooth loss.
If you have any questions about missing teeth and possible implant treatment, please call our office.
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Sleep apnea is a potentially dangerous disorder with fairly benign symptoms such as loud snoring at night, and morning headaches or daytime bouts of sleepiness. The cause? Intermittent periods throughout sleep when you actually stop breathing.
Breathing cessation, or apnea, lasts from seconds to nearly a minute. When breathing resumes, the brain senses lack of oxygen and wakes you up. The snoring is loud, sometimes explosive.
In the morning, the build-up of carbon dioxide in the blood causes headaches. And the lack of deep, relaxing sleep can leave one drowsy and usually grouchy, during the day.
During sleep apnea, the upper air passages in the mouth and throat are obstructed (no one is sure why). One form of treatment that has proven successful is wearing an acrylic appliance during sleep to keep air passages open. It's comfortable and easy to use.
For more information regarding sleep apnea please call our office.
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TMJ disorder describes a variety of conditions affecting the temporomandibular joint (the point where the jaw opens and closes) and nerves related to chronic facial pain. These problems are now more easily diagnosed and treated than in the past. Women are twice as likely to be affected than men.
In most cases, the symptoms related to TMJ disorders can be successfully treated to reduce or eliminate your discomfort. Postponement of treatment usually results in more damage to the joint, muscles, or teeth. Be sure to discuss any questions you may have about TMJ symptoms and treatment plans with your dentist.
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The exact cause of the disorder is unknown. Some factors are related to an improper bite, injury, arthritis, severe stress, or a combination of factors. Clenching or grinding teeth, a condition called bruxism, may develop from stress or as part of a sleep disorder. This can tire muscles and create painful spasms, causing even more pain. Repeated muscle problems may affect the joints, resulting in tissue damage, muscle tenderness, and more spasm, perpetuating a cycle of pain.
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Proper diagnosis is critical to make sure you receive treatment for your particular condition. Your dentist will recommend treatment after conducting a thorough health history, clinical exam, taking appropriate X-rays, and perhaps confirming the condition through other diagnostic tests.
Your dentist may prescribe a multiple-phase treatment plan. Only minor corrective treatment may be needed. Treatment may be simple or require more steps for alleviating the condition, depending on the degree of severity. Some of these treatments include:
In most cases, the symptoms related to TMJ disorders can be successfully treated to reduce or eliminate your discomfort. Postponement of treatment usually results in more damage to the joint, muscles, or teeth. Be sure to discuss any questions you may have about TM symptoms and treatment plans with your dentist.
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One out of every 10 Americans suffers from chronic headaches, and they spend over half a billion dollars every year for over-the-counter medications to relieve their pain. They never imagine that their headaches may be caused by TMJ, and that their pain is the result of a bad bite.
A bad bite can put your jaw-to-skull relationship out of alignment.
When this happens, TMJ symptoms occur. This cluster of symptoms can include: headaches, earaches, ear ringing, loud jaw clicking, even stiffness and pain in the jaw, neck, shoulders and back. This cluster has puzzled doctors in the past. Now we can put a name to it: TMJ.
According to recent studies, more than 40 million Americans suffer with TMJ (Temporomandibular Joint Dysfunction) or MPD (Myofascial Pain Dysfunction). The good news is dentists are taking the lead in finding solutions.
If you, or someone you love, suffer from the symptoms of TMJ, set up an appointment with your dentist soon. You may find that TMJ is the missing piece in the puzzle -- and, that the treatment works!
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Many people don't see a dentist on a regular basis. They go only when they feel they have a problem. We call this "crisis treatment" as opposed to "preventive treatment". While these patients may feel they are saving money, it usually ends up costing much more in both dollars and time. The reason for this is that most dental problems don't have any symptoms until they reach the advanced stages.
An example is tooth decay. We hear all the time, "Nothing hurts...I don't have any problems". But tooth decay doesn't hurt! Until, that is, it gets close to the nerve of the tooth.
Then a root canal and crown are usually necessary, instead of the small filling, which could have been placed several years ago when the cavity was small. We can usually detect a cavity 3-4 years before it may develop any symptoms. It is not uncommon to see a patient with a tremendous cavity and they have never felt a thing!
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Diets low in certain nutrients reduce resistance to oral and dental infections, that is, periodontal disease (gum disease) and decay. A healthy immune system is essential to controlling periodontal disease.
Counseling in the Four Basic Food groups will improve dental health and general health. The consumption of sugar, especially in sticky forms or in a baby bottle while sleeping, contributes to the rapid development of dental decay.
The trace nutrient fluoride, may not be adequately supplied by bottle or municipal water supplies. Supplementation with oral tablets and topical application will reduce the incidence of dental decay by more than 60%.
Together, a balanced diet, daily use of fluoride, effective brushing, and sensible eating habits can reduce the risk of, or even prevent, infectious dental disease.
Please don't hesitate to call our office if you need more information on diet or fluoride supplementation and its relationship to dental health.
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Fluoride, in proper dosage, has been shown to significantly reduce dental decay. When fluoridated water has less than the ideal amount or is not available, fluoride supplements are recommended. (A call to your local water district is all that is necessary to determine whether your water has fluoride or not.)
When supplements are needed, the administration of fluoride supplements should begin shortly after birth and continue through the time of eruption of the second permanent molars (approx. 12 years of age).
Regular dental check-ups should begin no later than 18 months of age.
If you have any questions or need more information, don't hesitate to call.
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Fluoride has been a great benefit to patients of all ages in helping prevent dental decay. Regular brushing and flossing lowers the chance of developing "cavities." However, the most decay-prone areas of teeth are the grooves and depressions on the chewing surfaces of the back teeth, which require further preventive care.To prevent decay, a plastic-like coating called a sealant should be painted on the chewing surfaces of all the back teeth. Studies have shown that sealants can reduce tooth decay by as much as 90% to 100%.
The American Dental Association recommends sealants be placed as soon as the first adult back teeth come in at age 6 or 7. Sealants should continue to be used as each adult back tooth comes into the mouth. All back teeth that need to be sealed are present by age 13. Sealant application is simple, fast, and painless.
Please call our office with any questions you may have about the benefits using a sealant in preventing dental decay.
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One of the easiest problems to spot is a build-up of plaque. Plaque is the soft, sticky layer of bacteria, which is constantly forming on the teeth. Usually it is invisible to the naked eye, but when a person is not brushing adequately, it can build up to where it appears to be a thick whitish coating on the teeth at the gum line. If not removed, it can lead to gum disease.
Another potential problem, which is easy to spot, is missing teeth. Many patients assume that if they are still able to eat, they are O.K.
But very often, losing just one tooth can lead to the loss of support, and teeth begin to drift into the empty space, causing a change in the bite. It also forces the remaining teeth to carry an additional load, sometimes past their ability to adapt. In most cases, when even one tooth is lost, the remaining teeth suffer and are more likely to be lost as well.
Our focus is in the treatment of problems such as these. Call our office for the care you need.
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"First visit by first birthday" sums it up. Your child should visit a dentist when the first tooth comes in, usually between six and twelve months of age. Early examination and preventive care will protect your child's smile now and in the future.
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