Posts for: August, 2018
More than likely your great-grandparents, grandparents and even your parents had a common dental experience: when one of their teeth developed a cavity, their dentist removed the decayed portion (and maybe a little more) through drilling and then filled the cavity. In other words, treatment was mainly reactive—fix the problem when it occurred, then fix it again if it reoccurred.
You may have had similar experiences—but the chances are good your dentist’s approach is now quite different. Today’s tooth decay treatment is much more proactive: address first the issues that cause tooth decay, and if it does occur treat it with an eye on preventing it in the future.
This approach depends on maintaining equilibrium between two sets of competing factors that influence how your teeth may encounter tooth decay. This is known as the caries balance (caries being another name for tooth decay). On one side are factors that increase the risk of decay, known by the acronym BAD: Bad Bacteria that produce acid that dissolves the minerals in tooth enamel; Absence of Saliva, the body’s natural acid neutralizer; and Dietary Habits, especially foods with added sugars that feed bacteria, and acid that further weakens enamel.
There are also factors that decrease the risk of tooth decay, known by the acronym SAFE: Saliva and Sealants, which focuses on methods to boost low salivary flow and cover chewing surfaces prone to decay with sealant materials; Antimicrobials, rinses or other substances that reduce bad bacteria populations and encourage the growth of beneficial strains; Fluoride, increased intake or topical applications of this known enamel-strengthening chemical; and Effective Diet, reducing the amount and frequency of sugary or acidic foods and replacing them with more dental-friendly choices.
In effect, we employ a variety of techniques and materials that inhibit BAD factors and support SAFE ones. The foundation for prevention, though, remains the same as it was for past family generations—practice effective oral hygiene by brushing and flossing daily and regular dental cleanings and checkups to keep bacterial plaque from accumulating and growing. Your own diligent daily care rounds out this more effective way that could change your family history of tooth decay for you and future generations.
When your child says they have a toothache, should you see your dentist? In most cases, the answer is yes.
And for good reason: their “toothache” could be a sign of a serious condition like tooth decay or a localized area of infection called an abscess, which could adversely affect their long-term dental health. The best way to know for sure –and to know what treatment will be necessary—is through a dental exam.
So, how quickly should you make the appointment? You can usually wait until morning if the pain has persisted for a day or through the night—most toothaches don’t constitute an emergency. One exception, though, is if the child has accompanying fever or facial swelling: in those cases you should call your dentist immediately or, if unavailable, visit an emergency room.
In the meantime, you can do a little detective work to share with the dentist at the appointment. Ask your child exactly where in their mouth they feel the pain and if they remember when it started. Look at that part of the mouth—you may be able to see brown spots on the teeth or obvious cavities indicative of decay, or reddened, swollen gums caused by an abscess. Also ask them if they remember getting hit in the mouth, which may mean their pain is the result of trauma and not disease.
You can also look for one other possible cause: a piece of candy, popcorn or other hard object wedged between the teeth putting painful pressure on the gums. Try gently flossing the teeth to see if anything dislodges. If so, the pain may alleviate quickly if the wedged object was the cause.
Speaking of pain, you can try to ease it before the dental appointment with ibuprofen or acetaminophen in appropriate doses for the child’s age. A chilled cloth or ice pack (no direct ice on skin) applied to the outside of the jaw may also help.
Seeing the dentist for any tooth pain is always a good idea. By paying prompt attention to this particular “call for help” from the body could stop a painful situation from getting worse.
If you would like more information on dental care for children, 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 “A Child’s Toothache: Have a Dental Exam to Figure out the Real Cause.”
When you’re posting a profile photo on LinkedIn, Facebook, Match.com and other social media sites, which shot is likely to make the best impression in terms of “likeability,” “competence” and “influence”? One in which you’re smiling and showing some teeth, for starters, according to PhotoFeeler.com, a crowdsourcing website that helps people evaluate their head shots. If something about your teeth is holding you back from parting your lips when you smile for the camera, here are some tried-and-true options for doing something about it!
Picture-Perfect Color, Shape and Alignment
Improving the color of your teeth may be as easy as getting regular professional cleanings, which are necessary for removal of calculus — dark-yellow hardened buildup of bacterial plaque — and can polish out superficial staining caused by certain beverages and foods.
Actually changing the color of your teeth entails whitening/bleaching. Professional whitening achieves the fastest results because it uses the highest concentration of peroxide solution and custom-fitted trays. In-home whitening kits take longer to work but are less expensive. Results last anywhere from six months to two years.
For permanent whitening results, consider veneers or crowns. In addition to changing tooth color, they can also alter tooth shape, hide wear and even minimize gaps between teeth. Veneers are affixed to the front of teeth, while crowns cover the entire tooth.
Teeth that are chipped, cracked or have noticeable areas of decay, can be restored with bonding, in which a composite resin material is applied that is colored to match your natural teeth.
You can straighten misaligned teeth and no one even has to know you’re doing it. Barely visible and entirely invisible orthodontic appliances include clear braces, lingual braces (attached to the tongue-facing side of teeth) and clear aligners, which are removable for tooth brushing/flossing, cleaning the appliance, eating, and special occasions.
If you would like more information about enhancing your smile, 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 “Beautiful Smiles by Design.”