Posts for category: Oral Health
A few months into wearing braces you may notice your gums are swollen. It's likely you've developed periodontal (gum) disease.
Gum disease is a bacterial infection that usually begins with dental plaque. This thin, accumulated biofilm on teeth is filled with bacteria that cause dental disease. The more of it that remains on your teeth, the higher your risk for a gum infection.
In addition to regular dental cleanings, the best way for a person to reduce their gum disease risk is to remove plaque on a daily basis through brushing and flossing. Unfortunately, wearing braces complicates this: The brackets and wires affixed to your teeth can get in the way of your toothbrush and regular dental floss. As a result, you can easily miss plaque hidden around these bits of hardware.
Aside from gum disease, the braces themselves can irritate your gums. This irritation inflames the gums and may even cause more tissue to grow. Compound this overgrowth with a possible gum infection and it's no wonder your gums are severely swollen.
To lessen the chances of swollen gums with braces, you'll need to beef up your daily hygiene efforts. Simply put, it will typically take more time than normal to thoroughly clean around your braces. A few specialized tools, though, might make it easier.
An interproximal brush with a narrower head than a regular toothbrush is useful for accessing tight places around brackets. And a floss threader or a water flosser (which uses pressurized water to loosen and remove plaque) may help you better maneuver around wires to remove plaque between teeth.
Keeping your teeth clean as possible will certainly help you avoid gum swelling due to disease. But swelling from tissue overgrowth may not be resolved until your braces come off. In severe cases, it may even be necessary to remove the braces to treat the gums before resuming orthodontic treatment.
In any case, be as thorough as possible with your oral hygiene efforts during orthodontics and see your regular dentist for cleanings every six months. When you have completed orthodontic treatment, cleanings every six months are usually recommended. It's the best way to keep your gums healthy while you're wearing braces.
If you would like more information on dental care while wearing braces, 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 “Gum Swelling During Orthodontics.”
Finding out you have a cavity isn't the best of news. But finding out it's a root cavity is even worse: if not treated, the decay can spread more rapidly than a cavity occurring in the tooth's crown surfaces.
Our teeth are basically composed of two parts: the crown, the visible tooth above the gum line, and the roots, the hidden portion beneath the gums. The root in turn fits into a bony socket within the jaw to help hold the tooth in place (along with attached gum ligaments).
A tooth crown is covered by an ultra-hard layer of enamel, which ordinarily protects it from harmful bacteria. But when acid produced by bacteria comes into prolonged contact with enamel, it can soften and erode its mineral content and lead to a cavity.
In contrast to enamel, the roots have a thin layer of material called cementum. Although it offers some protection, it's not at the same performance level as enamel. But roots are also normally covered by the gums, which rounds out their protection.
But what happens when the gums shrink back or recede? This often occurs with gum disease and is more prevalent in older people (and why root cavities are also more common among seniors). The exposed area of the roots with only cementum standing in the way of bacteria and acid becomes more susceptible to cavity formation.
Root cavities can be treated in much the same way as those that occur in the crown. We first remove any decayed tooth structure with a drill and then place a filling. But there's also a scenario in which the cavity is below the gum line: In that case, we may need to gain access to the cavity surgically through the gums.
If you have exposed root areas, we can also treat these with fluoride to strengthen the area against cavity formation. And, as always, prevention is the best treatment: maintain a daily schedule of brushing and flossing and regular dental cleanings to remove bacterial plaque.
Because decay can spread within a tooth, dealing with a root cavity should be done as promptly as possible. But if we diagnose and initiate treatment early, your chances of a good outcome are high.
If you would like more information on treating root cavities and other forms of tooth decay, 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 “Root Cavities.”
Performing for an awards show is a quite a feather in an entertainer's cap. So, up-and-coming country music star Carly Pearce was obviously excited when she gained a slot on last November's Country Music Awards. But an accident a couple of weeks before the event almost derailed her opportunity when she fell and knocked out two of her front teeth.
Fortunately, Pearce took quick action and, thanks to a skilled dental and medical team, was able to put her mouth back together before the show. Those watching her perform her hit single, “I Hope You're Happy Now,” as she smiled broadly would never have known otherwise about her traumatic emergency if she hadn't spilled the beans.
Orofacial injuries can happen to anyone, not just entertainers. You or someone you love could face such an injury from a motor vehicle accident, hard sports contact or, like Pearce, a simple slip and fall. But if you also act quickly like Pearce, you may be able to minimize the injury's long-term impact on dental health and appearance.
Here are some guidelines if you suffer a dental injury:
Collect any tooth fragments. Dental injuries can result in parts of teeth—or even a whole tooth—coming out of the mouth. It may be possible, though, to use those fragments to repair the tooth. Try to retrieve and save what you can, and after rinsing off any debris with cold water, place the fragments in a container with milk.
Re-insert a knocked-out tooth. You can often save a knocked-out tooth by putting it back in its socket as soon as possible. After cleaning off any debris, hold the tooth by its crown (never the root) and place it back in the empty socket. Don't fret over getting it in perfectly—your dentist will assist its placement later. Place a piece of clean cloth or cotton over the tooth and have the injured person bite down gently but firmly to hold it in place.
See the dentist ASAP. You should immediately see a dentist if any tooth structure has been damaged, or if a tooth is loose or has been moved out of place. If you're not sure, call your dentist to see if you should come on in or if you can wait. If a dentist is not available, go immediately to an emergency room or clinic. With many dental injuries, the longer you wait, the more likely the teeth involved won't survive long-term.
A dental injury could happen in a flash, with consequences that last a lifetime. But if, like Carly Pearce, you take prompt action and obtain necessary dental care, you could save an injured tooth—and the smile that goes with it.
Here's a bit of magic: Hold your smart phone camera in front of someone and say, "Cheese!" More times than not, they'll break into a smile. No one knows for sure the origin of this grin-inducing phrase, but it works like a charm. And it's quite appropriate too! That tasty aging of proteins and fat also helps to keep the stars of our smile—our teeth—in good health.
In the fight against tooth decay and gum disease, daily oral hygiene—brushing and flossing—and regular dental visits get top billing. But nutrition is also a critical factor for great dental health. A diet low in sugar and processed foods and rich in whole foods can also lower your dental disease risk.
Dairy is an important part of this "tooth-friendly" eating. In recognition of National Dairy Month this June, here's how products like milk and cheese can help you maintain a healthy—and photogenic—smile.
Nutrients. Dairy products like milk and cheese are chock full of vitamins and minerals. Two of the most important are calcium and phosphorous, both of which the body uses to build strong bones and teeth. The micronutrient Vitamin D found heavily in dairy helps regulate these important minerals so that they're available for teeth.
Reduced decay risk. Cheese and other dairy products do contain a form of sugar called lactose. But it has a milder effect within the mouth than other sugars, particularly sucrose (refined sugar): While bacteria readily feed on sucrose and release enamel-eroding acid as a by-product, they're less likely with lactose. Even so, there's still a risk, albeit lower, of lactose leading to tooth decay, so go easy on consumption.
Acid buffering. Speaking of acid, cheese in particular seems to contribute to neutralizing this bacterial byproduct. It's believed it does this by stimulating saliva production, which is the body's primary means for restoring proper pH balance in the mouth after eating. So, eating a little cheese during or after consuming a food with sugar may help offset any acid resulting from the sweet snack.
Cheese and other dairy products are a good source of protein, but also fat, so they should be consumed in moderation for overall health. But nibbling on a bit of Gouda, Havarti or Mozzarella can be a good thing for your teeth—and make it more likely you'll smile wide for the camera.
If you would like more information about the role of nutrition in better dental health, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Nutrition & Oral Health.”
Have you ever woken up in the morning and felt like your mouth was filled with cotton? We've all had bouts of occasional dry mouth, but the unpleasantness usually goes away after we eat or drink something.
But what if you have dry mouth all the time? In that case, it's more than unpleasant—it could be increasing your risk of dental disease. That's because your dry mouth symptoms are being caused by a lack of adequate saliva. Besides providing antibodies to fight harmful bacteria, saliva also neutralizes mouth acid that can cause tooth decay.
Your decrease in saliva could be caused by smoking or moderate to heavy alcohol consumption. It could also be a side effect of medications you're taking, one reason why older people, who on average take more prescription drugs than other age groups, have a high incidence of dry mouth.
So, what can you do to alleviate chronic dry mouth?
Watch what you eat and drink. Certain foods and beverages can worsen chronic dry mouth. Try to avoid or limit alcohol and caffeinated drinks like coffee, tea or soft drinks, as well as salty or spicy foods.
If you use tobacco, quit. Tobacco, especially smoking, can dry out your mouth, as well as damage your salivary glands. Abstaining from tobacco can alleviate dry mouth and help prevent dental disease.
Drink more water. Simply drinking water ensures your body has an ample supply for producing saliva. It's also beneficial for your dental health in general, as it can help buffer your mouth's acid levels and rinse away food remnants that could become food for bacteria.
Speak to your doctor. If you suspect a drug that you're taking may be causing dry mouth, discuss with your doctor alternative medications that may minimize this side effect. Simply changing prescriptions could alleviate your dry mouth symptoms.
You can also try saliva stimulants, both over-the-counter and prescription, to help your mouth produce more saliva. And be sure you also keep up daily habit of brushing and flossing to clear away bacterial plaque and lower your risk of dental disease.