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Setting Priorities For Good Dental Health

Posted on by Dr. Chea Rainford

Many people have bleeding gums, and they don’t think twice about it. They view it as a minor inconvenience. If you were bleeding from any other part of your body, you wouldn’t hesitate to see a physician. If you lost a body part you wouldn’t hesitate to have it replaced. We have 32 teeth – they are all body parts.

While we may not need our teeth to live like one needs a heart, we need our mouth to be pain-free and functional to enjoy a good quality of life.

But like exercising, dieting or anything that requires a routine, many of us fall short of a sustained effort to accomplishing long-term results. Why do we run out of toothpaste, floss, toothbrushes vitamins, etc. when we know their importance? Why do we have problems maintaining an oral hygiene regimen? Perhaps, we don’t make the answers priorities.

We in this dental office believe in the philosophy espoused by Dr. F. Harold Wirth who said, “The mouth in its entirety is an important and even wondrous part of our anatomy, our emotion, our life; it is the site of our very being. When an animal loses teeth, it cannot survive unless it is domesticated; its very existence is terminated; it dies. In the human, the mouth is the means of speaking, of expressing love, happiness and joy, anger, ill temper, or sorrow. It is the primary sex contact; hence it is of initial import to our regeneration and survival by food and propagation. It deserves the greatest care it can receive at any sacrifice.”

This is our passion. Make it yours and the rest will fall into place. Call and ask us how we may help you achieve your oral hygiene and health goals and ensure a greater quality of life.

Brushing And Flossing Especially Important During Orthodontic Treatment

Posted on by Dr. Chea Rainford

As you are aware, plaque (the whitish build-up of food material, and bacteria) is the cause of cavities, tooth scarring (white lines as stains, also technically known as enamel decalcification) and gum disease, which may occur if teeth are not kept clean. In order to prevent the above problems from occurring, several techniques have been developed to reduce or eliminate plaque build-up on your teeth. You should brush your teeth immediately after every time you eat, even after snacks. We recommend a soft toothbrush and any brand of toothpaste which contains flouride. Tooth brushing and oral hygiene must be excellent at all times, especially next to the gumline. When oral hygiene is poor several things happen:

 

• Gum infection (gingivitis) is recognized by puffy, swollen, red gums which bleed easily. This can lead to more severe disease (periodontal disease), which eventually leads to tooth loss.

• Permanent white spots (decalcifications) may also be left on the teeth after appliances are removed if plaque is allowed to remain on the teeth during treatment. Extra care must be taken in the area between your gums and the braces. We call this “The Danger Zone”. Food and plaque that collects around your braces and wires can cause stains and cavities as well as unpleasant odors, so be sure to keep your teeth clean. Take time and do it right. If you have difficulty brushing, an electric toothbrush may be recommended. A “proxy brush” is a small pipe-cleaner type of toothbrush and is recommended for brushing under your wires and between brackets in addition to a regular toothbrush.

• Finally, cavities can occur before, during or after treatment if hygiene is poor. Fortunately, all of these are preventable simply by brushing and flossing. We reserve the right to remove braces and stop treatment if hygiene is repeatedly poor and we feel that high plaque levels are damaging teeth and/or gums. Remember, during your orthodontic treatment you must see your dentist every 4-6 months for your cleanings and dental check-ups.

 

Remember that although your braces and wires are metal, they are fragile and can be damaged by eating the wrong foods.

Pacifiers and Baby Bottles: Comforting or Concerning?

Posted on by Dr. Chea Rainford

When it comes to sucking, babies are naturals — maybe because they practice even before they are born! Children begin sucking on their thumb while in the womb to develop the skills necessary for breastfeeding. And for many kids, this skill has an added bonus: Thumb-sucking can be very soothing. Many infants and toddlers will continue to suck their thumb or use a pacifier even after they start eating solid foods or stop taking a bottle.

Unfortunately, the use of pacifiers, bottles and sippy cups can lead to speech and dental problems as your child gets older. Because children develop at different ages, it’s a good idea to speak with your dentist and pediatrician to make sure that your infant or toddler’s early oral habits don’t cause problems.

Pacifier Blues

In a child’s first few years, pacifier use generally doesn’t cause problems. But constant, long-term pacifier use, especially once permanent teeth come in, can lead to dental complications. Constant sucking can cause top front teeth to slant out, and bottom front teeth to tilt in. It also can lead to jaw misalignment (such as an overbite) and a narrowing of the roof of the mouth.

It is generally advised that children stop or drastically reduce their pacifier use around age 3. If a child is dependent on the pacifier to be calmed and soothed, try giving it to him or her only when absolutely necessary and using positive reinforcement to wean them off the habit.

If possible, buy pacifiers labeled “orthodontically friendly” because they may limit the risk of dental complications. It’s also a good idea to buy pacifiers constructed as one piece. And never attach a pacifier to a string around your child’s neck, this can cause them to choke.

The Big Bad Bottle

Many children use a bottle longer than necessary. Apart from the risks associated with the sucking motion, bottles also carry a heavy risk of promoting tooth decay if they contain anything other than water.

Frequently sucking or sipping on milk or juice from a bottle over an extended period of time will increase your child’s risk of tooth decay. When sugars and carbohydrates come in consistent contact with teeth, they create an environment for decay-causing bacteria to thrive. Tooth decay can lead to painful infection, and in extreme cases, children may need to have a tooth extraction or dental treatment to extensively repair damaged teeth.

If you notice small white spots or lines on your child’s teeth, particularly near the gum line, it’s a good idea to consult your dentist immediately, as this may be an early sign of decay. As a way to cut back on children’s bottle use, your pediatrician or pediatric dentist may recommend using sippy cups. While these are very useful for transitioning your child from bottle to regular cups, they also pose their own threat to teeth and speech development.

For more help breaking baby away from the bottle or pacifier, talk to your dentist.

Pacifiers and Baby Bottles: Comforting or Concerning?

Posted on by Dr. Chea Rainford

When it comes to sucking, babies are naturals — maybe because they practice even before they are born! Children begin sucking on their thumb while in the womb to develop the skills necessary for breastfeeding. And for many kids, this skill has an added bonus: Thumb-sucking can be very soothing. Many infants and toddlers will continue to suck their thumb or use a pacifier even after they start eating solid foods or stop taking a bottle.

Unfortunately, the use of pacifiers, bottles and sippy cups can lead to speech and dental problems as your child gets older. Because children develop at different ages, it’s a good idea to speak with your dentist and pediatrician to make sure that your infant or toddler’s early oral habits don’t cause problems.

Pacifier Blues

In a child’s first few years, pacifier use generally doesn’t cause problems. But constant, long-term pacifier use, especially once permanent teeth come in, can lead to dental complications. Constant sucking can cause top front teeth to slant out, and bottom front teeth to tilt in. It also can lead to jaw misalignment (such as an overbite) and a narrowing of the roof of the mouth.

It is generally advised that children stop or drastically reduce their pacifier use around age 3. If a child is dependent on the pacifier to be calmed and soothed, try giving it to him or her only when absolutely necessary and using positive reinforcement to wean them off the habit.

If possible, buy pacifiers labeled “orthodontically friendly” because they may limit the risk of dental complications. It’s also a good idea to buy pacifiers constructed as one piece. And never attach a pacifier to a string around your child’s neck, this can cause them to choke.

The Big Bad Bottle

Many children use a bottle longer than necessary. Apart from the risks associated with the sucking motion, bottles also carry a heavy risk of promoting tooth decay if they contain anything other than water.

Frequently sucking or sipping on milk or juice from a bottle over an extended period of time will increase your child’s risk of tooth decay. When sugars and carbohydrates come in consistent contact with teeth, they create an environment for decay-causing bacteria to thrive. Tooth decay can lead to painful infection, and in extreme cases, children may need to have a tooth extraction or dental treatment to extensively repair damaged teeth.

If you notice small white spots or lines on your child’s teeth, particularly near the gum line, it’s a good idea to consult your dentist immediately, as this may be an early sign of decay. As a way to cut back on children’s bottle use, your pediatrician or pediatric dentist may recommend using sippy cups. While these are very useful for transitioning your child from bottle to regular cups, they also pose their own threat to teeth and speech development.

For more help breaking baby away from the bottle or pacifier, talk to your dentist.

A Parent’s Guide to Flossing

Posted on by Dr. Chea Rainford

Regular tooth brushing and flossing are important for maintaining healthy teeth and gums. The best way to ensure that your child maintains good oral health through adulthood is to establish their oral hygiene routine early.

In addition to tooth-brushing, you can start teaching your child to floss. Flossing is important for removing the dental plaque trapped between teeth and along the gum line that a toothbrush cannot usually reach. Flossing should be performed at least once a day and should take about two minutes.

You can speak to your child’s dentist for specific suggestions about how and when to begin teaching your child to floss, but generally speaking, you’ll want them to start when they are two to three years old. They will require supervision and assistance until they are about eight years old, but establishing regular flossing habits will put them ahead of the curve as they grow up.

Floss comes in a variety of colors and flavors. Let your child pick their favorite. By making flossing something exciting to look forward to, you will increase the chance that your child will maintain the habit.

Effective Flossing in 3 Easy Steps

Step One. To begin flossing, have your child cut off a piece of floss approximately 18 inches long.

Step Two. Have them wrap the ends around their middle or index fingers on both hands.

Step Three. Next, have them gently guide the floss between their teeth, carefully moving the floss around the tooth and under the gum line. Make sure they floss between the gum line and the side of each tooth.

Your dentist may also suggest that you use a pre-threaded flosser or floss holder to make it easier for your child to maneuver the floss around teeth.

For any questions about creating a great flossing habit for your child, or about any other dental concerns, be sure and consult your child’s dentist for more information.

Your guide to caring for dentures

Posted on by Dr. Chea Rainford

Proper care of your dentures may help you avoid unnecessary, and costly, denture repair. The health of your mouth also depends on how well you care for them. Use this guide to help ensure that your full or partial dentures are kept in tip-top shape.

Brush Your Dentures Daily

Good oral hygiene habits are just as important for your dentures as they are for real teeth. When you take your dentures out every night, be sure to brush them gently to remove food particles, dental plaque and stains. Use a soft-bristled denture brush and a denture cleanser that bears the ADA Seal of Acceptance, or mild hand soap.

Don’t Forget Your Gums, Tongue and Palate

Keeping your mouth clean also helps keep your dentures clean. Brush your gums, tongue and palate every evening and in the morning before reinserting your dentures. Brushing stimulates circulation in your mouth and gums, and helps remove plaque buildup.

Soak Your Dentures When Not Wearing Them

Dentures need to be kept moist; otherwise, they’ll dry out or lose their shape. Be sure to soak your dentures in water or a dentist-recommended cleansing solution whenever you take them out. Avoid soaking your dentures in hot water, which may cause them to distort.

Keep Follow-Up Appointments with Your Dentist

It’s common to feel minor discomfort and soreness in your cheeks, lips and tongue when you first start wearing dentures. That’s why it’s critical to keep your follow-up appointment — your dentist can make adjustments to help improve comfort and prevent more serious problems in the future.

What Are My Options for Treating Gum Disease?

Posted on by Dr. Chea Rainford

It may be alarming to learn that you have gum disease, but the truth is, there are a number of successful options to treat the problem. Maybe your issue began with an infection that included very little to no pain or irritation. Some people may not even realize they have this milder form of the disease, known as gingivitis. However, without proper treatment, even a mild case of gum disease can develop into the more severe form, periodontitis. But, again, fortunately there are a number of effective treatment options. — all with the goals of controlling infection, preventing tooth loss, and keeping the disease from damaging tissue.

4 Types of Important Treatments for Gum Health
If you notice you have any of the signs of gum disease, (including red, puffy or bleeding gums, receding gums or bad breath) talk to your dentist about the best gum disease treatment for you. Here are some of the ways dentists may treat the disease:
Non-Surgical — Treatment for bleeding receding gums starts with a deep cleaning. This type of gum treatment involves a process called scaling and root planing, where dental plaque and tartar deposits on tooth and root surfaces are removed. This gum disease treatment — along with the help of medication prescribed by your dentist — helps gum tissues to heal and gum pockets to shrink.
Periodontal Surgery — If the tissue surrounding your teeth is unhealthy and cannot be repaired with non-surgical treatment, then surgery is required, with the specific procedure depending on your case. Surgery allows dentists to access hard-to-reach areas under the gum and along the roots where plaque and tartar have accumulated.
Bone Surgery or Bone Grafts — When the disease has destroyed bone as well as gum tissue, your dentist may need to use bone grafting to reshape and rebuild any bone that’s been affected.
Gingival Grafting — If the diseased gums are beyond repair in one area, your dentist may take healthy tissue from another part of your mouth and graft it to the affected area.
What’s the Best Gum Treatment? Prevention.
Gum disease is usually preventable. And great gum health goes hand in hand with great dental health, beginning with proper oral hygiene. Brush regularly with a fluoride-containing toothpaste, floss every day, and visit your dentist regularly.

Toothpicks

Posted on by Dr. Chea Rainford

Why Toothpicks Shouldn’t Be Your Pick for a Dental Tool

Toothpicks. You see them everywhere: minty-fresh and plastic wrapped next to the cash register at your neighborhood diner, spearing a bite-size cheese cube and sporting colorful plastic frills at a cocktail party, swimming in a martini and wearing nothing but an olive at the bar, or simply resting in a box of 100 at your local grocery store. In fact, toothpicks are so readily available, it may seem hard to believe that they could be bad for you in any way. The truth is, however, frequently using toothpicks can damage your teeth and gums, and lead to swallowing splinters and worse.

Toothpicks are old news
Toothpicks are primitive devices that are the oldest dental cleaning tool around. Fossils of 7,500-year-old teeth suggest that humans were using wooden sticks to clean their teeth a long time before toothbrushes were even thought about. But again, this is because these ancient people didn’t have any alternative. Here are a few reasons why jabbing a stick around in your mouth in hopes of dislodging food, today, may not be such a great idea:

  • Lacerating gums. If you use toothpicks frequently and roughly, you could risk damaging your gums, causing bleeding and tearing.
  • Damaging tooth enamel. Tooth enamel is the covering that makes up the outer layer of each tooth. Although it’s pretty tough stuff, it’s still vulnerable to the type of damage chewing on a toothpick can easily cause.
  • Damaging tooth roots. If your gums have pulled away from your tooth roots, they could be especially prone to damage by a toothpick. Not to mention the fact that touching exposed tooth roots with anything at all can also be very painful.
  • Chipping veneers or crowns. Vigorous toothpick use can cause both to become damaged or even fall out altogether.
  • Splinters. Toothpicks can fall apart and leave splinters in your gums, tongue and throat, which are not only painful and hard to remove, but could also result in a dangerous infection.
  • Swallowing. Toothpicks could kill you. In fact, on average, there are about 9000 choking incidents reported each year from someone either swallowing or inhaling a toothpick.

So what should I use?
Sure, toothpicks can remove food debris from between teeth, but dentists recommend other cleaning alternatives that are much less damaging to your teeth and gums, including:

  • Dental floss. Dental floss or tape can quickly and effectively remove food particles without damaging teeth or gums. Flossing also removes plaque, which can lead to cavities, and promotes healthy gums, protecting you from gingivitis and periodontitis.
  • Interdental brush. Interdental brushes have small bristled heads that are designed specifically to fit between your teeth. Like floss, they can dislodge bits of food and clean plaque from surfaces that can’t be reached just by brushing.

So should I ever use a toothpick?
The best answer to this question is simple: only when you’ve got no other choice. As discussed above, there are many things that make toothpicks bad for teeth. And perhaps the only thing they have going for them is that they are portable and convenient to carry. If you have a bit of food stuck in your teeth that is painful or irritating and a toothpick is your only option, then it’s better to remove it for your own comfort.

But even then, it’s important to ask yourself just how frequently you are having to use that toothpick. We’ve all experienced a niggling bit of food getting stuck between your teeth every now and then. No big deal, right? Well, if it happens on a regular basis and (most importantly) in the same place each time, then that is reason enough to visit the dentist. That’s because food can become stuck due to fillings that haven’t been properly finished, teeth that have shifted or teeth that have developed a hole due to decay. And if you’re just relying on toothpicks to try to remedy these problems, you’re probably going to be seeing much bigger problems down the line.

So, are toothpicks bad? No, toothpicks are great … glued together to create memorable fourth-grade art projects, stuck in a birthday cake to see if it is ready to take out of the oven, and for hundreds of other uses. But are toothpicks bad for you? Yes, especially if they’re used frequently or without sufficient care for your teeth and gums. And because there are other ways that are so much better at getting bits of food free from your teeth, there is really no reason to resort to some crude tool that was invented by primitive man.

Adult Braces

Posted on by Dr. Chea Rainford
Brace Yourself. You’re Not Too Old to Straighten Your Teeth.
Think braces are just for angsty teens and awkward pre-pubescents? Think again.The number of adults undergoing treatment for crooked teeth using braces or other teeth straightening treatment has been rising steadily.
Sure, crooked teeth can be a cosmetic embarrassment, but more importantly, correcting them can benefit you more than just making you look better. For example, fixing a less-than-perfect bite will ensure that you chew your food properly.  And overlapping teeth can cause bacteria to get trapped, leading to difficulty with cleaning and, ultimately, tooth decay. Fortunately there are a number of ways to get teeth (of any age) on the straight and narrow.
Am I Doomed to Be a “Brace Face”?
The upside to waiting until adulthood to correct your teeth is you can avoid all those playground bullies and their hurtful name-calling. The other benefit is that trends are changing. After assessing your particular issues, your orthodontist can tell you more about all the options that are available to you today, including:
Visible braces. This type of brace is perhaps the closest to what you may envision when you think “braces.” But it’s pretty safe to say that even visible braces have improved over the years. Usually suggested to fix severe alignment problems, the brace is fixed directly onto the front of the tooth using either traditional stainless-steel brackets with metal wires, clear plastic brackets with metal wires, or ceramic brackets with metal wires. Braces must be kept clean, since food that gathers around the brackets or wires can lead to staining or decay.
Invisible braces. Invisible braces are called lingual braces and are placed on the back of the teeth. If you’re concerned about the aesthetics of having braces, these can be a great option. However, adjusting to this method can be a little tough. Often times lingual braces can cause you to speak with a lisp, and having the brackets sit between your teeth and the tongue can cause irritation.
Nearly invisible braces. This is actually a clear plastic tray that’s worn over the teeth. Every two weeks the trays are exchanged for new ones that are become closer and closer to the teeth’s ideal alignment. This method is popular because they are almost invisible to the naked eye, and can be easily removed for cleaning and eating. However, you have to be strict about wearing the trays, as anything less than 22 hours a day will result in a longer treatment time.
Retainers. Removable retainers are made from metal wires and acrylic formed to the shape of your mouth. They can be made for both the upper and lower arches of the mouth to brace and align teeth. Retainers like this are popular because they can be easily removed for special events or occasional relief, but they are prone to getting lost, so you have to make sure to keep track of them.
Porcelain veneers. Veneers are a cheaper and less time-consuming way to change the look of your teeth by simply covering up minor imperfections. As well as covering crooked teeth, they can mask chips, gaps and stains and — once they are applied —  don’t need to be replaced for five to ten years.
So, instead of just hoping that your teeth decide to straighten on their own (which they won’t), put on your grown-up pants, and talk to your dentist. Because today, there are more options than ever for giving you the healthy, attractive smile you’ve always wanted.

The Aging Mouth: What is Normal, What is Not

Posted on by Dr. Chea Rainford

 

The natural process of aging takes its toll on your teeth and mouth just as it does your body. Here are some common oral health changes you can anticipate as you age:
Enamel Wear — Chewing, cleaning and the normal aging process means your teeth will eventually wear down over time.
Darker Tooth Color — Aging dentin (the tooth’s middle layer) holds stains easier than younger dentin, making your teeth appear slightly darker.
Gum Changes — Aging gums naturally recede over time.
Cavities — Cavities around the root of the tooth are more common as you age. Any fillings you have are also aging and can weaken or crack.
Other changes to your teeth and gums aren’t normal and shouldn’t be overlooked. These symptoms could signal something more serious and are reason to see your dentist right away:
Tooth Loss — Dental cavities and gum disease are the leading culprits of tooth loss in seniors, but neither is a normal part of aging. If your teeth and gums are healthy, there’s no reason why your teeth should fall out.
Dry Mouth – As you age, you may notice a reduced flow of saliva, sometimes as a side effect of medical conditions, medications or medical treatment. Saliva is important because it lubricates the mouth and neutralizes the acids produced by plaque.
Bleeding Gums — Bleeding gums are a sign of periodontal (gum) disease, a leading cause of tooth loss in seniors. But gum disease is not an inevitable result of aging; it’s caused by the build up of plaque. Left untreated, gum disease is linked to other health concerns like arthritis and heart disease.