Lots of people don’t know that April is National Stress Awareness Month; don’t fret if you’re one of them. For many, stress is already a common feature of everyday life. According to the American Psychological Association, 62% of Americans are stressed at their jobs, and stress has been estimated to cause the loss of some 275 million working days every year.
In addition to its other negative physical and mental consequences, stress can also spell trouble for your oral health. It may lead to the problems of teeth clenching and grinding, which dentists call bruxism. A habitual behavior that can occur in the daytime or at night, bruxism is thought to affect perhaps one in ten adults. While the evidence that stress causes bruxism is not conclusive, there’s a strong case for the linkage.
Bruxism sometimes causes symptoms like headaches, soreness or pain in the jaw muscles or joints, and problems with fully opening the mouth. It can be detected in the dental office by excessive tooth wear, and/or damage to tooth surfaces or dental work. Grinding or tapping noises heard at night may indicate that someone is grinding their teeth while sleeping. In children, nighttime bruxism is common and not necessarily a reason for concern; in adults, it may be more troubling.
So what can you do if you’re experiencing this problem? If you find yourself clenching and grinding during the daytime, simply becoming more aware of the behavior and trying to limit it can help. A bit of clenching during times of stress isn’t abnormal, but excessive grinding may be reason for concern. Many of the same techniques used to relieve stress in other situations—such as taking a step back, talking out your issues, and creating a calmer and more soothing environment—may prove helpful here as well.
Occasionally, prescription drugs may cause bruxism as an unwanted side effect; in this case, a medical professional may recommend changing your medication. The use of stimulants like coffee and mood altering substances like alcohol and illicit drugs have also been associated with teeth grinding—so if you’re having this issue, consider foregoing these substances and making healthier lifestyle choices.
There are also a number of dental treatments that can help protect your teeth from excessive grinding. The most common is an occlusal guard or “night guard.” This is a custom-fabricated appliance made of plastic that fits comfortably over your teeth. Usually worn at night, it keeps your teeth from actually coming into contact with each other and being damaged. Occasionally, additional treatments such as bite adjustment or orthodontics may be recommended to help solve the problem.
If you would like more information about teeth clenching and grinding, please call our office to schedule a consultation. You can learn more in the Dear Doctor magazine articles “Teeth Grinding” and “When Children Grind Their Teeth.”
If there’s one essential tool for dental health, it’s the toothbrush. But though simple in basic design, manufacturers have nonetheless created a dizzying array of choices that often muddy the decision waters for consumers.
It doesn’t need to be that way—you can choose the right toothbrush like a boss. First, though, you need to know a toothbrush’s purpose expressed as two basic tasks: removing dental plaque, the thin biofilm that causes most dental disease; and stimulating the gums to maintain good health.
So what should you look for in a toothbrush to effectively perform these tasks? Here are 3 important factors to consider when buying this essential dental care tool.
Bristle quality. First, it’s a myth that bristles should be hard and stiff to be effective—in fact harder bristles can damage the gums. Opt instead for “soft” bristles that are also rounded on the ends. And look for bristling with different levels of length—shorter length sections work better around the gum line; longer sections help clean back teeth more effectively.
A “Just right” size. Toothbrushes aren’t uniform—you’ll need to choose a size and shape that works well for you personally. You might find an angled neck or a tapered head easier for getting into your mouth’s hard to reach places. If you have problems with dexterity, look for a brush with large handles. And be sure to ask us at the dental office for recommendations on brush dimensions that are right for you.
ADA Seal of Acceptance. Just like toothpaste brands, the American Dental Association assigns its seal of approval to toothbrushes they’ve evaluated and found to meet certain standards. Although you can find high quality toothbrushes that haven’t sought this evaluation, an ADA seal means it’s been independently tested and found safe and effective for use.
Of course, no matter how high quality the toothbrush you buy, it’ll only be as effective as your brushing technique. So, be sure to use gentle circular or oval motions along all your teeth and gumline surfaces—it should take you about two minutes. We’ll be happy to show you the proper technique in more detail, so you’ll be able to get the most out of your chosen toothbrush.
You may not always be able to tell if your child's bite isn't developing properly. Â That's why you should have them undergo an orthodontic evaluation around age 6 to uncover any emerging problems with tooth misalignment.
Still, there are some visible signs all's not well with their bite. As the primary (baby) teeth give way, the permanent teeth erupt sequentially around ages 6 to 8. As they come in, you should notice that each tooth fits uniformly next to each other without excessive gaps or, on the other end of the spectrum, not crowded together in crooked fashion. Upper teeth should also fit slightly over the lower teeth when the jaws are shut.
If their teeth appearance deviates from these norms, they may have a bite problem. Here are 4 abnormalities you should watch for.
Underbite or deep bite. As we mentioned, the front teeth should cover the lower teeth with the jaws shut. In an underbite, the reverse happens — the lower teeth are in front of the upper teeth. It's also a problem if the upper teeth cover the lower teeth too much (often referred to as “deeply”).
Open bite. This occurs when there's a gap between the upper and lower front teeth while the jaws are shut together. One possible cause is late thumb sucking, which can put undue pressure on the front teeth and cause them to develop too far forward while forcing the bottom front teeth further backwards.
Crossbites. This kind of bite occurs when some of the teeth don't fit properly over their counterparts, while others do. Crossbites can occur anywhere in the mouth, for example the upper front teeth fitting behind the lower front teeth while the back teeth overlap normally, or the reverse (front normal, back abnormal).
Misalignments and Abnormal Eruptions. Sometimes upper teeth may align too far forward, a situation known as protrusion. Conversely, lower teeth (or the jaw itself) may come in too far back (retrusion). Because a primary tooth might be out of position or not lost in the proper sequence, a permanent tooth might noticeably erupt out of its proper position.
If you notice any of these situations with your child's teeth see your dentist or orthodontist soon for a full examination. If caught early, we may be able to take action that will lessen or even eliminate the problem.
March is national nutrition month—a good time to look at the connection between diet and oral health. You probably know that sugar is a major culprit in dental problems. This is because bacteria feed on sugars and create acid that can lead to tooth decay and gum disease. Avoiding sugary foods and drinks as much as possible is a good rule of thumb, but there are some food choices that actually benefit your oral health. Here are nutrition tips that will help keep your smile healthy for life:
Say cheese. Dairy products such as milk, cheese and yogurt contain calcium and phosphorus to build teeth and strengthen the supporting bone. And cheese neutralizes acid in the mouth to help fight cavities and gum disease.
Choose lean proteins. Lean meats, poultry, fish, milk and eggs help strengthen teeth. They are rich in protein and phosphorous, which is essential for building strong bones and teeth.
Eat a rainbow. Fruits and vegetables provide many key nutrients, including vitamins necessary for healing, bone strength, and healthy gums. Besides being nutritious, fruits and veggies scrub your teeth while you chew and stimulate the production of saliva, which is necessary for neutralizing acid and rebuilding enamel.
Nibble on nuts. Nuts contain protein, fiber and healthy fats. They also contain essential vitamins and minerals to keep teeth strong and gums healthy. Further, chewing nuts stimulates saliva production, lowering the risk of tooth decay.
Go for the grains. Studies have shown that eating too many refined carbohydrates such as white bread and sweet bakery items can lead to chronic inflammation, which is a factor in gum disease, heart disease, stroke and other conditions. In contrast, eating complex carbohydrates such as whole grains may reduce inflammation in the body.
What you put in your body can play a big role in preventing tooth decay and gum disease, so choose foods that provide the right building blocks for optimal dental and overall health.
The arrival of spring often serves as inspiration to clean house and create an environment that’s bright and fresh. Here at the dental office, we can do the same for your mouth as well! Having clean teeth, healthy gums and fresh breath helps you look and feel your best. Here are some ways we can help you freshen up your smile:
Dental Exam. The best place to start is with a dental exam. Finding and treating tooth decay in its earliest stages will help you avoid more costly and invasive dental treatments later on. It could even save a tooth that might otherwise be lost! Plus, oral cancer screenings are important for everyone—even young, non-smokers. Regular dental exams also give you a chance to bring up any issues you may be concerned about, and to ask for pointers on hygiene.
Professional Cleaning. Having a good oral hygiene routine at home goes a long way towards keeping your mouth healthy. But routine professional cleanings are still very important. Your dental hygienist uses specially designed tools to reach into places where your brush and floss can’t, and remove disease-causing dental plaque and tartar. A polishing provides the finishing touch for a squeaky-clean feeling.
Teeth Whitening. Teeth tend to get duller with age; that’s why teeth whitening treatments can give you a more youthful appearance. Bleaching your teeth is safest when supervised by a dental professional. We recommend two methods: either a professional treatment at the dental office, or a take-home kit we can provide, which includes custom-fitted bleaching trays. The first way will give you the fastest results, while the second is more economical.
Smile Makeover. Sometimes whitening alone is not enough to fix what’s keeping you from flashing a big, bright smile. For example, maybe your teeth aren’t straight, or they have been worn down over the years. Perhaps a tooth is chipped or is missing entirely. Or maybe there are multiple cosmetic issues. If this is the case, we can help you figure out what’s really bothering you about your teeth and how you can achieve the smile of your dreams.
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