mableton

Here, Use My Toothbrush…

Ever use someone else’s toothbrush? You may think twice about doing it again after reading this:

 Toothbrushes can be a source of repeated dental infections.

 Toothbrushes can cause a bacteremia (bacteria entering the bloodstream) that may result in an endocarditis (a heart infection).

 Toothbrushes can harbor and transmit viruses and bacteria.

 Toothbrushes can retain 50% of the herpes simplex virus for one week.

 Gingival [gum] inflammation can be reduced by changing toothbrushes biweekly.

Still think it’s sexy to share a toothbrush? How about sharing food? Kissing? Certain bacteria can be transmitted from site-to-site in the mouth via dental instruments or from person-to-person sharing someone else’s eating utensil. In juvenile periodontitis, virulent bacteria can move from an infected site to an uninfected site in the same mouth. Certain bacteria can be transmitted between spouses. Certain bacteria can be transmitted between parents and children. Certain bacteria can be transmitted from dogs to children.

So you see, bacteria once thought to be localized to specific sites in the mouth, can be migratory. We’re not advocating that you stop tasting a scrumptious morsel or two at a four-star restaurant; we are advocating that everyone maintain good dental health not only for themselves but for the sake of those they love.

As far as ridding toothbrushes of bacteria, soaking them in a mouthrinse containing essential oils for 20 minutes kills 100% of the bacteria on the bristles. Ultraviolet light also sanitizes toothbrushes. But when researchers* tested the efficacy of using a toothpaste containing a common disinfectant compound – triclosan – they found little benefit when it came to eliminating the offending bacteria attached to the toothbrush bristles.

So what can you do about bacterial contamination from toothbrushes? Soak them in a suitable mouthwash, expose them to ultraviolet light, or from a practical stance, change them frequently. As for kissing someone, the benefits may still outweigh the risks …as long as you have an inkling as to their periodontal status!

*Warren DP, Goldshmidt MC, Thompson MB, Adler-Storhz K, and Keene HJ: The effects of toothpastes on residual microbial contamination of toothbrushes. JADA 132:1241-1245, 2001.

Help! I Broke My Tooth!

Almost every day we get a call from a patient who has broken a tooth, and generally it means that to save the tooth, we have to place a crown or permanent restoration over it to keep it from breaking further. Sometimes the tooth can’t be saved and that is a real bummer!

What causes teeth to break? Well, there are several factors, one of which we see in almost all tooth fractures. The most common contributing factor is Silver amalgam fillings- these fillings have the unique property of enlarging as they age. So, there seems to be some outward pressure on the tooth and if someone bites just the right (or wrong) way, you hear that crack!

Now this tooth broke in several planes at once, and had to be removed; there wasn’t enough sound tooth structure to save it! So an implant or bridge needed to be done.

This is a more common sort of fracture. The inside aspect of the tooth just shears away. Luckily, this tooth can be saved with a crown, after first making sure there is no decay present.

The second common factor is bruxism- the habit of grinding or clenching the teeth. Many bruxers break teeth that don’t even have fillings in them, but they always have a higher percentage of broken teeth than people who don’t brux or clench.

If you or someone you know does grind their teeth and are worried about a tooth or some teeth, don’t hesitate to give us a call and we will be glad to check it out for you! Don’t wait until it hurts!

Quality Dental Care

Quality dental care is essential for your child’s lifelong oral health. It’s important that your child’s first experiences with the dentist are positive. That’s why your dentist will make every effort to help your child feel comfortable and in control during each visit. Your own attitude and example also play an important role in setting the stage for a lifetime of healthy smiles!

Your child should visit a dentist as early as six months, when the baby’s first tooth appears. A first tooth’s appearance is an excellent time to schedule a dental evaluation. At that time, your dentist will diagnose and help prevent any future oral disorders. Your dentist can also answer any questions you have about caring for your child’s teeth.

During your visit your attitude can convey the message that dental visits are pleasant adventures. Emphasize the attention that your child will get while in the chair. Try to schedule the appointment for the time of day when your child is most rested and cooperative. To prepare your child, read a story together about a trip to the dentist. You may want to play dentist and take turns looking into each other’s mouth with a flashlight. Have fun; this should be a pleasant experience!

Choosing A Toothpaste

While toothpaste [dentifrice] is a valuable adjunct to a toothbrush in oral hygiene, it is the correct brushing action that removes the plaque [sticky mixture of bacteria, food & debris] from your teeth.

 Fluoride Any brand toothpaste that contains fluoride and the ADA Seal of Approval, to attest that there is evidence of its safety, reliability and effectiveness through clinical trials, is acceptable. It makes no difference if the toothpaste is a gel, paste or powder or which flavoring agent is used. However, from an individual motivational standpoint, and assuring its use, these characteristics may be important. Other than fluoride, which strengthens the enamel and fights decay, toothpastes contain abrasives to remove stain and polish the teeth and ingredients to leave the mouth with a clean, fresh feeling.

 Sensitive Teeth If your teeth are sensitive to hot or cold, choose a desensitizing paste with either strontium chloride or potassium nitrate as an added ingredient. Expect about 4-6 weeks to see real improvement.

 Tartar Control There are brands of toothpaste that advertise “tartar control” and usually have the active ingredient pyrophosphate. While it will not remove tartar, studies have shown it will reduce tartar formation up to 36%. Tartar [calculus] can only be removed with a professional prophylaxis [cleaning].

 Abrasiveness Many toothpastes now contain baking soda, which is less abrasive. This is advantageous for reducing tooth sensitivity in people with gum recession or those who have eroded their teeth by rigorous brushing with an abrasive toothpaste.

 Whitening Bleaching teeth to make them lighter has become popular. If you desire a whitening toothpaste, look for the active whitening agents of carbamide peroxide or hydrogen peroxide. These toothpastes serve best to maintain the tooth shade after bleaching procedures. Call our office if you have bleaching questions.

 Dentures If you wear partial or full dentures, they will also stain and absorb odors. Ask your pharmacist to recommend an ADA Accepted denture cleaning paste and/or solution. When brushing, it is not necessary to overload your brush with toothpaste. Squeeze a “pea-sized” amount on the top of the bristles. Correct brushing techniques will cause the paste to foam and cover all of your teeth.

What Can I Eat If I Am Wearing Braces?

The following substances will cause damage to the braces and should absolutely not be eaten: candy apples, caramels, hard and sticky candy, candy bars, aquarium gravel, gum balls, jaw breakers, chicklets, or other gum, popcorn, bones, nuts, ice, chips, chewable vitamins, or any other crunchy or sticky items.

Foods such as apples, carrots, celery, pretzels, French bread, bagels, waffles, and meats should be cut into small pieces and chewed with your back teeth. Keep pencils, fingernails, straws, etc. out of your mouth. Please realize that the use of sugar-containing candy, soda, gum, etc. also promotes tooth decay.

If a bracket falls off, the wire bends or anything else breaks or becomes loose, the patient needs to call right away so that an appointment may be made for the appropriate length of time (generally 30-45 minutes) that we need in order to make the repair. This is especially important even if the patient already has an appointment scheduled.

We know that loose bands, poking wires and other problems can occur with even the most careful and cooperative patients and we will work with you to accommodate your needs in every way we can.

The Right Age To Consider Orthodontics

The American Association of Orthodontics recommends that a child first be seen by an orthodontist as early as age 7 or earlier should a parent or the family dentist discover a problem. The timing of orthodontic treatment is extremely important and greatly affects the treatment result. Since no two patients are alike, there is no absolute, specific age that is best to begin treatment.

Many progressive treatments are now available for patients six to eleven years old that provide significant benefits, especially in jaw irregularities. These treatments may also prevent certain conditions from worsening. Treating children during their growth stages enables us to achieve results that may not be possible when the face and jaw bones have fully developed. This early treatment can simplify or eliminate additional treatment.

Early diagnosis and treatment by an orthodontic specialist can help guide facial growth and tooth eruption, thus preventing more serious problems from developing. Our goal is to reduce treatment time in full braces and to provide the best and most stable results possible.

Potential Benefits of Timely Treatment

 Influence growth of the jaws in a positive manner

 Improve the width of the dental arches

 Reduce the need to extract permanent teeth

 Reduce or eliminate the need for jaw surgery

 Lower the risk of trauma to protruded front teeth

 Correct harmful oral habits

 Simplify and shorten treatment time

 Increase the stability of final treatment results

 Reduce the likelihood of impacted permanent teeth

 Improve speech development

 Improve the position of the first permanent molars

 Guide permanent teeth into more favorable positions

 Improve lip closure

 Preserve or gain space for erupting teeth

 Reduce the potential for damage to the Temporal Mandibular Joint

 Better cooperation before the teenage years

Your Child’s first Dental visit: What to Expect!

The arrival of baby teeth is momentous because they allow children to graduate to a variety of new foods. In addition to celebrating this new stage in your baby’s development, you should also begin to think about a first visit to the dentist. Although parents of infants may not yet be concerned with dental care, the American Academy of Pediatric Dentistry recommends that the first dentist visit for children take place before a baby’s first birthday. Initially, dental visits are mostly informative in nature, but even at this early age, dental professionals help to establish a proper oral care routine that can last a lifetime.

Finding a Dentist

To find a dentist, check with your pediatrician or insurance company about providers in your area. Additionally, you may want to ask friends and family members for referrals. Narrow your search based on locations and office hours that fit best into your schedule. Try to interview several dental practices before selecting the one where you and your child feel most comfortable. In addition to calling for information, many dental practices also have websites with FAQs to help answer your questions.

Prepare in Advance

Ensure that your child is well rested and not hungry around the time of the appointment. It may be helpful to write down a list of questions ahead of time to ask the dentist. Very importantly, check with your dental insurance provider about copays and coverage before the day of your child’s first dentist visit. Most dental providers ask for proof of dental and medical insurance at time of service. Last, bring a list of your child’s current medications, and be prepared to fill out a health history form.

Although it is not necessary to prepare extremely young children in advance of a dental appointment, you may want to discuss the first visit with an older child. If your child experiences some anxiety over a dental appointment, try to ease his worries by reading books about dentists or by watching television shows to help to visualize what the visit will be like.

What to Expect during Your Child’s First Dentist Visit

During the first visit, the dentist will typically educate parents on proper gum and tooth care for babies. You may also discuss pacifier use and how proper nutrition helps to maintain healthy teeth. The dental professional should also demonstrate brushing techniques for parents so that they are able to knowledgeably assist young children with oral care. At the end of the appointment, the dentist should also provide you with the opportunity to ask questions.

By establishing a good working relationship with a childdentist, parents will ensure that their child receives proper dental care beginning at an early age. Setting a precedent for dental appointments at an early age helps children to become accustomed to a proper oral care routine.

The Science And Art Of Smile Design

Patients have asked why this office puts an emphasis on cosmetic dentistry. The answer is easy. Cosmetic dentistry involves some of the more creative aspects of dentistry, rather than the simple, straightforward and routine mechanical side. There are so many things to evaluate when trying to remake someone’s smile. The challenge of figuring out the puzzle so that the patient will look their best is really intriguing and fun, and the results are highly satisfying.

The finished product of a smile design is the result of a lot of work with excellent communication and cooperation between our dental office, the lab and the patient. Please call our office, if you would like to evaluate or discuss your smile.

The Instant Makeover

More and more these days, instant sorts of makeovers are shown on television shows and in the news. It seems that once a person makes the commitment to proceed, they want to get moving quickly. Our practice has noticed that too, and we are doing many more “makeovers” where we finish the entire treatment in a short period of time.

It seems like many people just hit a point where they have “had it” with their smile or their appearance, and decide it’s time to look better. The next steps are important, because how happy a person is with the results, depends on how the treatment is approached and accomplished.

Here is what we do when someone presents with some true esthetic concerns and is ready to do something about them:

 First of all, we interview the patient to determine their true desires, needs and wants. Everything starts with getting a good understanding of what the patient wants and expects.

 We have to do a complete exam to understand the underlying health of the teeth, gum and bone, and how the bite, or occlusion, is working.

 We take photographs, and impressions of the teeth for what we call study models. Sometimes we ask the dental lab to create the desired appearance in an ideal wax smile. It is a fun process.

Once we know where we want to be at the finish, the process of getting there is usually just a couple of long and relaxed appointments.

In the First Visit the teeth are prepared and impressions are taken; the patient leaves with plastic temporary restorations that are an actual preview of the desired end point. These provisional restorations allow us to personalize shape, size and color so that before the final porcelain restorations, we know that the patient is going to love their smile. This works really well, relieving much of the anxiety of someone not knowing how they will look.

The patient generally receives the final restorations in the Second visit, where we take off the temporary crowns/veneers and try in the permanent ones. If they are fitting and looking like we want, these restorations are permanently bonded to the teeth. Subsequent visits are made as necessary for any follow up or adjustments.

What to Do During a Dental Emergency

A dental emergency is always a stressful situation, but it can become absolutely nerve-racking when your dentist is out of the office. Whether it’s late Saturday night and your dentist won’t be back in until Monday, or if your dentist is out of the country on 2-week vacation, a dental emergency can be difficult to manage on your own. There are some basic things that you can do to prevent or cope with dental emergencies when they occur.
The best way to handle a potential dental emergency is to avoid it in the first place. The most common dental emergency is pain or swelling from an infected tooth. In most cases, this does not happen suddenly, overnight. Typically, a person has some degree of pain or discomfort for several days or even longer before they are in severe pain and in need of emergency dental care. The best advice is to visit the dentist at the first sign of any discomfort in the teeth or gums.
If a dental emergency does occur when your dentist is unavailable, there are several things that you can do. Pain in the teeth or gums can often be effectively handled with over-the-counter pain relievers such as ibuprofen (Advil®), naproxen (Aleve®), or acetaminophen (Tylenol®), to be taken as directed. Rinsing with warm salt water (a teaspoon of salt in eight ounces of water) can help temporarily relieve puffy or swollen cheeks and gums. Some-store bought products like Orajel® can also be effective in relieving minor soreness of the gums. If you have a broken tooth, a piece of wax or even some soft chewing gum can cover a sharp edge until you can get to the dentist.
Your dentist should also be available for advice if a dental emergency occurs. Thanks to cell phones and answering services, patients can often reach their dentist after office hours. This gives the dentist the ability to contact the pharmacy for antibiotics and pain medication should they feel that patients need them. If your dentist is going to be out of the office for more than a few days, he or she should have another dentist available to treat any dental emergencies that may occur.