Posts for: June, 2011
Dental caries (tooth decay) is similar to the pesky bumblebee that invades your lovely summer barbecue. You can find temporary solace from this intruder by eliminating that very first bee that you see, but if you are situated in an area that is close to the bee's nest, it won't be long before the next bee buzzes along. This is similar to tooth decay. Having one cavity-laden tooth drilled and filled is really just a temporary fix. The underlying conditions that led to tooth decay in the first place need to be addressed in order for your risk of future infection to decrease.
Researcher Dr. John Featherstone created the concept of the Caries Balance in 2002, in which he explained that tooth decay and overall dental health are dependent upon a proper balance of disease-causing and health-promoting factors. Discovering what the fundamental problem really is (and getting as far away from that hornet's nest as possible) can help both determine and curb your risk for future tooth decay.
Here's the issue in a nutshell: Susceptible teeth, in the presence of acid producing bacteria when fed by sugar from your diet, basically, will create all the conditions necessary to cause tooth decay.
To determine your risk for tooth decay, see how many times you answer “Yes” to the following questions:
- Do you brush your teeth twice a day to reduce bacterial plaque sticking to the teeth?
- Do you use fluoride toothpaste to strengthen the teeth against acid attack?
- Do you use a fluoride mouthrinse?
- Do you floss daily?
Every affirmative answer decreases your risk of getting cavities, but even doing all of this may not be enough!
Now, how many times can you answer “Yes” to these questions?:
- Do you smoke? Smoking causes mouth dryness, and creates a host of other health problems.
- Do you snack frequently between meals? One sugary snack and your mouth is acidic for the next hour. One snack per hour and your mouth is acidic all day.
- Do you frequently have acid reflux or heartburn? Reflux creates extreme acidity in the mouth and directly erodes tooth enamel.
- Do you drink soda, sports drinks, or acidic beverages frequently? These beverages are very acidic.
- Is your mouth frequently dry? Do you take any medications that cause mouth dryness? Saliva is nature's own defense against acidity and helps neutralize acid in the mouth.
- Have you had frequent cavities in the past and/or have you had any crowns or fillings in the past three months? The best indicator of future disease is past disease!
Every affirmative answer increases your risk of getting cavities!
Now that you are a little more knowledgeable about your personal risk for tooth decay, make an appointment with us to discuss the preventative measures that can give you some control over the future condition of your teeth. Ignoring the risks and then ending up with a mouth full of rotting teeth when you knew better could really sting a little!
To learn even more about the delicate balance between the disease causing and protective factors related to tooth decay, read the Dear Doctor magazine article “Tooth Decay: How To Assess Your Risk.”
Thanks to technological advances, today there are more than 40 types of traditional or standard implants. A traditional dental implant actually replaces the root of a tooth, upon which a crown is built — the part you see in the mouth. There are 2 others types that are quite similar to standard implants. Mini implants are most like traditional implants except they are smaller in diameter. Micro-mini implants are an even smaller variation with an even narrower, more screw-like appearance. Micro-mini implants are also designed to be used on a temporary basis, thus can easily be removed. Together all of these types of implants provide us with a wide variety of options for permanently replacing missing teeth.
The following list details the types of implant restorations:
- Single tooth replacements: As the name suggests, these implants are used to replace single teeth.
- Multiple tooth replacements: Implants can be used to replace multiple teeth in a variety of ways. This includes acting as bridge supports to permanently replace missing teeth.
- Combinations of fixed and removable bridgework: Dental implants can be used to support permanently fixed in teeth, bridgework or removable bridges or dentures. Their biggest advantage over dentures alone is that they stabilize the dentures and preserve the jawbone to which they attach, thus preventing the jawbone from melting away under the pressure of dentures.
- Over-dentures: These restorations are now considered the new gold standard. In this application two or more standard implants (or multiple mini-implants) are used to attach and stabilize full dentures. Over-dentures are especially useful for tooth replacement in the lower jaw, where denture stability is often problematic.
- Temporary Anchorage Devices (TADS): These special implants are a tool that orthodontists can use to obtain a stable, non-movable anchor for moving teeth more quickly and easily. They are small, easy to place and easy to remove once their job is done.
- Temporary bridgework: In this case, mini-implants are used to support temporary bridgework. They are placed between permanent implants and later removed when the permanent implants have healed and teeth are permanently placed on them. Mini-implants ensure that a person is never without teeth during the process of teeth replacement.
Sucking their fingers or thumbs makes young babies feel secure and is completely normal behavior. Babies have been observed to suck their fingers or thumbs even before they are born. But like many comforting habits, over-doing pacifier, thumb, or finger sucking habits may be harmful.
Stop Pacifier Use by 18 Months
Studies have shown that pacifier use after the age of two may cause long-term changes in a child's mouth. We recommend that pacifier use should stop by about 18 months. A pacifier habit is often easier to break than finger or thumb sucking.
Stop Thumb and Finger Sucking by Age Three
Most children naturally stop thumb and finger sucking between two and four years of age, but some children continue this habit much longer. This may cause their upper front teeth to tip towards their lips or to come into position improperly. It can also cause their upper jaw to develop incorrectly. The American Academy of Pediatric Dentistry recommends that children stop these habits by age three.
Use of Behavior Management to Encourage Quitting
We offer creative strategies for gentle ways to cut back and stop pacifier use, including behavior management techniques that use appropriate rewards given at predetermined intervals. Meanwhile, make periodic appointments with us to carefully watch the way your child's teeth and jaws develop.
When your child is old enough to understand the possible results of a sucking habit, just talking about what may happen to teeth as a result can often encourage him/her to quit. As a last resort, a mouth appliance that blocks sucking may be needed.
If you are worried about your child sucking a pacifier, thumb, or fingers, please visit us to put your mind at rest. For more information read “Thumb Sucking in Children” in Dear Doctor magazine. Contact us today to schedule an appointment to discuss your questions about children's thumb sucking.
Given the fact that baby-boomers are now reaching the age of retirement, understanding senior healthcare is becoming a top priority to many people. Discover your level of expertise in the area of oral health by taking the following true/false test.
True or False Self Assessment
- All people eventually lose their teeth as they age.
- Yellow teeth are a sign of gum disease.
- If you have dentures, you no longer need regular dental check-ups.
- Periodontal (gum) disease is a big problem that affects 3 out of 4 adults.
- Electric toothbrushes can be a great option for seniors with arthritis or other debilitating conditions.
- False: Your teeth are meant to last your lifetime.
- False: Yellow teeth typically denote stained teeth from diet, medication, smoking, or growing older. And while they may not appear attractive, older, yellow teeth can in fact be healthy and free of gum disease. However, if your yellow teeth bother you, ask us if teeth whitening could be right for freshening up your smile while making you appear younger.
- False: For those individuals who wear complete upper and lower dentures, you will always need routine dental exams, typically once a year so that you can be screened for cancer, as well as other oral conditions (i.e. candadiasis), to ensure the you obtain and maintain optimal oral health.
- True: 75% of all adults over the age of 35 will experience some form of periodontal disease, a condition in which the gums become inflamed and infected. If left untreated, gum disease causes the bone that supports the teeth to deteriorate until the teeth are loosened and/or eventually lost (either they fall out on their own or must be removed). On a positive note, you can prevent gum disease by having good oral hygiene that includes flossing daily and brushing at least twice a day with a proper technique and fluoride toothpaste.
- True: Under normal conditions, what matters most is not so much the type of toothbrush used (manual, electric or battery powered toothbrush), but rather how you use it. However, if you are unable to use a manual toothbrush effectively for proper brushing, then a power toothbrush may be able to facilitate proper cleaning more easily.