About Me

My photo
The value of a strong smile is immeasurable. Improved health, increased confidence, and heightened quality of life are just a few of the benefits of a healthy mouth. Whether you need a six-month checkup or comprehensive restorative care, me and my team will deliver the first-class service and individualized attention you deserve. From the moment you enter my Merced, California dental office, you are our number one priority. We will take the time to get to know you and serve as your guide to achieve a fantastic smile and lasting oral health. You'll like our convenient appointment times, friendly and informed team, and dedication to delivering quality, state-of-the-art, patient-focused dentistry that improves smiles and changes lives. Click on the link below to visit my office website and facebook page.

Wednesday, November 21, 2012

Teeth-Saving Thanksgiving Tips!


Thanksgiving is almost here, and that means holiday food. While traditional Thanksgiving foods will leave your stomach satisfied, they can leave a bitter aftertaste of dental woes – stained teeth and cavities. You don’t have to give up your favorite foods; just alter your recipes. Try these tasty variations on holiday staples that will keep your teeth, and the rest of your body, healthy.

Sweet Potatoes: These tasty tubers get their bright orange color from beta carotene, a powerful antioxidant. Look for varieties with darker orange flesh, as they’ve got more beta carotene. Traditional Thanksgiving sweet potato dishes often add marshmallows, sugar, and lots of butter. Cut the sugar and try making mashed sweet potatoes with a little butter, brown sugar, and a hint of rosemary. If your family is willing, try making oven-baked spicy sweet potato fries.
Cranberries: Like sweet potatoes, these berries get their bright color from antioxidants. Cranberries are bursting with Vitamin C, and also feature a hefty dose of Vitamins A and K, which prevent cavity-forming bacteria from sticking to your teeth. If you make cranberry sauce from scratch, use less sugar – most people don’t taste the difference. Add orange juice or zest to complement the tart and tangy tastes. Add a little apple or grape juice to unsweetened cranberry juice.
Berry Pies: Blueberries, cherries, blackberries, and black raspberries have many of the same health benefits of cranberries. Their deep colors indicate the presence of Vitamins A and K, manganese (an essential mineral), and compounds that may help lower cholesterol. Unfortunately, these bright colors can also stain your teeth, and most pie recipes call for quite a lot of sugar. Try reducing the sugar in your recipes, substituting some honey for sugar, or mixing some apples in with the berries. Rinse well with water after eating berries or drinking their juice.

Swish with water after having tea, coffee, or wine (red or white) to help prevent stains. Wait about an hour after you’re done eating to brush your teeth. Acid from food or drinks temporarily softens enamel; waiting gives it time to re-harden.

Tuesday, November 13, 2012

From Silver to White




Have you recently visited with a friend or coworker and had a flash of silver catch your eye? We’ve all seen them, and some of us may still have them. So what exactly are we referring to? Those unsightly silver amalgam fillings that used to be the standard way of filling all cavities.

Fortunately, today’s advances in dentistry and oral health awareness are causing these silver alloy fillings to gradually become a thing of the past. At our office, we now offer you, our valued patients, beautiful white composite fillings that match your teeth. When you open wide and visit with people, your fillings will no longer draw unwanted attention. In fact, it’s practically impossible to even tell the fillings are there!

If you still have silver amalgam fillings from your past, we may recommend that you consider having them replaced—and not just because of their less aesthetically-pleasing appearance. Silver amalgam fillings don’t bond as well to teeth—in order to make sure the filling is held in place, it has to be prepared with “undercuts” that can weaken the tooth structure and result in fractures. Amalgam fillings can also corrode over time as they swell and expand, putting you at risk for cracks. Additional problems can also occur as moisture and bacteria leak through microscopic spaces that develop between the tooth and the filling over time. Often, if not given immediate attention, this can cause a tooth to decay completely and/or break.

White composite fillings don’t require undercuts in your teeth, making them much more proficient in bonding, and definitely superior. In fact, such fillings can actually help strengthen teeth. And of course they’re much more aesthetically pleasing. Still have questions about silver amalgam fillings and what to do about them? Set up an appointment with us! We’d love to go over all the options with you.


Tuesday, October 16, 2012

Don't Stress About Halloween Candy

 
It's almost Halloween! Costume stores are springing up, yards are decorated with ghoulish décor, and our day of sweet indulgence without guilt is almost here. Everywhere you look, there's your favorite candy or chocolate wrapped in scary yet appealing packaging. Well, to all the sweet tooth Halloween lovers -both adults and kids- here are some practical tips from a Dentist who shares your love for most things sweet.

Sort the candy. When you are raiding your five-year-old's candy bag at 2 in the morning, separate the stack into two parts. Place the taffy, the caramels, the gummy bears, anything that is sticky, chewy or sour into the first pile. All of the other candy goes into the second pile.

Avoid the first pile. Dental cavities have a proven cause-and-effect relationship with extended exposure to sugary or sour substances. Oral bacteria thrives in this environment and converts these substances to acid that can, in turn, lead to cavities.

Watch your family’s consumption of these sweet treats during this season. A great tip is to leave the candy wrappers in a visible area so that you remember how many of these ghoulish confections you’ve eaten. The greatest danger candy poses for teeth is when patients "graze" on it all day.

Chew sugar-free gum to help you ration your sweet intake. Ingredients like Xylitol and Sorbitol, low calorie sweeteners found in some gum, can actually be beneficial to your oral health. Research has shown that these sweeteners starve destructive bacteria, allowing your mouth to replenish minerals to your teeth. Get advice from your Dentist on the frequency and amount recommended.

Talk to your kids about oral health. This is a great time to reinforce the twice-a-day brushing routine and the daily 'oh-so-dreaded flossing regime. Always remember, children will mostly do as they see. The most ideal scenario would be to brush after the consumption of candy. If that’s not possible, then encourage your child to eat the candy within a few minutes instead of snacking throughout the day, and then wash away some of the sugar by drinking a glass of water. And remember, Halloween is a great time to call your dentist and get the family scheduled for a check-up!

In the words of Robert Louis Stevenson, "There is only one difference between a long life and a good dinner; that in the dinner, the sweets come last." Enjoy the sweets in moderation and have fun this Halloween!

Wednesday, October 3, 2012

The Miracle Smoothie for Recovering from Wisdom Teeth Surgery

 
 
 
Recovering from wisdom teeth surgery makes it hard to eat, but this is the when your body needs nutritious food the most so it can heal itself and build back immunity. A great and easy-to-make drink when you’re recovering from wisdom teeth surgery is a wheat grass smoothie. Wheatgrass is a superfood that will help you recover faster, provide instant relief, and give your body the nutrients it needs to repair itself. Preparation is easy. Just blend the ingredients below until smooth.

Ingredients

One orange, peeled
Splash of coconut water
One handful of wheatgrass
1/2 cup of ice
A few scoops of protein powder (optional)


Instructions

Throw the ingredients in a blender on the highest (or liquify) setting, until smooth. Make sure the ice is fully blended – you do not want any hard bits in your smoothie because you must avoid anything crunchy while recovering from wisdom teeth extraction. Do not use a straw to drink your smoothie – use a spoon instead! Using a straw can cause a dry socket.

Benefits of Wheatgrass for Healing

Chemicals in wheatgrass are said to increase the production of hemoglobin, which is the chemical in red blood cells that carry oxygen, thereby preventing tooth decay, improving wound healing, and preventing bacterial infections. Some studies have shown that wheatgrass helps with anemia and wound healing, but so far there isn’t enough scientific evidence to support this.
Wheatgrass is a nutrient dense food that is likely to make you feel better as you recover than eating a diet of strictly apple sauce and ice cream, as is the typical diet of people recovering from wisdom teeth extraction. Wheatgrass is dense in Vitamins A and C, which are scientifically proven to make your recovery from wisdom teeth extraction faster and smoother. Other vitamins in wheatgrass include Vitamins E, B12, K, Magnesium, Calcium, Iron, and Potassium.

After having wisdom teeth surgery, you must stick to a liquid or soft food diet for several days. Vitamin C aids in the maintenance and repair of gum and mouth tissues and getting plenty of Vitamin C is critical to having a shorter and smooth recovery.

Feeling puffy? Wheatgrass has anti-inflammatory chemicals that will soothe your inflamed, irritated gums from the wisdom teeth extraction. The ice in the smoothie will also provide instant relief for puffy, sore gums.

Benefits of Protein Powder

Throwing in a scoop or two of protein powder is a great way to feel full and get some protein while you’re stuck with an all liquid diet.

 

Monday, October 1, 2012

The High Price of Avoiding the Dentist

 

Many people cite cost as one of the main obstacles in their quest for dental care. However, skipping regular check-ups to save a few dollars can prove to be an expensive decision in the long run. An attempt to save money by limiting dental care to just brushing a few times a day, flossing, and restricting sugary foods may seem like a good idea at first. This is a mistake nobody should make though. One of the principal reasons for visiting a dentist is to prevent problems or stop existing dental issues from worsening. The long term expense and pain associated with avoiding regular dental visits far outweigh any costs associated with preventative care.

For example, if a cavity is not stopped early on, the tooth may become severely decayed resulting in pain and either the need for a crown or entire tooth extraction.

A crown is a tooth-shaped cover fashioned in a laboratory and fitted onto the damaged tooth which is shaped so the crown can securely be affixed to it. A crown will be at least $500 and easily up to $1000 or more depending on the necessary procedures and materials used.

When a tooth extraction is necessary, the cost of the actual extraction is tiny compared with the next step: Either an implant or a bridge to replace the missing tooth.

A bridge consists of the actual artificial tooth bridging the missing-tooth gap, as well as crowns (in most cases) on the adjoining teeth to add support. Bridges can cost as much as $1000 or more.
A dental implant, which often requires the expertise of an oral surgeon, consists of a metal post affixed to the bone which then can be fitted with an artificial tooth and can cost in excess of $2000.

More serious problems can develop as well, such as severe gum disease leading to breakdown of bone and support tissues, eventually culminating in tooth loss and the need for at least partial dentures or multiple implants, both running in the many thousands of dollars.

Crowns, implants, bridges, and dentures are not just financial burdens for people without dental insurance. Of course coverage varies from plan to plan, but those with dental insurance are generally not covered fully or even very much on these types of procedures and so must personally bear much of the cost.

Conversely, a check-up typically runs somewhere between $50 and $100. The cost of the restorative procedures outlined above clarifies the true dental bargain that a regular check-up represents.

Friday, September 28, 2012

Want Healthy Knees? Focus On Your Gums


Want healthy knees? Then you better floss your teeth. Yes, you read that right. Scientists have found traces of gum bacteria in the knees of people with rheumatoid arthritis and osteoarthritis. The study, published in the Journal of Clinical Rheumatology, adds more evidence of the link between poor oral health and poor health in general.
Researchers from Case Western Reserve University in Cleveland essentially traced the passage of bacteria in the mouth to the fluid surrounded the kneecap, called synovial fluid. By analyzing the DNA of the bacteria, the researchers could determine that gum bacteria entered into the bloodstream and settled in the synovial fluid, which was in a weakened state because of arthritis.  In healthy people, the synovial fluid is essentially sterile. Bacteria can make the diseased area much, much worse.
Although it is not conclusive that the gum bacteria caused or worsened the arthritis in the patients it studied, the finding provides a new wrinkle in the still controversial theory of gum disease's role in a host of ailments.
 
Knee and mouth disease?
Advanced gum disease, or periodontitis, has long been associated with heart disease. One example of this link is the accumulation of plaque in the arteries, called atherosclerosis, which may be exacerbated by the same bacteria causing plaque on the teeth. Another example is an inflamed heart valve, irritated by gum bacteria. That's the theory, anyway.
  
People with periodontitis are twice as likely to have cardiovascular disease. Researchers in this study have also said his group has unpublished data showing how periodontitis is more of a risk factor for heart attacks than LDL "bad" cholesterol levels or C-reactive protein levels, a measure of inflammation.
And now his group has data tying gum disease to arthritis. The bacteria found in the mouth and in the synovial fluid were genetically nearly identical, providing smoking-gun evidence of bacteria relocating. It is well known that advanced periodontitis can lead to harmful bacteria entering the bloodstream. Once it gets in, it can go anywhere.  The target is often a site of existing inflammation, such as the arteries or, in this case, the knee.
It wouldn't be such a bad idea to start brushing and flossing!
 

 

Monday, September 17, 2012

Stress Can Effect Your Smile



You've probably never thought about it, but did you know that when you’re stressed out, our team might be able to tell by the signs in your mouth? Stress can have a huge effect on your oral health.
  1. Your Mouth Can Reflect How You Feel: Stress can manifest itself in physical irritations that include canker sores, dry mouth, or burning mouth.
  2. When Stressed, Your Defenses Are Down: Stress can compromise your immune system, which could make it easier for decay-causing bacteria in your mouth to wreak havoc.
  3. Stress Contributes To Teeth Grinding: Many people grind their teeth and don’t even realize it. The tension you feel during the day can manifest itself through grinding at night—severely damaging your teeth.
  4. Your Sound Oral Health Routines May Slip: While people’s minds are consumed with all their other important “stuff”, some put their oral health on the back burner. That could end up becoming a double whammy when compromised oral health creates even more stress in their lives.
A Remedy That Can Help
Here’s the irony—stress makes you less apt to smile, when in fact smiling can actually help you diminish stress! A study by psychologists at the University of Kansas showed that even a forced smile in stressful situations can lower heart rates. And a genuine smile? Even more powerful. Smiles also release serotonin and endorphins, which are mood-boosters and stress-busters.

Don’t Let Oral Health Problems Add To Your Stress
Here at our practice, we try to help minimize your stress. If you experience anxiety over regular dental visits, a postponed treatment, or perhaps a toothache that you’re worried about having us look at, ask us about ways we can help you. We’re here to help keep the power of your smile in full force! Remember that a clean, healthy mouth can contribute to your total body health. And a healthy body helps you deal with the trials that life throws at each of us.

Tuesday, August 28, 2012

Dental Habits to Avoid For the Sake of your Chompers!



 
 
You know the routine: brush your teeth daily, floss regularly, and have your regular checkups with Dr. Goodin twice a year. For the most part, getting in the habit of completing these simple tasks will keep your teeth healthy and strong. However, there are a few less-than-desirable oral habits that can override your good habits and compromise your dental health! Here are some tips that can help you avoid those dental habits that can damage your teeth!

1. Crunching, Sucking, and Sipping:
After slurping down that ice cold and refreshing beverage, try not to crunch the leftover ice between your teeth. The cold temperature of the ice cubes can cause your teeth to fracture. Be careful when eating popcorn too! Sipping sugary soda is also bad for your teeth. The constant exposure to the acids and sugar can lead to tooth decay.
Solution: Switch to crushed ice & drink your soda through a straw!!

2. Using Your Teeth As “Tools”:
Some people rely on their teeth for odd jobs like opening a tightly screwed bottle of nail polish, tearing open a bag of chips, straightening a bent fork, or ripping a price tag off a new article of clothing. These actions are actually quite hard on your teeth and can even cause a weakened tooth to fracture or chip.
Solution: Keep some simple tools like scissors and pliers handy and leave the dirty work to them!

3. Grinding Your Teeth:
Grinding your teeth wears them down and weakens them.
Solution: During the day, be more aware of what you’re doing with your teeth when you feel stressed or anxious. Notice if your jaw muscles are often sore. For those of you who grind at night, ask your dentist about custom mouth guards

4. Using A Hard-Bristled Toothbrush:
It may be surprising, but a firm toothbrush is actually worse for your teeth than a soft-bristled one. A brush with bristles that are too firm can wear down tooth enamel more quickly and may irritate your gums and make your teeth sensitive.
Solution: Stick with soft-bristles and ask one of our team members about the best type of toothbrush for your particular mouth.

5. Not Brushing Or Flossing Properly:
Though you may brush and floss everyday, if you aren’t doing it correctly it could cause harm as well as good.
Solution: Make sure that you brush your teeth for at least 2 minutes TWICE a day. Be gentle. Replace your toothbrush every 3-4 months, and consider purchasing an electric one. Ask one of our team members the most effective way to floss. Use an antibacterial mouthwash.

6.  Not seeing the dentist regularly: OK, so going to the dentist isn't as fun as going out for ice cream, but if you don't get your teeth cleaned and checked professionally twice a year, you're bound to end up with some serious and painful dental problems.
Solution: Schedule dental appointments in advance or have your dental office put you on a 6-month recall to set up an appointment!

If any of these bad habits apply to you, overcome them and develop a healthier oral routine! We promise you’ll see results and have more reasons to smile!




 

Wednesday, August 15, 2012

Is A "Dental Visit" On Your Kid's Back-To-School Checklist?



You've tucked away your kids' bathing suits and bought new backpacks. You've sharpened their pencils and visited their doctor. But have they seen their dentist yet? A dental exam should be part of the back-to-school checklist.

Tooth decay is the most common chronic disease in U.S. children, says the American Academy of Pediatrics. By the time they start kindergarten, more than 40 percent of kids have some tooth decay. Kids with toothaches have trouble focusing. They may also not want to join in class discussions. Just because your child's teeth look OK doesn't mean that they are OK. Your kids should have checkups even when they don't have symptoms. This can prevent certain problems. It can catch other problems when they're easy to treat. During a routine exam, the dentist will:

                                             *Review your child's dental and medical history

                                             *Examine your kid's teeth, jaws, and oral tissue

                                             *Clean and polish your child's teeth

                                             *Apply a fluoride solution.

A big part of the dentist's role is to monitor children as they grow. They see where things need to improve and can give you the tools to maintain and improve your child's oral health. Seeing the dentist isn't the only step to keeping your children's teeth healthy. These tips can help them steer clear of cavities:

                                            *Have kids brush their teeth at least twice a day with a pea-sized amount 
                                              of fluoride toothpaste. They should brush gently and pay special
                                              attention to the gum line.

                                            *Kids should floss at least once a day.

                                            *Give your kids healthy snack foods such as fresh fruit, veggies, and
                                              cheeses.

                                            *Limit sugary snacks and high-carbohydrate foods. The bacteria that
                                              cause tooth decay thrive on simple sugars, especially those in sticky
                                              foods and treats.

                                            *Don't let them snack too often.

                                            *If you kids like to chew gum, offer a sugar-free option.

                                            *Talk with your child's dentist about whether your child should have 
                                              dental sealants.

One of the main reasons for kids missing school is a sore tooth or tooth ache. I cannot stress enough the importance of parents scheduling their child's dental appointment before the start of school . This will not only keep your  kids from missing school but will avoid the stress of trying to get a dental appointment at the last minute.


Sunday, August 5, 2012

Fascinating Facts About Saliva!




For most people the term “dentistry” brings to mind the mouth, teeth and gums. The term “saliva” or “spit” is not typically our first thought. I suppose the general population is kind of squeamish about that sort of thing, but as a family dentist, I had to get over that reaction long ago!

The salivary system is actually a complex environment and crucial to our oral and digestive health. It maintains the health of the soft and hard tissues in our mouths and assists our speech. It contains antioxidants and many disease fighting substances that repair cell damage, control microbe levels, and help inhibit the development of dental cavities. It’s an integral part of our digestive system, lubricating the mouth and throat so we can chew and swallow foods.

Most people probably think of saliva as the spit-like substance in the mouth that helps them to break down foods and maintain their mouths moisture levels. While these are certainly true and interesting aspects of the fluid there is more to saliva including important dental aspects as well as research that is using saliva to detect diseases in a more timely, efficient and safer manner. In fact, saliva may one day replace blood samples which is big news for scientists and doctors who see the potential of saliva screenings to save lives.

Saliva is secreted into the mouth by three major glands that are near the jaws and inside the lips, cheeks, mouth and throat. The saliva glands secrete a watery fluid that contains proteins, enzymes, minerals, and antibodies that help to perform some very helpful functions within our mouths:

Cleansing: Saliva helps to wash food particles from the mouth and helps to reduce the amount of sugars that cause cavities.

Protecting & Disinfecting: Saliva protects the mouth by fighting bacteria and other germ-causing organisms in the mouth.

Maintenance: Saliva helps to keep the balance in the mouth between acidity and alkalinity that can cause decay.

Re-mineralization: Saliva contain calcium and phosphate minerals which aid in the enamel building process.

Digesting: Saliva makes food easier to chew and breaks down starches.

Most recently saliva has been researched and tested to diagnose disease. It can be evaluated by health professionals and scientists for molecules that are indicators for disease. By looking into the composition of the fluid scientists are able to see if the molecules contained have indicators of harmful health conditions. The benefit of saliva is that it is easier and cheaper to collect, is easier to handle, and doesn’t expose healthcare workers to blood-borne diseases.

Wednesday, July 25, 2012

Root Canal Myths


Root canal therapy is considered to be the most feared dental procedure. Does that surprise you? A survey conducted by the American Association of Endodontists reveals that most people with a fear of the dentist base their fear on someone else's experiences, not their own.

The inaccurate information about root canal therapy prevents patients from making an informed decision regarding their teeth. There are many patients that go as far as requesting that a tooth is extracted, rather than save it with a root canal. Before you believe the hype, take a look at the top root canal myths, and learn the truth for yourself.

Myth #1: Root Canal Therapy Is Painful
Root canal therapy is almost always preformed because a tooth is causing pain from an irreversible condition. Pulpitis, an infected pulp, broken teeth, or a slowly dying nerve are all common reasons for root canal therapy. Root canal therapy is used to alleviate pain. Most people who have root canal therapy admit they did not experience any pain during the appointment and felt better afterward. If you are suffering from pain on the day of your appointment, your apprehension and fear may heighten the sensations you feel during the procedure.

Myth #2: Completing a Root Canal Requires Several Appointments
Root canal therapy may be completed in one to two appointments. Factors that determine the number of appointments necessary to complete a root canal include:
  • The extent of the infection
  • The difficulty of the root canal
  • Whether a referral to a root canal specialist, known as an endodontist, becomes necessary
Restoring the tooth after root canal therapy is necessary in order to ensure the tooth functions properly. The appointments necessary to completely restore the tooth, in essence, should not be considered part of the root canal process.

Myth #3: Root Canal Therapy Causes Illness
The idea that bacteria trapped inside an endodontically-treated tooth will cause illness, such as heart disease, kidney disease, or arthritis, stems from research conducted by Dr. Weston Price from 1910 to 1930 -- almost 100 years ago. Recent attempts to confirm Dr. Price's research has been unsuccessful in proving that root canal treatment causes illness. Bacteria can be found in the mouth at anytime. Even teeth free from decay and gum disease have tested positive for bacteria.

Myth #4: Teeth Need to Hurt Before Root Canal Therapy Becomes Necessary
Teeth that require root canal therapy are not always painful. In fact, teeth that are already dead may require root canal therapy to prevent the tooth from becoming infected. Your dentist will examine your teeth thoroughly during your regular check-up. It is usually during this routine appointment where your dentist will discover a tooth that has died or is on its way. Tests used to confirm a dead tooth include:
  • Temperature testing
  • Percussion testing
  • Using a pulp vitality machine
Myth #5: The Benefits of Root Canal Therapy Don't Last Very Long
A common misconception is that the benefits of root canal therapy don't last very long after the procedure has been completed. This myth originated after patients experienced their tooth breaking months after a root canal was performed on their tooth. When the nerve is removed from the inside of the tooth, the blood supply is eliminated from inside the tooth. The tooth eventually becomes brittle, and depending on the size of the filling used to close the tooth after the root canal, the forces from grinding, eating, and even talking may cause the tooth to break. Failing to have a crown placed on the tooth may cause this to happen. Technically, it is not the root canal that has failed; it is the restoration on the tooth that has failed.

As part of my team,  I have the pleasure of working with Dr. Kevin Gremillion, a dentist whose practice is restricted to endodontics, performing root canals in my office.  Having Dr. Gremillion on site eliminates the inconvienience of having to go elsewhere if a root canal is required during a visit.

Wednesday, July 11, 2012

What Are My Options For Missing Teeth?




Missing teeth can lead to multiple dental health issues from malocclusion (poor bite), to alveolar atrophy (jawbone shrinkage), on top of difficulty with speaking and eating. When it comes to tooth loss, the consequences can be overwhelming. That’s why my office offers relief with Dental Implants.

What is a dental implant?

A dental implant is much like other dental restorations in that the crown is shaped and colored to look like a natural tooth. However, what sets dental implants apart from other dental restorations like dental bridges, dentures, and partials, is the titanium rod. This tiny biocompatible piece of the dental implant bonds to the jawbone. The rod allows a dental implant to not only look like a natural tooth, but also feel like a natural tooth. By mimicking a tooth root, the dental implant rod holds the crown in place, giving it strength and stability.

What are the benefits of a dental implant?

This tooth replacement will allow you to enjoy your favorite foods without worrying if your restoration will slip out of place or feel awkward. Dental implants also give you the freedom of a normal oral hygiene routine. You can clean and maintain your dental implant like you would your natural teeth, instead of removing them to soak in cleaner at night, or using special interdental brushing methods, as with dentures and dental bridges. In fact, with proper oral hygiene and regular dental cleanings, you can expect your dental restoration to last for your lifetime. One hidden benefit of dental implants is their ability to replace the chewing stimulation to your jawbone, once provided by your missing tooth. This keeps your jaw healthy and prevents alveolar atrophy as well as holds your surrounding teeth in relative position, avoiding malocclusion.

Stop suffering from the effects of tooth loss by making an appointment with my office about your dental restoration options and to see if dental implants are right for you.

Wednesday, June 13, 2012

Is It Possible To Brush Too Much?

Toothbrush bristles underneath the microscope - notice their soft, rounded edges that make them less abrasive

Yes...it is possible to over brush. I would estimate many of us in this country are overbrushing. We’re obsessed, but we’re brushing incorrectly and we’re brushing with the wrong toothbrush. Everyday I see people in my practice that have brushed away tooth structure and worn their teeth away using a toothbrush. There is absolutely such a thing as too much of a good thing when it comes to brushing your teeth. Think about, for a moment, what a toothbrush is and how it is made. A toothbrush is manufactured by taking a grouping of nylon bristles and inserting them into a molten nylon handle. A machine cuts these bristles to make them all the same height. At this point in the manufacturing process, if you were to look under a microscope with extreme magnification, you would see thousands of little cylindrical nylon tubes with sharp and serrated edges, waiting to scrape away precious dentin and enamel.

Fortunately, there’s another step in this manufacturing process that most (not all) quality toothbrushes undergo. After the bristles are cut to be the same height, they are treated in such a way that the sharp edges of the nylon bristles are rounded into hemispherical, soft domes – this, too, is visible underneath the microscope. This process makes the toothbrush bristles safe to use. After being rounded, they are far less abrasive than when they are freshly cut and safe to use because they don’t scrape away tooth structure. Certain toothbrush manufacturers do a better job of this than others. The toothbrushes made by manufacturers that don’t do a great job rounding the bristles are not safe to use out of the box. This cannot be seen with the naked eye.

The smoothness of your bristles also gets worn away back to its original jaggedness via brushing, which is why you may have heard that dentists recommend you replace your toothbrush often. The key is to throw away your toothbrush before the bristles splay, because by that point, it’s too late. Splayed bristles mean you’ve been using a worn toothbrush that is too abrasive and has been wearing away your tooth structure. I recommend replacing your toothbrush every four weeks for people who brush twice a day. The analogy I like to use is this one: would you wax your car with an old rag with dirt on it? Never, because that would scratch the finish.

The same goes for your teeth. If you use proper techniques in brushing, use a high quality toothbrush, and you throw it away before it becomes this dangerous, abrasive device I’ve described, you should be able to eat frequently and brush frequently without guilt. And remember...you can never floss too much – you can only floss too little!

Thursday, April 19, 2012

Safeguard Your Child With Toothprints



One of the greatest fears of being a parent today is either a child getting lost or, worse yet, abducted. Although all states have implemented the AMBER Alert system issuing statewide public alerts about missing children, more on an individual level can be done. As a parent, you play a pivotal role in providing a proven means of identifying your child or, better yet, DNA and saliva samples for tracking them. Each person's set of teeth is unique...even in identical twins.

Toothprints is a simple, cost-effective way of documenting your young child's unique tooth characteristics. Toothprints is an arch-shaped thermoplastic wafer you soften in hot water, and place on the child's lower arch. The child bites into the wafer for 20 seconds. After allowing a 2-3 minute cool-down period in the plastic bag provided. Making a Toothprints bite impression takes only a few minutes. It’s comfortable for young children and will give you, their parent, peace of mind.

Recommended Toothprints Schedule:
 Initial impression: Age 3 (or after all primary teeth have erupted)
Update: Age 7 or 8 (or after the upper and lower incisors and the first permanent molars have erupted)
Update: Age 12 or 13 (or after all permanent teeth, excluding 3rd molars, have erupted).
The following website provides more info:
http://yoursafechild.com/parents-toothprintsr.html

Tuesday, April 17, 2012

Vitamins and Minerals For Oral Health

For years, we’ve been told how vitamins and minerals have a beneficial effect on our bodies. For example, how vitamins B1, B2 and B3 supports energy metabolism, the health of your skin, normal vision and aids your digestive system…and how minerals like Iron carry oxygen throughout the cells of the body. But little mention had been given to the fact that both vitamins and minerals can have such an advantageous effect on oral health.

Now, before you run out to your local drug store, vitamins and minerals that promote oral health are widely available in what we eat, so try getting them from natural foods. I have included a chart  which you may find helpful. If you are currently incorporating these foods into your meals…great! If not, it will take very little effort to do so. Not only will your mouth thank you, but it may mean fewer visits to the dentist…and wouldn’t you all love that!

Mom sure knew what she was talking about when she forced you to eat your meals, especially your vegetables, when you were a kid!




Vitamin How it affects your mouthFound in these foods
Vitamin A (carotene)Prevents dry mouth and oral cancerBroccoli, brussell sprouts, green leafy vegetables (spinach, collard greens, kale, etc.)
Vitamin C (Ascorbic Acid)Prevents soft, bleeding gums, and loose teeth Prevents oral cancerCitrus fruits, cantaloupe, strawberries, green leafy vegetables, bell peppers
Vitamin DPromotes strong teeth and jaw bonesOily fish, milk, eggs, cereals, sunshine
Vitamin EPrevents growth of thick white patches in the mouth (leukoplakia). Prevents oral cancerVegetable oil, nuts, peanut butter, wheat germ
B2, Niacin, B6, B12 Folic AcidPrevents soreness, redness and bleeding of the gums, cracking and sores in the corners of the mouth and on the tongueSalmon, beef, liver, chicken, fish, yogurt, nuts and beans. Breakfast cereals, spinach, navy beans, orange juice, pasta, rice.
Calcium
Phosphorous
Magnesium
Needed for tooth development, prevents loss of jaw bone and teeth, rebuilds hard surface of the teeth (enamel)Milk, cheese, yogurt, seafood, dark green leafy vegetables
FluoridePrevents tooth decay, helps repair enamelFluoridated water, black tea, sardines
ZincNeeded for digestion, healing cold and canker soresLiver, various meats, eggs, seafood, whole-grain cereals
IodineNeeded for tooth developmentIodized salt, seafood, kelp, saltwater fish
CopperAbsorbs iron. Helps produce blood and nerve fibersLiver, kidney, seafood, nuts, seeds, tap water
IronProtects against oral cancer and helps the immune systemLiver, eggs, fish, seafood, various other meats, enriched breads & cereals, green leafy vegetables
PotassiumNeeded for nerve function and muscle contractionsVegetables, legumes, fruits, milk, cheese, various meats, whole grains

Monday, April 16, 2012

Setting the Record Straight on Dental X-Rays



The Academy of General Dentistry (AGD) is taking issue with the findings of a study published this week in the journal "Cancer" that suggests a link between frequent dental x-rays and the risk of developing meningioma, a largely benign brain tumor.

According to the AGD, the study's findings do not apply to modern dentistry, because the study was based upon an examination of outdated radiographic techniques, which produced considerably more radiation than patients would be exposed to today.

"Modern radiographic techniques and equipment provide the narrowest beam and shortest exposure, thereby limiting the area and time of exposure and reducing any possible risks while providing the highest level of diagnostic benefits," said AGD President Howard Gamble, DMD, in a press release. "Today, patient safety is always maintained with the recommended use of thyroid collars and aprons."

The article, which received attention from many reputable news outlets, could cause the public to decide to limit or even refuse x-rays in an effort to keep their families safe, the AGD noted.

"It is regrettable to think that an article based on outdated technology could scare the public and cause them to avoid needed treatment," said Dr. Gamble. "With the radiography techniques in use today, the amount of radiation exposure is reduced and more controlled than it was in years past."

The Cancer study also contained many inconsistencies and possibilities for error, including the fact that its findings were based upon a population-based case-control study, according to the AGD. This means that it relied upon the patients themselves to recall and self-report past events, many of which were from decades earlier. I don't know about anyone else...but I have a difficult time remembering what I did last week, let alone 10 years ago!

The AGD supports radiographic guidelines provided by the ADA and the U.S. Food and Drug Administration and agreess with the ADA that dentists should order dental radiographs for patients only when necessary for diagnosis and treatment.

Dental radiographs, or X-rays, are an important part of a thorough dental examination. They can expose hidden tooth decay; reveal a tooth abcess, cyst or tumor; show impacted or extra teeth; and also help determine the condition of dental fillings, tooth crowns and dental bridges and root canals. Dental X-rays can also reveal bone loss from peridontal gum disease, locate tarter buildup, find foreign bodies within the gum or bone, and see if there is enough bone for the placement of dental implants.  These are just some of the many reasons why dentists rely on dental X-rays.

I utilize Digital Imaging Technology in my office which offers the following benefits: It's faster, images can be viewed instantly on a computer monitor, up to 90% less radiation and we avoid the chemicals used in the traditional developing process.  But what our patients love about the digital system is that Digital x-rays don’t require film. Instead, we capture the images via a small sensor placed directly in your mouth. Most people find this technique more comfortable, even when we must take the images at difficult angles.

In addition, the AGD encourages dentists to communicate with their patients and address any unexpressed concerns of radiographic risks in order to reduce fear and promote a better understanding of the benefits and the risks associated with the specific needs of each patient.




Tuesday, April 3, 2012

Your Dentist is the First Line of Defense In Oral Cancer Detection


The dental community is the first line of defense in early detection of Oral Cancer. According to The Oral Cancer Foundation, someone dies from oral cancer every hour of every day in the United States alone. This cancer, found in the mouth, lips or throat, is often highly curable if diagnosed and treated early. Unfortunately, in its early stages, oral cancer can go unnoticed.

Those at high risk for oral cancer include tobacco users, African-American men and heavy drinkers, but anyone can develop oral cancer. According to the Oral Cancer Consortium, 25 percent of people diagnosed with oral cancer have no risk factors. Studies have also determined there may be a link between HPV (human papilloma virus) and oral cancer.

Your dentist and hygienist usually screen you for any signs of oral cancer at your regular checkups, but some symptoms of oral cancer can be invisible to the naked eye. Our office utilizes an FDA approved device to detect oral cancer called a VELscope. The VELscope is non-invasive and uses a bright blue light to emphasize any changes in the mouth that a dentist or hygienist could not normally see.

The problem, for the most part, is that early oral cancer looks like everything else. It looks like a million other injuries and changes in the tissue in the mouth. It's a red spot or a white spot. We see them all the time. But using the VELscope to detect oral cancer can make abnormalities stand out like sore thumbs.

The Oral Cancer Foundation estimates that 34,000 Americans will be diagnosed with oral cancer this year alone, with only 50 percent still being alive in 5 years. The problem is much larger worldwide. Even with these statistics, the experts agree that early diagnosis pushes the five-year survival rate to an astonishing 80 percent. Since oral cancer can affect anyone, without regard to age or gender, it is very important to have regular screenings for this deadly disease. Talk with your dentist about the latest developments and technologies for diagnosing oral cancer.

If you have a mouth sore that doesn't go away and is accompanied by unexplained numbness in the face, mouth, or neck and/or problems chewing, speaking, or swallowing, call my office immediately!  Don't let fear keep you from getting a check-up -- oral cancer that is caught early is treatable and curable.

Thursday, March 29, 2012

Pregnancy Gingivitis

Pregnancy can bring many wonderful new joys to an expectant mothers’ life. Pregnancy gingivitis is not one of them.



The shocking truth is that pregnancy gingivitis affects anywhere from 50 to 70 percent of pregnant women, and those with the disease are 7 times more likely to go into preterm labor, preclampsia and have low-birth weight babies! Premature infants are at greater risk for short and long term complications, including disabilities and impediments in growth and mental development. Additionally, if an expectant mom had untreated tooth decay and/or consumed a lot of sugar, their children have 4 times the risk of developing tooth decay.

Pregnancy gingivitis is characterized by swelling/inflammation of the gums, and is caused by a bacterial film that grows on the teeth, resulting in plaque buildup. This plaque irritates the gum tissue, making them tender, bright red, swollen, sensitive, and easy to make bleed. These infected and swollen gums harbor disease causing bacteria, which release toxins that can attack ligaments, gums, and bones surrounding your teeth to create infected pockets similar to large infected wounds in the oral cavity. These pockets provide access to your bloodstream and allow bacteria to travel throughout your body. Since the bacteria that cause gingivitis can enter the bloodstream, they are able to travel down to the uterus. This triggers the body to produce prostaglandins, which is a natural fatty acid that normally controls inflammation and smooth muscle contraction. When a woman is pregnant, her level of prostaglandins increases, and peaks when she goes into labor. It is possible that if extra prostaglandins are produced when the body is reacting to infected gums, a pregnant woman’s body may think it is a signal to go into labor sooner than expected, thus causing a baby to be born too early.

Ultimately then, hormonal changes during pregnancy affect the body’s natural response to dental plaque, which affect how gum tissues react to the bacteria in plaque; thus resulting in a higher chance of pregnant women getting gingivitis.  If you already have gingivitis going in to a pregnancy, it will likely get worse during pregnancy if you do not seek treatment. Although the gingivitis generally subsides shortly after birth, it should nonetheless be periodically monitored by your dentist (during and after pregnancy), in order to prevent the gingivitis from turning into the more serious (and irreversible) form known as periodontitis.

The following are guidelines suggested by the American Academy of Pediatrics (AAP), in response to the increased concern about oral health during pregnancy:

1) Oral Health Education – DO have consultations with your dentist before, during and after your pregnancy. Early intervention is key, but ongoing care is just as important!
2) Oral Hygiene – DO brush and floss regularly – and properly. It is especially important to try and always brush after meals and snacks, especially sugary ones. Also, have more frequent dental cleanings than you normally would (2-3 during your pregnancy is about right). This will greatly increase the amount of plaque that is removed from the teeth and gums, thereby lowering your risk.
3) Nutrition – DON’T eat junk. This is good advice in general during your pregnancy, but just know that proper diet and nutrition during pregnancy will limit sugar intake which, in turn, will minimize plaque build up.
4) Treat Tooth Decay – DO try and have all urgent dental work completed prior to becoming pregnant. Although, it is safe to perform certain emergency dental procedures during your pregnancy, it is best to have it done prior to becoming pregnant, and especially prior to it becoming an emergency dental treatment!
5) Transmission of Bacteria – DON’T share food and utensils, so as not to potentially transmit bacteria known to cause tooth decay.
6) Use of Xylitol Gum – DO chew gum. Expectant mothers, and everyone, are encouraged to chew xylitol gum (around 4x/day), since research suggests that it may decrease the rate of tooth decay. Chewing sugarless gum increases saliva and thus increases the production of salivary enzymes that help equalize the Ph in the mouth and thus reduce cavity growth.
To sum up, pregnancy gingivitis is a real and prevalent threat but, so long as you take the appropriate steps, it can be managed with relative ease. 

Monday, March 26, 2012

Toothpaste: It Does More Than Clean Teeth



Toothpaste: it whitens, brightens, deodorizes, removes stains, and restores and protects enamel. But toothpaste’s cleaning capabilities work wonders on many things besides our teeth. The same ingredients that help polish our pearly whites can also soothe some common ailments, make household items sparkle, and even get rid of stains and pungent smells. Try out these fifteen tricks with a white, non-gel toothpaste (unless otherwise noted), and watch that cavity-fighting, breath-freshening tube of wonder work its magic

1.  Relieve irritation from bug bites, sores, and blisters. These skin irritations all tend to weep and, in the case of bug bites, often itch. Apply a drop of toothpaste to a bug bite or insect sting to stop the itching and decrease any swelling. When applied to sores or blisters, it dries them up, thus allowing the wound to heal faster. It’s best when used overnight.

2.  Soothe a stinging burn. For minor burns that don’t involve an open wound, toothpaste can deliver temporary cooling relief. Apply it delicately to the affected area immediately after a burn develops; it temporarily relieves the sting and prevents the wound from weeping or opening.

3.  Decrease the size of a facial blemish. Want to speed up the healing of a zit? Apply a tiny dot of toothpaste to the affected area at night before bed. Wash it off in the morning.

4.  Clean up your fingernails. Our teeth are made of enamel, and toothpaste is good for them, so it stands to reason that toothpaste would also be good for our fingernails. For cleaner, shinier, and stronger nails, simply scrub the underneath and tops of fingernails with a toothbrush and toothpaste.

5.  Keep hair in place. Gel toothpastes contain the same water-soluble polymers that many hair gels are made of. If you’re looking to style and hold an extreme hair creation, try gel toothpaste as your go-to product if you’re out of regular hair gel. (This is also a great trick for making baby barrettes stay in place.)

6.  Scrub away stinky smells. Garlic, fish, onion, and other pungent foods can permeate the skin cells on our hands. Scrubbing hands and fingertips briefly with toothpaste removes all traces of smelly odors


7.  Remove stains. Toothpaste can make tough stains on both clothing and carpets disappear. For clothes, apply toothpaste directly to the stain and rub briskly until the spot is gone, then wash as usual. (Note that using a whitening toothpaste on colors can sometimes bleach the fabric.) For carpet stains, apply toothpaste to the stain and scrub it with an abrasive brush, then rinse immediately.

8.  Spruce up dirty shoes. This tactic works great on running shoes or scuffed-up leather shoes. As with carpet stains, apply toothpaste directly to the dirty or scuffed area, then scrub with a brush and wipe clean

9.  Remove crayon stains on painted walls. Rub a damp cloth with toothpaste gently on the marked-up wall and watch the Crayola marks disappear.

10.  Make silver jewelry and other silver pieces sparkle. Rub toothpaste onto jewelry and leave overnight. Wipe clean with a soft cloth in the morning. Make diamonds shine by giving them a gentle scrub using a toothbrush, toothpaste, and a little water. Rinse thoroughly to remove all traces of toothpaste. Do not use this method on pearls, as it will damage their finish.

11.  Remove scratches on DVDs and CDs. This remedy has been used with mixed success rates, but it seems to work fairly well on shallow scratches and smudges. Apply a thin coating of toothpaste to the disc and rub gently, then rinse clean.

12.  Tidy up piano keys before tickling them. Piano keys retain oil from the skin, which then attracts dust and dirt. Clean away grime gently with a damp, lint-free cloth and toothpaste; after rubbing in the toothpaste, wipe the keys clean with a second lint-free cloth.

13.  Deodorize baby bottles. If baby bottles develop a sour-milk smell, a good cleaning with some toothpaste and a bottle scrubber will clean away residue and deodorize. Always make sure to rinse well.

14.   Remove the burned crust on irons. For those of you who still use an iron, you may find that after time, the plate of the iron develops a burned crust. The silica in toothpaste gently grinds away this rusty-looking layer.

15.  Defog goggles. Scuba divers, swimmers, and triathletes may already know about this handy little trick: Rub a small spot of toothpaste into each lens of your goggles, then rinse thoroughly, and voila! There’ll be no need to ever buy expensive defogger gels again. Avoid rubbing too vigorously, though, as the abrasive ingredients in toothpaste could scratch the lenses.

16. Clean your headlights.  Use toothpaste to clean the headlights on vehicles that have become yellow and foggy over the years.  Apply a generous amount (Crest seems to be popular) to the area of the headlight that needs to be cleaned. Grab a dry soft cloth and rub the toothpaste in a circular motion making sure to apply a good amount of pressure until the grime comes off. Rinse the headlight off with water and wipe it with a wet cloth.

Now your toothpaste could actually save you time and money over the course of a year, not to mention help reduce your shopping time and cleaning-supply collection!!

Thursday, March 22, 2012

Dental Implants: Are They the Right Solution For You?

Dental Implants are the modern day solution to missing teeth. Dentures have progressed a long way since ivory prosthetics, but many people with missing teeth are still looking for a better solution. Dental implants are designed to provide a foundation for replacement teeth that look, feel and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything and can smile with confidence, knowing that teeth appear natural and that facial contours will be preserved. The implants are tiny titanium posts which are placed into the jawbone where teeth are missing. The bone bonds with the titanium, creating a strong foundation for artificial teeth. In addition, dental implants can help preserve facial structure, preventing the bone deterioration which occurs when teeth are missing.



Benefits of Dental Implants

The mouth is restored as closely as possible to its natural state. By replacing the entire tooth, including the root, it is possible to replicate the function of natural teeth, with a strong, stable foundation that allows comfortable biting and chewing. In addition, nothing in the mouth looks, or feels artificial.


Implants preserve the integrity of facial structures.

By preventing the loss of bone that would normally occur with the loss of teeth, the facial structures remain intact. This is particularly important when all of the teeth are missing, as the lower one-third of the face collapses if implants are not placed to preserve the bone.


Your smile is improved when replacement teeth look more like natural teeth.

Even when only one tooth is missing, long term esthetics are usually much better with an implant supported replacement tooth than with a traditional tooth supported bridge. This is particularly important in the front of your mouth, where preventing a visible bone defect is critical for natural appearance.


Adjacent teeth are not compromised to replace missing teeth.

Tooth replacement with traditional tooth-supported bridges requires grinding down the teeth adjacent to the missing tooth/teeth, so that the bridge can be cemented onto them. This tooth structure can never be replaced and the long-term health of these teeth is compromised. Partial dentures have clasps that hook onto adjacent teeth, putting pressure on them as the partial rocks back and forth. Eventually these teeth can loosen and come out as a result of this pressure. Replacing missing teeth with implant supported crowns/bridges does not involve the adjacent natural teeth, so they are not compromised, or damaged.


Overall quality of life is enhanced with replacement teeth that look, feel and function like natural teeth.

With implant supported replacement teeth, the appearance of the smile is more natural and the teeth function more like natural teeth. The result is increased comfort and confidence when smiling, speaking, and eating. If dentures and partials are replaced with implant supported teeth, the overall enhancement in quality of life is even more significant, with an ability to eat all types of foods, elimination of messy adhesives, and improved speech, comfort and appearance.


Convenient oral hygiene.

It is much easier to care for an implant supported crown, which can be cleaned like a natural tooth. In comparison, a tooth supported bridge requires the use of a floss threader for proper cleaning. It is also more convenient to clean a full set of implant supported replacement teeth than a traditional denture.


Improved appearance.

Since implants preserve bone, preventing deterioration of the facial structures, appearance is improved. Collapse of the lower one-third of the face caused by complete tooth loss can be visually corrected and the remaining bone preserved. The appearance of wrinkles around the mouth caused by posterior bite collapse, or complete facial structure collapse is virtually eliminated.


Restored self-esteem and renewed self-confidence.

Many of the people who now enjoy the benefits of implant supported replacement teeth state that their self esteem and self confidence have been restored as a result of improved appearance, function, comfort, and health.


Dental Implant Procedure


For most patients, the placement of dental implants involves two surgical procedures. First, implants are placed within your jawbone by your dentist or Oral Surgeon referred by our office. For the first three to six months following surgery, the implants are beneath the surface of the gums, gradually bonding with the jawbone. You should be able to wear temporary denture and eat a soft diet during this time. At the same time, your restorative dentist designs the final bridgework or denture, which will ultimately improve both function and aesthetics.

After the implant has bonded to the jawbone, the second phase begins. Your dentist (me) will uncover the implants and attach a small healing collar. At this point, I can then start making your new teeth after an impresion is taken. Then posts or attachments can be connected to the implants. The replacement teeth are then made over the posts or attachments. The entire procedure usually takes six to eight months. Most patients do not experience any disruption in their daily life.
If you feel implant dentistry is the choice for you, we ask that you undergo a dental/radiographic examination and health history. During these consultation visits, your specific needs and considerations will be addressed by myself. Your questions and concerns are important to us and our team will work with you very closely to help make your procedure a success.

Friday, March 16, 2012

Eating Disorders Affect Oral Health



The National Eating Disorders Association (NEDA) estimates that in the United States, nearly 10 million women and 1 million men are affected by anorexia or bulimia. Millions more suffer from binge-eating disorders. With so many men and women suffering from eating disorders, more dentists are becoming the first line of defense when it comes to recognizing these problems in patients. Although parents may not know that their children have an eating disorder, they often ensure that their children have regular dental appointments. In such cases, a dentist may spot the warning signs of an eating disorder and be able to point parents in the right direction to get help.

Anorexia and bulimia nervosa have a profound effect on the teeth. Well known dental consequences of these disorders are:
  • Eventual tooth loss.
  • Erosion of the enamel on the "tongue side" of the teeth as a result of teeth being bathed in stomach acid.
  • Worn-away enamel, which make dental fillings appear to be raised and teeth appear dark.
  • Possible bone loss from osteoporosis.
  • Jagged edges on the biting surfaces of the top teeth.
  • Altered bite such that lower teeth hit the roof of the mouth.
  • Bleeding gums and burning tongue.
  • Decreased salivary flow (dry mouth) and swollen glands.
  • Sensitivity and soreness in the teeth, mouth, throat, tongue and gums.
Because teeth and gum tissue reflect a person's health, the dentist may be the first to detect an eating disorder. Too often, neither the medical community nor the patients realize the serious impact that eating disorders have on teeth. Irreversible damage -- even total loss of all teeth -- is possible if left untreated. Some dental offices work with health professionals in their area that treat patients' eating disorders, specifically anorexia and bulimia nervosa, because dental care is part of the recovery program.

A key element in this treatment program is education. For patients with eating disorders, we do not recommend the standard dental hygiene guidelines. For example, since many bulimic patients follow a pattern of binge eating then purging, often regurgitating food and stomach acid, it is important that they do not brush their teeth afterwards. Doing so would only encourage even more erosion of the dental enamel because the patient would actually be scrubbing his or her teeth with acidic solution. In such cases, we suggest that our patients simply rinse their mouth with water or with a solution of sodium bicarbonate (baking soda and water). The baking soda rinse neutralizes the acid by raising the pH level in the mouth. Brushing the tongue with baking soda may also be recommended.
Dental treatments can and should begin during recovery in order to protect the teeth. If diagnosed and treated at an early stage, enamel loss may be replaced with tooth-colored materials known as composite resins. These resins are sculpted into place -- duplicating or improving the appearance of the missing enamel.

In some cases more extensive dental treatment may be required, depending upon the extent of the damage to the teeth. There may be the need for dental restorations, such as overlays, tooth crowns or veneers, especially if a proper bite needs to be achieved.

Sometimes, eating disorders are not discovered until it is too late and irreversible damage has been done to the body as well as the teeth. According to NEDA, early detection of the disease may ensure a successful recovery period for the body and teeth.

Monday, February 27, 2012

Dry Tooth Brushing

Tooth brushing is necessary for optimal dental health. It helps prevent tooth decay, disease and tooth loss. While you're taught to use fluoride-enhanced toothpaste for brushing several times a day, you may also add the benefits of dry brushing, which means that you can also brush several times a day without water or toothpaste. Used in combination, wet and dry brushing may help protect your oral health and reduce chances of cavities, plaque buildup and periodontal or gum disease.


Function

Dry tooth brushing is often suggested by dentists so that you can actually see the area of the teeth you've brushed without your vision being hampered by foaming toothpaste. This method also enables you to see where areas of the gum may be reddened or irritated by brushing, or to help determine whether or not your gums are bleeding after you've brushed.

Benefits

Gently dry tooth brushing offers a number of benefits for oral health. Many people miss the lower inside arch of the lower jaw, where plaque buildup often occurs fastest. The gentle action of dry brushing may help reduce the amount of plaque buildup in this area, and also massage the gums for oral health. Dry brushing the gums may help reduce gum sensitivity and bleeding. Toothpastes provide bacteria-fighting properties that help protect against decay and cavities.

Procedure

Using a dry toothbrush without any toothpaste on it, start brushing the teeth by reaching the toothbrush so that the bristles clean the teeth located on the inside of the lower jaw. Continue to gently brush in an up and down motion, moving from the top of the teeth to the bottom to help remove tartar and plaque. Hold the bristles of the toothbrush at a 45-degree angle, suggests the American Dental Hygienists' Association. You can then brush up and down or in a circular motion on the surface of two to three teeth at a time.

Combination Wet and Dry Brushing

You can combine the benefits of dry and wet brushing by dry brushing first, then wet brushing. By using a gentle abrasive action of brushing the surface of the teeth without toothpaste and water may help reduce the amount of germs, plaque and tarter on the teeth. Then follow the dry brushing with a good brushing using water and toothpaste for the benefits provided by fluoride, as well as fresher breath.

Cautions

Individuals diagnosed with receding gums or sensitive teeth may find dry brushing irritating so talk to your dentist about dry brushing if you've been diagnosed with either.


Tuesday, February 21, 2012

Why Does the pH in your Mouth Even Matter?


Who would have thought Ph levels can help prevent tooth decay in your mouth? Visiting our practice regularly has probably turned you into a cavity prevention expert , right? Well, there’s always more than meets the eye...especially when it comes to the little things we can do to keep our mouths healthy. Even those of us who are diligent brushers and flossers, we sometimes find ourselves with some tooth decay. Here’s one more little snippet of information that may help you. While it is true that things like flossing, brushing for at least 2 minutes twice a day, coming in to our practice for regular checkups, using mouthwash, and avoiding sugary foods help immensley with prevent cavities, there are other things we can do. New discoveries show that the pH levels in our mouths actually have a lot more to do with tooth decay than we may realize, and maintaining normal pH levels can be helpful in fighting off cavities and gum disease.


Exactly What Is pH?
To put it simply, pH is a measure of acidity… The lower the pH, the higher the acidity, and the higher the pH, the higher the alkaline levels. The pH scale runs from 1 to 14, and in the middle of the scale is the neutral number 7, being most like water. This is where we want our mouths to be. While we know that sugar feeds the bacteria that produces acids and turns into cavities, it is actually prolonged acidic oral pH that can cause tooth decay and a demineralization of your enamel.

Confused?...Here's the breakdown:




Heading off the domino effect means intercepting those pH levels before they get out of hand. Ever heard of a pH test strips? They’re like the sticks you dip into your swimming pool, except they’re for your mouth. You can buy them at your local pharmacy and then try these remedies at home!

  • Fresh Lemon and/or Lime Juice: Lemons and limes are acidic until they react with the sodium bicarbonate released by the pancreas. Upon entering the intestinal tract lemon and lime juice have alkaline properties. However, since both lemons and limes can erode tooth enamel, if you spice up your water with these delicious flavor accents, make sure you drink with a straw placed at the back of your mouth!
  • Take your multivitamins: Take a high quality multivitamin that contains both the essential vitamins and minerals.
  • Eat those leafy greens: Dark green vegetables and “green drinks” contain a high abundance of chlorophyll—a strong detoxifier and immunity–building agent.
  • Avoid refined carbohydrates and sugar: Eliminate all processed foods, and when you opt for grains, make sure they’re “whole.”

If you have any additional questions about how to keep your mouth healthy, call our office and set up an apppointment to talk to me or one of my trained staff. We can work together to prevent tooth decay!



Monday, February 20, 2012

George Washington's "Not-So-Wooden-Teeth"

Today our nation celebrates George Washington's birthday. An interesting dental fact about him was that Washington's teeth were NOT made out of wood, as the rumor states. Instead, the first President's teeth were made out of gold, elephant ivory, hippopotamus tusk, and human teeth!

President Washington lost his teeth at a relatively early age, his first tooth when he was 22 years old. He suffered from poor dental health throughout his younger years. Despite the fact that he used tooth powder daily, over the next 35 years he would lose the rest of his teeth. Toothaches were a common problem for Washington, especially after he had bouts of small pox, malaria and the flu. Back in the 1700's, there were no antibiotics such as we have today. Treatments for illnesses in those days included blood-letting and remedies such as the use of mercurous chloride, which is known to destroy the teeth.

During his life, Washington had nine different dentists. Even his physician extracted teeth for him. His dentists made him many sets of false teeth but he hated wearing them because his dentures were uncomfortable. One dentist, John Greenwood, was able to make teeth for Washington that were comfortable and he became his favorite dentist. Washington had two sets of false teeth (dentures) made by Dr. Greenwood. They were carved from the finest hippopotamus ivory and gold. One of the sets was donated to the University of Maryland Dental School in Baltimore, the oldest dental college in the world. The dental school in turn loaned one of the dentures to the Smithsonian in 1976 for a bicentennial exhibit. The denture was stolen from a storage area of the Smithsonian (presumably for its gold content) and has never been recovered.

Because of his responsibilities as a general and then as President, it was inconvienient for Washington to travel to New York where John Greenwood had his office.  Instead, he had to send his teeth through the mail to be repaired or adjusted. But sometimes he fixed his own dentures.  He wrote letters to John Greenwood describing a problem he was having with his teeth and asked for the right tools to fix them.  He requested files to adjust his teeth, scrapers to clean them, and pincers to fasten the wires.  Once he even asked for material to make an impression of his mouth for new dentures.

By the time Washington was inaugurated as the first President in 1789, he had only one natural tooth left in his mouth.  He wore dentures made by John Greenwood during his presidency.  He was elected to a second term as President, but delivered a very short two paragraph inaugural address, probably because his mouth was bothering him.

For me, the most interesting part of the story about George’s teeth is the mechanism of their fabrication. The upper and lower gold plates were connected by springs which pushed the upper and lower plates against the upper and lower ridges of his mouth to hold them in place. Washington actually had to actively close his jaws together to make his teeth bite together. If he relaxed, his mouth would pop open. There is speculation that this is the reason that the Father of Our Country always looks so stern in his portraits. Take a look at a dollar bill. George isn’t upset - he’s just trying to keep his teeth in!!!



Many pictures were painted of George Washington during his lifetime.  These portraits show how his face changes as he ages and loses his teeth.  In 1795, Rembrandt Peale painted a portrait of Washington that shows his mouth puffy and swollen.  The most famous portrait of Washington was painted by Gilbert Stuart, but he had to pack cotton in Washington's mouth to make him look better.

George Washington died in 1799, and was buried with a set of dentures made by John Greenwood.