“Smile Make Over Alert?”

Posted by drgracesun on June 22, 2009 under Beautiful Smile, Cosmetic Dentistry, Function, General Dental Knowledge, Healthy Smile, Smile Design | Read the First Comment

Being able to smile is a beautiful thing – we all deserve a beautiful one! Some of us might need some work to obtain a dazzling smile, and cosmetic dentistry has been very popular and reaching that dazzle. Just don’t let your dream turn into a nightmare while pursuing your smile make over!

If you are planning on having any elective cosmetic work done, make sure your physician is familiar with different cosmetic options and has a good training background. The most common cosmetic dentistry problems can be prevented if you do your homework, including unsatisfactory cosmetic outcomes or clinical and technical shortcomings! These problems can lead to a not so happy nor healthy smile, altered speech, gum irritation, increased tooth sensitivity , chipping, loose teeth and even breakage of porcelain (from insufficient bonds between natural teeth and porcelain veneers View definition in a new window from an overly trimmed tooth structure or bite issue). These errors end up needing additional work (like crowns, root canals or gum surgery) and can be painful and infuriating.

It is important when considering any kind of cosmetic work – dentistry or otherwise – that you evaluate your own needs, and knowing your own health as a foundation for your own future.  The consequences of only looking at cosmetic dental procedures without the health side can put your long term oral health at risk.  If you have a fairly healthy mouth with well-aligned teeth, it may be easier to get satisfactory cosmetic results with the average cosmetic dentist . If you have seriously mis-aligned teeth, gum disease or lots of dental work / TMJ View definition in a new window problems (or are prone to cavities), you have a much more sensitive oral cavity View definition in a new window and must be very careful with who you choose to be your cosmetic dentist. Also, you may require multiple steps in order to attain a healthy, long lasting result.

It is also important to have a well thought-out plan before the procedures starts as good communication with your cosmetic dentist and technician is key. Not only is it necessary to be able to convey your desires clearly, but it is also best to go through the proper diagnostic steps to analyze the problem, plan the treatment scientifically with a mock-up or wax-up procedure and set up the detailed 3-D blueprint of your smile makeover before proceeding with dental reconstruction work. Make sure your dentist and ceramist are well experienced by asking other patients what kind of work you can expect and by checking into his or her credentials, education and training background (www.aacd.com is a good reference site).  Look at pictures of past cases the dentist has worked on, and get a feel of what kind of sincerity and caring attitude the dental team will be able to provide you, in order to help make your important decision. Make sure you ask questions about what will make the procedure a long term success before proceeding the work.

It is a wonderful thing to have a great smile, but maintaining it will be just important. Proper home care and regular professional check-ups are musts – proper diet and healthy habits will keep your smile beautiful for a long time! Finally, wear a night guard View definition in a new window if you are prone to bruxism as they can help maintain the structure of your oral system.

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“Home Remedy for Gum Disease?”

Posted by drgracesun on May 19, 2009 under Healthy Smile, Information | Read the First Comment

It is a scary fact that 1 in every 3 American adults suffer from gum disease – this common malady is often caused by certain bacterial factors due to poor oral habits, difficult access for cleaning and weak host resistance for tissue break down. The key point is to prevent the occurrence of gum disease by instilling a healthy diet, healthy habits and regular dental check ups. However, if you already have signs of gum disease (like if your gums bleed when you brush or floss your teeth) there just may be some home remedies that can provide some relief, before your dental visits.

Take caution at the first signs of Gingivitis!

Typical signs of gum disease include bleeding gums, red or swollen gums, loose teeth or halitosis (bad breath). It all starts with inflammation of the gum tissue, which is called gingivitis: symptoms are light and include occasional bleeding, which can if left undiagnosed can progress to irreversible periodontal disease. This in turn can cause unhealthy systemic conditions such as heart attacks and hypertension! Of course, a fully implemented oral hygiene routine is your first and safest bet in preventing bacterial agents that cause gum disease. Brush and floss your teeth for two minutes minimum twice a day and after every meal. This will prevent bacteria and plaque from building up between your teeth and between your gums, which cause the beginning stages of both gingivitis and halitosis. It is also important to build up your host resistance to prevent tissue break down by maintaining a healthy diet rich in antioxidants, like Vitamin C, B and E, calcium, magnesium and silica.

If you do have signs of gum disease, try these remedies to reduce your symptoms. Salt water: this old home remedy can help you not only relieve the symptom of a sore throat, but can also reduce the swelling and bleeding of gum tissues. It can also reduce halitosis in minor cases. Eating right, as mentioned by foods rich in vitamin C (or take supplements) will also help. Tea tree oil can aid in reducing gingivitis conditions. Add a few drops of a tea tree oil supplement to your toothbrush after brushing to add a protective layer to the oral tissues. Finally, massaging your gums with your fingertips can stimulate blood circulation within your gums, and often times provide pain relief!

Try these home remedies if you can not get to your dentist right away and believe you may be suffering from gum disease. No home solution is a substute for professional service. Schedule a visit to your dental professional if you have experienced bleeding gums, loose teeth or bad breath. Listen to your body and take care your dental problems as soon as possible – bringing your oral health back to a healthy condition is always your wisest move!

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“Superglue Substitute?”

Posted by drgracesun on May 9, 2009 under Healthy Smile, Information | 5 Comments to Read

It’s no surprise that people are hurting financially, given the sheer amount of job losses in America. The stress many of us are under becomes evident even in our oral health! When people become overly stressed, they tend to lapse into bad eating and drinking habits, may start smoking, and often do not take proper care of their oral environment (brushing and flossing twice daily, and after meals). This does not mean, however, that visits to the dentist for serious tooth-related problems should be avoided!

The economy has driven some people to extreme measures regarding dental work, even inducing people to use superglue to fix broken teeth instead of visiting the dentist. Not only is this practice ineffective in properly restoring damaged teeth, the chemical compounds found in adhesives like superglue – which are not designed or manufactured for use or placement within the body – can be dangerous and cause adverse health problems depending on the type of glue. The mouth is a core View definition in a new window functioner within the human body, and many problems that originate in the mouth are systemic and eventually affect other aspects of your health. The same is true when it comes to abusing or not properly caring for your mouth.

Applying toxic substances like superglue to the inside of the mouth could have long-lasting systemic side effects far graver than the price of visiting your dental professional and receiving the proper dental care your mouth needs. Of course, prevention is always the best medicine for dental problems, but if they do arise, be sure to at least make a call to your dental professional and speak with someone. The problem could be more serious than you think, and fixing something early on is a healthier, less expensive treatment path than waiting until it is a bigger problem!

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“What is Smile Design?”

Posted by drgracesun on April 24, 2009 under Beautiful Smile | Be the First to Comment

When you smile, the corners of the mouth upturn, eyes begin twinkling and positive emotion radiates. A person’s smile is a pleasant, agreeable part of their appearance and facial characteristics; a person’s smile is the window to their heart!

Dental components like teeth and gum do play an important role in a smile. In today’s society, if a person’s dental components are not healthy or if they do not look right, most will feel far less confident to smile. As cosmetic dentistry has come into a heavier demand in recent years, smile design has become a term used for various clinical treatment plans and for aesthetic  improvement. This means smile design: projecting an enhanced smile through alteration of dental components as a practice of cosmetic dentistry. This is a type of comprehensive oral care that combines art and science to greatly improve the aesthetic appearance of the smile, as well as its health and function.

Audrey Hepburn

Proper smile design starts with a facial analysis, when the line between the pupils and the horizontal line from the connecting edges of your upper teeth (smile line View definition in a new window) are [hopefully] in parallel harmony; the smile line should also harmonize with the upper curvature of the lower lip. Then we evaluate the color, size and alignment of the dental compound, whether it is somewhat in the right places and proportional in relation with the face.

Some of the most common cosmetic procedures include tooth bleaching (or whitening) which enhances the color appearance of your teeth, bonding and veneers or porcelain crowns(which can enhance the outward appearance of a tooth’s color or shape), and gum work (like a gingival plasty, gum contouring or crown View definition in a new window lengthening) to harmonize with teeth. Straightening of teeth through adult orthodontics are also a part of cosmetic smile design – not only for improvement of the smile, but  to set up a healthier foundation for other cosmetic procedures (or simply to make the mouth easier to clean and maintain).

Laser dentistry is very complimentary to cosmetic dentistry. Laser smile design not only makes common procedures like teeth whitening and gum contouring quick and painless, but because of the laser’s highly focused energy path, very little tissue around the site is disturbed. Procedures are very non-invasive.

Ultimately, cosmetic dentistry and laser smile design could be a great investment if you are not comfortable with your smile or the condition of your teeth (especially if they are worn or broken down, requiring rehablitation or reconstruction). Once you present a confident and happy smile, people will smile back at you and many windows and opportunity will open! Give thought to whether it’s time to have a smile analysis and smile design performed by your dental professional. If you need to find out more about cosmetic dentistry, www.aacd.com can be a referral source.

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“Why Is My Tongue Black?!”

Posted by drgracesun on April 23, 2009 under Healthy Smile, Information | Be the First to Comment

Have you ever felt sick, taken some Pepto Bismol and then a while later, had a black tongue? You may be thinking you’ve eaten something strange, or that you are having an allergic reaction! This is actually not a rare side effect of Pepto Bismol however – read on to find out why your tongue is black!

Black Tongue is harmless.

Black Tongue is harmless.

Numerous brands of nausea medication, including Pepto Bismol, have an active ingredient called Bismuth subsalicylate, a multi compound drug useful in treating nausea, heartburn, indigestion, diarrhea, and other temporary discomforts of the stomach and gastrointestinal tract. In a tablet form, Bismuth subsalicylate is meant to be swallowed with water – however, when exposed to the surface of your tongue (from chewing), the drug will often turn the tongue black after several hours, and can last several days. A black tongue and black stools in some users of the drug is not harmful, but the color is produced as a side effect of the drug interacting with saliva and the gastrointestinal tract.

The good news is this discoloration has no adverse affect on your health; there is nothing to worry about if your tongue has gone black or if it is staining your teeth with black strips after taking Pepto Bismol. The stain can be removed easily by thorough brushing or seek help from  your dental professional. If a thorough brushing was followed after taking the Pepto Bismo, the staining issue would be eliminated.  You must be aware of your body if you have a upset stomach in the first place; getting a good assessment and managing the root of the problem rather than just masking the symptoms should be the overall, long-term goal. Maintain a healthy diet, full of fruit, vegetables and lean proteins to control the PH of your body (which should be neutral or mild alkaline). Getting 7-8 hours of sleep every night will ease and equip your body to deal with the stress. If you do have an upset stomach, have a cup of peppermint or chamomile tea with honey on me, which will help with your upset stomach. We can all work on respecting our body and mind to take better care of ourselves.

Staining due to Pepto Bismol

Staining due to Pepto Bismol

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Oral Cancer

Posted by drgracesun on April 13, 2009 under Information, Smart Smile | Be the First to Comment

Cancer is devastating, but through prevention we can often detect oral cancer’s presence in early stages (essential for survival). Oral cancer kills roughly one person per hour in America, more than 34,000 Americans will be diagnosed this year and only half will be alive in 5 years. If you expand the oral cancer to the larynx and the data to world wide, over 400,000 new cases are found each year according to the Oral Cancer Foundation.

Of the many known risk factors associated with oral cancer, cigarette smoking and alcohol consumption are the most common. When you smoke tobacco or drink alcohol, the harmful substances introduced to your body have adverse effects on your organs, and are both addictive and linked to numerous types of cancers, not just oral cancer. There are 50 known carcinogens and among 4000 different chemicals in cigarette tobacco smoke, 9 out of every 10 oral cancer patients are smokers. Frequent drinking will dramatically increase the ability of cancer-causing substances present in alcoholic beverages to penetrate the lining of your mouth, such as Acetaldehyde – which forms in a person’s mouth after using alcoholic mouthwash (suspected to be carcinogenic). Human Papilloma Virus, (HPV) is another common contributor to oral cancer. Common symptoms of the beginning stages of oral cancer include rough bumps or patchy legions on the lips or tongue, or any part of the mouth, white sores which are sensitive to temperature and pressure, and difficulty swallowing.

Unfortunately, most oral cancer cells are malignant and can rapidly spread to surrounding tissues (most of these cases were found in a late stage). Early detection is essential to increasing the chances of successfully treating oral cancer. There are several ways to screen for oral cancer, an advanced and non-invasive way  to screen is through use of the VELscope, which produces a fluorescent light onto oral tissues. If the fluorescent luminescence reflects off of the oral tissue, no cancer is present. Cancerous tissue will absorb the light and appear dark on the device. There are other methods for oral cancer screenings also, be sure to request one at your next dental check-up visit, especially if you fall into the high risk group of being male, over 40, who smokes and drinks.

If detected early, oral cancer patients have up to a 90% survival rate. The key to preventing oral cancer is to lead a healthy lifestyle and have regular checkups with both your dental and general health care professional.

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“What Should I Eat?”

Posted by drgracesun on March 1, 2009 under Information, Smart Smile | 2 Comments to Read

What you eat, and how often you eat foods that are unhealthy for your teeth, determine how likely you are to get cavities and other problems caused by bad diet, like bad breath and even gum disease. As you eat, your mouth begins the first stages of digestion. Healthy bacteria in your saliva convert sugars into acids – good for digestion, bad for your teeth. Plaque is one of the biggest enemies to your mouth, which forms when food particles are allowed to linger around your teeth and gums. This process begins the moment you begin to eat, which is why it is so important to brush and floss after every meal.

A healthy meal for your body and your teeth!

A healthy meal for your body and your teeth!

Once a tooth forms, it is subject to our oral environment. Diets consisting of high sugar, starch or acid content can all erode your enamel View definition in a new window unless you are exceptionally good keeping up your oral hygiene (brushing and flossing after every meal). The health of gum and bone tissue that supports the teeth is greatly influenced by proper diet that contains nutrients to keep our body healthy.

What should you eat? Natural, organic and unrefined foods. These foods have high nutrient value and less sugar than processed food, and will pose a smaller threat to your teeth. The best food choices include dairy (like milk, cheese and yogurt) and poultry (like chicken and duck). These foods provide your teeth with calcium and phosphorus, which help to form enamel and bone. Crunchy natural foods like  nuts and green leafy vegetables or orange-colored fruits will stimulate gum and saliva flow, a natural cavity View definition in a new window fighter. These foods also contain beta carotene, which the body turns into vitamin C (essential for your body’s ability to maintain and repair healthy soft tissue). If you cannot eat fruits and vegetables naturally, taking a supplemental vitamin or drink which contains Vitamin C and other antioxidants will help protect your gums against cellular damage, and promote their healing abilities. Unsweetened tea is another great drink which has little impact on your mouth’s health.

Foods which contain high amounts of sugar (like candy and carbohydrate-laden foods like bread, chips, fries and muffins), natural or processed, are a tooth’s worst nightmare! The high sugar content of these foods help bacteria thrive. Breads and starches should be an occasional indulgence: when starches mix with amylase (a natural enzyme in your mouth), acid forms that erodes the enamel of your teeth. Additionally, dry foods like chips and cookies or even dried fruits have a tendency to stick to the surface of your teeth, which also helps bacteria thrive. Acidic sweetened beverages like sodas are the worst type of liquid to expose your teeth to, and can cause tooth erosion, enamel decay and even periodontitis – avoid soda and carbonated beverages at all costs! Artificial sweeteners can be a better alternative to sugar-sweetened drinks, as they do not feed bacteria like natural sugar.

Pregnant? Start right by eating right during pregnancy. Eating sensibly during pregnancy means getting adequate calcium (your body needs Vitamin D to absorb calcium) to form strong teeth and bone, which will give your child a good start also. Fluoride View definition in a new window can also be used to prevent tooth decay.

So, eat more vegetables and fruits, avoid sugary foods and drinks, and remember to brush, floss and rinse your mouth (and tongue) after meals. You will be on the road to healthy, brilliant teeth!

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“Can Mouthwash Cause Cancer?!”

Posted by drgracesun on February 28, 2009 under Information, Smart Smile | Read the First Comment

If you think mouthwash makes you more kissable, think again!

Don't use alcoholic mouthwash!

Don't use alcoholic mouthwash!

Over the counter mouthwash only temporarily masks your bad breath, but the alcohol contained in the mouthwash will dry your mouth out and eventually make your breath worse. Recent studies however have mentioned mouthwash and its potential link to cancer – scary!

Most mouthwash brands contain alcohol in their mouthwash formula. Rinsing your oral environment with any alcoholic substances make it easier for cancer-causing chemicals (like nicotine) to penetrate the oral tissue which lines the mouth, an extreme hazard for smokers. Some mouthwashes even contain alcohol amounts higher than drinks you can purchase in a bar, up to 26% (or 52 proof)! Particularly, ethanol contained in some mouthwash rinses dramatically increase the ability of cancer-causing substances to penetrate the lining of your mouth, and other harmful chemicals such as Acetaldehyde – which forms in a person’s mouth after using alcoholic mouthwash – are suspected to be carcinogenic. Some studies show an increased risk of oral cancer, particularly in the larynx, pharynx or oral cavity View definition in a new window, of up to 5 times that of a non-alcoholic-mouthwash user, with alcohol and tobacco user risks even higher of up to 9 times, if alcoholic mouthwashes were used twice daily. Alcohol has long been established as a cancer risk; using alcoholic mouthwash, you have a much higher level of alcohol in your mouth, and combined with swishing it around in your mouth, it carries a very harmful effect on your mouth. More detailed research is necessary to substantiate these claims, but all alcoholic-mouthwash users should take caution.

Keep up your best oral hygiene with good habits: brush and floss twice a day and after every meal (2 minute count-down!), and clean your tongue once a day. Watch what you eat (no more Kimchi), and if you have postnasal drip or airway allergies (or a dry mouth), seek professional help. But what about mouthwash? Although it can benefit your oral cavity for a short period of time, not everyone should be rinsing with mouthwash that contains alcohol, particularly if you’re a smoker.

How do you choose a safe mouthwash? If you enjoy the refreshing sensation from swishing with mouthwash, read the label! There are non-alcoholic mouthwash products that work by neutralizing mouth odors (caused by volatile sulfur compounds) like Oxyfresh, Tom’s Maine Natural Cleaning Mouthwash, BreathRx and Tooth and Gum Tonic (my personal favorite), which is most effective at controlling bad breath. Tooth and Gum Tonic also carries an anti-inflammatory effect from the herbs and essential oil ingredients, which provide therapeutic sensations to gingivitis View definition in a new window sufferers. And remember, if you can, quit unhealthy habits like smoking and drinking!

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“How Can I Treat My Missing Tooth?”

Posted by drgracesun on February 15, 2009 under Beautiful Smile | Be the First to Comment

It is exciting when you are loosing your baby teeth and welcoming in your permanent adult teeth, but that should be the end of a person’s teeth loss! For the majority of us, we need 28 teeth to support our facialmuscular system. If one tooth is missing, it could lead to a physiological domino effect, in which a simple problem becomes exacerbated. A missing front tooth is unthinkable to live with – it must be restored ASAP. A missing back tooth, however, is sometimes ignored. This can lead to surrounding teeth shifting and tilting, during which the dentition can later cause gum, tooth and bite problems. At that point, restoring the mouth is not only a one-tooth job, but concerns multiple teeth, gum and bone. It is much easier to handle one missing tooth and not deal with such tremendous consequences.

What are the causes of missing teeth? Congenital missing teeth (teeth which never formed), severely broken down and non-restorable teeth due to dental diseases, lack of supporting bone for teeth due to advanced gum disease and physical trauma from a serious mouth injury are all common reasons. Once you do loose a tooth, your oral environment is severely affected! Besides smile-phobia, speech impairment for missing front teeth, diet complications (in which you can’t properly bite and chew food – especially with foods rich in fiber which require a good set of teeth to digest), and bite force can all be severely affected. Shift and tilt on existing teeth when the jaw exerts pressure lead to uneven loading creates jaw tension and possible accelerated wear and tear of the teeth. Additionally, tilted and shifted teeth make it more difficult to clean , which can lead to tooth decay and gum disease.

Thankfully, dentistry has greatly advanced in recent times, and you do have multiple treatment options for a missing tooth! If just one tooth is missing, dental implants are a great option which can replace the missing tooth without affecting the adjacent teeth, and preserve the bone as well. Dental implants are made of bio-compatible titanium, which are surgically placed into the jaw to preplace the missing root structure. Then, a post and crown View definition in a new window is built on top of the implant. Other options include a dental bridge View definition in a new window, which needs capping (a crown) of neighboring teeth to help support the artificial tooth replacing the missing one. It is stationary and feels natural (if made properly), but connected teeth need a special tool for flossing. Full or partial dentures are generally the least expensive treatment option, especially if many or all of a person’s teeth are missing. This option involves false teeth being set into a plastic base, which fits over your gums.

What will be the best treatment option for you? Please consult with your dental professional, the sooner the better!

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“How Can I Alleviate My Tongue Tie?”

Posted by drgracesun on February 11, 2009 under Healthy Smile, Technology | Be the First to Comment

Recently, two guys from completely different backgrounds came into my office asking for the same laser frenectomy, to alleviate their tongue ties, for completely different reasons!

Biker David complained about his tongue-tie condition, noting “it hurts when I kiss.” Yogi Mark wanted to be able to position his tongue to the back part of his palate to reach a certain state of enlightenment. Both men suffered from the restriction of the tongue-tie condition, but it affected their lives in different ways. A happy ending came as both were smart in finding the most comfortable and effective way to rid themselves of their tongue-tie problems.

Tongue ties can affect children and adults of all ages; it is estimated that up to 4.8% of the American population suffers from a tongue tie. What happens is the frenum (the excessive fibrous attachment connecting your tongue to the floor of your mouth) is thicker than it should be, resulting in your tongue’s inability to move about freely. Not only is this physically uncomfortable, but your speech, eating habits and even oral health can be adversely affected! Spacing between the two front teeth can occur due to improper tongue movement, and gum recession View definition in a new window can also occur.

Treatment of a tongue tie is a relatively simple procedure, however great advances have been made from the days of scalpel cutting. A laser frenectomy, the most effective treatment for a tongue tie, is the surgical release of tension of the frenum with laser energy. This procedure will enhance the stability of a corrected diastema, gum recession or alleviate a tongue tie. Because the treatment is done with a laser, the laser energy produces a precise, blood-free cut (the energy actually seals the blood vessels and nerve endings), so the procedure is painless, heals quickly and is complication free. Most people will immediately enjoy the benefit of normal free tongue movement; people who suffer from a speech impairment due to the tongue-tie may need training to speak properly.

You can contact the Academy of Laser Dentistry to find a qualified laser dentist to help you if you have a tongue-tie. My two patients were smart in finding a comfortable and effective way to ridthemselves of their tongue-tie problems.

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