clean mouth

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.

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.

Extra Cavity Protection for Kids

Posted on by Dr. Chea Rainford
You might think that cavities are inevitable for kids, but in truth, they’re not. A healthy diet mixed with good oral hygiene (brushing and flossing) plus regular dental visits can prevent tooth decay. Dental sealants can reduce the risk even more. In fact, studies show that dental sealants can reduce decay in school children by 70%.
Dental sealants are thin plastic coatings that are applied to the grooves of back teeth, where tooth decay is usually a problem for kids and teens. Sealants act as a barrier between the chewing surfaces by blocking pieces of food and germs.
Sealants work best on permanent molars, which usually erupt at age 12. It’s best to have sealants applied soon after the permanent molars erupt so that decay doesn’t have a chance to develop.
Because they’re so thin, dental sealants won’t have an effect on your child’s speech or make chewing difficult. Sealants can be clear or slightly tinted; either way, they’re virtually invisible to the naked eye.
Though they don’t take much time to apply, sealants can last 5-10 years. Dental sealants are some of the most comfortable, cost- and tooth-saving solutions around!

Don’t Let Sores Make You Cantankerous

Posted on by Dr. Chea Rainford

Canker sores (aphthous ulcers) are often confused with fever blisters (cold sores). However, they are quite different.

Canker Sores

Canker sores only form inside the mouth on the gums, cheeks, tongue or floor of the mouth and cannot be transmitted from one individual to another. They begin as small red circular swellings that usually ulcerate [rupture] within a day, after which they become white, surrounded by reddish inflammation and last for 8-10 days.

As open sores, they can be very painful to the touch. Canker sores afflict about 20% of the population. Their cause has yet to be discovered, although they appear to breakout more in stressful situations, from getting a small “nick” in the skin [mucous membrane] or from foods such as citrus fruits and tomatoes.

While they can occur in very young children, canker sores usually manifest themselves in people between the ages of 10-20. It’s not uncommon for them to erupt three to four times a year, but they occur less frequently, or stop all together, in adulthood.

If you have canker sores, avoid rough textured or spicy foods, which irritate them. Try not to touch them with eating utensils or your toothbrush. Apply ointment that contains a topical anesthetic or some other active ingredient that will relieve the irritation.

Cold Sores

Cold sores form outside the mouth, usually on the lips, but they may appear on the chin, outside of the cheek or the nostrils. They begin as a red blister, burst and crust over and last for 7-14 days.

Cold sores – caused by the herpes simplex virus (type 1) – are contagious; they transmit by skin-to-skin contact. The virus, carried by almost everyone, is dormant most of the time. Fever blisters occur most often in young adults and adolescents and decline in people over 35 years of age. Certain factors activate its outbreak, particularly stress, colds, fevers and/or sunburn.

To reduce occurrences, avoid kissing when the blisters are visible. Also, don’t squeeze or scrape the blister. Wash your hands thoroughly before touching someone else and use UV sunscreen on your lips before spending time in the sun.

Treatment of cold sores includes avoiding spicy and hot foods that will irritate them, application of phenol-containing over-the-counter ointments and administration of some anti-viral antibiotics that will shorten their duration (but not prevent their outbreak).

If you’re worried about canker or cold sores, call our office. We’re here to help you deal with these common afflictions and will offer additional treatment recommendations, as necessary.

What to Do During a Dental Emergency

Posted on by Dr. Chea Rainford
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.

Pacifiers and Bottles: Can Comfort Cause Complications?

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 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. Since children develop at different ages, it is 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 is 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 is 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

Why a Mouthguard?

Posted on by Dr. Chea Rainford

 An active lifestyle calls for active safety. And while helmets, goggles and knee pads have become standard equipment to protect our bodies, it’s important to remember to protect your teeth as well. Mouthguards offer an easy, reliable method to cushion your teeth during athletic and recreational activity.

Participating in any physical activity involves a risk of contact with the face and mouth. Although many sports teams require some protective gear, the delicate teeth are often overlooked. Considering that even minor direct force can cause teeth to chip, break or come loose, a mouthguard is a crucial piece of equipment for all active or athletic activities.

Mouthguards are especially crucial during contact sports such as football, hockey or boxing, where blows to the body and face are regular occurrences. But even non-contact sports such as gymnastics, and recreational pastimes such as skating or mountain biking, still pose a risk to the teeth.

When participating in any activity that may result in injury to the mouth, dentists recommend that the teeth be properly shielded with some form of dental mouthguard.

Your Guide to Guards

There are three basic categories of mouthguards. Your dentist can suggest which type is right for you:

1. Stock Mouthguards — These pre-made protectors can usually be bought wherever sporting equipment is sold. Most dentists do not recommend their use because they cannot be adjusted to your mouth and provide only limited protection.

2. Boil-and-Bite Mouthguards — Boil-and-Bite guards are softened with hot water and then molded over your teeth. A somewhat customized fit leads to better protection and greater ease in talking and breathing. These are also available at most sporting goods vendors.

3. Custom Mouthguards — Your dentist can create a custom mouthguard designed specially for your teeth. These offer the best fit, comfort and protection, but may be more costly than store-bought varieties.

Guard Your Whole Mouth

In addition to cushioning your teeth from unnecessary force, using a mouthguard can prevent injury to the tongue, lips, face and jaw. It can also prevent or lessen the effects of headaches and concussions. Patients who wear dental braces should be especially careful to protect their mouths during physical activity. Make sure to discuss your level of activity with your dentist and find out which type of dental mouthguard best fits your needs.

Choosing a Toothpaste

Posted on by Dr. Chea Rainford

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.

Childs First Visit to the Dentist

Posted on by Dr. Chea Rainford

Unless a problem is suspected, we would like to see your child after his/her primary teeth erupt into the mouth [24-36 months]. The most important goals of this first visit are to introduce your child to the office surroundings and to develop a trust in the dentist and our staff. We view this visit as an icebreaker. If your child is too frightened, uncomfortable or uncooperative, we may have to re-schedule several short visits. You will be charged a reasonable fee for the time. Please do not try to explain the first visit yourself. Do not use phrases like “Be brave!” or “Don’t be afraid”. Don’t offer them a bribe with special treats to get them to the office. Rather be positive and reassuring that the visit will be fun and one in which to look forward.

The appointment should be 15-30 minutes and may include necessary x-rays, a gentle, comprehensive examination of the teeth, gums, jaws, bite and oral tissues. This is both to observe any problems and to establish a baseline so we can monitor your child’s growth and development. Depending on your child’s age and cooperation, we may also clean and polish their teeth and apply a topical fluoride. Please bring to this first appointment any of your child’s medical records. We will try to discuss and answer any questions you may have at that time. Our objective is to be gentle and patient so your child develops a positive attitude towards the dental office and their own oral health. Our long-term goal is prevention and minimizing and dental problems for him/her as they mature.

Xylitol: The Tooth Friendly Sweetener

Posted on by Dr. Chea Rainford

Xylitol is a white crystalline substance that looks and taste like sugar. It is found naturally and can be extracted from birch, raspberries, plums, corn and mushrooms. Technically it is not a sugar but a sugar alcohol that is sometimes called wood sugar or birch sugar. Our bodies produce up to 15mg everyday as part of normal metabolism.

The great benefit of Xylitol in preventing tooth decay was “discovered” in Finland in the early 1970’s. Streptococcus Mutans, bacteria found in the mouth, produces toxins and acids that can dissolve teeth when foods with refined sugar [sucrose] are eaten.

Xylitol is not fermented by oral bacterial, so it cannot cause cavities [caries]. It works its magic on many levels.

• It inhibits the growth of cavity-producing bacteria S. Mutans and lactobacilli. The number of these acid-producing bacteria may fall as much as 90%

• It prevents the transmission of S. Mutans from mother to child

• It reduces the adhesion of plaque to your teeth

• It stimulates salivary flow creating a greater buffer capacity against acids and aiding remineralization of your teeth

 

Therapeutically, Xylitol is added to chewing gum or candy. The dosage is critical. To receive tooth decay prevention benefits, you must receive 6-10 grams of Xylitol per day. When reading the label of a Xylitol containing product, Xylitol should be the first sugar listed and, ideally, the only sugar component. To be effective, the Xylitol gum must be utilized several times a day over long periods – 6 months, 1 year and 2 years.

Xylitol is also to added to some oral hygiene products such as toothpastes, mouthwashes, floss, fluoride supplements.

Chewing Xylitol gum after meals is a great alternative when brushing or flossing is not an option. Anybody who is at high risk for dental decay such as people with dry mouths or those with exposed tooth root surfaces should consider this decay prevention therapy.

On a precautionary note – excessive chewing could lead to headaches and/or pain in the TMJ joint near your ear. Don’t over do it!

Call our office for product recommendations.