Posts for: March, 2014
It’s a recognized goal of modern dentistry to help you keep your natural teeth clean and disease-free, so you’ll be able to enjoy them for your whole life. But dentists can’t accomplish that goal by ourselves — we need your help! Maintaining good oral hygiene is the best way to ensure that your smile stays as healthy as it should be. Here are a few simple tips that can make a big difference in your dental health.
- Use the right brush, and change it as needed. What’s the right brush? Generally speaking, it’s one with soft bristles that’s small enough to fit your mouth comfortably. However, if you have trouble using a manual brush effectively (because of arthritis, for example), consider getting a good-quality electric brush. Change your brush when its bristles begin to stiffen or wear out. Ask us about proper brushing technique if you have any questions — and, of course, make sure to use a toothpaste with fluoride.
- Floss — every day. Because no matter how hard you try, you simply can’t reach all the areas in between your teeth with a brush alone — and that’s where many cavities get started. Plus, when it comes to preventing periodontal (gum) disease, flossing may be even more important than brushing, since it can actually remove plaque (a bacterial film) from under the gums. So no more excuses — OK?
- Stay away from sugary drinks and between-meal snacks. That includes sodas, cookies, and so-called “energy” drinks, which often pack a damaging one-two punch of sugar and caffeine. If you eat sugary treats at all, do so only after a meal. This will give your mouth plenty of “free time” to neutralize the acids that result when sugar is processed by oral bacteria. It’s these acids that are the primary cause of tooth decay.
- Avoid bad oral-health habits. Some you already know: smoking (or using tobacco products of any kind); excessive consumption of alcohol; chewing on pencils, fingernails, or anything else that doesn’t belong in your mouth. But some you may not know: A clenching or grinding habit at night can cause serious tooth damage without you even realizing it. Getting an oral piercing increases your chance of chipping a tooth, and can lead to other problems. And playing sports without a mouthguard is risky business.
- See your dentist regularly. You can do plenty on your own to keep up your oral health — but it’s also important to see us regularly. When you come in for an office visit, we will check you for early signs of problems, and take care of any that we find… before they get bigger and harder to treat. We’ll also make sure you leave with a sparkling smile that has been thoroughly and professionally cleaned.
If you would like to learn more about maintaining good oral hygiene, please contact us or schedule an appointment for a consultation. For more information, see the Dear Doctor magazine articles on “How to Help Your Child Develop the Best Habits for Oral Health” and “Oral Hygiene Behavior.”
Although they may appear inert, teeth are anything but — they grow and change like other bodily tissues until complete maturation. Teeth roots are especially adaptable; teeth with multiple roots develop much like forks in a road as each root takes a different path toward the jawbone.
This fork where they separate is called a furcation. It’s normal for lower molars and premolars to have two furcations, while upper molars traditionally have three. Furcations pose difficulties for teeth cleaning and maintenance. If bone loss has occurred around them, a condition called a furcation invasion has occurred. This loss is most likely due to periodontal (gum) disease, an inflammation arising from bacterial plaque on the teeth that hasn’t been removed through proper oral hygiene.
We identify furcation invasions through x-ray imaging and tactile probing. They’re classified in three stages of development: Class I describes early onset in which marginal bone loss has occurred, exposing a groove that leads to the beginning of the furcation; Class II is moderate bone loss where a space of two or more millimeters has developed horizontally into the furcation; and, Class III, advanced bone loss whereby the bone loss has extended from one side of the tooth to the other, or “through and through furcation.”
Our first step in treatment is to remove any detectable plaque and calculus on the tooth surface, including the roots (known as scaling and root planing). These areas can be difficult to access, especially near furcations, and requires special instruments known as scalers or curettes. We may also employ ultrasonic scalers that use high-frequency vibrations coupled with water to break up and flush out the plaque and calculus.
We then apply antimicrobial or antibiotic medicines to further disinfect the area and inhibit bacterial growth while the affected tissues heal. As the infection and inflammation subsides, we then turn our attention during subsequent visits to address the bone loss around the furcation. This may involve surgical procedures to aid in re-growing gum tissue and bone and to create better access for cleaning and maintaining the area.
Finally, it’s important to establish good oral hygiene habits and regular checkups and cleanings to prevent further complications or a reoccurrence of the disease. Maintaining these habits will help you avoid tooth loss and other problems with your oral health.
If you would like more information on furcations, 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 “What are Furcations?”
If you’ve been reviewing tooth replacement options, you probably already know the superior benefits of dental implants: their durability, functionality and life-like quality could provide you with years, even decades of satisfying service.
If you take this option, however, you should be prepared for a slightly longer process than a couple of office visits. From concept to permanent crown placement, it will require several months of preparation, expertise and teamwork. The more you know about this process, the better prepared you’ll be to handle it.
After careful preparation, which may include extracting the tooth being replaced, the process begins in earnest with the surgical placement of the implant’s titanium post into the jawbone. The surgeon uses a guide based on your bite and mouth structure to precisely implant the post in a pre-planned location: this ensures that the permanent crown will be affixed in the right location for best appearance and functionality.
While a temporary crown can sometimes be attached immediately after implantation, the permanent crown must wait until the bone grows and attaches around the titanium post (osseointegration). Once this has occurred, usually over several months, the implant can fully support the permanent crown and its function.
This last element, the permanent crown, is in many ways a work of art. Taking into consideration the patient’s facial features and shape, the type of tooth replaced and the tooth coloring natural to the patient which is transmitted this information to the dental technician who will manufacture the crown. The goal is to produce a life-like replica that will look natural and perform well.
It may seem quite involved, but all these stages are necessary for a successful outcome. Although dental implants take careful attention and time, the outcome is worth it. In the end you’ll not only recover lost function, you’ll also have a new, transformed smile.
If you would like more information on the procedures for placing dental implants, 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 “Dental Implants: Evaluating Your Professional Options for Care.”
You may have heard the expression: “If you just ignore your teeth, they will go away.” That may be true — but by practicing good oral hygiene, more and more people are now able to keep their natural teeth in good condition for their entire life. So we prefer to put a more positive spin on that old saw: “Take care of your teeth and they will take care of you — always.” What’s the best way to do that? Here are our top five tips:
- Brush and floss every day. You knew this was going to be number one, right? Simply put, tooth decay and gum disease are your teeth’s number one enemies. Effective brushing and flossing can help control both of these diseases. Using a soft-bristle brush with fluoride toothpaste and getting the floss into the spaces between teeth (and a little under the gum line) are the keys to successful at-home tooth cleaning and plaque removal.
- Don’t smoke, or use any form of tobacco. Statistically speaking, smokers are about twice as likely to lose their teeth as non-smokers. And “smokeless” tobacco causes tooth discoloration, gum irritation, an increased risk for cavities, and a higher incidence of oral cancers. Of course, smoking also shortens your life expectancy — so do yourself a favor, and quit (or better yet, don’t start).
- Eat smart for better oral (and general) health. This means avoiding sugary between-meal snacks, staying away from sodas (and so-called “energy” or “sports” drinks), and limiting sweet, sticky candies and other smile-spoiling treats. It also means enjoying a balanced diet that’s rich in foods like whole grains, fruits and vegetables. This type of diet incorporates what’s best for your whole body — including your teeth.
- Wear a mouthguard when playing sports. An active lifestyle has many well-recognized health benefits. But if you enjoy playing basketball, bicycling, skiing or surfing — or any other sport where the possibility of a blow to the face exists — then you should consider a custom-fitted mouthguard an essential part of your gear. Research shows that athletes wearing mouthguards are 60 times less likely to suffer tooth damage in an accident than those who aren’t protected — so why take chances with your teeth?
- See your dentist regularly. When it comes to keeping your smile sparkling and your mouth healthy, we’re your plaque-fighting partners. We’ll check you for early signs of gum disease or tooth decay — plus many other potential issues — and treat any problems we find before they become serious. We’ll also help you develop healthy habits that will give you the best chance of keeping your teeth in good shape for your whole life.
If you would like to learn more about keeping your teeth healthy for life, please contact us or schedule an appointment for a consultation. For more information, see the Dear Doctor magazine articles “Tooth Decay — The World’s Oldest & Most Widespread Disease” and “Dentistry & Oral Health For Children.”