Did you know that dental diseases like periodontitis and even cavities are the most common diseases – apart from the common cold? It may surprise you, but enough people neglect their oral hygiene enough to make this an extremely common ailment, even though it’s an easily-preventable situation! These numbers are so high because most people who have some form of gum or tooth disease have no knowledge of it – and with 75% of the population having some form of periodontal disease, you must take careful attention when cleaning your mouth.
Dental decay is not much of an issue in modern society (thanks to fluoridated water and toothpaste), but a proper hygiene routine is still necessary to prevent gum disease and/or cavities. Brushing and flossing is essential, as this both cleans the smooth surfaces of the teeth, and also helps break up food particles and plaque in between the teeth and gum line. Gum disease starts in between the teeth, and some toothbrushes can’t reach critical areas necessary to be cleaned to prevent bacteria from growing.
Although gingivitis – the bacterial infection that invades your gums – is reversible, periodontitis is gum and bone disease, and is not irreversible! Because periodontal disease is so serious, and can only be managed under the strict supervision of a dental professional, it is important to understand just how periodontal disease can affect you. This disease has been linked to heart disease, stroke, diabetes and other degenerative diseases that can be life threatening! I’ve blogged about periodontitis before, and I can’t stress enough how important and serious it can be to have regular cleanings and check-ups from a dental professional twice yearly. Periodontal disease can disfigure even the most beautiful of smiles. Your gums can be so swollen, receded and bloody that your teeth will look longer, will become loose and eventually will need removal. If you detect gum disease early, you will need a management program that includes regular treatment with your dentist and/or hygienist and solid home care to manage the disease.
Root planing and scaling is the common form of soft tissue management treatment, when a hygienist or dentist uses a precise tool to detoxify the tooth surfaces below the gum line and in between each tooth, and then rinses with antiseptic. With advanced technology, laser energy can also be utilized to remove diseased tissues and eliminate bacteria to allow healing to take place. Your dental professional will discuss the best treatment plan for you – a routine cleaning is not enough by itself to treat periodontal disease! You may need to visit your dental hygienist more often, up to four times per year in order to properly manage the disease. On a daily basis, a solid home care program (which should be designed by you and your dentist) will help you maintain your oral health. Besides brushing and flossing after every meal, other tools like prescription tooth brushes (like Rotadent) and water irrigators (like Hydrofloss) could be helpful for your hygiene routine. Antiseptic rinses like Tooth and Gum Tonic Herbal Rinse, a healthy diet and/or supplements and antioxidants like vitamin C and B can also help to fight and manage gum disease. Healthy gum supports a healthy smile, which supports a healthy body!
It’s hard to associate troublesome cavities with adorable babies, but babies are far more vulnerable to dental disease than adults are due to the softer and thinner enamel on baby teeth (deciduous dentition). Baby bottle syndrome and poor cleaning habits are common factors that often lead to cavities in your child’s brand new teeth – the real question is since baby teeth are supposed to fall out and be replaced by permanent teeth, is it necessary to go through lots of work and spend money maintaining those deciduous teeth?
Baby teeth can easily become compromised by bacteria lingering in a young child’s mouth – and if not treated quickly, can decay away in matter of weeks. In many cases, the poor child not only suffers from toothaches, but during the first dental visit an unpleasant memory association of the dentist’s office can develop subconsciously. If your dental professional notes that a severely decayed baby tooth needs a root canal (followed with baby tooth crown), don’t panic – this routine procedure is vital if the tooth is fully compromised! In this situation, the frustrations, the lengthy processes and the expenses might lead to the thinking “why bother with all the work, why not just pull the unhealthy baby teeth?” If the infected baby tooth is left untreated, not only will it lead to a unhappy child, it can also affect the permanent tooth lying below the unhealthy baby tooth.
By the time your child reaches age 2, he or she should have 20 deciduous teeth, as permanent teeth start to grow in around age 5 1/2 to 6. The lower front baby teeth are the first to exfoliate, replaced by permanent teeth. At the same time, permanent molars also emerge behind the baby molars. This process continues as baby teeth fall out, visits are paid from the tooth fairy and new teeth erupt through the gum, a memory in every child! The last set of baby teeth eventually exfoliate around age 12, to be replaced by permanent bicuspids. Even if your child’s baby teeth are not be in the best condition, they serve an important role in addition to chewing and speech function – baby teeth maintain necessary space in the jaw bone for permanent teeth to grow in.
If a child looses a baby tooth too early, the jaw bone misses out on functional stimulation by not holding up by the baby tooth. The consecutive permanent tooth will be affected and will not develop nor align properly. It is for this reason that baby teeth cannot be simply pulled in the event of a cavity. If a baby tooth is lost early, placing a space maintainer will hold the jaw dimension at its original measure, ensuring the proper development of permanent teeth. Take proper care in maintaining baby teeth – they may be short lived, but the effect and influence of deciduous teeth are life long and shouldn’t be overlooked.
Do you have a hard time swallowing? Do you ever get cotton mouth (when your throat is dry and uncomfortable)? Xerostomia, also known as dry mouth, is a serious issue that many people suffer from, though most are unaware a problem exists (or do not know how to care for it).
Dry mouth got you down?
Xerostomia is a condition in which the salivary glands of the mouth do not function as they should, and provide a less-than-adequate supply of saliva into the mouth. This is not only uncomfortable, but it also weakens natural defense system for your teeth. Saliva rinses food particles away from your teeth, neutralizing acids which can harm your teeth, providing enzymes to help digest food (which also keep oral tissues healthy).
In order to actually understand how to prevent dry mouth, it is important to understand what causes it. Often times, dry mouth can be brought on with emotional and physical stress. Aging, radiative therapy, chemotherapy, medication and physical illness (such as AIDS, diabetes, strokes or Alzheimer’s disease) can cause dry mouth. Various pharmaceutical studies have proven that over 400 prescription and OTC medications can cause xerostomia, such as: anti-depressants, anti-hypertensives, tranquilizers, analgesics, diuretics and antihistamines. Speak with your physician if you are experiencing dry mouth while taking any of these medications.
The consequences of dry mouth can effect one’s quality of life tremendously. Symptoms include difficulty swallowing or speaking, frequent ulcers or sores of the mouth, a frequently altered sense of taste, extensive tooth decay or gum diseases and bad breath. Speak with your physician or dental care professional about what you can do to prevent dry mouth. General rules to ease the discomfort of dry mouth include brushing and flossing twice daily and after meals! Drink plenty of water, work on a healthier diet, chew sugarless gum. Avoid smoking and drinking alcohol, avoid salty or dry foods (like chips, toast and crackers) and use over-the-counter oral moisture replacement products to lessen the displeasing effects of dry mouth. Visit your dental professional regularly for preventative care and to have additional preventive treaments (like sealant or home fluoride treatment) as needed to preserve your oral health.
Do you need some extra cash, especially if you are feeling the squeeze of the credit crunch? Check your drawers and jewelry boxes to find any gold crowns or inlays removed from your mouth, trade in the dental scrap for some pocket change!
Gold fillings are removed
You might have never thought about it, but gold fillings, bridges and other gold dental work is actually worth some money in today’s economy! Gold is one of the few precious metals which has held its value, and many people with scrap fillings lying around the house are turning to jewelers to get money for their gold dental work! They can sell for $30 to $50.
In our office, when offered remaining gold scrap when a patient has old dental work removed, 25% of people say they would like to keep the gold. Some people have these gold teeth lying around, and if you fall under this category, it might be time to change the gold dental scrap to good use. Gold does not corrode in the harsh oral environment, and because of this, it has been a suitable restorative material choice for decades (even though in more recent years, the trend has been towards composite or porcelain material which looks natural against other real teeth). Still, there is plenty dental gold work even today, and even porcelain crowns can be supported with dental gold alloy. While dental gold is usually 12 to 16 karat, not 24 karat, it still fetches a high resale value, up to $900 per ounce in today’s economy! The gold must be treated chemically to remove other metallic substances, but this can be easily done by the jeweler you sell your scrap gold to.
There is one shocking fact you learn from this dental gold rush story – the base tooth is actually separated from the gold cap with your cola drink. Cola is no stranger to criticism from the dental world, its acidic properties can erode your enamel and gum (and even lead to bone loss!) and can wreak havoc in your mouth. If you soak the tooth in a cup of cola for 24-48 hours, the gold cap will separate from the tooth and will be ready for scrapping. Doesn’t this fact make you think twice about drinking cola? The best way to fight recession is get into prevention, take good care of yourself! When you’re healthy, it’s much easier to be productive and move ahead. Let your mouth be your asset instead of liability starting with proper home care and stay away from bad habits and poor diets.
Mark came in with a severe tooth ache, and after an examination, I could see the tooth was severely broken down. The basic options were to either save the tooth – going through root canal therapy and finishing with a post and crown restoration, or to remove the tooth and restore with a dental implant and crown. “Should I save my tooth, or should I pull it!” This is the eternal question!
Root canal therapy (also known as endodontic therapy) is a procedure of treatment for the pulp of a tooth once it has become infected – the inner pulpal material must be removed, in order to protect and decontaminate the tooth from future microbial invasion to the jaw bone. Once a root canal procedure is performed, however, the lack of nutritional supply in the tooth (once the organic tissue is removed from the tooth during the procedure) will render the tooth brittle, the weakened tooth should be reinforced and restored properly, with a post and crown.
Root canal treatment does have a bad reputation due to the pain and the stigma associated with the procedure. Often times, a patient will have a root canal performed and think the procedure was a success, only to have pain and infection return several years down the line. The complexity of the anatomic root variation could be an obstacle and techniques can often be tedious, which is why specialized service is usually performed by a highly trained dentist or endodontist. Special tools like microscopes are also often necessary for a successful procedure. Advanced instrumentation and technique will ensure long-term success.
Regular dental checkups are vital to properly maintain your dental health. If the unhealthy dental condition requires a root canal treatment or an extraction, have your dental professional explain the pros and cons of each option, then make an educated decision. If there is a mystery pain, a 3-D image (Morita Survey of CT scan) would be invaluable for proper diagnosis. Regular dental x-rays are not capable of capturing images of a cracked tooth nor accessory root canals (which are small and difficult to see). These tiny cracks or canal issues can lead to prolonged discomfort, which you may have thought was a figment of your imagination! If the prognosis was poor, or a tooth has broken down so much that it has become unrestorable, extraction and a dental implant might be a more sustainable investment to you dental health. Prevention is always the best treatment! Brush and floss your teeth twice daily and after meals. If you have any dental pain, schedule an appointment with your dentist sooner rather than later.
We all clean our teeth with tooth brushes, but how do you clean the tooth brush that cleans your teeth?
Keep your tooth brush clean!
Tooth brushes get used cleaning your teeth at least two time daily, and we should all be using toothpaste and water with our brushing. Afterward, we rinse our mouth out and clean our toothbrush under running tap water, shaking off any excess water and then keep the toothbrush upright, allowing it to air dry until next time. Such a cleaning routine is usually adequate for a healthy person. It is good to know however that any toothbrush can harbor millions of bacteria at any given time. The oral cavity itself harbors hundreds of different kinds of microbes and bacterial organisms, which inevitably become transferred onto the toothbrush as you clean your teeth. Most bathrooms also harbor lots of bacteria, which can transfer to your brush if the brush head is contacting any not-so-clean surfaces or another toothbrush. Should you be concerned with sanitizing your tooth brush?
Thankfully, our immune defense mechanism protects against offending microbes, and most bacteria on your tooth brush will pose no health risk to you. Don’t be germ phobic, but it is always good to have few more pointers under your belt regarding how you can keep a cleaner toothbrush. Do not share a toothbrush! Wash your toothbrush before and after each use. It is important to clear all bristles of any remaining toothpaste or food debris to prevent excess bacteria from forming. If you are sick, it’s a good idea to soak your toothbrush in a 3% (standard over-the-counter) solution of hydrogen peroxide for 5-10 minutes to sterilize your cleaning tool. Also, it’s a good idea to have several toothbrushes at your disposal, dried and cleaned and ready to go – rotating toothbrushes can increase their longevity. When storing your toothbrush, make sure to have adequate ventilation to prevent molding or bacteria from forming.
My last tip is to take a good look at your your brush: if the ends of bristles bend , get a new one! Normally, the life span of a is 3 to 4 months; if you have an electric toothbrush check the shape of the bristles (it might be time to replace the brush heads). It’s always easier to stock up a few brushes to assure you’ll always have a good toothbrush available to keep your oral hygiene up to snuff. A clean mouth makes you feel refreshed and keeps your body healthy!
“No more drill?” was an exciting news headliner in May of 1997, implying that with Er:YAG dental lasers, drills were no longer necessary for treating cavities! A decade later, we can re-evaluate or validate the pros and cons of cavity treatment with dental lasers.
In recent years, lasers have been utilized for providing precise, less-painful, clean and miraculous medical and dental procedures. In dentistry, various treatments on soft tissues (like aesthetic gum contouring, gum treatment for gingivitis and periodontal disease, apthous ulcers, frenectomies, biopsies and more) are precisely performed and heal faster with less discomfort than traditional treatments. Surgeries can be done in a very clean and fairly bloodless field. Lasers have also been used to aid in faster and more efficient tooth whitening procedures. Later exploration into how lasers can be utilized in the dental field have revealed hard tissue applications, including tooth and bone.
How does laser energy work with our body? The laser-tissue interaction can be looked at by identifying the laser’s characteristics. The laser wavelength (which has a very specific peak absorption curve) is attracted to certain tissues or elements. Our body, as a recipient site receiving the laser energy, is composed of different structures and elements. The best and most efficient results occur when the perfect match is found between the laser’s energy and the target tissue.
Since erbium energy (Er:YAG) is attracted to water and hydroxylapatite (tooth and bone elements), and decayed tooth structures are full of moisture, the laser energy reacts to your decayed tooth structure much quicker than your healthy tooth structure. This means the decayed tooth structure can be ablated away efficiently. The process happens precisely at the target tissue (the cavity), energy does not travel beyond this site – this means the tooth will not react to the process, resulting in less irritation than a traditional dental drill (which carries mechanical vibration and heat, causing irritation to the teeth)!
In comparison, when it comes to restorative dentistry, rotary instruments (like a traditional drill) are still easier, faster and more predictable in creating specific tooth shapes to receive dental restorations, and rotary instruments have been improved, combining elements of both air and electricity, giving better torque energy, less vibration and less noise.
When discussing the removal of decayed tooth structure , the erbium laser is still a wonderful tool to create a sterile, clean site. Obtaining a laser solely for removing tooth decay, however, is not feasible.So there is few dentists offer such service. Erbium lasers are very useful for bone and soft tissue procedures (water component), dental implant recovery surgeries, and aesthetic crown lengthening (eliminating a gummy smile).Hopefully when you need such services can receive the benefits what laser dentistry can offer.
Dentistry is continuously evolving. New technology, new techniques, new prospects – it’s exciting! Get excited about your opportunity to get better dental service, ask your dental professional “what’s new!” Get the whole team excited about what benefits we can all receive from all the new and advanced technology available to us today.
The toothbrush is, of course, an essential tool for keeping your teeth clean and plaque-free, but there are many types of toothbrushes available for use. The structure of your mouth is very intricate, including soft gum tissue, hard enamel, various crevices and spaces where food can hide, etc – and every person’s mouth is different, and responds differently to various types of brushes. How do you pick the right toothbrush for you?
If you get perfect dental check-up scores, do not have any type of gum sensitivity issues nor any other dental problems, you can probably keep your present hygiene routine. An over-the-counter toothbrush will normally suffice for people with normal gums and teeth if you are using it properly. If you have a history of dental and gum issues, special care is needed. You may need more than one toothbrush (different sizes and shapes of brush heads and tips) to adequately clean between your teeth and restorative material, such as a specialty brush shaped to accommodate dental restorations.
What about electric toothbrushes? There are many toothbrushes on the market, available both over-the-counter and from your dentist, which advertise a much deeper cleaning than what a manual toothbrush can provide. Keep in mind that an inexpensive battery-operated toothbrush often lacks the torque (twisting power) needed to adequately clean your teeth, remove plaque and remove biofilm; If you have children who refuse to brush their teeth, an electric toothbrush might be a fun way to encourage proper oral hygiene!
The more advanced electric toothbrushes, with proper technique, can clean your teeth more effectively than manual brushes. Manual brushing often does not do a good enough job at removing plaque than electric toothbrushes from your dentist (prescription electric toothbrushes like Rotadent, what I recommend to my patients has micro-filaments bristles with different tips). These brushes allow more advanced brushing techniques with different brush head attachments to accommodate different parts of the mouth, and have the necessary torque to properly clean your oral environment. If you have any of the following conditions, you should equip yourself with a better toothbrush for better oral health: orthodontic braces, gum problems, dental implants, dental bridges, arthritis, etc…
No matter what type of toothbrush you have, remember that it is necessary to spend two minutes brush at least twice a day, and after meals. The food caught between your teeth can start producing harmful bacteria only 5 minutes after eating (which is why you should bring a toothbrush to school or work every day)! Because every mouth is different, and certain tooth angles (and dental work) require special brushing or special brushes, consult with your dental professional. Besides brushing, flossing, tongue scraping, rinsing, and irrigation are all important steps to get your mouth’s environment as squeaky clean as it can be. It is a lot of work to keep yourself in top condition, but it will become second nature. You deserve paying your mouth so much attention – for your own health!
Fluoride treatment is effective with preventing cavities and tooth decay. As a dentist, this is what I have recommended to people who I see can benefit from fluoride treatment’s ability to remineralize and desensitize your teeth. However, I must confess there is risk involved with using fluoride due to its potentially damaging systematic effects.
Fluorine, the ionized form of fluoride is highly active to phosphate ions in your body (where calcium is found in large amounts – like the bones and teeth). In teeth, fluorine combines with the inorganic compound apatite, to form a harder, less water-soluble fluoride salt, which resists the acidic erosion of some oral environments. A pregnant mother’s fluorine intake affects the primary teeth of the fetus. Fluorine intake from fluoridated water (or a fluoride supplement) can also affect teeth in child development of up to around age 8 (making teeth harder and more resistant to decay). Unfortunately, excessive amounts of fluoride can lead to fluorosis, which causes white, brown or black stains (and even pitting) of the teeth, and/or brittle, aching bones and joints. An even darker fact regarding fluoride: many researchers believe it is carcinogenic. Japanese research has shown fluoride as being capable of transforming healthy cells into cancer cells. Additionally, the New Jersey Department of Health has found that young men exposed to fluoridated water have a much higher occurrence rate of bone cancer. Other studies performed by private corporations (Procter & Gamble in particular) have shown fluoride used to fluoridate public water sources significantly increases the chances of genetic damage in its drinkers.
So use fluoride with caution – it is beneficial for cavity prevention and treating tooth sensitivity, but it is for topical use only – do not ingest! Children especially need special care from their parents with undertaking any type of fluoride treatment, no fluoride toothpaste or fluoride should ever be swallowed. If fluoride use is recommended by your doctor or dental professional, calcium supplements (or food rich in calcium like dairy products) are recommended to ensure your bones stay strong and balance out any potential loss of calcium due to fluorine exposure.
There are alternatives for remineralizing your tooth structure, such as calcium phosphate and calcium carbonate. If you have any concerns, speak with your dental professional. Remember, the best way to prevent tooth decay is to eat sensibly and keep your mouth sparkling clean by properly brushing and flossing after every meal.
Imagine being able to suck on a lollipop to benefit your teeth! Imaging a candy approved by your dentist ! A UCLA research team (with Chinese collaboration) has developed a licorice candy which actually destroys the bacteria in your mouth responsible for cavities and tooth decay – without disrupting the healthy, digestive bacteria. Sound amazing? It just might be the future!
Glycyrrhiza uralensis is the magic behind this development, an extract from licorice root which effectively eliminates 99.9% of the mouth’s streptococcus mutans, a significant bacterial contributor to tooth decay (it produces acids which eat away at the protective outer layers of your teeth). The extract, blended into a sugarfree candy lollipop, can be ingested like a normal piece of candy, with no negative side effects noted (at this time). Licorice root also promotes saliva flow, promoting a healthy oral environment. Alternate studies have also shown licorice extract to be capable of relieving pain symptoms associated with canker sores.
Besides the obvious benefits of a convenient, delicious way to fight tooth decay, sugar-free candy produced with licorice root could be a godsend for mothers and parents who can’t get their children to stop eating candy (or who refuse to brush their teeth)! The amount of time it takes for the average person to suck and digest a lollipop was shown to be more than adequate for the root to kill harmful bacteria in the mouth. Chinese medicine has used licorice root for centuries( I grew up in Taiwan, used licorice root for teething, even I had sweet tooth and always rushed with my brushing, did not have cavity problem!) in treating various inflammatory and viral maladies, although western medicine has only recently discovered the benefits of the root.
Although these cavity-fighting candies are only available in Japan and Europe at the moment, it won’t be too long before Americans will be able to prevent cavities with lollipops! More research is necessary before such products will be approved by the FDA.
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– the bacterial infection that invades your gums – is reversible, periodontitis is gum and bone disease, and is not irreversible! Because periodontal disease is so serious, and can only be managed under the strict supervision of a dental professional, it is important to understand just how periodontal disease can affect you. This disease has been linked to heart disease, stroke, diabetes and other degenerative diseases that can be life threatening! I’ve blogged about periodontitis before, and I can’t stress enough how important and serious it can be to have regular cleanings and check-ups from a dental professional twice yearly. Periodontal disease can disfigure even the most beautiful of smiles. Your gums can be so swollen, receded and bloody that your teeth will look longer, will become loose and eventually will need removal. If you detect gum disease early, you will need a management program that includes regular treatment with your dentist and/or hygienist and solid home care to manage the disease.
