White spots, that are often observed as milky white areas on the front teeth, are generally the result of demineralized enamel. There is a loss of minerals from the tooth structure. There may be other causes as well, which your dentist will identify during a review of your dental and medical history and upon clinical examination.
Depending on your available time, your budget, and the shade change that you are trying to achieve, there are now multiple options available to brighten your smile. The following highlights the four main whitening choices. (more…)
Some patients wonder why yearly dental radiographs are necessary, particularly when they may have never had any oral health issues. For a dental examination to be complete and comprehensive, a clinical evaluation must be combined with dental radiographs.
Many oral conditions can be missed when radiographs are not taken. These include cavities, cysts, abscessed teeth, tumors, and bone loss. Certain dental radiographs also enable the clinician to view the sinus cavities and temporomandibular joints and any abnormalities that may exist in these structures.
To maintain good oral health and enable your dentist to conduct a thorough, complete exam, follow the recommended protocol and have dental radiographs taken yearly.
Crowns and bridges have traditionally been made of full metal or porcelain fused to metal, both of which provide durability and strength. However, the presence of metal in the oral cavity is not esthetically pleasing to all patients. Metal crowns can sometimes cause a gray hue in the gum tissue surrounding the crown. Some patients with metal crowns experience more tooth sentitivity when eating and drinking cold and hot foods and liquids.
For patients who grind their teeth and who may be more prone to break their natural teeth or porcelain restorations, there is a new choice in crowns called BruxZir Zirconia. It is a tooth colored material, that has no porcelain fused to it, and is has proven to be much less likely to break, chip, or crack than porcelain. It is very natural looking, and blends in easily with the surrounding teeth. If you have had porcelain crowns in the past that have cracked or metal crowns that have worn on the chewing surface or that have contributed to tooth sensitivity, consider having a BruxZir Zirconia crown made as a replacement. It is a strong, esthetic alternative to traditional crown materials.
Unlike general anesthesia and intravenous sedation, nitrous oxide will not put you to sleep. It will, however, decrease your awareness of and sensation of what is occurring during your dental visit.
Nitrous Oxide can do all of the following: reduce your anxiety level, enable you to feel more relaxed, and decrease your gag reflex. Most importantly, it raises the pain reaction threshold, making you more tolerable of the injection and other procedures that would usually feel uncomfortable.
Nitrous oxide is a gas that is delivered through a nose mask. It is given simultaneously with Oxygen. Some refer to it as “laughing gas”. It has a quick onset of action. Patients often feel it working within a few minutes after inhalation. It is one of the safest forms of sedation and can be used on patients whose medical conditions (such as high blood pressure, asthma, etc.) might exclude them from other forms of sedation. It is eliminated from the body in as little as five minutes, thus making it possible for you to drive yourself home shortly after your appointment.
Cavities are generally caused by the presence of bad bacteria in the mouth. They can also be caused by the foods and drinks that we consume. Soda, most definitely, can contribute to the development of caries. This is because soda is very acidic, and cavities can develop from low (acidic) pH levels. This is why brushing and flossing alone, will not prevent most cavities. It is important to watch what you eat and drink. Highly acidic foods and drinks cause the erosion of enamel and the formation of cavities. Foods and drinks such as candy, soda, wine, coffee and tea have low pH levels. Other foods such as bread, cheese, and milk have higher (more basic) pH levels and are less damaging to tooth structure. Tap water, in comparison, has an even higher pH level than these foods.
There are some treatments that can protect your teeth and decrease the risk of cavities. Professional Fluoride treatments can guard against demineralization of tooth structure. Sealants can help as well. Sealants are protective tooth colored coatings that are placed in the grooves of the back teeth. These products are beneficial for children and adults.
We have found that many patients present to us wanting to know the difference between a veneer and a crown and which one is right for them. Veneers are thin shells that cover the front of the teeth. They can be used to change the shape, color, size and length of a tooth and also to close gaps between the teeth.
A crown is a thicker shell that covers all of the tooth surfaces. Crowns require removal of more natural tooth structure than veneers. Crowns are suitable for a wide range of clinical situations. Veneers, however, are not the best choice for patients who grind or clench their teeth or for patients whose teeth exhibit decay, large fillings, and lack of enamel. Additionally, veneers are not always appropriate when the teeth are not in the proper position and orientation. But when used in the right clinical setting, they can be a highly esthetic, more conservative treatment option. A comprehensive evaluation by your dentist will determine which option is best for you.
If your child plays a contact sport such as soccer, football, hockey, or basketball, they most likely wear protective gear such as helmets, kneepads, shoulder pads, etc to protect their head, neck, limbs and joints. Mouthguards, which can protect the teeth, lips, and other parts of the mouth, are just as important as the more common types of gear.
Unfortunately, we see a fair number of kids each year in our practice who have suffered trauma to their teeth and mouth, that could have been prevented by wearing a mouthguard. Sometimes these teeth need large fillings, root canals, and periodic evaluation to monitor for infection and abscesses which may not arise immediately following the accident.
Having a custom mouthguard made involves taking an impression or mould of the teeth which is then used by a dental lab to make a guard that fits the teeth exactly. We show you and your child how to clean and care for it and ask that you bring it in at all recall appointments so that we can check for wear and tear and make any needed adjustments.
If your child is not wearing a mouthguard and has a tooth knocked out, the first 30 to 60 minutes after the event is critical. Follow the steps below:
- Do not touch the root of the tooth (which is the long tapered part). Touch only the crown.
- Don’t brush or scrub the tooth
- Place the tooth in cold milk so that it does not dry out.
- Go to the dentist immediately so that the tooth can be replanted.
If you notice that you have a decrease in the amount of saliva in your mouth, you may have a condition known as dry mouth. It usually causes one to feel discomfort and to have difficulty swallowing, chewing, etc. You may also feel that your tongue is rough and dry and that your throat feels parched. Occasionally you may develop mouth sores. Often, we notice that over time, a dry mouth can result in greater incidence of tooth decay.
The condition may be caused by certain medications such as those used to treat high blood pressure and depression. It can also be caused by medical treatments such as radiation and chemotherapy. There are some diseases that affect the salivary glands. Sjogren’s syndrome, HIV, and diabetes have all been found to cause dry mouth.
Let your physican and/or dentist know if you are experiencing dry mouth so that they can determine the cause. Your physician or dentist can prescribe a medicine that can help your salivary glands to function better. They may also recommend artificial saliva.
Things that you can do to help would be:
- Sip water frequently.
- Decrease intake of caffeinated beverages that are known to dehydrate. This includes coffee, tea, and soda.
- Chew sugarfree gum which helps increase saliva flow.
- Avoid tobacco and alcohol which dry the mouth. Try especially to avoid mouthwashes that contain alcohol.
- Use a humidifier in the home particularly at night.
Did you know that those with good oral health may have better overall health? How so? Well, studies suggest that patients with periodontitis (which is untreated gingivitis that transitions into ongoing inflammation ) may be at higher risk for heart disease and stroke.
Pregnant women with gum disease may be more prone to pregnancy diabetes, premature birth, and low birth weight babies.
People with diabetes, HIV and those who smoke, have a greater risk of developing periodontal disease. (more…)