Posts for category: Oral Health
Sports and energy drinks — two different types of popular beverages. But though different they have one thing in common: they can both wreak havoc on your tooth enamel.
That's because each contains high concentrations of acid. And acid is tooth enamel's mortal enemy — prolonged exposure with it causes the minerals in enamel to soften and erode, a process called de-mineralization.
Demineralization becomes even more pronounced when the mouth's pH levels fall below 4.0 into the acidic range. A sampling of various brands of sports and energy drinks reveal mean pH levels below even that threshold. Energy drinks are especially harmful to enamel because the type of acid they contain is more concentrated.
So, what can you do to minimize this threat to your dental health? The optimal thing to do is avoid such beverages altogether, especially energy drinks. If you currently re-hydrate after hard work or exercise with sports drinks, consider switching to water, nature's hydrator.
If you do, however, continue to drink these beverages, then follow a few precautions to lessen the acidic levels in your mouth:
Wait until mealtimes. Saliva is your body's way of neutralizing acid in your mouth, but it takes about 30 to 60 minutes for it to fully buffer acid. If you're sipping between meals on acidic beverages, saliva can't keep up. So, wait until you eat or limit your sipping time on a drink.
Rinse with water. Since water's pH is neutral, swishing some in your mouth right after drinking a sports or energy drink will help reduce acidity.
Wait an hour to brush. Your enamel will begin demineralizing as soon as it encounters acid. If you brush right away you could be sloughing off miniscule amounts of softened minerals. By waiting an hour you give your saliva time to buffer and help re-mineralize the enamel.
Although popular, especially among teenagers and young adults, overindulgence in sports and energy drinks could damage your teeth and increase your risk for tooth decay. With a little moderation and common sense, you can keep your enamel strong and healthy.
If you would like more information on the effects of sports and energy drinks on dental health, 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 “Think Before you Drink.”
If you've undergone treatment for periodontal (gum) disease, you know how involved it can be. After several sessions of plaque and calculus (hardened plaque deposits) removal, your swollen, red gums finally begin to regain their healthy pink color.
But with gum disease, the battle may be over but not necessarily the war. If we don't remain vigilant, there's a high chance you'll experience a re-infection.
That's why periodontal maintenance (PM) is so important for gum disease patients after treatment. Plaque, the thin film of bacteria and food particles responsible for the infection, can grow again on your tooth surfaces as it did before. You'll have to practice diligent, daily brushing and flossing to curb that development.
But it's also important to keep up regular dental visits for advanced cleaning to remove hard to reach plaque and calculus. For most people that's usually twice a year, but for gum disease patients it could be up to four times a year, especially just after treatment. And there's more to these visits than cleaning.
Since our goal is to reduce the chances of re-infection as much as possible, we'll thoroughly examine your teeth, gums and any implants for signs of disease (we'll also include an oral cancer screening). We want to assess the health of your teeth and gums and to see how well you're doing hygiene-wise with plaque control.
If we find signs of gum disease, we'll discuss this with you and schedule a new round of treatment. The sooner we initiate treatment, the better your outcome. In some cases, we may perform procedures that make it easier to access and clean areas where plaque tends to build up.
Overall, we want to prevent the occurrence of any future disease and treat it as soon as possible if it re-occurs. Keeping up diligent PM will help ensure your gums continue to stay healthy.
When you visit us for your regular checkup we're examining more than your teeth and gums. We're also checking to see if you're having problems with soft tissues in and around your mouth.
Besides canker sores, rashes or other types of abnormalities, our exam may uncover strange looking lesions known as lichen planus on the inside of the mouth. These purple-tinted bumps or rash-like discolorations are named for their similarity in appearance to lichen fungi found on trees or rocks. Although these mouth sores may look odd, they're fairly rare and usually do not cause concern.
Most people don't even know they have lichen planus until it's discovered during a dental exam. If there are any symptoms, it's usually a feeling of roughness, tenderness or itching. They may increase your sensitivity to spicy or acidic foods, but rarely cause extreme pain. If they're located around the gums, you may also notice a little soreness after brushing or eating.
To confirm it is lichen planus, we need to perform a biopsy. During this procedure, we remove a tiny amount of the affected tissue and have it examined microscopically. We do this not only to determine the correct diagnosis, but also to rule out more serious problems like pre-cancerous lesions or oral cancer.
Thankfully, though, this worst case scenario is quite rare, and although the condition can't be cured, there are some things you can do to keep any discomfort to a minimum. If the lesions are irritating, we recommend using a soft toothbrush with gentle brushing action. You may also want to limit or avoid spicy or acidic foods like citrus, tomatoes, hot peppers and caffeinated drinks. Managing stress can also help. For some extreme conditions, we can prescribe a topical steroid to help relieve discomfort.
If you notice any of the above symptoms, be sure to contact us or point it out at your next appointment. Once we know what we're dealing with, we can take steps to treat you.
If you would like more information on different types of mouth sores, 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 “Lichen Planus.”
Can you have healthy teeth and still have gum disease? Absolutely! And if you don’t believe us, just ask actor David Ramsey. The cast member of TV hits such as Dexter and Arrow said in a recent interview that up to the present day, he has never had a single cavity. Yet at a routine dental visit during his college years, Ramsey’s dentist pointed out how easily his gums bled during the exam. This was an early sign of periodontal (gum) disease, the dentist told him.
“I learned that just because you don’t have cavities, doesn’t mean you don’t have periodontal disease,” Ramsey said.
Apparently, Ramsey had always been very conscientious about brushing his teeth but he never flossed them.
“This isn’t just some strange phenomenon that exists just in my house — a lot of people who brush don’t really floss,” he noted.
Unfortunately, that’s true — and we’d certainly like to change it. So why is flossing so important?
Oral diseases such as tooth decay and periodontal disease often start when dental plaque, a bacteria-laden film that collects on teeth, is allowed to build up. These sticky deposits can harden into a substance called tartar or calculus, which is irritating to the gums and must be removed during a professional teeth cleaning.
Brushing teeth is one way to remove soft plaque, but it is not effective at reaching bacteria or food debris between teeth. That’s where flossing comes in. Floss can fit into spaces that your toothbrush never reaches. In fact, if you don’t floss, you’re leaving about a thirdÂ to half of your tooth surfaces unclean — and, as David Ramsey found out, that’s a path to periodontal disease.
Since then, however, Ramsey has become a meticulous flosser, and he proudly notes that the long-ago dental appointment “was the last we heard of any type of gum disease.”
Let that be the same for you! Just remember to brush and floss, eat a good diet low in sugar, and come in to the dental office for regular professional cleanings.
If you would like more information on flossing or periodontal disease, please contact us today to schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Understanding Gum (Periodontal) Disease.”
There are a lot of reasons (including a blow to the mouth) why one of your permanent teeth might become loose. The most common: advanced periodontal (gum) disease that has weakened the gum attachment to the tooth.
There's also another, less common reason: you have a grinding habit that's producing higher than normal biting forces. Besides accelerating tooth wear, the constant jaw movement and teeth clenching can stretch periodontal ligaments and loosen their attachment to a tooth.
If the gums are disease-free, teeth grinding is most likely the main culprit for the damage, what we call primary occlusal trauma. Our treatment goal here is to reduce the effect of the grinding habit and, if necessary, secure the teeth with splinting while the ligaments heal. We can often reduce the grinding effect with a custom bite guard worn while you sleep. We may also prescribe minor muscle relaxants and mild pain medication like aspirin or ibuprofen.
Sometimes we may need to perform other measures like re-shaping your teeth's biting surfaces so they don't generate as much biting force. You may also benefit from counseling or other psychological treatment to help you address and cope with stress, a prime driver for teeth grinding.
Even if you don't have a grinding habit, biting forces may still contribute to tooth looseness if you have advanced gum disease. Advanced disease results in excessive bone loss, which in turn reduces the remaining amount of ligaments attached to the tooth. This type of damage, known as secondary occlusal trauma, and ensuing tooth looseness can occur even when your biting forces are normal.
It's necessary in these cases to treat the gum disease, primarily by manually removing plaque and calculus (hardened plaque deposits), which causes and sustains the infection. Once removed, the gums can begin to heal and strengthen their attachment. We may also need to apply splinting or perform surgical procedures to encourage gum and bone reattachment.
Whatever has caused your loose tooth, our goal is to remove the cause or lessen its effects. With your tooth secure and the gums regaining their healthy attachment, we have a good chance of saving it.
If you would like more information on teeth grinding and other potentially damaging oral habits, 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 “Loose Teeth: Biting Forces can Loosen Teeth.”