Although we've advanced leaps and bounds over the years treating dental disease, our strategy for preventing them hasn't changed much. That's because these prevention basics are quite effective—and as the old saying goes, "If it ain't broke, don't fix it."
The core of an effective dental disease prevention strategy is mind-numbingly simple—brush and floss every day. These twin cleaning tasks remove accumulated dental plaque, a thin, bacterial film on tooth surfaces that's the primary oral disease driver.
True, there have been innovations concerning the "tools of the trade," i.e., toothbrushes, toothpastes and flossing devices. But what really makes this prevention strategy work is a consistent daily habit of oral hygiene.
In a way, simply "showing up" for daily oral hygiene goes a long way. But you can go even farther if you perform these tasks with greater proficiency—becoming a hygiene "ninja," of sorts.
Here, then, are 4 tips to improve your brushing and flossing prowess.
Be thorough when you brush. Try to cover all of your tooth surfaces when you brush, being sure to work the bristles into all the nooks and crannies and around the gum lines. A thorough brushing should take about 2 minutes.
Easy does it. Hard scrubbing may work on floors, but not your teeth—aggressive brushing can damage your enamel and gums. Brush gently and let the mild abrasives in your toothpaste do the heavy work of plaque removal.
Don't forget to floss. Although you may not like this "other hygiene task," flossing is necessary to remove plaque between teeth that your brush can't reach. Be sure, then, that you floss at least once a day.
Take the "tongue test." Wondering how well you're doing with your oral hygiene? A quick way to find out is by swiping your tongue across your teeth: If they feel gritty rather than smooth, you may have left some plaque behind.
Be sure to also ask your dentist for additional tips on better brushing and flossing. Improving your technique can help you put even more distance between you and dental disease.
If you would like more information on daily care for teeth and gums, 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 “Daily Oral Hygiene.”
British pole vaulter Harry Coppell had an unpleasant mishap right before the Tokyo Olympic games. During a training vault, Coppell glanced the top bar to loosen it, which then fell on top of his face on the mat. The impact broke one of his front teeth nearly in two and severely damaged others.
Coppell posted the accident on Instagram, along with a photo of the aftermath. "I hope @tokyo2020 has a good dentist around," he quipped in the caption. Alas, after several hours with a dentist, one of the injured teeth couldn't be saved, although the chipped tooth remained. Needless to say, the Olympian's smile took a beating along with his teeth.
Fortunately, through the marvels of cosmetic dentistry, Coppell can eventually regain his attractive smile. Still, though, his experience is a blunt reminder that sports and other physical activities do carry some risk for dental injury, especially for active young adults and children.
A chipped tooth is the most common outcome of a traumatic dental injury, but not the only one: you might also suffer from a displaced, loosened or even knocked-out tooth. And, even if the teeth don't appear injured after face trauma, there could be underlying gum and bone damage that requires prompt emergency care from a dentist.
Of course, preventing a dental injury is far better than treating one that has occurred—and wearing an athletic mouthguard is your best bet for dodging such a bullet. A mouthguard's soft plastic helps absorb the force of a hard impact so that the teeth and gums don't. This important protective gear is a must for anyone who plays sports like football or basketball, or enjoys physical activities like trail biking.
When it comes to mouthguards, you have two general categories from which to choose. The first is called a "boil and bite," often found online or in sporting goods stores. These usually come in general sizes that can be customized further by softening in hot water and then having the wearer bite down while it's soft (hence the name). This personalizes the guard to fit the individual wearer.
The other category is a custom mouthguard created by a dentist from an impression of the wearer's mouth. Because of this specialized fit, custom mouthguards aren't usually as bulky as boil and bites, and are typically more comfortable to wear.
The key point, though, is that a mouthguard can help you avoid a serious dental injury, regardless of which category you choose. It could mean the difference between a forgettable incident or dental damage that could impact your life for years to come.
If you would like more information about preventing and treating dental injuries, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Athletic Mouthguards.”
In the realm of dental restorations, not all crowns are alike. And, one type isn't necessarily superior to the others. One type of crown may work better for a particular tooth, while a different crown is better suited to another.
Therefore, knowing your options can help you make a more informed choice with your dentist regarding the best crown for your needs. Here, then, is a quick primer on the main types of dental crowns used today.
Metal crowns. Early in the last century, crowns made of gold, silver or other metals were the go-to dental restoration. Because of their strength and durability, metal crowns are still used today, mainly in back teeth that encounter heavy biting forces. Their drawback: They're decidedly not the color of natural teeth and so can stand out if they're placed in the visible "smile zone."
PFM crowns. The first crowns made with dental porcelain solved the appearance problem, but couldn't adequately handle biting forces as well as metal. Out of this came the porcelain fused to metal (PFM) crown, which contains an inner core of metal overlaid with tooth-colored porcelain. Providing both strength and life-likeness, PFM crowns were immensely popular until the mid-2000s.
All-Ceramic crowns. The development of porcelains more durable than earlier versions eventually dethroned the PFM (although the latter is still used today). Sixty percent of the crowns installed in recent years are all-ceramic, many reinforced with a strength material known as Lucite. Many all-ceramic crowns reaching the 15-year mark are still in place and functioning.
All of these crowns continue to be viable options for dental patients. The biggest factor in choosing one particular crown over another is the type of tooth involved and its location. As mentioned before, metal or PFM crowns are usually better for back teeth where durability is a higher priority than aesthetics. All-ceramics work well in high-visibility front teeth that normally encounter lighter biting forces than back teeth.
Regardless of which kind eventually caps your tooth, any of today's modern crowns will function as intended. But the best crown for you will be the one that both protects your tooth and enhances your smile.
If you would like more information on dental crown restorations, 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 “Porcelain Dental Crowns.”
Today's dentures are more comfortable, more functional and more life-like than ever before—so much so that you might forget you have them in. Even so, dentures do have some downsides, and constant wear only amplifies those.
Our biggest concern is the effect dentures can have on bone health. Older bone is constantly replaced by newer bone, and the forces generated while chewing help stimulate this new growth. When a tooth is lost, however, this growth stimulus vanishes with it for that area of the bone. This may result in a slower growth rate, which can eventually lead to lost bone volume and density.
Dentures can't restore this lost stimulus, and may even make the situation worse. That's because traditional dentures rest on the bony ridges of the gums where the teeth once were. This can put pressure on the underlying bone, which can accelerate bone loss—and even more so when wearers leave their dentures in continuously.
Dentures can also contribute to disease if they're not regularly removed and cleaned. Besides oral yeast infections, bacteria-laden dentures can contribute to the production of a protein called interleukin-6 produced by the white blood cells. If a significant amount of this protein passes into the blood stream, it can increase body-wide inflammation and foster a systemic environment conducive to serious diseases like pneumonia.
If you wear dentures, then, it's good for your health (oral and otherwise) to incorporate two practices into your daily life. The first is to remove your dentures at night while you sleep. Not only will this help slow the progression of bone loss, it will also give your gums a chance to rest and recover from denture wear.
It's also important to regularly clean your dentures, either with an antibacterial soap or a special denture cleanser. During storage, keep your dentures in clean water or a peroxide-based solution designed for dentures. This will reduce the accumulation of bacteria on your dentures that can cause disease.
Dentures restore the dental function and smile appearance that a person loses with their teeth. Taking care of your dentures (and giving your mouth a daily rest from them) will help promote good oral and general health for you and a longer life for your dentures.
If you would like more information on denture care, 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 “Sleeping in Dentures.”
Although kids are resilient, they're not indestructible. They're prone to their share of injuries, both major and minor—including dental injuries.
It's common for physically active children to suffer injuries to their mouth, teeth and gums. With a little know-how, however, you can reduce their suffering and minimize any consequences to their long-term oral health.
Here are 4 types of dental injuries, and what to do if they occur.
Chipped tooth. Trauma or simply biting down on something hard can result in part of the tooth breaking off, while the rest of it remains intact. If this happens, try to retrieve and save the chipped pieces—a dentist may be able to re-bond them to the tooth. Even if you can't collect the chipped pieces, you should still see your dentist for a full examination of the tooth for any underlying injury.
Cracked tooth. A child can experience intense pain or an inability to bite or close their teeth normally if a tooth is cracked (fractured), First, call the dentist to see if you need to come in immediately or wait a day. You can also give the child something appropriate to their age for pain and to help them sleep if you're advised to wait overnight.
Displaced tooth. If a child's tooth appears loose, out of place or pushed deeper into the jaw after an accident, you should definitely see a dentist as soon as possible—all of these indicate a serious dental injury. If they're unavailable or it's after hours, your dentist may tell you to visit an emergency room for initial treatment.
Knocked-out tooth. Minutes count when a tooth is knocked completely out. Quickly locate the tooth and, holding it only by the crown and not the root, rinse off any debris with clean water. Place it in a glass of milk or attempt to place it back into the socket. If you attempt to place it back into the socket, it will require pressure to seat the tooth into position. You should then see a dentist or ER immediately.
A dental injury can be stressful for both you and your child. But following these common-sense guidelines can help you keep your wits and ensure your child gets the care they need.
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