Dental Care and Coronavirus

Posted on by Dr. Chea Rainford

While it seems the Coronavirus has caught us all off guard there are certain steps at home you can take to make sure your hygiene stays up to standard while you are at home

It is best to stick to a regular daily schedule which involves brushing and flossing twice a day preferably before bed and in the morning and in certain cases after meals.

This can also be followed up with a mouthwash rinse for 15 to 30 seconds and swishing with water throughout the day.

It is advised not to go without brushing for an extended period time so that your overall plaque levels do not increase and cause gum inflammation

Limit candy and sweet intake at this time especially sticky candy as they tend to require more overall effort to remove from the teeth.

Coffee should also be used in moderation as they tend to stain the teeth over time.

If you are in any type of dental pain I encourage you to seek an emergency dentist and have your symptoms addressed. Don’t delay as the continued pain can add to the despair of the times and cause even more issues.

If you have a temporary crown that has fallen out I encourage you to line the inside of the temporary crown with toothpaste and place the temporary back on the tooth and seek an emergency dentist this will also work for final crowns.

If the temporary or final crown is in pieces I encourage you to seek an emergency dentist at once because this may lead to more issues down the road.

If you have a broken filling, broken tooth or are in any form of pain call an emergency dentist and seek care.

If you have fallen and broken a tooth and there is severe bleeding and pain seek an emergency dentist at once.

 It advised not to visit the hospital emergency room because first responders are already overwhelmed with the effect of the Coronavirus.

While we grapple with this new normal and watch elected officials decide our next move in responding to the virus let us hunker down and prepare for the long haul

We are here for your Emergency needs Call 678 810 1100 to schedule an emergency appointment.

Keep Waking Up With Headaches?

Posted on by Dr. Chea Rainford

 

If the first thing you feel in the morning is a headache or pain behind your eyes or pain in your neck and shoulders, come in for a visit. What you’re experiencing could be the result of problems in your mouth. These are common symptoms of a condition known as temporomandibular joint disorder (TMJ), which basically means that your jaws don’t align properly. This misalignment stresses the jaw joints, putting pressure on nerves and muscles – which can result in morning headaches, migraines or facial and neck pain.
Not everyone with TMJ disorder shows symptoms. And not everyone has headaches or pain; TMJ disorder can also lead to broken teeth or fillings, loose teeth and toothaches. What is certain is that if you do display any of these symptoms, they won’t get better without professional help.
Many people find that resting the jaw helps ease the pain. You can do this by eating soft foods, avoiding chewing gum and hard candies. We can also show you jaw exercises to stretch the jaw joints and relieve stress. For most people, the most effective treatment is a custom dental splint that fits over your upper and lower teeth. This reduces the damage done from repeated clenching of the jaw or teeth grinding.
If these conservative methods don’t work, you still have other options. The temporomandibular joints can be flushed out, or an injection of cortisone can help relieve inflammation and pain. Worse-case scenario, you might need surgery. Come in for a visit and we’ll help you find the right solution.

Should You Worry if Your Kids Are Grinding Their Teeth?

Posted on by Dr. Chea Rainford

It’s estimated that up to 30% of kids age 4-10 develop bruxism, a condition commonly known as teeth grinding. But how can you tell if your little ones are grinding? Listen closely while they sleep; you’ll be able to hear a soft grinding noise. Or take note when your kids complain of jaw pain or headaches in the morning. Both could be a sign of teeth grinding.

Fortunately, most cases of childhood grinding resolve on their own before kids lose their baby teeth, so there’s little risk of permanent tooth damage. In other cases, though, teeth grinding can lead to enamel damage and chipped teeth. The best way to approach grinding symptoms is to err on the side of caution: If you see any signs, visit your dentist.

Relief for Teeth Grinders

The causes of childhood bruxism are not completely understood, but most experts believe that stress and/or dental problems may be at its roots. In cases where stress could be the problem, it could help to ask your child if there is anything he or she is worried or upset about and offer gentle reassurance. Also make sure that your child does not eat or engage in physical activity within an hour of bedtime. Generally, the fewer stimuli your child comes across the more relaxed bedtime will be.

Your child could also be a good candidate for a custom dental night guard, which can help prevent tooth damage and jaw stress. A complete dental exam may also be in order; if teeth grinding is due to misalignment or other dental problems, we can create the proper treatment for your little one.

Them Bones, Them Bones…

Posted on by Dr. Chea Rainford

Calcium is essential for healthy bones and teeth! You’ve heard it before, but how much calcium are you actually getting?
An extremely important mineral for dental and overall health, calcium aids in preventing dental problems and osteoporosis. Actually, 99 percent of the calcium found in our bodies is located in our bones and teeth! But calcium does so much more — it also helps with blood clotting, sending nerve signals, releasing hormones and enzymes, as well as muscle and blood vessel contraction and relaxation.

Much like we change our hairstyles or clothes to resemble the latest fashions, our bones are constantly reinventing themselves. Our bones are continuously undergoing a process called resorption, which is the breakdown of bone tissue. When bone is lost, calcium is deposited to help new bone form. In order to best utilize new bone formation, calcium needs to be taken continuously, and over a long period of time.

As we age, we tend to lose more bone, and it becomes harder for calcium to keep up with our changing bodies. If there’s not a significant amount of calcium, our bones can become brittle and porous in old age. The weaker our skeletal systems, the greater our chances of ending up with bone fractures or jaw deterioration, which leads to tooth loss. And the more the jaw deteriorates, the harder it is for your mouth to support dental restorations, such as dental implants and dentures.

Calcium is equally important to your periodontal health! According to the American Academy of Periodontology, a diet low in calcium can increase your chances of getting gum disease. An infection caused by bacteria that attack your gums, periodontal disease will eventually break down your gum tissue and destroy the surrounding bone. As calcium supports your jawbone, it strengthens it against the bacteria that lead to gum disease and eventual tooth loss. Combined with gum disease treatment, a significant calcium intake can prevent gum disease from progressing. Consuming at least three servings of calcium-laden foods will help you meet your daily requirements.

Chipped Teeth Choices

Posted on by Dr. Chea Rainford

If you have a chipped tooth, you’re not alone! In fact, chipped teeth are the most common dental injury today. But don’t let that little-known fact fool you into ignoring a chipped tooth; any type of dental trauma deserves immediate attention. A small chip may not cause you pain, but there could be damage underneath the surface of the tooth. Our dentist can rule out cracks or internal tooth problems that aren’t visible to the naked eye. And in many cases, your chipped tooth can be repaired in just one visit.

Options

Chipped tooth treatments vary according to the amount of damage. Depending on your situation, any one of these chipped tooth treatments may be an option for you:

Dental Bonding — Most chips can be corrected with dental bonding. Dental bonding is an efficient, durable and cost-effective way to correct minor chips.

Enamel Shaping — Often used in conjunction with dental bonding, enamel shaping can also correct small chips or surface flaws. During enamel shaping, a small portion of the tooth’s surface is removed or recontoured to smooth out imperfections.

Dental Veneers – If the chip is significant and dental bonding or enamel shaping can’t be used, you may need a veneer. These thin, porcelain wafers completely cover the surface of the tooth and are often used for front teeth.

Root Canal – Pain in the location of the chip can be a sign that the nerve is exposed. If that’s the case, a root canal may be necessary to save the tooth.

Dental Crown — A dental crown is used to completely cover larger teeth or to cap a tooth after a root canal.

Tooth Extraction — If the tooth can’t be saved, a tooth extraction may be necessary. The good news is a dental bridge or dental implants can replace missing teeth.

Dental Checklist for Infants

Posted on by Dr. Chea Rainford

See the dentist by age 1. Schedule your infant’s first dental visit by the age of 1 or after the first tooth erupts.

Clean baby’s gums. Use gauze to clean your infant’s gums after feedings and at bedtime. Ideally, this should be done even before your baby’s first tooth erupts.

Brush baby teeth. Once your infant’s baby teeth erupt, brush them with a small soft-bristled toothbrush and a pea-sized amount of toothpaste after feedings and at bedtime.

Floss baby teeth. When two baby teeth erupt side by side, gently floss them at least once a day (preferably before bedtime).

Wean baby from the bottle. Ask your pediatrician when you should stop breastfeeding. Bottle-fed babies should be weaned from the bottle by the age of 1.

Keep an Eye On:

Baby Bottle Tooth Decay – Keep your infant’s teeth healthy by cleaning them after feedings, and avoid putting your baby to bed with formula or fruit juice (these contain decay-causing sugars); use water instead.

Signs of Teething — Your infant’s first tooth can erupt, or “cut,” as early as three months and as late as a year. Teeth symptoms can vary greatly, but if your baby becomes increasingly irritable or starts drooling, biting and coughing more than normal, he or she could be teething. Try a teething ring or bottle of cold water for relief.

Excessive Pacifier Use – If your infant uses a pacifier for more than three years, he or she may develop slanted teeth or a misaligned bite later. If you have a difficult time weaning your infant from pacifier use, ask us about alternative ways to give the comfort your little one craves.

What Is Cementum?

Posted on by Dr. Chea Rainford

What Is Cementum?

Cementum is a hard layer of tissue that helps the periodontal ligament attach firmly to a tooth. Made of cementoblasts, cementum slowly forms over a lifetime.

Cementum is a hard, calcified layer of tissue that covers the root of the tooth. On its outer side, cementum is attached to the periodontal ligament; on its inner side, the dentin. Along with the periodontal ligament, alveolar bone and gingiva, cementum helps a tooth stay in its place. In fact, if it weren’t for cementum, the periodontal ligament wouldn’t be able to attach firmly to a tooth.

Slowly formed throughout life, cementum is created when the root of the tooth excretes cementoblasts. Though cementoblasts are somewhat of a mystery, it is known that cementum is yellow in color and softer than dentin. Its chemical makeup is similar to that of bone — but unlike bone, cementum is avascular (not supported by blood vessels).

Types of Cementum

There are three types of cementum: acellular cementum, cellular cementum and afibrillar cementum. Acellular cementum covers about 1/3-1/2 of the root and has little to no cellular components. Cellular cementum covers about 1/3-1/2 of the apex and is permeable. Afibrillar cementum sometimes extends onto the enamel of the tooth.

If you have periodontal disease, your acellular cementum, cellular cementum or afibrillar cementum may also be diseased. A gum disease treatment called scaling and root planing can be performed to remove the diseased cementum, as well as dental tartar and diseased dentin.

If it has been awhile since your last dental visit, make an appointment today.

Prevention: Let It Shine

Posted on by Dr. Chea Rainford

While lasers were at one time just material for science fiction writers, they’ve become a common part of our everyday life. They zap through your groceries, they open garage doors … and now they can detect wear and tear on your tooth’s surface before it becomes a cavity.

Is it caries [cavity]? Or is it a healthy tooth? Dentists often experience anxiety when attempting to diagnose the phenomenon known as hidden caries. A suspicious-looking tooth presents a treatment dilemma for dentists. Should the tooth be opened up? What if no cavity is found? Should the tooth just be watched? Or does that give caries more time to destroy the tooth’s structure? In the case of hidden caries, traditional diagnostic methods all too frequently yield indeterminate results. If you can’t detect a sub-surface lesion, how can you treat it?

Diagnodent is a revolutionary new dental laser tool that safely and effectively detects changes on your tooth’s surface that might not be visible on a traditional x-ray. When this light source is directed at your tooth, anything unusual about the tooth’s surface, such as the beginnings of a surface breakdown, or the start of a cavity, causes a different type of light to be bounced back to the instrument. This light is transferred into an acoustic signal and the wavelength is then evaluated by the control unit. This lets us know what type of preventive treatment you might need. Diagnodent can even detect decay occurring under a crown, allowing us to quickly catch what could later become a problem.

Treatment decisions require a higher degree of certainty. The Diagnodent laser caries detection aid removes the doubt from treatment decisions regarding hidden caries or questionable stained grooves. The device’s ability to see into a tooth’s biting surface pits and fissures enables dentists to treat sub-surface caries lesions with confidence.

We want to ensure that every tooth remains yours for life, and that your visit to our office is comfortable and pleasant. Diagnodent is a unique development that will not only reduce your need for x-rays, it will catch problems before they even get started.

Regular Dental Check-ups

Posted on by Dr. Chea Rainford

One of the most common reasons that people avoid the dentist is that they think that everything is ok. Their logic is simple; no pain means no problems. Unfortunately, most dental conditions including cavities, gum disease and oral cancer give little or no warning, because they may remain painless for months or even many years. By the time a person is in pain, the dental problem is usually so advanced that the treatment required may be much more involved, costly and may require more down time after the procedure.

Everyday, your dentist sees patients with untreated cavities that eventually cause infection to the nerves and blood supply within the tooth. A tooth that may have only needed a simple and inexpensive filling a few months ago will now require a root canal or surgical removal of the tooth.

The same is true for patients with gum disease. Gum disease can progress quietly for many years before it becomes advanced and teeth become loose or cause pain. While early gum disease can usually be treated with a deep cleaning under the gum, advanced gum disease may require gum surgery and antibiotics.

Oral cancer is also something that your dentist looks for on every dental examination. Tragically, those who avoid dental care are often the victims of aggressive forms of oral cancer that are difficult to treat. Those who wait for an unusual growth in the mouth to become painful may be taking a gamble. Oral cancer has a 50%, five-year fatality rate.

The moral of the story is very simple; visit your dentist at least twice a year for dental cleanings and check-up examinations. You will save time and money by treating all dental problems as soon as they occur and greatly improve your oral health. In fact, some research suggests that those in good dental health will actually live longer than people who do not take care of their teeth. It is also important for people without teeth to see their dentist at least once a year. The dentist will need to check the fit of removable dentures and also look for any signs of oral cancer.

X-Rays: Yes or No?

Posted on by Dr. Chea Rainford

While we share your concerns about potential risks from too much exposure to radiation, x-rays [radiographs] are a necessary part of the dental health process.

Our philosophy is that x-rays should not be routine but utilized when they will contribute to diagnosis or treatment of oral disease. Of course, we will cover you with appropriate body shielding prior to taking any x-rays.

Radiographs allow us to see and interpret signs of disease or potential problems that are not visible through direct observation. X-rays can be used to discover abscesses [pus-pocket], cysts, and/or tumors. They help us locate impacted, unerupted or extra teeth or determine congenitally missing teeth. Radiographs can demonstrate the presence or degree of periodontal [gum] disease. They can pinpoint the location and severity of cavities that are not visible to the naked eye. Basically, radiographs provide us with a view of the underlying structure and condition of your teeth, soft tissue and bone. Foregoing x-rays could result in an inaccurate diagnosis or incomplete treatment.

Usually, new adult patients will be given a full series of x-rays that will serve as a frame of reference for future changes or problems. The time frame between [6-18 months], type and number of follow-up x-rays will be determined by our assessment of your individual needs and the condition of your mouth. Growth and development are additional factors taken into account with young children. Certain situations such as root canal treatment necessitate several x-rays as part of the procedure. Patient with periodontal disease or implants will require radiographs at specific intervals to monitor their condition. As we are sensitive to your concerns, our office continues to keep abreast of ongoing radiological advances, and we utilize techniques and x-ray films that will minimize your exposure and maximize your excellent oral health.