If you’re seeing your dentist regularly, that’s great. But if that’s all you’re doing to stay ahead of dental disease, it’s not enough. In fact, what you do daily to care for your teeth is often the primary factor in whether or not you’ll maintain a healthy mouth.
Top of your oral care to-do list, of course, is removing daily plaque buildup from teeth and gums. This sticky film of bacteria and food particles can cause both tooth decay and periodontal (gum) disease. You do that with effective daily brushing and flossing.
Effective brushing starts with the right toothbrush—for most people a soft-bristled, multi-tufted brush—and fluoride toothpaste. As to technique, you should first avoid brushing too hard or too often (more than twice a day). This can damage your gums and cause them to recede, exposing the tooth roots to disease. Instead, use a gentle, scrubbing motion, being sure to thoroughly brush all tooth surfaces from the gumline to the top of the teeth, which usually takes about two minutes.
The other essential hygiene task, flossing, isn’t high on many people’s “favorite things to do list” due to frequent difficulties manipulating the floss. Your dentist can help you with technique, but if it still proves too difficult try some different tools: a floss threader to make it easier to pull floss through your teeth; or a water flosser, a handheld device that directs a pressurized water stream on tooth and gum surfaces to loosen and flush away plaque.
And don’t forget other tooth-friendly practices like avoiding sugary snacks between meals, drinking plenty of water to avoid dry mouth, and even waiting to brush or floss about an hour after eating. The latter is important because acid levels rise during eating and can temporarily soften enamel. The enzymes in saliva, though, can neutralize the acid and re-mineralize the enamel in about thirty minutes to an hour. Waiting to brush gives saliva a chance to do its job.
Lastly, keep alert for anything out of the ordinary: sores, lumps, spots on the teeth or reddened, swollen, bleeding gums. All these are potential signs of disease. The sooner you have them checked the better your chances of maintaining a healthy mouth.
If you would like more information on caring for your teeth at home, 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 “10 Tips for Daily Oral Care at Home.”
Some people are lucky — they never seem to have a mishap, dental or otherwise. But for the rest of us, accidents just happen sometimes. Take actor Jamie Foxx, for example. A few years ago, he actually had a dentist intentionally chip one of his teeth so he could portray a homeless man more realistically. But recently, he got a chipped tooth in the more conventional way… well, conventional in Hollywood, anyway. It happened while he was shooting the movie Sleepless with co-star Michelle Monaghan.
“Yeah, we were doing a scene and somehow the action cue got thrown off or I wasn't looking,” he told an interviewer. “But boom! She comes down the pike. And I could tell because all this right here [my teeth] are fake. So as soon as that hit, I could taste the little chalkiness, but we kept rolling.” Ouch! So what's the best way to repair a chipped tooth? The answer it: it all depends…
For natural teeth that have only a small chip or minor crack, cosmetic bonding is a quick and relatively easy solution. In this procedure, a tooth-colored composite resin, made of a plastic matrix with inorganic glass fillers, is applied directly to the tooth's surface and then hardened or “cured” by a special light. Bonding offers a good color match, but isn't recommended if a large portion of the tooth structure is missing. It's also less permanent than other types of restoration, but may last up to 10 years.
When more of the tooth is missing, a crown or dental veneer may be a better answer. Veneers are super strong, wafer-thin coverings that are placed over the entire front surface of the tooth. They are made in a lab from a model of your teeth, and applied in a separate procedure that may involve removal of some natural tooth material. They can cover moderate chips or cracks, and even correct problems with tooth color or spacing.
A crown is the next step up: It's a replacement for the entire visible portion of the tooth, and may be needed when there's extensive damage. Like veneers, crowns (or caps) are made from models of your bite, and require more than one office visit to place; sometimes a root canal may also be needed to save the natural tooth. However, crowns are strong, natural looking, and can last many years.
But what about teeth like Jamie's, which have already been restored? That's a little more complicated than repairing a natural tooth. If the chip is small, it may be possible to smooth it off with standard dental tools. Sometimes, bonding material can be applied, but it may not bond as well with a restoration as it will with a natural tooth; plus, the repaired restoration may not last as long as it should. That's why, in many cases, we will advise that the entire restoration be replaced — it's often the most predictable and long-lasting solution.
Oh, and one more piece of advice: Get a custom-made mouthguard — and use it! This relatively inexpensive device, made in our office from a model of your own teeth, can save you from a serious mishap… whether you're doing Hollywood action scenes, playing sports or just riding a bike. It's the best way to protect your smile from whatever's coming at it!
If you have questions about repairing chipped teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Artistic Repair of Chipped Teeth With Composite Resin” and “Porcelain Veneers.”
Are you embarrassed by your front teeth? Maybe it’s just moderate defects—a chipped tooth here, an irregularly shaped tooth there—but it’s enough to make you less confident to smile.
There are a number of ways to transform your teeth’s appearance like porcelain veneers or crowns. But a relatively inexpensive method that’s less involved is to bond dental material called composite resin to your teeth to correct defects. Made of synthetic resins, these restorative materials can mimic your own natural tooth color. We can also artistically shape them to create a more natural look for an irregular tooth.
If you’re looking to change the way your front teeth look, here are 3 reasons to consider composite resins to restore them.
They can be applied in one office visit. Although effective, veneers, crowns and similar restorations are typically outsourced to dental labs for custom fabrication. While the results can be stunning, the process itself can take weeks. By contrast, we can colorize, bond and shape composite resins to your teeth in just one visit: you could gain your “new smile” in just one day.
They don’t require extensive tooth alteration. Many restorations often require tooth structure removal to adequately accommodate them, which can permanently alter the tooth. Thanks to the bonding techniques used with composite resins, we can preserve much more of the existing tooth while still achieving a high degree of artistry and lifelikeness.
Composite resins are stronger than ever. Over the years we’ve learned a lot about how teeth interact with each other to produce the forces occurring during chewing and biting. This knowledge has contributed greatly to the ongoing development of dental materials. As a result, today’s composite resins are better able to handle normal biting forces and last longer than those first developed a few decades ago.
Composite resins may not be suitable for major cosmetic dental problems, but you might still be surprised by their range. To learn if composite resins could benefit your situation—even a large defect—see us for a complete examination.
If you would like more information on composite resin restorations, 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 “Artistic Repair of Front Teeth with Composite Resin.”
Each June, as we celebrate Father’s Day, we get a chance to pay tribute to the important men in our lives. One of the best ways to do that is by encouraging them to stay healthy—and June is a great time for that, since it’s also Men’s Health Month. So let’s take this opportunity to focus on one important aspect of maintaining good health: preventive dental care.
Preventive care includes all the measures we can take to stop disease before it gets started. One facet of prevention is encouraging people to make healthier lifestyle choices: for example, quitting tobacco, getting more exercise, and improving their diets. You can start by eliminating foods that have added sugar (like many soft drinks and processed foods) or acids (like some fruit juices and sodas, both regular and diet)—and by limiting snacks to around mealtimes, so your saliva has time to neutralize the acids in your mouth that can cause cavities.
There’s increasing evidence that having good oral health promotes better overall health—and coming in for routine checkups is essential. While some men avoid the dental office until they have a problem, that isn’t a wise decision. In fact, a routine dental visit is not only one of the greatest values in preventive health care—it’s also one of the best ways to maintain good oral health. Here’s why:
Tooth decay is among the most common chronic diseases—yet it’s almost 100% preventable! A routine office visit includes an oral exam and a professional cleaning that can help stop tooth decay before it gets started. But when decay is discovered, it’s best to treat it right away, before treatment gets more complex—and costly!
The major cause of tooth loss in adults is gum disease. If your gums bleed or show other signs of disease, we can help you get it under control with instruction for more effective oral hygiene, and/or appropriate treatment.
Routine exams include not only a check for tooth decay and gum disease—they also include screening for oral cancer. This isn’t just for older folks: Recently, the fastest growing group of oral cancer patients has been young non-smokers. The sooner it’s treated, the better the chances of a successful cure.
Good at-home oral hygiene is necessary to keep your teeth in top-notch condition. If you have questions about proper brushing, flossing, or everyday care of your mouth—this is a great time to ask. Our staff is happy to show and tell you the best practices for maintaining excellent oral health.
If you would like more information about oral health and hygiene, please call our office to schedule a consultation.
Determining which of your teeth is causing your toothache isn’t always easy — or even if it’s a tooth at all. The pain could be coming from a tooth, the gums, or both. Only a thorough dental examination can pinpoint the exact cause and best course of treatment.
If a decayed tooth is the problem, the pain may be coming from nerves and other tissue deep within the tooth’s pulp. The symptoms could be dull or sharp, constant or intermittent, specific to one area or spread out. It’s even possible for the pain to suddenly subside after a few days. This doesn’t mean the infection has subsided, but rather that the infected nerves have died and no longer transmit pain. Pain can also radiate from the actual source and be felt somewhere else — the pain in your sinuses, for example, could actually originate from an infected back tooth.
If the source is periodontal (gum) disease, the infection has begun in the gum tissues. As they become more inflamed they lose their connectivity with the teeth, bone loss occurs and the gums may “recess” or draw back. This exposes the tooth root, which without the protective cover of the gum tissues becomes highly sensitive to changes in temperature or pressure. As a result you may encounter sharp pain when you eat or drink something hot or cold, or bite down.
Treating these issues will depend on the actual infection source. An infected tooth often requires a root canal treatment to clean out the pulp and root canals of dead or infected tissue, fill them with a special filling, and seal and crown the tooth to prevent future infection. If the source is gum disease, we must manually remove the bacterial plaque causing the disease from all tooth and gum surfaces to stop the infection and allow the gums to heal. In advanced cases, surgical procedures may be necessary to repair damage and encourage new gum and bone growth.
Where dental disease has spread from tooth to gums or vice-versa, you may need treatments for both areas to address your overall condition. Whatever the treatment course, we can put an end to your tooth pain and restore health to your teeth and gums.
If you would like more information on the sources of mouth pain, please contact us today to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Confusing Tooth Pain.”
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