Your teeth’s hard, enamel coating protects them from environmental dangers or disease. But although it’s made of the hardest substance in the human body, enamel isn’t invincible — prolonged exposure to acid can cause dental erosion, a condition in which the enamel’s mineral content permanently dissolves, a process known as de-mineralization.
De-mineralization occurs anytime our mouth environment becomes too acidic due to eating or drinking items with high acid content. Saliva normally neutralizes mouth acid in thirty minutes to an hour after we eat, as well as restores mineral content to the enamel (re-mineralization). Danger arises, though, if the saliva’s buffering action is overwhelmed by chronic acidity, caused mainly by constant snacking or sipping on acidic foods and beverages throughout the day — in this situation, saliva can’t complete the process of buffering and re-mineralization.
As a result, the enamel may permanently lose its mineral content and strength over time. This permanent dental erosion leads to serious consequences: the teeth become more susceptible to decay; the dentin becomes exposed, which causes pain and sensitivity to pressure and temperature changes; and changes in the teeth’s size and color can negatively alter your appearance.
It’s important to take action then before dental erosion occurs. Along with daily oral hygiene, restrict your consumption of acidic foods and beverages to meal times and cut back on between-meal snacks. Rather than a sports drink after exercising, drink nature’s hydrator — water. You should also alter your brushing habits slightly — rather than brush right after you eat, wait thirty minutes to an hour. This gives saliva time to restore the mouth to its normal pH and re-mineralize the enamel. Brushing right after can remove even more of the minerals in softened enamel.
If significant erosion has occurred, there are a number of treatment options we can undertake to preserve remaining tooth structure and enhance your appearance. In moderate cases, we can reshape and cover damaged teeth using dental materials like composite resins or porcelain to fill decayed areas or cover teeth with veneers or crowns.
The key of course, is to identify dental erosion through clinical examination as soon as possible to minimize damage. Your enamel plays a critical role in protecting your teeth from disease — so take the right steps to protect your enamel.
If you would like more information on protecting your enamel, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Erosion.”
If you are the parent or caregiver of a special needs child or a child with a chronic disease, you face additional challenges when it comes to life's everyday routines. This includes establishing and maintaining good oral health so that your child is not at risk for other healthcare issues due to poor oral hygiene. For these reasons, our office has put together real-world advice that will make a difference in the life of your child.
The visit to our office that can make the biggest difference is your child's first one. However, be sure to contact us in advance of your child's appointment to let us know the details of your child's special needs or chronic disease state. This will give us the opportunity to contact your child's primary care physician or one of his/her specialists before starting treatment to obtain any medical information or special instructions. It will also enable us to be prepared so that we can pay special attention to these needs, as well as to make any necessary modifications to our office and/or equipment. Our primary focus is to work with you and your child's healthcare team towards the same goal. We all want your office visit to go smoothly and comfortably so that your child's first dental experience is a positive one.
Depending on the age of your child and his/her special needs, we most likely will start a gentle process of training and education. For example we will teach your child how to brush properly. It is important that you sit in and participate in this educational process so that you can reinforce this training at home. And little things count; before working with your child at home, you should set the stage so that it will be a comfortable setting with adequate light, fresh water for rinsing, and a mirror. You also need to have all of your supplies handy, such as a toothbrush, toothpaste, floss and rubber gloves (if needed).
To learn more tips, continue reading the Dear Doctor magazine article “How To Care for the Oral Health of Children with Disabilities and Special Needs.” Or, you can contact us today to schedule an appointment or to discuss your questions about your child's special oral healthcare needs.
Chewing tobacco is as much a part of our sports culture as the national anthem. What once began as an early 20th Century baseball player method for keeping their mouths moist on dusty fields has evolved into a virtual rite of passage for many young athletes.
But the persona of “cool” surrounding smokeless tobacco hides numerous health threats — including disfigurement and death. What isn’t as widely recognized is the degree to which chewing tobacco can adversely affect your teeth, mouth and gums.
Need more reasons to quit? Here are 4 oral health reasons why you should spit out smokeless tobacco for good.
Bad breath and teeth staining. Chewing tobacco is a prime cause of bad breath; it can also stain your teeth, leaving your smile dull and dingy, as well as unattractive from the unsightly bits of tobacco between your teeth. While these may seem like superficial reasons for quitting, a less-than-attractive smile can also have an impact on your self-confidence and adversely affect your social relationships.
The effects of nicotine. Nicotine, the active ingredient in all tobacco, absorbs into your oral tissues and causes a reduction in blood flow to them. This reduced blood flow inhibits the delivery of antibodies to areas of infection in your mouth. This can cause…
Greater susceptibility to dental disease. Tooth decay and gum disease both originate primarily from bacterial plaque that builds up on tooth surfaces (the result of poor oral hygiene). The use of any form of tobacco, but particularly smokeless, dramatically increases your risk of developing these diseases and can make treatment more difficult.
Higher risk of oral cancer. Besides nicotine, scientists have found more than 30 chemicals in tobacco known to cause cancer. While oral cancer constitutes only a small portion of all types of cancer, the occurrence is especially high among smokeless tobacco users. And because oral cancer is difficult to diagnose in its early stages, it has a poor survival rate compared with other cancers — only 58% after five years.
The good news is, you or someone you love can quit this dangerous habit — and we can help. Make an appointment today to learn how to send your chewing tobacco habit to the showers.
If you would like more information on the effects of chewing tobacco on general and oral health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Chewing Tobacco.”
Pregnancy is an exciting time in a woman’s life — but it can also generate a lot of questions about both the mother’s and the baby’s health. The realm of dental care is no exception.
Here are a few of the questions we frequently hear from expectant mothers, along with our answers.
Does the baby’s tooth calcium come from my teeth?
This question is frequently asked by mothers who may have had dental issues and are worried they’ll pass on these problems to their baby. Simply put, no — a baby developing in the womb derives minerals like calcium for their teeth and bones from the mother’s diet, not her teeth. What an expectant mother can do is be sure to eat a healthy, balanced diet rich in nutrients and minerals like calcium.
Am I at heightened risk for dental disease during pregnancy?
Pregnancy does cause significant increases in your body’s hormones, particularly estrogen. This can cause changes in the gum tissue’s blood vessels that may make you more susceptible to periodontal (gum) disease (commonly called “pregnancy gingivitis”). It’s also possible later in pregnancy to develop non-cancerous overgrowths of gum tissues called “pregnancy tumors.” The heightened risk for gum disease during pregnancy calls for increased vigilance in monitoring gum health.
What should I do to take care of my teeth?
It’s important to brush your teeth thoroughly twice a day with ADA-approved fluoridated toothpaste to remove plaque, a thin layer of bacteria and food remnants that adhere to teeth. You should also floss daily and consider using an anti-plaque/anti-gingivitis mouthrinse. And, of course, you should see us for regular office cleanings and checkups, or if you notice swollen, tender or bleeding gums, or other abnormalities.
Should I take prenatal fluoride supplements?
This sounds appealing as a way to give your baby a head start on strong tooth development. Studies on its effectiveness, however, remain slim and somewhat inconclusive — we simply don’t have enough data to make a recommendation. What does have a solid research record is the application of fluoride to teeth in young children just after they appear in the mouth — studies involving over a thousand teeth have shown 99% cavity-free results using topical fluoride applications with sealants.
If you would like more information on dental care during pregnancy, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Expectant Mothers.”
A substantial amount of research has recently pointed up the connection between oral health and systemic (whole-body) health. But recently, one study went a step further: It seems to show that having certain dental-health issues in middle age — for example, tooth loss and gum disease — could signal a deterioration in cognitive function.
Study author Gary Slade, a professor at the University of North Carolina at Chapel Hill, summed it up: “We were interested to see if people with poor dental health had relatively poorer cognitive function, which is a technical term for how well people do with memory and with managing words and numbers,” he said in an interview with U.S. News and World Report. “What we found was that for every extra tooth that a person had lost or had removed, cognitive function went down a bit. The same was true [for] patients with severe gum disease.”
Does this mean that losing teeth is a little like losing brain cells? Not really, because it isn’t clear which condition occurred first… or even if one caused the other. For example, it could be that a poor diet is responsible for both poor dental health and a decline in cognitive ability; on the other hand, there could be a genetic link between both conditions. Or, it could simply mean that people with cognitive difficulties don’t take good care of their teeth.
Still, the association is intriguing — especially because it echoes some previous studies, which indicate that systemic inflammation could be a major cause of both problems. What’s the oral-systemic connection? No one is exactly sure yet, but research suggests a relationship between periodontal disease and other diseases such as heart disease, stroke and diabetes. The common link may be bacteria: The same microorganisms that cause problems in the mouth might be able to spread through the body, producing a low-grade inflammation — one that’s waiting for the right conditions to burst into fire.
So, should you rush out and grab everything off the drugstore’s oral health products shelf? Well, we wouldn’t necessarily go that far… but here’s a more sensible suggestion: Take good care of your teeth and gums. Both tooth decay and periodontal disease can cause a number of problems with your health — yet both can be treated effectively… and they’re largely preventable!
If you haven’t visited our office in a while, why not come in for an exam? When you do, ask us what’s the best way to keep your smile looking great and feeling clean and healthy. Our goal is to help you maintain proper oral hygiene — for life. If you would like more information about oral health and systemic diseases, call our office for a consultation. You can learn more in the Dear Doctor magazine article “The Link Between Heart & Gum Diseases.”