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What Are My Options for Treating Gum Disease?

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

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

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

 

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.

Braces Built for Busy Adults

 

If you needed braces as a child but didn’t get them, you can still benefit from an improved smile and better oral health by wearing dental braces in your adult years. However, because traditional braces can take longer the older you are, more and more adults are turning to speed braces. Unlike conventional metal braces – which take an average of 12-20 months – speed braces typically take just 6-9 months to straighten your teeth.
One of the best features of speed dental braces is the slide mechanism of the self-ligating brackets: The wire slides through the brackets as the teeth move, allowing your teeth to move more freely, quickly and comfortably. This slide technology also helps reduce the friction between the brackets and wire, which means that you’ll need fewer adjustments.
The self-ligating brackets on speed dental braces can also help promote better oral health than those of braces past: Because the brackets are smaller in size, it’s easier to brush and floss your teeth. And since speed dental braces are left on your teeth for a shorter period of time, you’re teeth are less likely to develop the yellow or brown spots that traditional metal braces can cause.
Invest in speed braces, and you’ll reap both tangible and intangible rewards. If smiling was never easy for you, it will be. Many patients say they felt a boost in self-esteem after treatment, which made it easier to smile and interact with others. Braces can also make it easier to digest food! If your teeth and jaws are misaligned, you may have problems chewing food properly, which can overtax your digestive system and cause stomachaches. With straight teeth, smiling and eating can be a pleasure again.

Deciduous Teeth

Deciduous teeth are baby teeth. We’re born with two full sets of teeth and this first set is also called primary, milk or lacteal dentition. These teeth begin to erupt anytime after 6 months of age, which is commonly referred to as “teething.” Teeth normally erupt in pairs and the first that normally come in are the lower central incisors. By the time your child is 2, he or she should have a full set of deciduous teeth.

Why Two Sets?

As an infant, our mouths are too small for a full set of permanent teeth, so we require deciduous teeth until our jaw is able to sustain the permanent set. Baby teeth are essential in the alignment, spacing and occlusion of primary teeth. They prepare the adult jaw for their permanent fellows.

As the adult teeth (seccedaneous teeth) form, special cells called odontoclasts absorb the roots of the baby teeth, so that when your adult teeth start to emerge from your gums the deciduous teeth have no roots, making them loose and able to easily fall out.

Caring for Deciduous Teeth

A gross misconception about baby teeth is that since they will eventually be replaced by primary teeth, there’s no reason to take care of them. But cavities are a very real cause for concern — even for deciduous teeth. Children who suffer from dental cavities in their baby teeth are more prone to cavities in their permanent teeth. And every dentist will agree that oral hygiene habits begin in childhood. So it is essential that you take excellent dental care of your little ones’ baby teeth, as they won’t be able to do so themselves for the first handful of years.

Good oral hygiene begins at teething. Simply rubbing your infant’s gums with a wet washcloth will begin to develop habits that he or she will require for life. Once the first teeth erupt, begin brushing them twice a day. Once more teeth fill in, you can begin flossing, too. And be sure to set up your child’s first dental visit when the first tooth appears or by age 1.

Deciduous Tooth Dental Cavities

Sometimes your toddler will get a dental cavity in one of the baby teeth. In that case, your regular pediatric dentist will take X-rays and fill any dental cavity so that tooth decay does not go unchecked and the primary tooth can emerge in the best condition possible.

Like all teeth, deciduous teeth must be cared for properly so that you have a healthy mouth and healthy body. It’s up to parents to ensure that their child develops healthy deciduous teeth and good oral hygiene. If you need help maintaining your child’s oral health, give us a call; we’re glad to help.

Chipped Teeth Choices

 

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, 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 Care Checklist for Infants

 

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?

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.

Making Dental Visits Easy for Kids

 

With your help, dental visits can be a positive – even fun – experience for your kids. Our staff will spend a lot of time with your kids to help them feel comfortable and understand what they can expect. You can help us make their next visit a successful one by working with us to accomplish this goal!
Here’s what we suggest:
·        Use only positive words when answering your kids’ questions. Soft, easy, fun and play are good words to use.
·        Avoid using words like pain, hurt, needle and shot. These words make kids (and many adults) scared and anxious.
·        After treatment is completed, you can help continue the positive experience by praising your child and referring to the fun time they just had.
·        DON’T ask negative questions like: Did it hurt? Were you scared? Did you get a shot? These comments could make your child think that there was a reason to be afraid even though they were cooperative and had a good time. It might also make them afraid of future visits.
If your child receives any kind of anesthesia, assure them that their “tickly” or “sleepy” tongue will go away in no time. Most kids don’t mind the numbness, and some even think it’s fun – that’s a good thing.